A new functional scoring system for obstetric brachial plexus palsy effectively monitored recovery, showing most improvement occurs before 6 months of age.
May inform early prognostic counseling in obstetric brachial plexus palsy; leaves open prospective validation of the scoring system.
We suggest a new scoring system that measures the upper limb function both as a unit and in separate parts. Our system was designed to study the recovery in patients with obstetric brachial plexus palsy (OBPP). It measures active limb movements and compares them with the normal side to obtain a ratio, which is then converted to a score. Fifty-two patients with OBPP were studied with a follow-up of 2 years. The progress of the patients was monitored using the system. Thirty-seven patients (71%) achieved very good recovery, eight patients (15%) achieved a good score, and five patients (10%) achieved a poor score. Most of the recovery occurred before the age of 6 months.
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BASHEER et al. (2000) studied this question.
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