Maria Grodner, Jakub Sojma, Janusz Domaniecki

Maria Grodner, Jakub Sojma, Janusz Domaniecki – Pathological changes in obstetric brachial plexus palsy (OBPP). Fizjoterapia Polska 2007; 7(2), 206-218

Abstract

The article discusses the clinical picture and sequelae in children with brachial plexus palsy on the basis of the authors’ experience and relevant literature. The problem of neonatal brachial plexus palsy, which initially mainly affects the upper limb, quickly appears to be of equal importance for the development of motor skills and normal posture of the growing child. These consequences develop over time, becoming more visible as soon as the child changes his playing position from lying to sitting and standing. Impaired limb development leads to postural defects in the form of developmental postural asymmetry, abnormal spinal curvatures, disturbances of physiological curvatures of the spine and dysfunctions of upper limb joints, which invariably accompany the initial injury. An understanding of the clinical presentations of the pathology and an awareness of the time sequence and kind of sequelae attributable both to the injury and to development in the dysfunctional setting facilitates more informed and targeted treatment.

Key words:

obstetric brachial plexus palsy, pathological changes, postural defects

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