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Long‐term follow‐up of children with obstetric brachial plexus palsy II: neurophysiological aspects
Author(s) -
Strömbeck Christina,
Remahl Sten,
KrumlindeSundholm Lena,
Sejersen Thomas
Publication year - 2007
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/j.1469-8749.2007.00204.x
Subject(s) - brachial plexus , electromyography , neurophysiology , medicine , palsy , deltoid muscle , deltoid curve , brachial plexus injury , physical medicine and rehabilitation , anesthesia , surgery , alternative medicine , pathology , psychiatry
The aim of this study was to examine long‐term neurophysiological outcomes and sensory function in patients with obstetric brachial plexus palsy (OBPP). The same 70 children/adolescents examined in part I: functional aspects (35 males, 35 females; age range 7‐20y, mean 13y 6mo [SD 4y 3mo], median 13y) were examined with neurophysiological methods at 3 to 7 months and at 7 to 20 years of age. Thirteen of the 70 participants underwent nerve reconstruction before 1 year of age. Electromyography (EMG) was performed on deltoid and first interossei muscles; Quantitative Sensory Test was used for C6 and C8 dermatomes. Tests for functional sensibility and 2‐point discrimination for C6 and C8 were performed. This study shows that considerable EMG changes can be observed in OBBP, even in those fully recovered. EMG changes in the deltoid were shown to deteriorate over time, and sensibility is considerably less affected than motor function.