Erbs palsy
Conditions
Interventions
None listed
Sponsors
Leids Universitair Medisch Centrum
Eligibility
Age
2 Years to 11 Years
Inclusion criteria
Inclusion criteria: - Children who suffered an obstetric brachial plexus lesion (OBPL) involving the C5 and C6 spinal nerves regardless whether they were treated with nerve surgery or conservatively - These children are under treatment or follow-up at our outpatient brachial plexus clinic - Childrens' age 7 to 12 years - Children who are in regular primary school
Exclusion criteria
Exclusion criteria: - Children who cannot follow instructions - Children without sufficient motivation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1 Sensasation The sensation of the hand will be assessed using the following methods. 1.1 Semmes-Weinstein Monofilamenttest Nylon filaments of different size provide a reproducible pressure on the skin, which allows for assessing the quality of the sensation buds in the skin. 1.2 Two-point discrimination The minimal distance that children recognize two contact points as two separate stimuli is investigated, which reflects the density of the sensation buds 1.3 Stereognosis: object recognition The child must recognize an object with touch alone, without seeing it. 1.4 Localisation test The largest Semmes-Weinstein monofilament is placed on a specific finger of the hand, the child must name on which finger the filament is pressed. 1.5 Beside the previous objective tests of sensation, a questionnaire is taken to assess the subjective sensation of the hand, and pain sensation in the hand. | — |
Secondary
| Measure | Time frame |
|---|---|
| 2 Hand function Hand function will be assessed as follows 2.1 Grip strength will be quantified using a Jamar dynamometer. 2.2 Handiness will be evaluated with a single item from the Movement Assessment Battery for Children-2 (MABC-2), which is an internationally accepted and validated test for fine motor skills. 2.3 A questionnaire is employed to determine the function of the hand in daily living activities. 3 Other motor functions (not in control group) The assessment of motor function of shoulder and elbow movements is part of 'usual care* at the outpatient clinic. Range of motion and strength is evaluated by experienced investigators of the NerveCenter of the LUMC. This part of data is necessary to document the severity of the nerve lesion and to be able to correlate with outcomes of sensation and hand function. | — |
Countries
Netherlands
Outcome results
None listed