Your browser doesn't support javascript.
loading
Sensibility of the Hand in Children With Conservatively or Surgically Treated Upper Neonatal Brachial Plexus Lesion.
Buitenhuis, Sonja M; Pondaag, Willem; Wolterbeek, Ron; Malessy, Martijn J A.
Afiliación
  • Buitenhuis SM; Department of Neurosurgery, Leiden University Medical Center, The Netherlands; Department of Physical Therapy, Leiden University Medical Center, The Netherlands. Electronic address: S.M.Buitenhuis@lumc.nl.
  • Pondaag W; Department of Neurosurgery, Leiden University Medical Center, The Netherlands.
  • Wolterbeek R; Department of Medical Statistics and Bioinformatics, Leiden University Medical Center, The Netherlands.
  • Malessy MJA; Department of Neurosurgery, Leiden University Medical Center, The Netherlands.
Pediatr Neurol ; 86: 57-62, 2018 09.
Article en En | MEDLINE | ID: mdl-30077550
BACKGROUND: The aim of this study was to assess the sensibility of the hand in children with a neonatal brachial plexus palsy (NBPP) involving the C5 and C6, and to correlate results with dexterity. METHODS: Fifty children with NBPP (30 after nerve surgery, mean age 9.8 years) and 25 healthy controls (mean age 9.6 years) were investigated. Sensibility was assessed with two-point discrimination and Semmes-Weinstein monofilaments. Dexterity was evaluated with a single item from the Movement Assessment Battery for Children-2. We compared the affected side with the nondominant hand of the control group. RESULTS: The sensibility in the first and second fingers was significantly diminished in the NBPP for both two-point discrimination (P = 0.005 and P = 0.014, respectively) and monofilament test (P < 0.001). Dexterity was significantly lower in the NBPP group than in control group, corrected for age (P = 0.023). There was a significant difference toward decreasing hand function with decreasing sensibility according to the Semmes-Weinstein test for the thumb (Jonckheere-Terpstra nonparametric trend test, P = 0.036). CONCLUSIONS: The sensibility of the thumb and index finger in children with an upper plexus lesion (either surgically or conservatively treated) is diminished. The decreased sensibility has a negative impact on hand function. Appreciation of diminished hand function in patients with NBPP involving C5 and C6 is important to optimize treatment.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tacto / Neuropatías del Plexo Braquial / Mano / Destreza Motora Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Child / Female / Humans / Male Idioma: En Revista: Pediatr Neurol Asunto de la revista: NEUROLOGIA / PEDIATRIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tacto / Neuropatías del Plexo Braquial / Mano / Destreza Motora Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Child / Female / Humans / Male Idioma: En Revista: Pediatr Neurol Asunto de la revista: NEUROLOGIA / PEDIATRIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos