| Treatment of a brachial plexus injury using kinesiotape and exercise. | |
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MedLine Citation:
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PMID: 20649498 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: This describes a child whose neonatal brachial plexus injury was treated with kinesiotape and exercise. DESCRIPTION: The subject was a two-year-old female whose X-rays demonstrated severe inferior subluxation of the humeral head and winging of the scapula on the left. She was fitted with a shoulder brace with surgery scheduled in six months. The initial PT exam noted 80 degrees of shoulder abduction (trumpet sign), significant asymmetry, and nonuse. Mallet score was 15/25. Treatment consisted of d/c of the brace and E-stimulation, parent education on exercise and taping, and kinesiotape to facilitate rotator cuff and scapular stabilizers. Typical wear time was 2-3 days on, 1-2 days off. OUTCOMES: After 2 weeks, there was prominent deltoid definition. The shoulder was in 20 degrees of abduction, shoulders level with less scapular winging. Scapular stabilizers were then taped. At 4 weeks, her arm was held to her side displaying a stable symmetrical scapula. The arm displayed increased fine motor use and initiation of activities. At 10 weeks there was a forced d/c, and a decline toward baseline levels. After 2 weeks of reinstatement, function returned to prior level. At 20 weeks (12 total visits) she displayed full ROM, symmetrical shoulders, Mallet score of 20/25, rare trumpet sign, and was hanging by arms during play. X-rays displayed significant improvement in humeral head position, rib cage rotation, angle of scapula and clavicle, and size and mineralization of humerus. Reconstructive surgery was cancelled. DISCUSSION: Kinesiotape and parent education made a significant difference in this child's function. |
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Authors:
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Sharon Fleming Walsh |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Physiotherapy theory and practice Volume: 26 ISSN: 1532-5040 ISO Abbreviation: Physiother Theory Pract Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-13 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9015520 Medline TA: Physiother Theory Pract Country: England |
Other Details:
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Languages: eng Pagination: 490-6 Citation Subset: IM |
Affiliation:
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The University of Findlay, Physical Therapy, Findlay, Ohio, USA. walsh@findlay.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Athletic Tape* Birth Injuries / therapy* Brachial Plexus Neuropathies / therapy* Child, Preschool Exercise Therapy / instrumentation*, methods Female Humans Patient Education as Topic |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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