Obstetric Brachial Plexus Palsy and Functional Implications: Which Joint in the Upper Extremity Is More Closely Associated?

<i>Background and Objectives:</i> The objective of this study is to examine the correlation between the active range of motion (ROM) of the affected upper extremity and functional capacity in children with Obstetric Brachial Plexus Palsy (OBPP) who have undergone the modified Hoffer tend...

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Main Authors: Gülsena Utku Umut, Zeynep Hoşbay, Müberra Tanrıverdi, Güleser Güney Yılmaz, Okyar Altaş, Alperen Korucu, Atakan Aydın
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/60/11/1850
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author Gülsena Utku Umut
Zeynep Hoşbay
Müberra Tanrıverdi
Güleser Güney Yılmaz
Okyar Altaş
Alperen Korucu
Atakan Aydın
author_facet Gülsena Utku Umut
Zeynep Hoşbay
Müberra Tanrıverdi
Güleser Güney Yılmaz
Okyar Altaş
Alperen Korucu
Atakan Aydın
author_sort Gülsena Utku Umut
collection DOAJ
description <i>Background and Objectives:</i> The objective of this study is to examine the correlation between the active range of motion (ROM) of the affected upper extremity and functional capacity in children with Obstetric Brachial Plexus Palsy (OBPP) who have undergone the modified Hoffer tendon transfer technique. <i>Materials and Methods:</i> The study cohort comprised 52 children with OBPP, aged 4–14 years, who had undergone a shoulder tendon transfer. The ROM was quantified using a goniometer, while functionality was evaluated through the administration of the Brachial Plexus Outcome Measure (BPOM). <i>Results:</i> The study identified significant correlations between the shoulder ROM and the Brachial Plexus Outcome Measure (BPOM). Specifically, shoulder flexion (<i>p</i> = 0.017; r = 0.351) was positively associated with shoulder functionality, while shoulder internal rotation (<i>p</i> = 0.001; r = 0.481) was linked to appearance scores. A significant negative relationship was observed between elbow extension (<i>p</i> < 0.001; r = −0.512) and elbow and forearm activities. <i>Conclusions:</i> The study highlights the necessity of assessing both joint range of motion and body perception for effective treatment and follow-up, to improve the functionality and quality of life for children with OBPP.
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spelling doaj-art-e2124cba633248eaa9f803945a88327f2025-08-20T02:05:04ZengMDPI AGMedicina1010-660X1648-91442024-11-016011185010.3390/medicina60111850Obstetric Brachial Plexus Palsy and Functional Implications: Which Joint in the Upper Extremity Is More Closely Associated?Gülsena Utku Umut0Zeynep Hoşbay1Müberra Tanrıverdi2Güleser Güney Yılmaz3Okyar Altaş4Alperen Korucu5Atakan Aydın6Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Biruni University, 34015 Istanbul, TurkeyDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Biruni University, 34015 Istanbul, TurkeyDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bezmialem Vakıf University, 34093 Istanbul, TurkeyDepartment of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, 06100 Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Hand Surgeon, Başakşehir Çam and Sakura City Hospital, 34480 Istanbul, TurkeyDepartment of Orthopaedics and Traumatology, Orthopedic Surgeon, Silivri State Hospital, 34570 Istanbul, TurkeyDepartment of Plastic and Reconstructive Surgery, Faculty of Medicine, İstanbul University, 34093 Istanbul, Turkey<i>Background and Objectives:</i> The objective of this study is to examine the correlation between the active range of motion (ROM) of the affected upper extremity and functional capacity in children with Obstetric Brachial Plexus Palsy (OBPP) who have undergone the modified Hoffer tendon transfer technique. <i>Materials and Methods:</i> The study cohort comprised 52 children with OBPP, aged 4–14 years, who had undergone a shoulder tendon transfer. The ROM was quantified using a goniometer, while functionality was evaluated through the administration of the Brachial Plexus Outcome Measure (BPOM). <i>Results:</i> The study identified significant correlations between the shoulder ROM and the Brachial Plexus Outcome Measure (BPOM). Specifically, shoulder flexion (<i>p</i> = 0.017; r = 0.351) was positively associated with shoulder functionality, while shoulder internal rotation (<i>p</i> = 0.001; r = 0.481) was linked to appearance scores. A significant negative relationship was observed between elbow extension (<i>p</i> < 0.001; r = −0.512) and elbow and forearm activities. <i>Conclusions:</i> The study highlights the necessity of assessing both joint range of motion and body perception for effective treatment and follow-up, to improve the functionality and quality of life for children with OBPP.https://www.mdpi.com/1648-9144/60/11/1850obstetric brachial plexus palsytendon transferfunctionalitybody perception
spellingShingle Gülsena Utku Umut
Zeynep Hoşbay
Müberra Tanrıverdi
Güleser Güney Yılmaz
Okyar Altaş
Alperen Korucu
Atakan Aydın
Obstetric Brachial Plexus Palsy and Functional Implications: Which Joint in the Upper Extremity Is More Closely Associated?
Medicina
obstetric brachial plexus palsy
tendon transfer
functionality
body perception
title Obstetric Brachial Plexus Palsy and Functional Implications: Which Joint in the Upper Extremity Is More Closely Associated?
title_full Obstetric Brachial Plexus Palsy and Functional Implications: Which Joint in the Upper Extremity Is More Closely Associated?
title_fullStr Obstetric Brachial Plexus Palsy and Functional Implications: Which Joint in the Upper Extremity Is More Closely Associated?
title_full_unstemmed Obstetric Brachial Plexus Palsy and Functional Implications: Which Joint in the Upper Extremity Is More Closely Associated?
title_short Obstetric Brachial Plexus Palsy and Functional Implications: Which Joint in the Upper Extremity Is More Closely Associated?
title_sort obstetric brachial plexus palsy and functional implications which joint in the upper extremity is more closely associated
topic obstetric brachial plexus palsy
tendon transfer
functionality
body perception
url https://www.mdpi.com/1648-9144/60/11/1850
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AT zeynephosbay obstetricbrachialplexuspalsyandfunctionalimplicationswhichjointintheupperextremityismorecloselyassociated
AT muberratanrıverdi obstetricbrachialplexuspalsyandfunctionalimplicationswhichjointintheupperextremityismorecloselyassociated
AT guleserguneyyılmaz obstetricbrachialplexuspalsyandfunctionalimplicationswhichjointintheupperextremityismorecloselyassociated
AT okyaraltas obstetricbrachialplexuspalsyandfunctionalimplicationswhichjointintheupperextremityismorecloselyassociated
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