Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents

Detalhes bibliográficos
Autor(a) principal: Frade, Fátima
Data de Publicação: 2022
Outros Autores: Neves, Lurdes, Florindo-Silva, Fátima, Gómez-Salgado, Juan, Jacobsohn, Lia, Frade, João
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.5/27800
Resumo: This paper presents a case report of a child with Neonatal Brachial Plexus Palsy on the right arm, with C5, C6, and C7 nerve injuries. The symptoms presented at birth and at the time of diagnosis were absence of movement in the right arm but with mobility of the fingers; internal rotation of the injured limb with elbow extension; active flexion of the wrist and fingers; and ulnar deviation of the hand. The rehabilitation plan followed the conservative approach and included different intervention strategies (passive and active mobilisation, kinesio tape, use of splints, bimanual stimulation, etc.) carried out by the occupational therapist and the physical therapist. The rehabilitation allowed the child to have a functional limb for daily activities, with bimanual motor integration and coordination; passive and active range of motion in the different joints except for pronation, sensibility, and maintained strength. In conclusion, it can be said that this case report describes a set of rehabilitation strategies that were used in the conservative treatment of a child with NBPP and the functional gains they allowed. Early intervention, parental involvement in the rehabilitation process, and continuous follow-up of the child favoured the prognosis and allowed the prevention of functional sequelae of the limb.
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spelling Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parentsbrachial plexus palsyneonatal brachial plexus palsyneonatal managementrehabilitationphysical therapyoccupational therapycase report with parentsThis paper presents a case report of a child with Neonatal Brachial Plexus Palsy on the right arm, with C5, C6, and C7 nerve injuries. The symptoms presented at birth and at the time of diagnosis were absence of movement in the right arm but with mobility of the fingers; internal rotation of the injured limb with elbow extension; active flexion of the wrist and fingers; and ulnar deviation of the hand. The rehabilitation plan followed the conservative approach and included different intervention strategies (passive and active mobilisation, kinesio tape, use of splints, bimanual stimulation, etc.) carried out by the occupational therapist and the physical therapist. The rehabilitation allowed the child to have a functional limb for daily activities, with bimanual motor integration and coordination; passive and active range of motion in the different joints except for pronation, sensibility, and maintained strength. In conclusion, it can be said that this case report describes a set of rehabilitation strategies that were used in the conservative treatment of a child with NBPP and the functional gains they allowed. Early intervention, parental involvement in the rehabilitation process, and continuous follow-up of the child favoured the prognosis and allowed the prevention of functional sequelae of the limb.MDPIRepositório da Universidade de LisboaFrade, FátimaNeves, LurdesFlorindo-Silva, FátimaGómez-Salgado, JuanJacobsohn, LiaFrade, João2023-05-23T13:44:01Z2022-08-262022-08-26T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.5/27800enghttps://doi.org/10.3390/children9091298info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-05-28T01:31:13Zoai:www.repository.utl.pt:10400.5/27800Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:56:29.068684Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents
title Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents
spellingShingle Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents
Frade, Fátima
brachial plexus palsy
neonatal brachial plexus palsy
neonatal management
rehabilitation
physical therapy
occupational therapy
case report with parents
title_short Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents
title_full Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents
title_fullStr Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents
title_full_unstemmed Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents
title_sort Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents
author Frade, Fátima
author_facet Frade, Fátima
Neves, Lurdes
Florindo-Silva, Fátima
Gómez-Salgado, Juan
Jacobsohn, Lia
Frade, João
author_role author
author2 Neves, Lurdes
Florindo-Silva, Fátima
Gómez-Salgado, Juan
Jacobsohn, Lia
Frade, João
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Frade, Fátima
Neves, Lurdes
Florindo-Silva, Fátima
Gómez-Salgado, Juan
Jacobsohn, Lia
Frade, João
dc.subject.por.fl_str_mv brachial plexus palsy
neonatal brachial plexus palsy
neonatal management
rehabilitation
physical therapy
occupational therapy
case report with parents
topic brachial plexus palsy
neonatal brachial plexus palsy
neonatal management
rehabilitation
physical therapy
occupational therapy
case report with parents
description This paper presents a case report of a child with Neonatal Brachial Plexus Palsy on the right arm, with C5, C6, and C7 nerve injuries. The symptoms presented at birth and at the time of diagnosis were absence of movement in the right arm but with mobility of the fingers; internal rotation of the injured limb with elbow extension; active flexion of the wrist and fingers; and ulnar deviation of the hand. The rehabilitation plan followed the conservative approach and included different intervention strategies (passive and active mobilisation, kinesio tape, use of splints, bimanual stimulation, etc.) carried out by the occupational therapist and the physical therapist. The rehabilitation allowed the child to have a functional limb for daily activities, with bimanual motor integration and coordination; passive and active range of motion in the different joints except for pronation, sensibility, and maintained strength. In conclusion, it can be said that this case report describes a set of rehabilitation strategies that were used in the conservative treatment of a child with NBPP and the functional gains they allowed. Early intervention, parental involvement in the rehabilitation process, and continuous follow-up of the child favoured the prognosis and allowed the prevention of functional sequelae of the limb.
publishDate 2022
dc.date.none.fl_str_mv 2022-08-26
2022-08-26T00:00:00Z
2023-05-23T13:44:01Z
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv https://doi.org/10.3390/children9091298
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