AI Article Synopsis

  • The study aimed to investigate the recovery of upper obstetric brachial plexus palsy (OBPP) patients at 3, 6, and 12 months through different exercise treatments.
  • Sixty patients were randomly assigned to two groups: one with an intense exercise program three times a day and another with a standard program once a day, with their progress assessed monthly.
  • Both groups showed significant improvements in range of motion and muscle strength, but there was no notable difference in recovery between the two exercise frequencies.

Article Abstract

Objective: The aim of this study was to examine how much recovery upper obstetric brachial plexus palsy (OBPP) patients showed with exercises when they were 3, 6, and 12 months old and to evaluate whether the exercise treatment given at different frequencies contributes to this recovery or not.

Methods: This study was designed as a randomized controlled trial. Sixty cases who were referred to Pediatric Rehabilitation and Pediatric Orthopedic Clinics with the diagnosis of having Groups I and II OBPP according to Narakas classification were included in the study. Subjects were randomly divided into two treatment groups. The first group had intense exercise program 3 times daily, and the second group had a standard exercise program once in a day. The subjects were assessed using a passive-active range of motion (ROM) and hospital for sick children muscle grading system at their first clinic visit and every month after until they became 12 months old.

Results: In both groups, a significant recovery was observed in ROM and muscle strength of all movements of the shoulder, elbow flexion, and forearm supination at the 3, 6, and 12-month reassessments, whereas a significant difference was not achieved on both parameters between two groups.

Conclusion: According to the results, exercise frequency did not affect the recovery rate and results in the cases with OBPP and exercises were influential against possible complications that may occur.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526989PMC
http://dx.doi.org/10.14744/nci.2017.29200DOI Listing

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