Diagnostisches und therapeutisches Prozedere bei geburtstraumatischer Plexus-brachialis-Läsion: Review und Empfehlungen einer interdisziplinären Arbeitsgruppe
| Autor: | H. Jäger, O. Aszmann, Othmar Schuhfried, I. Hasenlechner, Helmut Kern, Y. Alacamlioglu, T. Paternostro-Sluga, M. Hörmann, Malvina Herceg, A. Meixner, M. Frey |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery Palsy business.industry medicine.medical_treatment Rehabilitation Physical Therapy Sports Therapy and Rehabilitation Guideline medicine.anatomical_structure Electrotherapy Intervention (counseling) Radiological weapon Physical therapy Medicine Shoulder joint Medical diagnosis business |
| Zdroj: | Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin. 20:9-19 |
| ISSN: | 1439-085X 0940-6689 |
| DOI: | 10.1055/s-0029-1225633 |
| Popis: | PROBLEM: Treatment of children with obstetric plexus brachialis palsy is a complex interdisciplinary process, which has not been organised in a standardized way up to day. The aim of the present study was to develop optimal and individually adapted management strategies for diagnosis and therapy, which should serve the physicians as a guideline and decision-making aid. METHOD: The recommendations are based on the literature, experimental results and the clinical expertise of an interdisciplinary study group (physical medicine and rehabilitation, plastic and reconstructive surgery, radiology). RESULTS: An algorithm of clinical and diagnostic steps was designed which includes the positioning of the affected arm, the kinesitherapy including instructions of the parents, the electrotherapy, the electrophysiological and radiological diagnoses, the diagnosis for surgical procedures (nerve repair as well as corrective and rearrangement surgery) and control intervals. A majority of children shows a good functional result with conservative therapy. In the case of insufficient remission or the occurrence of secondary complications such as pathologies of the shoulder joint, further diagnosis is important to decide where surgical intervention will be necessary. CONCLUSION: Structured medical care and therapy planning for children with obstetric plexus brachialis palsy was developed to improve outcome parameters. A continuous cooperation of an interdisciplinary team of physicians and therapists is of utmost importance. |
| Databáze: | OpenAIRE |
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