Clinical assessment of the infant and child following perinatal brachial plexus injury

Abstract

STUDY DESIGN Literature review INTRODUCTION After perinatal brachial plexus injury (PBPI), clinicians play an important role in injury classification as well as the assessment of recovery and secondary conditions. Early assessment guides the initial plan of care and influences follow-up and long-term outcome. PURPOSE To review methods used to assess, classify and monitor the extent and influence of PBPI with an emphasis on guidelines for clinicians. METHODS We use The International Classification of Functioning, Disability, and Health (ICF) model to provide a guide to assessment after PBPI for rehabilitation clinicians. DISCUSSION With information gained from targeted assessments, clinicians can design interventions to increase the opportunities infants and children have for optimal recovery and to attain skills that allow participation in areas of interest.

Health-care use and information needs of children with neonatal brachial plexus palsy: A cross-sectional survey among 465 Dutch patients

“…allied health care or psychosocial) and, if insufficient, interdisciplinary rehabilitation care is provided (Ramos and Zell, 2000; Smania et al, 2012). A considerable proportion of patients are discharged from clinical follow-up at the Leiden Nerve Center, either in their first year of life because of spontaneous recovery without indications for any interventions or later on in their care trajectory if good functional recovery takes place after conservative or surgical treatment (Bain et al, 2009; Bialocerkowski et al, 2005; Bialocerkowski and Gelding, 2006; Coroneos et al, 2015b; Duff and DeMatteo, 2015; Pondaag and Malessy, 2014; Socolovsky et al, 2015). Discharge from follow-up necessitates a low threshold for renewed consultation but also satisfactory information for both parents and patients.…”

Outcome assessment for Brachial Plexus birth injury. Results from the iPluto world‐wide consensus survey

“…Different aspects of diverse outcome measured were discussed with the ICF as starting point; it was concluded that evaluation focus may shift during the life of an infant with BPBI 21. In the infant age, the assessment focus should be on impairment , which gradually shifts to activity at school age and to participation during adolescence.…”

“…20 Duff and DeMatteo provide a narrative review that describes evaluation methods that can be useful in the evaluation of children with a BPBI. 21 The methods and outcomes of our Delphi surveys were reported in accordance to the standards set in a recent review. 22 International participants reached consensus on a number of items, which we depicted in a template for use in the clinic (Fig.…”

Obstetri̇k Braki̇al Pleksus Parali̇zi̇si̇nde Farkli Yaralanma Ti̇pleri̇ne Sahi̇p Olan Okul Öncesi̇ Yaştaki̇ Çocuklarda Akti̇vi̇te Ve Katilim

“…Despite several studies investigating body structure/function, there is minimal information on activity and participation levels of children with OBPP with different injury types (12)(13)(14). Therefore, the present study aims to investigate the activity and participation levels of preschool children with different types of OBPP.…”

“…In addition to body structure dysfunctions, activity and participation restrictions are also common (11). However, three different reviews investigating clinical evaluations and outcome measures in OBPP reported that the studies merely focused on body structure/function and that more studies are needed to investigate the domains of activity, participation, environmental, and personal factors according to the International Classification of Functioning, Disability and Health (ICF) (12)(13)(14).…”