Case 1: brachial plexus palsy

Question 1

what is obstetric brachial palsy

Answer 1

when the nerves of the brachial plexus are damaged during delivery often due to excessive strtching of the neck

Question 2

maternal diabetes is what

Answer 2

when the mother can’t produce enough insulin

Question 3

what is fetal shoulde dystocia

Answer 3

complication during childbirth where the baby’s shoulders become stuck behind the mothers pubic bone after the head is delivered

Question 4

what is asymmetric tonic neck reflex

Answer 4

baby head is turned toward one the side the UE of that side extends and the UE of the opposite side flexes

Question 5

what are developmental reflexes

Answer 5

involuntary resounded that are also called primitive reflex , they disappear durign development

Question 6

what is the moro reflex

Answer 6

a response to a sudden loos of support at the head when then the baby symmetrically abducts both UE and then symmetrically adducts both UE

Question 7

what is the general PT POC/goasl from a toddler with obstetric brachial plexus innjury

Answer 7

maintain or improve active and passive ROM
functional use of invovled UE
improve sensory awareness

Question 8

what is the precautions during PT for a toddler with obstetric brachial plexus innjury

Answer 8

be aware of surgeon protocols for activity restrictions
avoid over stretching
awareness of potential decreased sensation in UE

Question 9

what is the complications interfering with PT for a toddler with obstetric brachial plexus innjury

Answer 9

development of torticollis
decreased sensation
unstable joints
contractures
flaccidity
neglect to UE

Question 10

the brachial plexus included ___ and ___ nerves and is formed by the inner communication of the ___ ___ rami or roots from cervical nerves ___ through ___

Answer 10

motor and sensory
5 ventral rami
c5-t1

Question 11

what are the 3 tools with the most robust psychometric properties for brachial plexus innjury

Answer 11

assisting hand assessment
the self care domain of the pediatric evaluation of disability inventory (PEDI)
the pediatric outcomes data collection instrument (PODCI)

Question 12

t/f: children with obstetric brachial plexus palsy may experience the impact of the condition well into adulthood

Answer 12

true (grade a)

Question 13

which never segments is the most frequently injuries in obstetric brachial plexus palsy

Answer 13

C5-C6 (upper plexus)

Question 14

what is a risk factor for obstetric brachial plexus palsy

Answer 14

shoulder dystocia

Question 15

the assisting hand assessment is intended for use in what agre group

Answer 15

18 months to 12 years