Kinematic Assessment of the Upper Extremity in Brachial Plexus Birth Palsy

Mosqueda, Teresa; James, Michelle A.; Petuskey, Kyria; Bagley, Anita; Abdala, Estelle; Rab, George T.

doi:10.1097/01241398-200411000-00018

Cited by 58 publications

(29 citation statements)

References 13 publications

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“…This study confirms that children with OBPP generally employ greater than average scapular motion in the involved limb during activities of daily living (13)(14)(15)17) even if the differences were not always significant. Increased scapular mobility is likely a consequence of muscle imbalance, skeletal deformity, and neural adaptation.…”

Section: Accepted Manuscriptsupporting

confidence: 68%

“…Upper limbs kinematics have been widely studied in healthy and pathologic children during functional movement (10-23) but few of them focused on children with obstetrical brachial plexus palsy (13,14,23). To our knowledge, this is the first study that quantifies the 3D scapulothoracic, scapulohumeral and elbow joints mobility during the Mallet score functional…”

Section: Discussionmentioning

confidence: 99%

“…According to Duff et al, in children with limited arm elevation, the ST medial rotation in the involved limb made a larger contribution than the GH joint (13). Mosqueda et al investigated upper limb kinematics in a group of patients with OBPP of the upper roots and showed that there were kinematic anomalies in three dimensions during various tasks performed: children with OBPP used more shoulder flexion or abduction in some activities of daily living than control subjects (14). According to Russo et al, children with OBPP demonstrated significantly greater ST motion than an unaffected group during the hand to mouth task.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Upper limbs kinematics have been widely studied in healthy, hemiplegic children or children with OBPP during functional movements (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). However, to our knowledge, scapulothoracic, scapulohumeral and elbow joints have never been simultaneously studied in children with OBPP.…”

Section: Introductionmentioning

confidence: 99%

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Shoulder and elbow kinematics during the Mallet score in obstetrical brachial plexus palsy

Herisson

Maurel

Diop

et al. 2017

Clinical Biomechanics

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Abstract:Background: The physical signs of obstetrical brachial plexus palsy range from temporary upper-limb dysfunction to a lifelong impairment and deformity in one arm. The aim of this study was to analyze the kinematics of the upper limb and to evaluate the contribution of glenohumeral and scapulothoracic joints of obstetrical brachial plexus palsy children.Methods: Six children participated in this study: 2 males and 4 females with a mean age of 11.7 years. Three patients had a C5, C6 lesion and 3 had a C5, C6, C7 lesion. They were asked to perform the five tasks based on the Mallet scale and the kinematic data were collected using the Fastrak electromagnetic tracking device. ACCEPTED MANUSCRIPT A C C E P T E D M A N U S C R I P T 2Findings: The scapulothoracic protraction and posterior tilt were significantly increased in the involved limb during the tasks Hand to mouth (p=0.006 and p=0.015 respectively). he scapulothoracic Protraction/glenohumeral Elevation ratio was significantly increased in the involved limb during the hand to neck task (p=0.041) and the elevation task (p=0.015). The ratios of scapulothoracic Tilt on the three glenohumeral excursion angles were significantly increased during the hand to mouth task (p≤0.041). The scapulothoracic Mediolateral/glenohumeral Elevation ratio was significantly increased in the involved limb during the elevation task (p=0.038). The glenohumeral elevation excursion was significantly decreased in the involved limb during the hand to neck task (p<0.001) and the elevation task (p=0.0003).Interpretation: This study gives us information about the greater contribution of the scapulothoracic joint to shoulder motion for affected arm of obstetrical brachial plexus palsy patients compared to their unaffected arm. Kinematic analysis could be useful in shoulder motion evaluation during the Mallet score and to evaluate outcomes after surgery.

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Section: Accepted Manuscriptsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Accepted Manuscriptmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Shoulder and elbow kinematics during the Mallet score in obstetrical brachial plexus palsy

Herisson

Maurel

Diop

et al. 2017

Clinical Biomechanics

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“…Active ROM and function of the shoulder are difficult to assess in young children for many reasons, including their inability to understand verbal and gestural commands, limited attention span, underdeveloped neuromuscular control, and fear of the examination process [9,10]. Conditions such as brachial plexus birth palsy bring children to medical attention soon after birth and often necessitate treatment, surgical and otherwise, based on an assessment of impaired shoulder function [4,5,11].…”

Section: Introductionmentioning

confidence: 99%

Assessing Shoulder Motion in Children: Age Limitations to Mallet and ABC Loops

Pearl

Bunt

Pearl

et al. 2013

Clin Orthop Relat Res

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Background Shoulder ROM and function of the shoulder are difficult to evaluate in young children. There has been no determination of the age at which children can comply with the current assessment tools in use, but doing so would be important, because it gives us more accurate insight into the development and assessment of shoulder functional ROM in young children. Questions/purposes We (1) determined whether age would limit the use of two different observational scales used to assess shoulder ROM and function in young children (the Mallet scale and the ABC Loops protocol); and (2) compared the two scales in terms of intra-and interobserver reliabilities. Methods Sixty-five able-bodied children (32 boys, 33 girls; mean age, 3.9 years; range, 0.5-7.0 years) were recruited from local preschools and evaluated using the Mallet scale and ABC Loops protocol. Children were assessed on their ability to complete the examinations and time to completion for each measurement protocol. Intra-and interobserver reliability was tested by percentage agreement. Forty-eight children (mean age, 4.4 years; SD, 1.3 years) were able to complete the Mallet and ABC Loops measurement protocols; 17 children (mean age, 2.3 years; SD, 1.1 years) failed to complete either test. Results Younger children had more difficulty completing the examinations; there was a strong negative correlation between age and failure: probability of failure increased with decreasing age (Pearson r = À0.601, p \ 0.001). Children who were able to complete one test were able to complete the other. Interobserver and intraobserver agreement was very high for both scales (in excess of 95% for all comparisons), and with the numbers available, there were no differences between the scales. Conclusions The Mallet scale and ABC Loops protocol have high reliability metrics in children younger than 6 years, but very young children (those younger than 3 years) generally will not be able to complete the examinations. The ABC Loops test took longer to perform than the Mallet scale but may more comprehensively evaluate a child's functional capabilities. We therefore state that both assessment tools can be reliably used in children older than 3 years; we believe the ABC Loops gives a more accurate assessment of shoulder ROM.

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Neonatal Brachial Plexus Palsy

Mehlman

2015

The Pediatric Upper Extremity

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Kinematic Assessment of the Upper Extremity in Brachial Plexus Birth Palsy

Cited by 58 publications

References 13 publications

Shoulder and elbow kinematics during the Mallet score in obstetrical brachial plexus palsy

Shoulder and elbow kinematics during the Mallet score in obstetrical brachial plexus palsy

Assessing Shoulder Motion in Children: Age Limitations to Mallet and ABC Loops

Neonatal Brachial Plexus Palsy

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