Key result
A 9-year multidisciplinary treatment program including early physiotherapy and shoulder tendon transfer surgery increased joint range of motion and independence in daily life activities for a patient with obstetric brachial plexus palsy.
Why the study?
The study aimed to demonstrate the importance of early physiotherapy and rehabilitation alongside regular exercise following surgery in the treatment of obstetric brachial plexus palsy.
Case Report (n=1)
No
Early, continuous, and multidisciplinary physical therapy and rehabilitation combined with surgical intervention can significantly improve joint range of motion and daily life independence in patients with severe obstetric brachial plexus palsy.
Supports multidisciplinary care in obstetric brachial plexus palsy; hypothesis-generating and requires prospective trials before practice change.
Obstetric brachial plexus palsy (OBPP) is a clinical situation induced by the damage to the plexus brachialis and the branches originating from its location. While the diagnosis of OBPP can be made with a detailed examination performed right after the baby is born, it may limit the daily life activities of the child throughout his/her life when the situation noticed at a late stage. Treatment for OBPP can be grouped as conservative treatment, palliative surgery during conservative treatment, surgical therapy and late period treatment. In addition to all these, the physical therapy and rehabilitation processes are initiated for the patient from the moment the patient is diagnosed. The aim of the study is to reveal the importance of the early physiotherapy and rehabilitation program and the significance of the regular exercise program not neglected after a series of operations, in OBPP treatment. In this case presentation, we will present a 9-year treatment program, physiotherapy and rehabilitation period of a female patient with OBPP diagnosed at the time of birth, and her condition before and after this process.
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Durmaz et al. (2020) conducted a case report in Obstetric brachial plexus palsy (OBPP) (n=1). Physiotherapy, rehabilitation, and surgical intervention (shoulder tendon transfer) was evaluated on Joint range of motion and independence in daily life activities. A 9-year multidisciplinary treatment program including early physiotherapy and shoulder tendon transfer surgery increased joint range of motion and independence in daily life activities for a patient with obstetric brachial plexus palsy.
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