Application of myoelectric elbow flexion assist orthosis in adult traumatic brachial plexus injury: a retrospective clinical study.
Journal
Prosthetics and orthotics international
ISSN: 1746-1553
Titre abrégé: Prosthet Orthot Int
Pays: France
ID NLM: 7707720
Informations de publication
Date de publication:
01 Dec 2021
01 Dec 2021
Historique:
received:
05
04
2021
accepted:
09
08
2021
pubmed:
14
11
2021
medline:
15
12
2021
entrez:
13
11
2021
Statut:
ppublish
Résumé
Adult traumatic brachial plexus injuries (BPIs) can result in severe impairment following penetrating wounds, falls, and motor vehicle accidents or other high-energy trauma. Quantify functional outcomes of adult patients with a BPI using a myoelectric orthosis to restore elbow flexion. Retrospective review. A clinic specializing in the BPI treatment at a large academic medical center tested nineteen adult patients with BPI. These patients had failed to achieve antigravity elbow flexion following their injury and observation or surgical reconstruction. They were provided a myoelectric elbow orthosis (MEO) if they had detectable electromyography signals. There was significant improvement in strength and significant reductions in function and pain when using an MEO. Following initiation of the MEO, 12 of the 19 patients had clinical improvements in muscle strength, 15 patients showed improvement in their DASH, and 13 patients reported improvements in their Visual Analog Scale. The use of an MEO improves elbow flexion strength, increases function, and reduces pain in the majority of patients with BPI and inadequate elbow flexion following observation or surgical reconstruction.
Sections du résumé
BACKGROUND
BACKGROUND
Adult traumatic brachial plexus injuries (BPIs) can result in severe impairment following penetrating wounds, falls, and motor vehicle accidents or other high-energy trauma.
OBJECTIVE
OBJECTIVE
Quantify functional outcomes of adult patients with a BPI using a myoelectric orthosis to restore elbow flexion.
STUDY DESIGN
METHODS
Retrospective review.
METHODS
METHODS
A clinic specializing in the BPI treatment at a large academic medical center tested nineteen adult patients with BPI. These patients had failed to achieve antigravity elbow flexion following their injury and observation or surgical reconstruction. They were provided a myoelectric elbow orthosis (MEO) if they had detectable electromyography signals.
RESULTS
RESULTS
There was significant improvement in strength and significant reductions in function and pain when using an MEO. Following initiation of the MEO, 12 of the 19 patients had clinical improvements in muscle strength, 15 patients showed improvement in their DASH, and 13 patients reported improvements in their Visual Analog Scale.
CONCLUSION
CONCLUSIONS
The use of an MEO improves elbow flexion strength, increases function, and reduces pain in the majority of patients with BPI and inadequate elbow flexion following observation or surgical reconstruction.
Identifiants
pubmed: 34772869
doi: 10.1097/PXR.0000000000000046
pii: 00006479-202112000-00012
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
521-525Informations de copyright
Copyright © 2021 International Society for Prosthetics and Orthotics.
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