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Obstetric Brachial Plexus Palsy and Functional Implications: Which Joint in the Upper Extremity Is More Closely

Gülsena Utku Umut1, Zeynep Hoşbay1, Müberra Tanrıverdi2

  • 1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Biruni University, 34015 Istanbul, Turkey.

Medicina (Kaunas, Lithuania)
|November 27, 2024
PubMed

Insights

This study found that range of motion in children with Obstetric Brachial Plexus Palsy (OBPP) after tendon transfer surgery correlates with functional outcomes. Improved shoulder flexion and elbow extension are linked to better function and appearance.

Area of Science:

  • Pediatric Orthopedics
  • Rehabilitation Medicine
  • Neuromuscular Disorders

Background:

  • Obstetric Brachial Plexus Palsy (OBPP) affects upper extremity function in children.
  • The modified Hoffer tendon transfer is a surgical intervention for OBPP.
  • Understanding the relationship between range of motion and function is crucial for treatment.

Purpose of the Study:

  • To investigate the correlation between active range of motion (ROM) of the affected upper extremity and functional capacity.
  • To analyze these correlations in children with OBPP post-modified Hoffer tendon transfer.

Main Methods:

  • A cohort of 52 children (aged 4-14) with OBPP who underwent shoulder tendon transfer was studied.
  • Active ROM was measured using a goniometer.
  • Functional capacity was assessed using the Brachial Plexus Outcome Measure (BPOM).

Main Results:

  • Significant positive correlations were found between shoulder flexion and shoulder function (p=0.017, r=0.351).
  • Shoulder internal rotation correlated with appearance scores (p=0.001, r=0.481).
  • Elbow extension showed a significant negative relationship with elbow and forearm activities (p<0.001, r=-0.512).

Conclusions:

  • Assessing joint range of motion is essential for children with OBPP.
  • Body perception evaluation is also vital for effective treatment and follow-up.
  • These assessments can improve functionality and quality of life for children with OBPP.

Keywords:
body perceptionfunctionalityobstetric brachial plexus palsytendon transfer

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