THE EFFECT OF AN ADAPTED EXERCISE PROGRAM ON MUSCLE STRENGTH OF A GIRL WITH UPPER LIMB MONOPLEGIA AND BRACHIAL PLEXUS INJURY

Dimitrios Anastasios Pliakos, Paraskevi Pliakou, Dimitrios Kokaridas

Abstract


Cerebral palsy and brachial plexus paralysis are chronic conditions that result in severe motor difficulties that affect an individual’s motor function, co-ordination, posture and balance. The purpose of this study was to examine the effect of an adapted exercise program on the improvement of muscle strength of a child with upper limb monoplegia due to brachial plexus birth paralysis. The sample consisted of a 4.5-year-old girl, diagnosed with upper limb monoplegia and brachial plexus injury. Next, an adapted exercise program lasting 12 weeks, twice per week, of 45 minutes each session was structured, that included activities aiming to improve muscle strengthening and coordination. Measurement tools used prior and after the intervention program included the Oxford Scale, the Arm Curl Test and the medicine ball throw. Descriptive analysis between pre and post results showed obvious improvement of the child in all post measures. Future researches with larger samples are needed to further verify the results concerning the effect of adapted physical activity programs on children with brachial plexus injury.

 

Article visualizations:

Hit counter


Keywords


brachial plexus injury, upper limb monoplegia, adapted exercise

Full Text:

PDF

References


Abd Al-Wahab MG, Salem EE, El-Hadidy EI, El-Barbary HM, 2016. Effect of plyometric training on shoulder strength and active movements in children with Erb’s palsy. Int J PharmTech Res 9.4: 25–33.

Abdel-Kafy EM, Kamal HM, Elshemy SA, 2013. Effect of modified constrained induced movement therapy on improving arm function in children with obstetric brachial plexus injury. Egyptian Journal of Medical Human Genetics 14.3: 299–305. doi:10.1016/j.ejmhg.2012.11.006

Belviso I, Palermi S, Sacco AM, Romano V, Corrado B, Zappia M, Sirico F, 2020. Brachial plexus injuries in sport medicine: Clinical evaluation, diagnostic approaches, treatment options, and rehabilitative interventions. Journal of Functional Morphology and Kinesiology 5.2: 22. doi:10.3390/jfmk5020022

de Oliveira LAS, Pedron CA, de Andrade FG, Horsczaruk CHR, Martins JVP, 2019. Motor recovery after bilateral brachial plexus injury using motor irradiation: a case report. International Journal of Therapy and Rehabilitation: 1–12. doi:10.12968/ijtr.2017.0170

Doucet BM, Lam A, Griffin L, 2012. Neuromuscular electrical stimulation for skeletal muscle function. The Yale Journal of Biology and Medicine 85.2: 201.

Elnaggar RK, 2016. Shoulder function and bone mineralization in children with obstetric brachial plexus injury after neuromuscular electrical stimulation during weight-bearing exercises. American Journal of Physical Medicine & Rehabilitation 95.4: 239–247. doi:10.1097/PHM.0000000000000449

El-Shamy S, Alsharif R, 2017. Effect of virtual reality versus conventional physiotherapy on upper extremity function in children with obstetric brachial plexus injury. Journal of Musculoskeletal & Neuronal Interactions 17.4: 319.

Hoare B, 2008. Unravelling the cerebral palsy upper limb. Developmental Medicine and Child Neurology 50.12: 887. doi: 10.1111/j.1469-8749.2008.03130.x

Ibrahim AI, Hawamdeh ZM, Alsharif AA, 2011. Evaluation of bone mineral density in children with perinatal brachial plexus palsy: effectiveness of weight bearing and traditional exercises. Bone 49.3: 499–505. doi:10.1016/j.bone.2011.05.015

Jones CJ, Rikli RE, 2002. Measuring functional. The Journal on Active Aging 1: 24–30.

Li H, Chen J, Wang J, Zhang T, Chen Z, 2023. Review of rehabilitation protocols for brachial plexus injury. Frontiers in Neurology 14: 1084223. doi.org/10.3389/fneur.2023.1084223

Manzoor S, Umar B, Niaz M, Afzal A, Naz M, 2021. Effectiveness of Mirror Therapy on Upper Limb Function in patients with Stroke (Monoplegic). Pakistan Journal of Medical & Health Sciences 15.1: 183–185.

Naylor CE, Bower E, 2005. Modified constraint‐induced movement therapy for young children with hemiplegic cerebral palsy: a pilot study. Developmental Medicine & Child Neurology 47.6: 365–369. doi:10.1111/j.1469-8749.2005.tb01155.x

No MM, 1976. Aids to the examination of the peripheral nervous system. HMSO, London.

Okafor UA, Akinbo SR, Sokunbi OG, Okanlawon AO, Noronha C, 2008. Comparison of electrical stimulation and conventional physiotherapy in functional rehabilitation in Erb’s palsy. Nigerian Quarterly Journal of Hospital Medicine 18.4: 202–205. doi:10.4314/nqjhm.v18i4.45029

Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan B, Jacobsson B, 2007. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 109(suppl 109): 8–14.

Sahin N, Karahan AY, 2018. Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study. North Clin Istanb 6(1): 1–6. doi: 10.14744/nci.2017.29200

Smith B, Rigby B, Netherway J, Wang W, Dodd-Reynolds C, Oliver E, Bone L, Foster C, 2022. Physical activity for general health benefits in disabled children and disabled young people: rapid evidence review for the UK Chief Medical Officers’ update of the physical activity guidelines. Department of Health and Social Care: London, UK. https://www.gov.uk/government/publications/physical-activity-in-disabled-children-and-disabled-young-people-evidence-review/physical-activity-for-general-health-benefits-in-disabled-children-and-disabled-young-people-rapid-evidence-review

Stockbrugger BA, Haennel RG, 2001. Validity and reliability of a medicine ball explosive power test. The Journal of Strength & Conditioning Research 15.4: 431–438. doi:10.1519/1533-4287(2001)015<0431:VAROAM>2.0.CO;2

Willis CE, Reid S, Elliott C, Rosenberg M, Nyquist A, Jahnsen R, Girdler S, 2018. A realist evaluation of a physical activity participation intervention for children and youth with disabilities: what works, for whom, in what circumstances, and how? BMC Pediatrics 18: 1–15. doi: 10.1186/s12887-018-1089-8

Zafeiriou DI, Psychogiou K, 2008. Obstetrical brachial plexus palsy. Pediatric Neurology 38.4: 235–242. doi: 10.1016/j.pediatrneurol.2007.09.013

Zwier JN, Van Schie PEM, Becher JG, Smits D-W, Gorter JW, Dallmeijer AJ, 2010. Physical activity in young children with cerebral palsy. Disability and Rehabilitation 32.18: 1501–1508. doi:10.3109/09638288.2010.497017




DOI: http://dx.doi.org/10.46827/ejpe.v11i3.5481

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Dimitrios Anastasios Pliakos, Paraskevi Pliakou, Dimitrios Kokaridas

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2015 - 2023. European Journal of Physical Education and Sport Science (ISSN 2501 - 1235) is a registered trademark of Open Access Publishing Group. All rights reserved.

This journal is a serial publication uniquely identified by an International Standard Serial Number (ISSN) serial number certificate issued by Romanian National Library (Biblioteca Nationala a Romaniei). All the research works are uniquely identified by a CrossRef DOI digital object identifier supplied by indexing and repository platforms. All authors who send their manuscripts to this journal and whose articles are published on this journal retain full copyright of their articles. All the research works published on this journal are meeting the Open Access Publishing requirements and can be freely accessed, shared, modified, distributed and used in educational, commercial and non-commercial purposes under a Creative Commons Attribution 4.0 International License (CC BY 4.0).