Current strategies of the brachial plexus palsy management
Description
TOKARZEWSKA, Agata, KORGA, Mateusz, KOWALCZYK, Adrian, MAŁYSKA, Justyna, TYBULCZUK, Balbina, SIKORA, Katarzyna & BAJ, Jacek. Current strategies of the brachial plexus palsy management. Journal of Education, Health and Sport. 2023;26(1):17-26. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.26.01.002
https://apcz.umk.pl/JEHS/article/view/43449
https://zenodo.org/record/7896253
The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343.
Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences).
Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159.
Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu).
© The Authors 2023;
This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland
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Received: 07.04.2023. Revised: 20.04.2023. Accepted: 04.05.2023. Published: 04.05.2023.
Current strategies of the brachial plexus palsy management.
Agata Tokarzewska1, Mateusz Korga1, Adrian Kowalczyk1, Justyna Małyska1, Balbina Tybulczuk1, Katarzyna Sikora1, Jacek Baj2
1 Student Scientific Association at Chair and Department of Anatomy, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, Poland
2 Chair and Department of Anatomy, Medical University of Lublin, Jaczewskiego 4, 20-090 Lublin, Poland
Corresponding author: Agata Tokarzewska, agata_tokarzewska@op.pl
ORCID ID:
Agata Tokarzewska https://orcid.org/0000-0001-9539-1697
Mateusz Korga https://orcid.org/0000-0002-3317-5726
Adrian Kowalczyk https://orcid.org/0000-0003-3832-7941
Justyna Małyska https://orcid.org/0000-0002-6693-491X
Balbina Tybulczuk https://orcid.org/0000-0002-2854-4697
Katarzyna Sikora https://orcid.org/0000-0002-6955-3549
Jacek Baj https://orcid.org/0000-0002-1372-8987
Abstract
The importance of brachial plexus palsy treatment is associated with its significant severity, along with Brachial plexus palsies can be treated by means of many different surgical and non-surgical methods which allow regeneration of full efficiency of the affected limb. The choice of method depends on such factors as type and region of injury, patient’s age or clinical presentation of the injury. The purpose of this review is to present current strategies of treating brachial plexus palsies, depending on therapeutic needs of the particular patient.
This is a review study based upon selective literature overview, with emphasis on works published within past 13 years. 6 separate methods of brachial plexus palsy were assessed, without distinction of the reason of palsy occurring. Some of the invasive methods include operative treatment performed directly on occupied nervous tissue, such as microneural plexus reconstruction and nerve transfers (lower subscapular nerve transfer and contralateral C7 nerve transfer) whilst the others revolve around restoration of function of affected neighboring structures by themselves, e.g. shoulder tendon transfers. Rehabilitation and botulinum toxin-based treatment are non-operative methods revolving around enhancement of the function of the affected upper limb. Main measure of effectiveness of the treatment is assessment of the range of motion of the affected limb (ROM).
There is still not enough information available regarding long-term efficiency of microneural plexus reconstruction and botulinum toxin-based treatment. They require further investigation while other methods are used commonly.
Keywords: Neonatal Brachial Plexus Palsy; Brachial Plexus Neuropathies; Brachial Plexus; Treatment; Rehabilitation
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