Use and effectiveness of neuromuscular electrical stimulation in children with obstetric brachial plexus palsy a cross-sectional survey among occupational and physical therapists

Collins, McKenzie and Dimopoulos, Eleni and Jones, Emily and Louria, Sivan (2020) Use and effectiveness of neuromuscular electrical stimulation in children with obstetric brachial plexus palsy a cross-sectional survey among occupational and physical therapists. Masters thesis, Stanbridge University.

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Abstract

Children with obstetric brachial plexus palsy (OBPP), a nerve injury due to an overstretching of the C5-T1 nerves occurring at birth, are at high risk for decreased functional skills that affect their activities of daily living. However, they have the potential to regain functional skills despite nerve damage. While there are several accepted treatment interventions, there is little research that supports neuromuscular electrical stimulation (NMES) as an intervention that promotes increased range of motion, increased use of the affected limb, and independence in functional skills with children with OBPP. Therefore, there is a lack of agreement among occupational and physical therapists on whether NMES is an adequate intervention for children postsurgery with obstetric brachial plexus palsy. This survey-based study examined the use and effectiveness of NMES for children with OBPP. An internet-based survey was used to obtain information regarding the participants’ use of NMES as a treatment for children with OBPP as young as birth to 18 months of age, and 27 occupational therapy and physical therapy practitioners participated in this study. There was a statistically significant increase of reported mean Active Movement Scale scores from pre to post NMES treatment. Survey participants who answered that they do not use NMES for nerve transfer or tendon transfer treatment were excluded from this analysis. These results suggest that NMES is a useful and effective treatment for children with OBPP. Future research should utilize a case study design to further examine the effectiveness of NMES on children with OBPP through examining specific parameters that promote improved functional skills.

Item Type: Thesis (Masters)
Subjects: R Medicine > RC Internal medicine
Depositing User: Institutional Administrator
Date Deposited: 13 Jan 2022 02:38
Last Modified: 02 May 2024 21:59
URI: http://repository.stanbridge.edu/id/eprint/50

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