Peds Brachial Plexus Injury

when should surgery be completed with BPI patients if it's needed?

3-6 months

all of the following are brachial plexus injury risk factors except: A. maternal diabetes B. prolonged labor C. breech D. C-section E. instrument assisted delivery

D

what is the most common type of BPI?

Erb's Palsy (C5-6)

T/F: it is not important to focus on symmetry with BPI patients

F; it is very important

____ is when a nerve has been stretched and damaged but not torn

neurapraxia

___ is when scar tissue has grown around the injury site and puts pressure on the injured nerve and prevents the conduction of signals

neuroma

a ____ is when a nerve is torn at one or several places in the plexus but NOT at the spinal cord attachment

rupture

when doing PROM interventions with BPI patients, early emphasis should be on what movement?

shoulder ER with arm at side

babies with erb's palsy have what position?

"waiter's tip"

global palsy affects what nerve levels?

C5-T1 (the whole plexus)

Klumpke's Palsy affects what nerve levels?

C8-T1

with erb's palsy, the baby will have a weak deltoid, shoulder (IRs/ERs), elbow (flexors/extensors), supinators, and wrist/finger extensors

ERs; flexors

with which type of cerebral palsy may also have Horner's Syndrome?

Klumpke's

T/F: kinesiotape can be useful for this population

T

T/F: people with global palsy show no movement at the shoulder, arm, or hand and may have more severe sensation deficits

T

what classification is used to assess UE function in infants?

active movement scale

an _____ injury is when a nerve is torn away from its attachment at the spinal cord and is the most severe type

avulsion

which classification is used to predict prognosis and future recovery potential at 3 weeks of age?

narakas

flexion and extension at what joints by 3 months show good indication for recovery?

elbow, wrist, fingers

injury to the brachial plexus results in muscle impairment, joint deformity, and ___ ___ discrepency

limb length

what classification is used to assess shoulder function at ~1 year of age?

mallet

Horner's Syndrome is (sympathetic/parasympathetic) nerve damage that results in what 3 main things?

sympathetic; 1. ptosis (drooping of eye) 2. miosis (constricted pupil) 3. facial anhidrosis (loss of sweating)

what classification is used to capture UE spontaneous, active movement against gravity and is used at 3 months?

toronto test score