Health Condition 1: G540- Brachial plexus disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 18 to 65 years with post-traumatic brachial plexus palsy undergoing surgical reconstruction in the form of nerve grafting and/or nerve transfer, having neuropathic pain with DN4 score greater than or equal to 4, and willing to participate with written informed consent
Exclusion criteria
Exclusion criteria: Patients aged below 18 years or above 65 years, those in whom primary exploration and nerve grafting or nerve transfer is not indicated, those with coexisting musculoskeletal conditions, and patients unwilling to participate or unable to comply with scheduled follow-up visits.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neuropathic pain will be assessed using the Douleur Neuropathique 4 (DN4) Questionnaire and Neuropathic Pain Symptom Inventory (NPSI). Motor recovery will be evaluated using the Medical Research Council (MRC) Muscle Grading System, active range of motion (AROM), and grip and pinch strength. Sensory recovery will be assessed using two-point discrimination (2PD) and the Semmes Weinstein Monofilament Test.Timepoint: pre-operatively and at 3, 6, 9, and 12 months post-operatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient-reported functional outcome will be assessed using the Brachial Assessment Tool (BrAT)Timepoint: pre-operatively and at 3, 6, 9, and 12 months post-operatively | — |
Countries
India
Contacts
KASTURBA MEDICAL COLLEGE AND KASTURBA HOSPITAL