Degree of Contracture Related to Residual Muscle Shoulder Strength in Children with Obstetric Brachial Plexus Lesions
| Autor: | Valerie M. van Gelein Vitringa, Marco J. P. F. Ritt, Arthur van Noort, Johannes A van der Sluijs, Barend J. van Royen |
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| Přispěvatelé: | Orthopedic Surgery and Sports Medicine, Plastic, Reconstructive and Hand Surgery, MOVE Research Institute |
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | van Gelein Vitringa, V M, van Noort, A, Ritt, M J P F, van Royen, B J & van der Sluijs, J A 2015, ' Degree of Contracture Related to Residual Muscle Shoulder Strength in Children with Obstetric Brachial Plexus Lesions ', Journal of Brachial Plexus and Peripheral Nerve Injury, vol. 10, no. 1, pp. e23-e29 . https://doi.org/10.1055/s-0035-1558425 Journal of Brachial Plexus and Peripheral Nerve Injury, 10(1), e23-e29. BioMed Central |
| ISSN: | 1749-7221 |
| DOI: | 10.1055/s-0035-1558425 |
| Popis: | Background and Objectives Little is known about the relation between residual muscle strength and joint contracture formation in neuromuscular disorders. This study aimed to investigate the relation between residual muscle strength and shoulder joint contractures in children with sequelae of obstetric brachial plexus lesion (OBPL). In OBPL a shoulder joint contracture is a frequent finding. We hypothesize that residual internal and external rotator strength and their balance are related to the extent of shoulder joint contracture. Methods Clinical assessment was performed in 34 children (mean 10.0 years) with unilateral OBPL and Narakas classes I–III. External and internal rotation strengths were measured with the shoulder in neutral position using a handheld dynamometer. Strength on the affected side was given as percentage of the normal side. Contracture was assessed by passive internal and external rotations in degrees (in 0° abduction). Mallet classification was used for active shoulder function. Results External and internal rotation strengths on the affected side were approximately 50% of the normal side and on average both equally affected: 56% (SD 18%) respectively 51% (SD 27%); r = 0.600, p = 0.000. Residual strengths were not related to passive internal or external rotation ( p > 0.200). Internal rotation strength ( r = − 0.425, p r = 0.451 and r = 0.515, respectively; p Conclusion The intuitive notion that imbalances in residual muscle strength influence contracture formation cannot be confirmed in this study. Our results are of interest for the understanding of contracture formation in OBPL. |
| Databáze: | OpenAIRE |
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