Current strategies of the brachial plexus palsy management
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 depend...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2023-05-01
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| Series: | Journal of Education, Health and Sport |
| Subjects: | |
| Online Access: | https://apcz.umk.pl/JEHS/article/view/43449 |
| _version_ | 1797832930930720768 |
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| author | Agata Tokarzewska Mateusz Korga Adrian Kowalczyk Justyna Małyska Balbina Tybulczuk Katarzyna Sikora Jacek Baj |
| author_facet | Agata Tokarzewska Mateusz Korga Adrian Kowalczyk Justyna Małyska Balbina Tybulczuk Katarzyna Sikora Jacek Baj |
| author_sort | Agata Tokarzewska |
| collection | DOAJ |
| description |
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.
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| first_indexed | 2024-04-09T14:15:36Z |
| format | Article |
| id | doaj.art-d2f13086db634f1fb3d078aa8a98bc13 |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-04-09T14:15:36Z |
| publishDate | 2023-05-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-d2f13086db634f1fb3d078aa8a98bc132023-05-05T10:45:46ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-05-0126110.12775/JEHS.2023.26.01.002Current strategies of the brachial plexus palsy managementAgata Tokarzewska0Mateusz Korga1Adrian Kowalczyk2Justyna Małyska3Balbina Tybulczuk4Katarzyna Sikora5Jacek Baj6Student Scientific Association at Chair and Department of Anatomy, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, PolandStudent Scientific Association at Chair and Department of Anatomy, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, PolandStudent Scientific Association at Chair and Department of Anatomy, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, PolandStudent Scientific Association at Chair and Department of Anatomy, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, PolandStudent Scientific Association at Chair and Department of Anatomy, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, PolandStudent Scientific Association at Chair and Department of Anatomy, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, PolandChair and Department of Anatomy, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, Poland 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. https://apcz.umk.pl/JEHS/article/view/43449Neonatal brachial plexus palsyBrachial plexus neuropathiesbrachial plexusTreatmentRehabilitation |
| spellingShingle | Agata Tokarzewska Mateusz Korga Adrian Kowalczyk Justyna Małyska Balbina Tybulczuk Katarzyna Sikora Jacek Baj Current strategies of the brachial plexus palsy management Journal of Education, Health and Sport Neonatal brachial plexus palsy Brachial plexus neuropathies brachial plexus Treatment Rehabilitation |
| title | Current strategies of the brachial plexus palsy management |
| title_full | Current strategies of the brachial plexus palsy management |
| title_fullStr | Current strategies of the brachial plexus palsy management |
| title_full_unstemmed | Current strategies of the brachial plexus palsy management |
| title_short | Current strategies of the brachial plexus palsy management |
| title_sort | current strategies of the brachial plexus palsy management |
| topic | Neonatal brachial plexus palsy Brachial plexus neuropathies brachial plexus Treatment Rehabilitation |
| url | https://apcz.umk.pl/JEHS/article/view/43449 |
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