Correlation between motor function recovery and daily living activity outcomes after brachial plexus surgery

Author:

Ferreira Sonia Regina1,Martins Roberto Sérgio1,Siqueira Mário G.1

Affiliation:

1. Universidade de São Paulo, Brasil

Abstract

ABSTRACT Objective To establish the correlation between clinical evaluation of motor function recovery and daily living activities in 30 patients with upper traumatic brachial plexus injury submitted to surgery. Methods The score of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and the Louisiana State University Health Sciences Center (LSUHSC) scale were determined in 30 patients. Epidemiologic factors were also examined and correlations were determined. Results There was a significant correlation between the clinical evaluation and the daily living activities after a 12-month period (r = 0.479 and p = 0.007). A direct correlation was observed between the functional recovery of the upper limb and the time between injury and surgery (r = 0.554 and p = 0.001). The LSUHSC scores (p = 0.049) and scores from the DASH questionnaire (p = 0.013) were better among patients who returned to work. Conclusions Clinical evaluation and daily living activities in adult patients who underwent nerve transfer after brachial plexus injury showed significant and measurable improvements.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

Reference19 articles.

1. Results and current approach for Brachial Plexus reconstruction;Bertelli JA;J Brachial Plex Peripher Nerve Inj,2011

2. Clinical findings in C5-C6 and C5-C7 root palsies with brachial plexus traction lesions;Bertelli JA;J Hand Surg Eur.,2013

3. Suggestions for refinement of the Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH): a factor analysis and Rasch validation study;Franchignoni F;Arch Phys Med Rehabil,2010

4. Surgical treatment of adult traumatic brachial plexus injuries: an overview;Siqueira MG;Arq Neuropsiquiatr,2011

5. A systematic review of outcomes reporting for brachial plexus reconstruction;Dy CJ;J Hand Surg (Am),2015

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