Evaluation of pediatric upper extremity peripheral nerve injuries

Ho, Emily S.

doi:10.1016/j.jht.2014.09.003

Cited by 19 publications

(20 citation statements)

References 61 publications

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“…Although animal models of CP-induced contractures have never been successfully created (31)(32)(33), the use of an NBPI model to understand the mechanism by which longitudinal muscle growth is mediated and impaired could offer novel targets and strategies to prevent neuromuscular contractures in both NBPI and CP. Importantly, we have found in the NBPI model that contractures do not occur following muscle denervation outside the neonatal period (18), consistent with the clinical observations that BPI in later childhood does not cause contractures (34), and suggesting a unique biologic susceptibility of neonatal longitudinal muscle growth to denervation. However, in contrast with the vast knowledge of the mechanisms that regulate muscle width, the processes in muscle that govern muscle length during the neonatal period are unexplored.…”

Section: Introductionsupporting

confidence: 87%

Proteasome inhibition preserves longitudinal growth of denervated muscle and prevents neonatal neuromuscular contractures

Nikolaou¹,

Cramer

Hu³

et al. 2019

JCI Insight

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Section: Introductionsupporting

confidence: 87%

Proteasome inhibition preserves longitudinal growth of denervated muscle and prevents neonatal neuromuscular contractures

Nikolaou¹,

Cramer

Hu³

et al. 2019

JCI Insight

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“…29,89 Passive ROM into lateral neck flexion and cervical rotation is assessed if postural asymmetries are suggestive of a torticollis. 89 Ideally, the GH joint is evaluated with the scapula stabilized during elevation (flexion/abduction), external rotation (ER) and horizontal adduction.…”

Section: Assessment: Infantmentioning

confidence: 99%

“…Ongoing assessment of PROM throughout infancy and childhood is recommended due to the risk for contracture. 29 …”

Section: Assessment: Infantmentioning

confidence: 99%

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

Duff

DeMatteo

2015

Journal of Hand Therapy

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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.

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“…The Jamar-grip dynamometer is a simple, 1 viable, 2 valid, and reliable 3 assessment tool that has been extensively used for assessment of upper-extremity strength impairments 4 , 5 . Hand-grip dynamometer and pinch gauge readings are extremely useful tools to measure baseline function 5 , 6 . Studies have revealed that grip strength is a reliable predictor of functional decline and disability 7 .…”

Section: Introductionmentioning

confidence: 99%

Assessment of hand-grip and key-pinch strength at three arm positions among healthy college students: Dominant versus non-dominant hand

Elgohary

Elkader

Al-Shenqiti

et al. 2019

Journal of Taibah University Medical Sciences

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ObjectiveGrip strength is important for independent self-care and is a predictor of functional decline. This study aimed to determine if healthy individuals would demonstrate different hand-grip and key-pinch strengths at three different arm positions and in comparisons between dominant and non-dominant hands.MethodsA total of 61 right-hand–dominant male college students aged 19–23 years were consecutively recruited from the College of Medical Rehabilitation Sciences. Three researchers performed the measurements. All tests were performed with the JAMAR® hand-grip dynamometer handle set in its second position. Participants were instructed to squeeze the handle of the hand-grip dynamometer in the 90° elbow flexion, 90° shoulder flexion, and arm dangled positions. For assessment of key-pinch strength, every participant had to squeeze the thumb pad against the lateral aspect of the middle phalanx of the index finger. Key-pinch strength was measured in the same positions used for assessment of hand-grip strength. Participants were blinded for the outcome measurements. The significance level was set at p < 0.05.ResultsThe hand-grip and key-pinch strengths did not show significant effects. Comparison of right and left hand-grip strengths also showed insignificant differences. However, the key-pinch strength showed a significant increase in favour of the dominant hand.ConclusionsClinicians can choose any upper-extremity position to measure hand-grip and key-pinch strength. Furthermore, clinicians should aim to maintain and restore almost equal scores for hand-grip and pinch strength of the dominant and non-dominant hands to ensure better hand function.

show abstract

Evaluation of pediatric upper extremity peripheral nerve injuries

Cited by 19 publications

References 61 publications

Proteasome inhibition preserves longitudinal growth of denervated muscle and prevents neonatal neuromuscular contractures

Proteasome inhibition preserves longitudinal growth of denervated muscle and prevents neonatal neuromuscular contractures

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

Assessment of hand-grip and key-pinch strength at three arm positions among healthy college students: Dominant versus non-dominant hand

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