Outcomes after occupational therapy intervention for traumatic brachial plexus injury: A prospective longitudinal cohort study

Cole, Tanya; Nicks, Rebecca; Ferris, Scott; Paul, Eldho; O’Brien, Lisa; Pritchard, Elizabeth

doi:10.1016/j.jht.2019.08.002

Cited by 9 publications

(5 citation statements)

References 46 publications

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“…Prescription of corticosteroids to reduce edema and pressure near the nerve and vitamin B complex to support nerve regeneration accompanied by physical rehabilitation would usually resolve the issue. [26][27][28]…”

Section: Discussionmentioning

confidence: 99%

Re-Treatment of Mismanaged Bilateral Condylar Fracture and Post-Surgical Complication

Oyagi,

Anggayanti,

Swayoga

et al. 2024

interdental

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Introduction: Improper management of condyle fractures can lead to changes in the structure of the temporomandibular joint, which can impact the patient's oral function. Corrective surgery is necessary to restore the patient's function and quality of life. This case report aims to discuss the procedure of bilateral condylectomy in neglected condylar fracture, as well as the risks and post-operative complication management. Case: A 26-year-old female patient presented with mandibular hypomobility and occasional temporomandibular pain. The patient had history of a traffic accident around four months ago, and was managed in a public hospital but symptoms persisted. Case Treatment: After thorough examinations, the patient was diagnosed with neglected complete bilateral condylar fracture with displacement and managed via bilateral condylectomy. Post-operative, the patient presented with anterior open-bite and facial paralysis on the right side, and was treated accordingly. During 4-month follow-up, complications and chief complaints had all subsided. Discussions: Mismanagement of condylar fracture could result in malunion of fragments, which is difficult to reposition due to the changes that have already occurred in the temporomandibular structure. Condylectomy is often necessary to relieve symptoms, although bilateral condylectomy poses certain neurological risks. Prompt recognition and intervention of nerve injury is important to prevent permanent complication. Conclusion and Suggestions: Condylectomy could properly treat neglected bilateral condylar fracture in adult patients. Operators must know the associated risk and management of post-operative complications.

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Section: Discussionmentioning

confidence: 99%

Re-Treatment of Mismanaged Bilateral Condylar Fracture and Post-Surgical Complication

Oyagi,

Anggayanti,

Swayoga

et al. 2024

interdental

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“…24 Indeed, rehabilitation provided to people with a BPI may benefit from being considered alongside other conditions requiring longterm recovery such as spinal cord and brain injury. 25 While not identified directly by participants, the concepts of an integrated slow stream rehabilitation model of care may better support individuals during their prolonged recovery. 26 , 27 Slow stream rehabilitation is recommended as it is underpinned by patient-centered, goal focused care provided within a multidisciplinary focusing on functioning, disability and health.…”

Section: Discussionmentioning

confidence: 99%

Effective long-term management of brachial plexus injury following surgery: What is needed from hand therapists’ perspectives

Brito

White

Hill

et al. 2022

Journal of Hand Therapy

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“…A prospective longitudinal study confirmed that postoperative specialist occupational therapy increased motor recovery and upper extremity function in patients following BPI, involving occupational therapy such as folding towels, drinking water, lifting plastic bags, cutting with utensils, etc. ( 13 ). The profession of occupational therapy for patients with brachial plexus injuries is not standardized.…”

Section: Adult Brachial Plexus Injury Rehabilitationmentioning

confidence: 99%

Review of rehabilitation protocols for brachial plexus injury

Chen

Wang

et al. 2023

Front. Neurol.

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Brachial plexus injury (BPI) is one of the most serious peripheral nerve injuries, resulting in severe and persistent impairments of the upper limb and disability in adults and children alike. With the relatively mature early diagnosis and surgical technique of brachial plexus injury, the demand for rehabilitation treatment after brachial plexus injury is gradually increasing. Rehabilitation intervention can be beneficial to some extent during all stages of recovery, including the spontaneous recovery period, the postoperative period, and the sequelae period. However, due to the complex composition of the brachial plexus, location of injury, and the different causes, the treatment varies. A clear rehabilitation process has not been developed yet. Rehabilitation therapy that has been widely studied focusing on exercise therapy, sensory training, neuroelectromagnetic stimulation, neurotrophic factors, acupuncture and massage therapy, etc., while interventions like hydrotherapy, phototherapy, and neural stem cell therapy are less studied. In addition, rehabilitation methods in some special condition and group often neglected, such as postoperative edema, pain, and neonates. The purpose of this article is to explore the potential contributions of various methods to brachial plexus injury rehabilitation and to provide a concise overview of the interventions that have been shown to be beneficial. The key contribution of this article is to form relatively clear rehabilitation processes based on different periods and populations, which provides an important reference for the treatment of brachial plexus injuries.

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Outcomes after occupational therapy intervention for traumatic brachial plexus injury: A prospective longitudinal cohort study

Cited by 9 publications

References 46 publications

Re-Treatment of Mismanaged Bilateral Condylar Fracture and Post-Surgical Complication

Re-Treatment of Mismanaged Bilateral Condylar Fracture and Post-Surgical Complication

Effective long-term management of brachial plexus injury following surgery: What is needed from hand therapists’ perspectives

Review of rehabilitation protocols for brachial plexus injury

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