Obstetric brachial plexus palsy - A prospective, population-based study of incidence, recovery and long-term residual impairment at 10 to 12 years of age.

Annika, J ; Paul, U ; et al.

In: European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, Jg. 23 (2019), Heft 1, S. 87

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Aim: To assess the long-term outcome and evaluate prognostic factors in obstetric brachial plexus palsy (OBPP).

Methods: Of all 114 children with OBPP born in western Sweden in 1999-2001, 98 (61 males, 37 females) were invited to participate. A questionnaire on the symptoms of the OBPP was sent out and those with persisting symptoms were examined in terms of muscle strength, range of motion (ROM), activities of daily living (ADL), pain and sensibility at the age of 10-12 years. Contact was made by 87 children.

Results: The incidence of persisting OBPP at 10-12 years of age was calculated as 19 per 38,749 live births or 0.49 per 1000. Symptoms were reduced muscle strength and ROM in the arm. Eight children reported pain, four had impaired sensibility and ten children described some difficulties in ADL. Muscle strength in forearm supination, shoulder external rotation and elbow flexion at three months of age can be used to predict outcome.

Interpretation: Most children with an OBPP recover completely, but one in five has symptoms of the injury at 10-12 years of age. Muscle strength in the arm at three months of age can be used to predict outcome.

Titel:	Obstetric brachial plexus palsy - A prospective, population-based study of incidence, recovery and long-term residual impairment at 10 to 12 years of age.
Autor/in / Beteiligte Person:	Annika, J ; Paul, U ; Anna-Lena, L
Link:	View this record from ScienceDirect (Volltext)
Zeitschrift:	European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, Jg. 23 (2019), Heft 1, S. 87
Veröffentlichung:	London ; Philadelphia : Saunders, c1997-, 2019
Medientyp:	academicJournal
ISSN:	1532-2130 (electronic)
DOI:	10.1016/j.ejpn.2018.06.006
Schlagwort:	Activities of Daily Living Birth Injuries epidemiology Brachial Plexus Neuropathies epidemiology Child Female Humans Incidence Male Muscle Strength physiology Pain epidemiology Pain etiology Pregnancy Prospective Studies Range of Motion, Articular physiology Sensation Disorders epidemiology Sensation Disorders etiology Sweden Birth Injuries complications Brachial Plexus Neuropathies complications Brachial Plexus Neuropathies congenital Recovery of Function
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Eur J Paediatr Neurol] 2019 Jan; Vol. 23 (1), pp. 87-93. <i>Date of Electronic Publication: </i>2018 Jun 25. MeSH Terms: Recovery of Function* ; Birth Injuries / complications ; Brachial Plexus Neuropathies / complications ; Brachial Plexus Neuropathies / *congenital ; Activities of Daily Living ; Birth Injuries / epidemiology ; Brachial Plexus Neuropathies / epidemiology ; Child ; Female ; Humans ; Incidence ; Male ; Muscle Strength / physiology ; Pain / epidemiology ; Pain / etiology ; Pregnancy ; Prospective Studies ; Range of Motion, Articular / physiology ; Sensation Disorders / epidemiology ; Sensation Disorders / etiology ; Sweden Contributed Indexing: Keywords: Children; Epidemiology; Motor function; Obstetric plexus palsy; Outcome Entry Date(s): Date Created: 20181122 Date Completed: 20190227 Latest Revision: 20190227 Update Code: 20231215

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