OBSTETRIC BRACHIAL PLEXUS PALSY: A GUIDE TO …

ASSOCIATION OF PAEDIATRICCHARTERED PHYSIOTHERAPISTSOBSTETRIC BRACHIAL PLEXUS PALSY: A GUIDE TO MANAGEMENTASSOCIATION OF PAEDIATRICCHARTERED PHYSIOTHERAPISTSA Professional Network of The Chartered Society of 2012 OBSTETRIC BRACHIAL PLEXUS Palsy A GUIDE to Management ASSOCIATION OF PAEDIATRIC CHARTERED PHYSIOTHERAPISTS Publication date: April 2012 Review date: April 2015 2 3 OBSTETRIC BRACHIAL PLEXUS Palsy A GUIDE to Management Contents Introduction 4 Types of injury, severity, and associated problems and injuries 5 Muscles and segmental information 6 Upper Limb Dermatomes 8 Referral Pathway 9 Assessment of Active Movement 10 Initial Physiotherapy Advice 13 Early Management Guidelines for Parents 15 Range of Motion Exercises for Infants with OBPP 16 Early Management Guidelines for Physiotherapists 21 Other Grading Systems 23 General Information That is Useful When Working in Schools 27 Heading Towards Adolescents 32 Musculoskeletal complications 33 Surgical Procedures 34 References 37 Appendix I: OBPP Passive Range Assessment Chart 39 Appendix II: OBPP Active Movement Assessment Chart 40 4 Introduction The BRACHIAL PLEXUS extends from C5 T1.

for delivery. This results in upper plexus injury, most commonly to the C5 and C6, and occasionally to the C7 roots, but never the lower nerve roots. 2. Breech presentation, usually of small babies (less than 3kg) requiring excessive extension of the head and, often, manipulation of the hand and arm

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  Delivery, Breech, Uplex, Brachial, Brachial plexus

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