Treatment of a brachial plexus injury using kinesiotape and exercise

Physiotherapy Theory and Practice
Sharon Fleming Walsh

Abstract

This describes a child whose neonatal brachial plexus injury was treated with kinesiotape and exercise. The subject was a two-year-old female whose X-rays demonstrated severe inferior subluxation of the humeral head and winging of the scapula on the left. She was fitted with a shoulder brace with surgery scheduled in six months. The initial PT exam noted 80 degrees of shoulder abduction (trumpet sign), significant asymmetry, and nonuse. Mallet score was 15/25. Treatment consisted of d/c of the brace and E-stimulation, parent education on exercise and taping, and kinesiotape to facilitate rotator cuff and scapular stabilizers. Typical wear time was 2-3 days on, 1-2 days off. After 2 weeks, there was prominent deltoid definition. The shoulder was in 20 degrees of abduction, shoulders level with less scapular winging. Scapular stabilizers were then taped. At 4 weeks, her arm was held to her side displaying a stable symmetrical scapula. The arm displayed increased fine motor use and initiation of activities. At 10 weeks there was a forced d/c, and a decline toward baseline levels. After 2 weeks of reinstatement, function returned to prior level. At 20 weeks (12 total visits) she displayed full ROM, symmetrical shoulders, Mallet sco...Continue Reading

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Citations

Nov 1, 2013·Journal of Advanced Research·Radwa S ElKhatibAbdelAziz A Sherief
Feb 7, 2012·The Journal of Hand Surgery·Tristan L HartzellMojca Herman
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