Sensory outcomes following brachial plexus birth palsy: A systematic review

Corkum, Joseph P.; Kuta, Victoria; Tang, David; Bezuhly, Michael

doi:10.1016/j.bjps.2017.05.007

Cited by 12 publications

(14 citation statements)

References 38 publications

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“…This is in line with the criticisms of many objective measures used with BRPI, which solely assess the affected limb. 7,8 The BPOM was developed to provide information to assist with decision-making regarding: reconstructive procedures, rehabilitation interventions and recommendations for adaptations for daily living. This information was provided within the instruction manual but may not have been taken into account by the participants.…”

Section: Discussionmentioning

confidence: 99%

“…4 Those which were advocated focus on the impairment level of the WHO-ICF offering specific analysis of individual joints; such as, the Mallet score, which assesses shoulder range of movement with little focus on the way in which the child is able to integrate the arm into functional activities. 3,6,7 This limitation was noted by Pondaag and Malessy who reflected that their findings may be due to participants predominantly being surgeons; with an underrepresentation of rehabilitation practitioners. 4 Neither of the two upper limb functional outcome measures assessed in their study gained consensus for use.…”

Section: Introductionmentioning

confidence: 97%

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Inter- and intra-rater reliability and clinical utility of the Brachial Plexus Outcome Measure: A pilot study

Brown

Bassett²,

Quick

2019

Hand Therapy

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Introduction: Birth-related plexus injuries cause paralysis of the upper limb. The majority of patients spontaneously recover, but many suffer with long-term limitations in function. The Brachial Plexus Outcome Measure was developed to assess upper limb function in children with birth-related plexus injuries. This pilot study assessed the inter-and intrarater reliability in novice users. Information was also gained with regards to the perceived clinical utility of the tool. Methods: Eleven therapists, experienced in the treatment of birth-related plexus injuries but naïve in the use of the Brachial Plexus Outcome Measure, were recruited as raters. Eight video-recorded assessments were independently scored. Four raters were randomly selected to repeat two of the analyses. The perceived clinical utility of the Brachial Plexus Outcome Measure was investigated via a questionnaire. Results: Across the domains of the Brachial Plexus Outcome Measure, the majority of items scored 'Fair' for inter-rater reliability with kappa scores ranging from 0.13-0.46. Intra-rater agreement was better with the majority of items scoring 0.44-0.86 upon weighted kappa analysis. Participant scores for clinical utility were mixed. However, 7 of the 11 raters agreed that the Brachial Plexus Outcome Measure is useful as a pre-and post-intervention tool. Conclusions: When compared to the inter-rater reliability of similar functional outcome measures, these results are less favourable. Future research and suggestions to improve the implementation, reliability and clinical utility of the Brachial Plexus Outcome Measure have been identified. These include better standardisation of equipment and improved instructional guidance. In addition, within the clinical setting, it is recommended that the same clinician assesses the same child over the course of their treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Inter- and intra-rater reliability and clinical utility of the Brachial Plexus Outcome Measure: A pilot study

Brown

Bassett²,

Quick

2019

Hand Therapy

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“…A recent systematic review of 29 articles (mean follow-up: 10.8 years) that assessed sensory function, pain, or proprioception, highlights the large proportion of patients having poor sensory function in the affected vs. unaffected limb (Corkum et al, 2017). In a small number of studies, patients subjectively reported normal tactile sensation (93.7%), wheras the majority of studies using objective measures (Semmes-Weinstein monofilament and two-point discrimination) found a significant proportion (41.2%) of patients with abnormal sensation.…”

Section: Obstetric Brachial Plexus Injury (Obpi)mentioning

confidence: 99%

Neuropathic pain in children

Verriotis¹,

Walker²

2021

Oxford Textbook of Pediatric Pain

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Lesions or disease of the somatosensory nervous system can produce neuropathic pain (NP). Typical features include spontaneous or paroxysmal pain, often described as burning, shooting, like electric shocks, or pins and needles. NP does occur in childhood, but age at the time of injury may influence the risk of NP following traumatic nerve injuries. Whilst conditions commonly associated with NP in adults may be less common in childhood (e.g., trigeminal neuralgia), other conditions (e.g., Fabry’s disease and erythromelalgia), may present with pain in childhood and present a diagnostic challenge for paediatric practitioners.

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“…It is noted that first the affected limb is in a "let go" attitude, and then ends up in semi-flexion of the elbow, adduction of the shoulder and flexion of the hand. Diagnosis is made soon after birth, due to the presence of paralysis, with loss of movement in the upper limb, and can also be evaluated by the loss of deep reflexes and asymmetry in Moro reflexes and cervical torsion 7 . Peripheral injuries can lead to some sensory losses, causing pain and discomfort, and also motor losses that cause paralysis, resulting in muscle atrophy, being the most drastic cause in peripheral nerve injuries, also changes in the map somatosensory 8 .…”

Section: Characteristicsmentioning

confidence: 99%

“…Minor brachial plexus injuries may recover completely or leave some mild sequelae; the process can take several months. The most serious injuries can cause permanent disability and generate sequelae in the affected arm 7 .…”

Section: Brachial Plexus Nerve Damage Interrupts Signals From the Brain To The Upper Limbsmentioning

confidence: 99%

Early intervention in obstetric brachial palsy: a review/ Intervenção precoce na paralisia braquial obstetrica: uma revisão

Barbosa¹,

Machado²,

Arantes³

et al. 2021

BJDV

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Obstetric brachial paralysis is the end of an injury to the nerve fibers of the brachial plexus during obstetric maneuvers during childbirth. The injury has a great impact on the functionality of the injured upper limb of the newborn. The signs and symptoms vary, depending on the location of the lesion. The early intervention of the physiotherapist in the rehabilitation process is essential to prevent complications and improve motor function. Physiotherapeutic treatment has a very important contribution to the rehabilitation of children with obstetric brachial palsy, however, it is important to respect the neuropsychomotor development process normal child. The physiotherapy objectives basically consists on avoiding contractures and adhesions; promoting motor and sensory stimulation; maintaining range of motion and functional training. Among the techniques that these professionals have, we can highlight passive and active kinesiotherapy, electrostimulation, proprioceptive stimulation, hydrotherapy and Movement Induction and Containment Therapy (MICT), always creating the best possible conditions for the recovery of this individual's functional capacity.

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Sensory outcomes following brachial plexus birth palsy: A systematic review

Cited by 12 publications

References 38 publications

Inter- and intra-rater reliability and clinical utility of the Brachial Plexus Outcome Measure: A pilot study

Inter- and intra-rater reliability and clinical utility of the Brachial Plexus Outcome Measure: A pilot study

Neuropathic pain in children

Early intervention in obstetric brachial palsy: a review/ Intervenção precoce na paralisia braquial obstetrica: uma revisão

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