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2011 | 25 | 2 | 5-10
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Zaburzenia Czucia w Obszarze Unerwianym Przez Nerw Pośrodkowy u Pacjentów z Okołoporodowym Uszkodzeniem Splotu Ramiennego (Ousr). / Dysesthesia in Innervated Area by Median Nerve in Obstetric Brachial Plexus Injuries (Obpi)

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Introduction Obstetric brachial plexus injuries (OBPI) are a lesion peripheral nervous system. For this injury motor and autonomic dysfunctions are typical but also sensory disorders appear. Up till now the main research considered the treatment of motor dysfunction within the upper extremity. The dysfunction of the sensory was not the centre of scientists’ attention because of their theoretically minor meaning. Sensory impairments are invisible but extremely important for the functions. A lot of patients with OBPI have a spatial neglect syndrome due to or lack on sensation within the lesion upper extremity. The aim of this study was to examine sensory dysfunction in the area of innervated by median nerve at children and teenagers with OBPI , then to analyze these disorders with relation to the type of the injury, the functional of the hand and past reconstruction of the nerves.Material and methods Research involved the group of 32 patients (aged 6-17 years) withOBPI, improved in Pediatric Hospital in Dziekanów Leśny near of Warsaw and RehabilitationCentre for Children and Teenagers “STOCER” in Konstancin. Patients were divided in two groups with and without reconstruction of the nerves or muscles. Five types of sensibility were tested (vibration, placement, touch, pain and temperature) on the palmer side of the 2nd finger of the healthy hand and than on the other hand on the side of the lesion.To these analysis were classified ed exclusively patients without disorders of the sensibility in the healthy side, because of the possibility of the exclusion sensory dysfunction consequent from other reasons than OBPI.Results More often appear pain and temperature paraesthesia (superiorly pain paraesthesia). We can observe less degree of dysesthesia of pain and temperature sensibility when the hand in the side lesion is more functional. The higher degree of dysfunction of the temperature paraesthesia appears among patients with nerves reconstruction than among those withou nerves reconstruction or with muscle transfer. Physiotherapy should consider stimulations of the different kind of sensibility within the lesion extremity at patients with OBPI.
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1 - 06 - 2011
27 - 08 - 2013
  • Wydział Rehabilitacji Akademia Wychowania Fizycznego Józefa Piłsudskiego w Warszawie
  • Wydział Rehabilitacji Akademia Wychowania Fizycznego Józefa Piłsudskiego w Warszawie
  • Wydział Rehabilitacji Akademia Wychowania Fizycznego Józefa Piłsudskiego w Warszawie
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