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Frade F, Neves L, Florindo-Silva F, Gómez-Salgado J, Jacobsohn L, Frade J. Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents. CHILDREN 2022; 9:children9091298. [PMID: 36138605 PMCID: PMC9497214 DOI: 10.3390/children9091298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 08/12/2022] [Accepted: 08/22/2022] [Indexed: 11/16/2022]
Abstract
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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Affiliation(s)
- Fátima Frade
- Departamento de Enfermagem da Criança e do Jovem, Escola Superior de Enfermagem de Lisboa, Avenida Professor Egas Moniz, 1600-190 Lisboa, Portugal
- Centro de Administração e Políticas Públicas (CAPP), Instituto Superior de Ciências Sociais e Políticas da Universidade de Lisboa, Rua Almerindo Lessa, 1300-663 Lisbon, Portugal
| | - Lurdes Neves
- Escolher Brincar Terapia Ocupacional, Rua Professor Barbosa Soeiro 6, 4º Dto, 1600-598 Lisboa, Portugal
| | - Fátima Florindo-Silva
- Physiotherapy and Osteopathy Departments, Atlântica Health School, Universidade Atlantica, 2730-036 Barcarena, Portugal
- Serviço de Medicina Física e Reabilitação, Hospital Dona Estefânia-Centro Hospitalar Universitário Lisboa Central, 1169-045 Lisboa, Portugal
| | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain
- Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil 092301, Ecuador
- Correspondence: ; Tel.: +34-959219700
| | - Lia Jacobsohn
- Physiotherapy and Osteopathy Departments, Atlântica Health School, Universidade Atlantica, 2730-036 Barcarena, Portugal
- Centro de Medicina de Reabilitação do Alcoitão, 2649-506 Alcabideche, Portugal
| | - João Frade
- Centre for Innovative Care and Health Technology (ciTechcare), Escola Superior de Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal
- Unit for Multidisciplinary Research in Biomedicine (UMIB), University of Porto, 4099-002 Porto, Portugal
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