Constraint-induced movement therapy for children with neonatal brachial plexus palsy: a randomized crossover trial.

Aim: To determine if constraint-induced movement therapy (CIMT) is more effective than standard care in improving upper-limb activity outcomes in children with neonatal brachial plexus palsy (NBPP).

Method: Twenty-one children with NBPP (mean age 25mo, SD=10.3, range=17-48mo; 11 males, 10 females) were enrolled in a crossover trial and randomly allocated to first receive CIMT or standard care, each for 8 weeks.

Recommendations for Therapy following Nerve Transfer for Children with Acute Flaccid Myelitis.

Aim: To provide recommendations for pre- and post-operative occupational and physical therapy for children with acute flaccid myelitis (AFM).

Methods: Writing panel members consisted of an interdisciplinary team of seven healthcare professionals specializing in the care of children with AFM. The panel reviewed background material on AFM, nerve transfer, and rehabilitation principles applied to pediatrics.

Therapeutic application of electrical stimulation and constraint induced movement therapy in perinatal brachial plexus injury: A case report.

Infants and children with perinatal brachial plexus injury (PBPI) have motion limitations in the shoulder, elbow, forearm and hand that are dependent on the level of injury and degree of recovery. The injury and subsequent recovery period occur during critical periods of central and spinal neural development placing infants and children at-risk for developmental disregard and disuse of the affected arm and hand. A case report outlines the therapy and surgical interventions provided in the first 2 years of life for a child with global PBPI and a positive Horner's sign.

Long term functional outcomes after early childhood pollicization.

Study Design: Retrospective Cohort

Introduction: Important outcomes of polliciation to treat thumb hypoplasia/aplasia include strength, function, dexterity, and quality of life.

Purpose Of The Study: To evaluate outcomes and examine predictors of outcome after early childhood pollicization.

Methods: 8 children (10 hands) were evaluated 3-15 years after surgery.

Quantitative assessment of dynamic control of fingertip forces after pollicization.

Dexterity after finger pollicization (reconstruction to thumb) is critical to functional outcomes. While most tests of hand function evaluate a combination of strength, coordination, and motor control, the Strength-Dexterity (S-D) paradigm focuses on the dynamic control of fingertip forces. We evaluated 10 pollicized and 5 non-pollicized hands from 8 participants ages 4-17 years (2 female, 6 male; 10.