Postoperative physical therapy program for latissimus dorsi and teres major tendons transfer to rotator cuff in children with obstetrical brachial plexus injury

Safoury, Y.; ELdesoky, Mohamed; Abutaleb, Enas ELsayed Mohamed; atteya, Mohamed raffat Mohamed; Gabr, Ahmed Maher

doi:10.23736/s1973-9087.16.03910-1

Cited by 7 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even with complete rehabilitation and satisfactory neurological recovery, associated complications, including pain, muscle atrophy, restricted joint mobility, and subsequent abnormalities, are still possible ( 15 ). Considering that complete alleviation of brachial plexus injury is challenging with rehabilitation alone in the sequela period, surgical procedures such as neuroma removal to reduce pain and latissimus dorsi tendon grafting to the rotator cuff to address shoulder mobility limitations are typically employed ( 35 ). Postoperative rehabilitation strategies for sequelae are not contradictory and may be adapted to acute postoperative rehabilitation for brachial plexus injuries.…”

Section: Adult Brachial Plexus Injury Rehabilitationmentioning

confidence: 99%

Review of rehabilitation protocols for brachial plexus injury

Chen

Wang

et al. 2023

Front. Neurol.

View full text Add to dashboard Cite

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.

show abstract

Section: Adult Brachial Plexus Injury Rehabilitationmentioning

confidence: 99%

Review of rehabilitation protocols for brachial plexus injury

Chen

Wang

et al. 2023

Front. Neurol.

View full text Add to dashboard Cite

show abstract

“…Safory YA et al [42] presented a therapeutic program performed for the transfer of the tendons of the latissimus dorsi and the teres major muscles to the rotator cuff in children with birth palsy of the brachial plexus. Patients who fulfilled neurological and radiological criteria and had adequate muscle strength were qualified for this study.…”

Section: Therapeutic Programmentioning

confidence: 99%

Current strategies of the brachial plexus palsy management

TOKARZEWSKA

KORGA

KOWALCZYK

et al. 2023

J Educ Health Sport

View full text Add to dashboard Cite

The importance of brachial plexus palsy treatment is associated with its significant severity, along with Brachial plexus palsies can be treated by means of many different surgical and non-surgical methods which allow regeneration of full efficiency of the affected limb. The choice of method depends on such factors as type and region of injury, patient’s age or clinical presentation of the injury. The purpose of this review is to present current strategies of treating brachial plexus palsies, depending on therapeutic needs of the particular patient. This is a review study based upon selective literature overview, with emphasis on works published within past 13 years. 6 separate methods of brachial plexus palsy were assessed, without distinction of the reason of palsy occurring. Some of the invasive methods include operative treatment performed directly on occupied nervous tissue, such as microneural plexus reconstruction and nerve transfers (lower subscapular nerve transfer and contralateral C7 nerve transfer) whilst the others revolve around restoration of function of affected neighboring structures by themselves, e.g. shoulder tendon transfers. Rehabilitation and botulinum toxin-based treatment are non-operative methods revolving around enhancement of the function of the affected upper limb. Main measure of effectiveness of the treatment is assessment of the range of motion of the affected limb (ROM). There is still not enough information available regarding long-term efficiency of microneural plexus reconstruction and botulinum toxin-based treatment. They require further investigation while other methods are used commonly.

show abstract

“…[2][3][4] Most centers employ a multidisciplinary treatment approach incorporating: physiotherapy, peripheral nerve surgery, and the use of orthoses. 5 Consensus regarding the optimal treatment of BPBI has yet to be achieved, [5][6][7][8][9][10][11][12][13][14][15] and use of early positioning and splinting protocols is not universal.…”

Section: Introductionmentioning

confidence: 99%

Shoulder Rotation Function Following the Sup-ER Protocol in Children with Brachial Plexus Injuries

Yefet

Bellows

Bucevska

et al. 2020

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background: Our group previously developed an upper extremity repositioning (Sup-ER) protocol for brachial plexus birth injuries (BPBIs) that may improve supination and external rotation (ER) at 2 years of age. Questions were raised about the potential for the protocol to cause internal rotation (IR) deficits. The goal of this study was to explore the longer-term outcomes of the Sup-ER protocol and investigate IR/ER function. Methods: This prospective cross-sectional cohort study examined 16 children older than 4 years of age with significant enough BPBI to be treated with the Sup-ER protocol. Total shoulder and elbow function were assessed, including passive and active ranges of motion and strength of IR and ER. Results: Range of motion (ROM) for most active movements was decreased in the affected compared to unaffected arm. Notably, IR passive ROM was similar in the affected (78.7°) and unaffected arm (82.8°). External rotation strength of the affected arm was weaker (42.8 N) compared to the unaffected arm (57.9 N). IR strength had a greater deficit in the affected (43.2 N) arm compared to the unaffected arm (72.2 N), but both ER and IR showed less deficit than described in the literature. Conclusions: Despite differences in ranges of motion between the affected and unaffected arms, ROMs for the affected arm were comparable to the functional limits as reported in the literature. The Sup-ER protocol shows potential to optimize long-term shoulder rotation function in children with BPBI without compromising IR.

show abstract

Postoperative physical therapy program for latissimus dorsi and teres major tendons transfer to rotator cuff in children with obstetrical brachial plexus injury

Cited by 7 publications

References 0 publications

Review of rehabilitation protocols for brachial plexus injury

Review of rehabilitation protocols for brachial plexus injury

Current strategies of the brachial plexus palsy management

Shoulder Rotation Function Following the Sup-ER Protocol in Children with Brachial Plexus Injuries

Contact Info

Product

Resources

About