Document Detail


Treatment of a brachial plexus injury using kinesiotape and exercise.
MedLine Citation:
PMID:  20649498     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Sharon Fleming Walsh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Physiotherapy theory and practice     Volume:  26     ISSN:  1532-5040     ISO Abbreviation:  Physiother Theory Pract     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9015520     Medline TA:  Physiother Theory Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  490-6     Citation Subset:  IM    
Affiliation:
The University of Findlay, Physical Therapy, Findlay, Ohio, USA. walsh@findlay.edu
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MeSH Terms
Descriptor/Qualifier:
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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