Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents
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 inj...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-08-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/9/9/1298 |
| _version_ | 1797489939386990592 |
|---|---|
| author | Fátima Frade Lurdes Neves Fátima Florindo-Silva Juan Gómez-Salgado Lia Jacobsohn João Frade |
| author_facet | Fátima Frade Lurdes Neves Fátima Florindo-Silva Juan Gómez-Salgado Lia Jacobsohn João Frade |
| author_sort | Fátima Frade |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-10T00:24:47Z |
| format | Article |
| id | doaj.art-6c711a0dbd8441d59a7fee71fc1a7e46 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T00:24:47Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-6c711a0dbd8441d59a7fee71fc1a7e462023-11-23T15:36:36ZengMDPI AGChildren2227-90672022-08-0199129810.3390/children9091298Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by ParentsFátima Frade0Lurdes Neves1Fátima Florindo-Silva2Juan Gómez-Salgado3Lia Jacobsohn4João Frade5Departamento de Enfermagem da Criança e do Jovem, Escola Superior de Enfermagem de Lisboa, Avenida Professor Egas Moniz, 1600-190 Lisboa, PortugalEscolher Brincar Terapia Ocupacional, Rua Professor Barbosa Soeiro 6, 4º Dto, 1600-598 Lisboa, PortugalPhysiotherapy and Osteopathy Departments, Atlântica Health School, Universidade Atlantica, 2730-036 Barcarena, PortugalDepartment of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, SpainPhysiotherapy and Osteopathy Departments, Atlântica Health School, Universidade Atlantica, 2730-036 Barcarena, PortugalCentre for Innovative Care and Health Technology (ciTechcare), Escola Superior de Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, PortugalThis 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.https://www.mdpi.com/2227-9067/9/9/1298brachial plexus palsyneonatal brachial plexus palsyneonatal managementrehabilitationphysical therapyoccupational therapy |
| spellingShingle | Fátima Frade Lurdes Neves Fátima Florindo-Silva Juan Gómez-Salgado Lia Jacobsohn João Frade Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents Children brachial plexus palsy neonatal brachial plexus palsy neonatal management rehabilitation physical therapy occupational therapy |
| title | 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_short | 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 |
| topic | brachial plexus palsy neonatal brachial plexus palsy neonatal management rehabilitation physical therapy occupational therapy |
| url | https://www.mdpi.com/2227-9067/9/9/1298 |
| work_keys_str_mv | AT fatimafrade rehabilitationofachildwithneonatalbrachialplexuspalsycasereportdescribedbyparents AT lurdesneves rehabilitationofachildwithneonatalbrachialplexuspalsycasereportdescribedbyparents AT fatimaflorindosilva rehabilitationofachildwithneonatalbrachialplexuspalsycasereportdescribedbyparents AT juangomezsalgado rehabilitationofachildwithneonatalbrachialplexuspalsycasereportdescribedbyparents AT liajacobsohn rehabilitationofachildwithneonatalbrachialplexuspalsycasereportdescribedbyparents AT joaofrade rehabilitationofachildwithneonatalbrachialplexuspalsycasereportdescribedbyparents |