Traumatic Brachial Plexus Injury
Conditions
Interventions
Experimental Group: 5 adults patients with traumatic upper plexus injury after surgery will recieve physical therapy Protocol of Propriocptive Neuromuscular Facilitation (PNF), twice a week in a perio
Other
E02.779
Sponsors
Universidade Federal de Pernambuco
Universidade Federal de Pernambuco
Eligibility
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Individuals who suffered traumatic upper brachial plexus injury; both sexes; age between 18 and 40 years; clinical diagnosis according to the routine protocol established at the service and confirmed by electrodiagnostic assessment - Electromyography (EMG) and/or Magnetic Resonance Imaging; who have indication of performing nerve transfer surgery; accompanied in the neurosurgery of peripheral nerves ambulatory at the Hospital da Restauração; with the minimum degree of comprehension necessary to understand the questions of the questionnaires, according to the Mini Mental State Examination (MMSE).
Exclusion criteria
Exclusion criteria: Patients with some type of articular ankylosis (shoulder, elbow, wrist); with incapacitating and uncontrolled neuropathic pain; who have suffered multi-trauma that makes it impossible to perform the positions and exercises of the protocol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improved functionality, evaluated by the DASH score reduction in the initial, pre-surgical and postoperative evaluation (15 days, 3, 6, 9 and 12 months after).;Perception of patient improvement, assessed by the score obtained from the Patient Global Impression of Change Scale, portuguese version (PGIC - VP), at the end of the intervention.;Improved quality of life, assessed by WHOQOL-BREF brazilian version developed by World Health Organization. | — |
Secondary
| Measure | Time frame |
|---|---|
| Increased range of joint and shoulder motion, assessed by goniometry, data collected in the initial evaluation, preoperative and postoperative (15 days, 3, 6, 9 and 12 months after).;Increased muscle strength of the shoulder and elbow muscles, assessed by the Medical Research Council Manual Test, data collected in the initial evaluation, preoperative and postoperative (15 days, 3, 6, 9 and 12 months after).;Reduction of pain intensity, evaluated by the numerical scale of pain (0 to 10), and absence of neuropathic pain, evaluated by neuropathic pain questionnaire in 4 questions. Data collected in the initial evaluation, preoperative and postoperative (15 days, 3, 6, 9 and 12 months after).;Sensitivity improvement, classified as normal, by evaluation in the areas of the corresponding C5 and C6 dermatomes, data collected in the initial evaluation, preoperative and postoperative (15 days, 3, 6, 9 and 12 months after). | — |
Countries
Brazil
Contacts
Public ContactDaniella de Oliveira
Universidade Federal de Pernambuco
Outcome results
None listed