Impact of brachial plexus birth injury on health-related quality of life in adulthood: a mixed methods survey study

Dorich, Jenny M.; Whiting, James F.; Clark, Vicki L. Plano; Ittenbach, Richard F.; Cornwall, Roger

doi:10.1080/09638288.2023.2212917

Cited by 4 publications

(1 citation statement)

References 39 publications

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“…Brachial plexus birth injury (BPBI) can radically affect the function of an upper extremity, disrupt the physical and mental development of children, prevent the patient from becoming an independent individual and profoundly affect activities of daily living and occupation during adulthood (Dorich et al., 2023). In most cases, there is spontaneous improvement, but it is often insufficient especially in children with severe injury involving the lower roots.…”

Section: Introductionmentioning

confidence: 99%

Brachial plexus birth injury: advances and controversies

Leblebicioğlu,

Pondaag

2024

J Hand Surg Eur Vol

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While there is considerable spontaneous recovery in most cases of brachial plexus birth injury, many children are left with significant problems that may lead to lifelong functional limitations, loss of work and social isolation. Detailed treatment with the right strategy can provide very valuable improvement in function. Over the past few years, the clinical approach to brachial plexus birth palsy has entered a new era in both diagnostic and surgical treatment methods. This article reviews four areas of management, the role of imaging in defining the severity of the injury, the optimal timing of for nerve exploration and reconstruction in appropriate cases, the advantages and potential complications of nerve transfers, and the role of physiotherapy. Available evidence is considered. Although it is difficult to make clear and precise inferences on a subject where there are many variables and considerable uncertainties, some currently accepted views will be summarized. Level of evidence: V

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Section: Introductionmentioning

confidence: 99%

Brachial plexus birth injury: advances and controversies

Leblebicioğlu,

Pondaag

2024

J Hand Surg Eur Vol

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The dynamic and diverse experience of adults with brachial plexus birth injury: a collective case study

Dorich,

Whiting,

Plano Clark

et al. 2024

International Journal of Qualitative Studies on Health and Well

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Purpose To explore brachial plexus birth injury (BPBI)-affected adults’ health-related quality of life (HRQoL) experiences informed by the theoretical framework of the International Classification of Functioning, Disability, and Health. Methods This study applied a qualitative collective case study design. Twelve participants who participated in a prior survey study were recruited using maximum variation sampling. One-on-one semi-structured interviews focused on gaining in-depth understanding of participants’ experiences with HRQoL. Interviews were recorded verbatim and thematically analysed. Results We identified two themes. First, the theme biopsychosocial dimensions of the experience comprised the ways BPBI affects physical and emotional health and how BPBI is intertwined with affected individuals’ identities, activities/participation, and social environments. Second, the theme lifelong and variable experience encompassed how BPBI is a chronic condition that changes over time and varies among affected individuals. The cross-case analysis derived a conceptual model of BPBI HRQoL to describe the BPBI experience through the lifespan. In this model, multiple dimensions of BPBI HRQoL expand through the lifespan while BPBI-specific health resources’ availability contract. Conclusions By providing insight into the many ways that BPBI affects and is affected by an individual’s functioning and personal, social, and healthcare environmental factors, these findings underscore lifelong individualized care for BPBI-affected persons is needed.

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Are Racial and Ethnic Disparities in Brachial Plexus Birth Injuries Explained by Known Risk Factors?

Manske,

Wilson,

Wise

et al. 2024

Preprint

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Objective To investigate the association of maternal race/ethnicity with risk factors for brachial plexus birth injury (BPBI) and quantify the proportion of excess BPBI risk due to these factors. Study design This retrospective cohort study of all livebirths occurring in California-licensed hospitals from 1996–2012 included 6,278,562 maternal-livebirth infant pairs with 7,762 BPBI diagnoses. Multiple logistic regression and causal mediation analyses were used to evaluate the relationship of race/ethnicity and BPBI risk factors. Results Black and Hispanic birthing-individuals were at increased risk of obesity, diabetes, and limited prenatal care utilization but decreased risk of many BPBI risk factors (shoulder dystocia, macrosomia, prolonged second stage of labor, and vaginal delivery). Conclusions Black and Hispanic birthing-individuals were at lower risk of many strongly associated risk factors for BPBI, and these factors mediate only a small proportion of their excess BPBI risk, underscoring the importance of identifying alternative risk factors, especially drivers of demographic disparities.

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Impact of brachial plexus birth injury on health-related quality of life in adulthood: a mixed methods survey study

Cited by 4 publications

References 39 publications

Brachial plexus birth injury: advances and controversies

Brachial plexus birth injury: advances and controversies

The dynamic and diverse experience of adults with brachial plexus birth injury: a collective case study

Are Racial and Ethnic Disparities in Brachial Plexus Birth Injuries Explained by Known Risk Factors?

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