Review of rehabilitation protocols for brachial plexus injury

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...

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Main Authors: Haijun Li, Jinxiu Chen, Juehan Wang, Tianfang Zhang, Zuobing Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1084223/full
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author Haijun Li
Jinxiu Chen
Juehan Wang
Tianfang Zhang
Zuobing Chen
author_facet Haijun Li
Jinxiu Chen
Juehan Wang
Tianfang Zhang
Zuobing Chen
author_sort Haijun Li
collection DOAJ
description 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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spelling doaj.art-42b1c5dee9f3427d962fa7c777d909c82023-04-17T05:58:52ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-04-011410.3389/fneur.2023.10842231084223Review of rehabilitation protocols for brachial plexus injuryHaijun LiJinxiu ChenJuehan WangTianfang ZhangZuobing ChenBrachial 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.https://www.frontiersin.org/articles/10.3389/fneur.2023.1084223/fullbrachial plexus injuryrehabilitationneuropathic painneonatal brachial plexus injurytreatment
spellingShingle Haijun Li
Jinxiu Chen
Juehan Wang
Tianfang Zhang
Zuobing Chen
Review of rehabilitation protocols for brachial plexus injury
Frontiers in Neurology
brachial plexus injury
rehabilitation
neuropathic pain
neonatal brachial plexus injury
treatment
title Review of rehabilitation protocols for brachial plexus injury
title_full Review of rehabilitation protocols for brachial plexus injury
title_fullStr Review of rehabilitation protocols for brachial plexus injury
title_full_unstemmed Review of rehabilitation protocols for brachial plexus injury
title_short Review of rehabilitation protocols for brachial plexus injury
title_sort review of rehabilitation protocols for brachial plexus injury
topic brachial plexus injury
rehabilitation
neuropathic pain
neonatal brachial plexus injury
treatment
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1084223/full
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