Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study

Yıl: 2019 Cilt: 6 Sayı: 1 Sayfa Aralığı: 1 - 6 Metin Dili: İngilizce DOI: 10.14744/nci.2017.29200 İndeks Tarihi: 20-05-2020

Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study

Öz:
OBJECTIVE: The aim of this study was to examine how much recovery upper obstetric brachial plexus palsy (OBPP) patientsshowed with exercises when they were 3, 6, and 12 months old and to evaluate whether the exercise treatment given atdifferent frequencies contributes to this recovery or not.METHODS: This study was designed as a randomized controlled trial. Sixty cases who were referred to Pediatric Rehabilitation and Pediatric Orthopedic Clinics with the diagnosis of having Groups I and II OBPP according to Narakas classificationwere included in the study. Subjects were randomly divided into two treatment groups. The first group had intense exerciseprogram 3 times daily, and the second group had a standard exercise program once in a day. The subjects were assessedusing a passive-active range of motion (ROM) and hospital for sick children muscle grading system at their first clinic visit andevery month after until they became 12 months old.RESULTS: In both groups, a significant recovery was observed in ROM and muscle strength of all movements of the shoulder, elbow flexion, and forearm supination at the 3rd, 6th, and 12th-month reassessments, whereas a significant difference wasnot achieved on both parameters between two groups.CONCLUSION: According to the results, exercise frequency did not affect the recovery rate and results in the cases withOBPP and exercises were influential against possible complications that may occur.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Yang LJ. Neonatal brachial plexus palsy-management and prognostic factors. Semin Perinatol 2014;38:222–34. [CrossRef ]
  • 2. Chauhan SP, Blackwell SB, Ananth CV. Neonatal brachial plexus palsy: Incidence, prevalence, and temporal trends. Semin Perinatol 2014;38:210–8. [CrossRef ]
  • 3. Backe B, Magnussen EB, Johansen OJ, Sellaeg G, Russwurm H. Obstetric brachial plexus palsy: A birth injury not explained by the known risk factors. Acta Obstet Gynecol Scand 2008;87:1027–32. [CrossRef ]
  • 4. Bahm J, Ocampo-Pavez C, Disselhorst-Klug C, Sellhaus B, Weis J. Obstetric brachial plexus palsy: Treatment strategy, long-term results, and prognosis. Dtsch Arztebl Int 2009;106:83–90.
  • 5. Evans-Jones G, Kay SP, Weindling AM, Cranny G, Ward A, Bradshaw A, et al. Congenital brachial palsy: Incidence, causes, and outcome in the United Kingdom and republic of Ireland. Arch Dis Child Fetal Neonatal Ed 2003;88:F185–9. [CrossRef ]
  • 6. Strömbeck C, Krumlinde-Sundholm L, Remahl S, Sejersen T. Longterm follow-up of children with obstetric brachial plexus palsy I: Functional aspects. Dev Med Child Neurol 2007;49:198–203. [CrossRef ]
  • 7. Zafeiriou DI, Psychogiou K. Obstetrical brachial plexus palsy. Pediatr Neurol 2008;38:235–42. [CrossRef ]
  • 8. Buesch FE, Schlaepfer B, de Bruin ED, Wohlrab G, Ammann-Reiffer C, Meyer-Heim A, et al. Constraint-induced movement therapy for children with obstetric brachial plexus palsy: Two single-case series. Int J Rehabil Res 2010;33:187–92. [CrossRef ]
  • 9. Smith NC, Rowan P, Benson LJ, Ezaki M, Carter PR. Neonatal brachial plexus palsy. Outcome of absent biceps function at three months of age. J Bone Joint Surg Am 2004;86-A:2163–70. [CrossRef ]
  • 10. Terzis JK, Papakonstantinou KC. Management of obstetric brachial plexus palsy. Hand Clin 1999;15:717–36. 6 North Clin Istanb
  • 11. Asensio-Pinilla E, Udina E, Jaramillo J, Navarro X. Electrical stimulation combined with exercise increase axonal regeneration after peripheral nerve injury. Exp Neurol 2009;219:258–65. [CrossRef ]
  • 12. Foret A, Quertainmont R, Botman O, Bouhy D, Amabili P, Brook G, et al. Stem cells in the adult rat spinal cord: Plasticity after injury and treadmill training exercise. J Neurochem 2010;112:762–72. [CrossRef ]
  • 13. Kao T, Shumsky JS, Murray M, Moxon KA. Exercise induces cortical plasticity after neonatal spinal cord injury in the rat. J Neurosci 2009;29:7549–57. [CrossRef ]
  • 14. Bae DS, Waters PM, Zurakowski D. Correlation of pediatric outcomes data collection instrument with measures of active movement in children with brachial plexus birth palsy. J Pediatr Orthop 2008;28:584– 92. [CrossRef ]
  • 15. Strömbeck C, Remahl S, Krumlinde-Sundholm L, Sejersen T. Longterm follow-up of children with obstetric brachial plexus palsy II: Neurophysiological aspects. Dev Med Child Neurol 2007;49:204–9. [CrossRef ]
  • 16. Molnar GE, Alexander MA. Pediatric Rehabilitation. Philadelphia, PA: Hanley and Belfus; 1999.
APA Sahin N, karahan a (2019). Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study. , 1 - 6. 10.14744/nci.2017.29200
Chicago Sahin Nilay,karahan ali yavuz Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study. (2019): 1 - 6. 10.14744/nci.2017.29200
MLA Sahin Nilay,karahan ali yavuz Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study. , 2019, ss.1 - 6. 10.14744/nci.2017.29200
AMA Sahin N,karahan a Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study. . 2019; 1 - 6. 10.14744/nci.2017.29200
Vancouver Sahin N,karahan a Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study. . 2019; 1 - 6. 10.14744/nci.2017.29200
IEEE Sahin N,karahan a "Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study." , ss.1 - 6, 2019. 10.14744/nci.2017.29200
ISNAD Sahin, Nilay - karahan, ali yavuz. "Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study". (2019), 1-6. https://doi.org/10.14744/nci.2017.29200
APA Sahin N, karahan a (2019). Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study. İstanbul Kuzey Klinikleri, 6(1), 1 - 6. 10.14744/nci.2017.29200
Chicago Sahin Nilay,karahan ali yavuz Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study. İstanbul Kuzey Klinikleri 6, no.1 (2019): 1 - 6. 10.14744/nci.2017.29200
MLA Sahin Nilay,karahan ali yavuz Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study. İstanbul Kuzey Klinikleri, vol.6, no.1, 2019, ss.1 - 6. 10.14744/nci.2017.29200
AMA Sahin N,karahan a Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study. İstanbul Kuzey Klinikleri. 2019; 6(1): 1 - 6. 10.14744/nci.2017.29200
Vancouver Sahin N,karahan a Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study. İstanbul Kuzey Klinikleri. 2019; 6(1): 1 - 6. 10.14744/nci.2017.29200
IEEE Sahin N,karahan a "Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study." İstanbul Kuzey Klinikleri, 6, ss.1 - 6, 2019. 10.14744/nci.2017.29200
ISNAD Sahin, Nilay - karahan, ali yavuz. "Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study". İstanbul Kuzey Klinikleri 6/1 (2019), 1-6. https://doi.org/10.14744/nci.2017.29200