Quantifying real-world upper limb activity via patient-initiated spontaneous movement in neonatal brachial plexus palsy
dc.contributor.author | Gatward, Meghan E. | |
dc.contributor.author | Logue, Rachel N. | |
dc.contributor.author | Yang, Lynda J.-S. | |
dc.contributor.author | Brown, Susan H. | |
dc.date.accessioned | 2023-06-01T20:50:33Z | |
dc.date.available | 2024-06-01 16:50:32 | en |
dc.date.available | 2023-06-01T20:50:33Z | |
dc.date.issued | 2023-05 | |
dc.identifier.citation | Gatward, Meghan E.; Logue, Rachel N.; Yang, Lynda J.-S. ; Brown, Susan H. (2023). "Quantifying real- world upper limb activity via patient- initiated spontaneous movement in neonatal brachial plexus palsy." PM&R 15(5): 604-612. | |
dc.identifier.issn | 1934-1482 | |
dc.identifier.issn | 1934-1563 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/176862 | |
dc.description.abstract | BackgroundNeonatal brachial plexus palsy (NBPP) results in muscle weakness and impaired somatosensory function of the arm. Current functional assessment is primarily based on clinician-elicited measurements including muscle strength and range of motion. To what extent these measures are representative of real-world arm movement is unclear.ObjectiveTo determine the feasibility of using body-worn accelerometers to remotely assess arm movements in children with NBPP.DesignProspective criterion validity study of accelerometry versus clinician assessment.SettingAcademic medical center.ParticipantsNine adolescents with NBPP and nine age- and gender-matched control adolescents participated in the study. All were enrolled in school and participated in community activities.InterventionsNot applicable.MethodsStandard clinician-elicited measurements were collected. For assessing spontaneous arm movements, participants wore activity monitors during all waking hours for 7 days. Results were expressed as ratios of affected to unaffected arm motion for duration and magnitude and correlated with traditional clinic-based assessments. Spearman correlations were used to determine relationships between accelerometry results and traditional assessments. A p value <.05 was considered statistically significant.Main Outcome MeasurementsAccelerometry measurements of arm motion and traditional clinical assessments.ResultsCompared to control ratios, duration of arm movement and magnitude ratios were reduced in the NBPP group, particularly for arm magnitude due to reduced affected arm movement and an increase in unaffected arm movement. Ratios were highly correlated with shoulder function and, to a lesser extent, with elbow function.ConclusionReal-world arm use is an appropriate outcome measure that reflects functional recovery. This study demonstrates the feasibility of wearable technology to quantify duration and intensity of spontaneous arm movement in children with NBPP. Accelerometry also allows for the association between traditional clinician-elicited assessment measures and spontaneous arm movements, demonstrating the importance of the shoulder as a focus of treatment in NBPP. | |
dc.publisher | John Wiley & Sons, Inc. | |
dc.title | Quantifying real-world upper limb activity via patient-initiated spontaneous movement in neonatal brachial plexus palsy | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Kinesiology and Sports | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/176862/1/pmrj12780.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/176862/2/pmrj12780_am.pdf | |
dc.identifier.doi | 10.1002/pmrj.12780 | |
dc.identifier.source | PM&R | |
dc.identifier.citedreference | Julka A, Vander Have KL. Shoulder sequelae of neonatal brachial plexus injuries: orthopedic assessment and management. J Pediatr Rehabil Med. 2011; 4 ( 2 ): 131 - 140. | |
dc.identifier.citedreference | O’Grady KM, Power HA, Olson JL, et al. Comparing the efficacy of triple nerve transfers with nerve graft reconstruction in upper trunk obstetric brachial plexus injury. Plast Reconstr Surg. 2017; 140 ( 4 ): 747 - 756. | |
dc.identifier.citedreference | Hogendoorn S, van Overvest KL, Watt I, Duijsens AH, Nelissen RG. Structural changes in muscle and glenohumeral joint deformity in neonatal brachial plexus palsy. J Bone Joint Surg Am. 2010; 92 ( 4 ): 935 - 942. | |
dc.identifier.citedreference | Hale HB, Bae DS, Waters PM. Current concepts in the management of brachial plexus birth palsy. J Hand Surg Am. 2010; 35 ( 2 ): 322 - 331. | |
dc.identifier.citedreference | Murphy KM, Rasmussen L, Hervey-Jumper SL, Justice D, Nelson VS, Yang LJ. An assessment of the compliance and utility of a home exercise DVD for caregivers of children and adolescents with brachial plexus palsy: a pilot study. PM R. 2012; 4 ( 3 ): 190 - 197. | |
dc.identifier.citedreference | Rasmussen L, Justice D, Chang KW, Nelson VS, Yang LJ. Home exercise DVD promotes exercise accuracy by caregivers of children and adolescents with brachial plexus palsy. PM R. 2013; 5 ( 11 ): 924 - 930. | |
dc.identifier.citedreference | Justice D, Rasmussen L, Di Pietro M, et al. Prevalence of posterior shoulder subluxation in children with neonatal brachial plexus palsy after early full passive range of motion exercises. PM R. 2015; 7 ( 12 ): 1235 - 1242. | |
dc.identifier.citedreference | Houwink A, Aarts PB, Geurts AC, Steenbergen B. A neurocognitive perspective on developmental disregard in children with hemiplegic cerebral palsy. Res Dev Disabil. 2011; 32 ( 6 ): 2157 - 2163. | |
dc.identifier.citedreference | Taub E, Ramey SL, DeLuca S, Echols K. Efficacy of constraint-induced movement therapy for children with cerebral palsy with asymmetric motor impairment. Pediatrics. 2004; 113 ( 2 ): 305 - 312. | |
dc.identifier.citedreference | Socolovsky M, Malessy M, Lopez D, Guedes F, Flores L. Current concepts in plasticity and nerve transfers: relationship between surgical techniques and outcomes. Neurosurg Focus. 2017; 42 ( 3 ): E13. | |
dc.identifier.citedreference | Anguelova GV, Rombouts S, van Dijk JG, Buur PF, Malessy MJA. Increased brain activation during motor imagery suggests central abnormality in neonatal brachial plexus palsy. Neurosci Res. 2017; 123: 19 - 26. | |
dc.identifier.citedreference | Kislay K, Devi BI, Bhat DI, Shukla DP, Gupta AK, Panda R. Novel findings in obstetric brachial plexus palsy: a study of corpus callosum volumetry and resting-state functional magnetic resonance imaging of sensorimotor network. Neurosurgery. 2018; 83 ( 5 ): 905 - 914. | |
dc.identifier.citedreference | Smith BW, Chang KWC, Yang LJS, Spires MC. Comparative accuracies of electrodiagnostic and imaging studies in neonatal brachial plexus palsy. J Neurosurg Pediatr. 2018; 23 ( 1 ): 119 - 124. | |
dc.identifier.citedreference | Bae DS, Waters PM, Zurakowski D. Correlation of pediatric outcomes data collection instrument with measures of active movement in children with brachial plexus birth palsy. J Pediatr Orthop. 2008; 28 ( 5 ): 584 - 592. | |
dc.identifier.citedreference | Ho ES, Curtis CG, Clarke HM. Pediatric evaluation of disability inventory: its application to children with obstetric brachial plexus palsy. J Hand Surg Am. 2006; 31 ( 2 ): 197 - 202. | |
dc.identifier.citedreference | Ho ES, Curtis CG, Clarke HM. The brachial plexus outcome measure: development, internal consistency, and construct validity. J Hand Ther. 2012; 25 ( 4 ): 406 - 416. quiz 417. | |
dc.identifier.citedreference | Gilbert A, Brockman R, Carlioz H. Surgical treatment of brachial plexus birth palsy. Clin Orthop Relat Res. 1991; 264: 39 - 47. | |
dc.identifier.citedreference | Dawe J, Yang JF, Fehlings D, et al. Validating accelerometry as a measure of arm movement for children with hemiplegic cerebral palsy. Phys Ther. 2019; 99 ( 6 ): 721 - 729. | |
dc.identifier.citedreference | Regterschot GRH, Selles RW, Ribbers GM, Bussmann JBJ. Whole-body movements increase arm use outcomes of wrist-worn accelerometers in stroke patients. Sensors (Basel). 2021; 21 ( 13 ): 4353. | |
dc.identifier.citedreference | Foad SL, Mehlman CT, Ying J. The epidemiology of neonatal brachial plexus palsy in the United States. J Bone Joint Surg Am. 2008; 90 ( 6 ): 1258 - 1264. | |
dc.identifier.citedreference | Chauhan SP, Blackwell SB, Ananth CV. Neonatal brachial plexus palsy: incidence, prevalence, and temporal trends. Semin Perinatol. 2014; 38 ( 4 ): 210 - 218. | |
dc.identifier.citedreference | Abzug JM, Mehlman CT, Ying J. Assessment of current epidemiology and risk factors surrounding brachial plexus birth palsy. J Hand Surg Am. 2019; 44 ( 6 ): 515.E1 - 515.E10. e510. | |
dc.identifier.citedreference | Evans-Jones G, Kay SP, Weindling AM, et al. Congenital brachial palsy: incidence, causes, and outcome in the United Kingdom and Republic of Ireland. Arch Dis Child Fetal Neonatal Ed. 2003; 88 ( 3 ): F185 - F189. | |
dc.identifier.citedreference | Grimm MJ, Costello RE, Gonik B. Effect of clinician-applied maneuvers on brachial plexus stretch during a shoulder dystocia event: investigation using a computer simulation model. Am J Obstet Gynecol. 2010; 203 ( 4 ): e331 - e335. | |
dc.identifier.citedreference | Greenwald AG, Schute PC, Shiveley JL. Brachial plexus birth palsy: a 10-year report on the incidence and prognosis. J Pediatr Orthop. 1984; 4 ( 6 ): 689 - 692. | |
dc.identifier.citedreference | Hoeksma AF, ter Steeg AM, Nelissen RG, van Ouwerkerk WJ, Lankhorst GJ, de Jong BA. Neurological recovery in obstetric brachial plexus injuries: an historical cohort study. Dev Med Child Neurol. 2004; 46 ( 2 ): 76 - 83. | |
dc.identifier.citedreference | Pondaag W, Malessy MJ, van Dijk JG, Thomeer RT. Natural history of obstetric brachial plexus palsy: a systematic review. Dev Med Child Neurol. 2004; 46 ( 2 ): 138 - 144. | |
dc.identifier.citedreference | Waters PM. Comparison of the natural history, the outcome of microsurgical repair, and the outcome of operative reconstruction in brachial plexus birth palsy. J Bone Joint Surg Am. 1999; 81 ( 5 ): 649 - 659. | |
dc.identifier.citedreference | Birch R, Bonney G, Wynn Parry CB. Surgical Disorders of the Peripheral Nerves. Edinburgh; New York: Churchill Livingstone; 1998: 539. | |
dc.identifier.citedreference | Brown SH, Wernimont CW, Phillips L, Kern KL, Nelson VS, Yang LJ. Hand sensorimotor function in older children with neonatal brachial plexus palsy. Pediatr Neurol. 2016; 56: 42 - 47. | |
dc.identifier.citedreference | Buitenhuis SM, Pondaag W, Wolterbeek R, Malessy MJA. Sensibility of the hand in children with conservatively or surgically treated upper neonatal brachial plexus lesion. Pediatr Neurol. 2018; 86: 57 - 62. | |
dc.identifier.citedreference | Brown SH, Noble BC, Yang LJ, Nelson VS. Deficits in elbow position sense in neonatal brachial plexus palsy. Pediatr Neurol. 2013; 49 ( 5 ): 324 - 328. | |
dc.identifier.citedreference | Mallet J. Obstetrical paralysis of the brachial plexus. II. Therapeutics. Treatment of sequelae. Priority for the treatment of the shoulder. Method for the expression of results. Rev Chir Orthop Reparatrice Appar Mot. 1972; 58 ( Suppl 1 ): 166 - 168. | |
dc.identifier.citedreference | Haerle M, Gilbert A. Management of complete obstetric brachial plexus lesions. J Pediatr Orthop. 2004; 24 ( 2 ): 194 - 200. | |
dc.identifier.citedreference | Gilbert A, Tassin J. Obstetrical palsy: a clinical, pathological and surgical review. In: Terzis J, ed. Microreconstruction of Nerve Injuries. Philadelphia, PA: Saunders; 1987: 529 - 553. | |
dc.identifier.citedreference | Hill B, Williams G, Olver JH, Bialocerkowski A. Do existing patient-report activity outcome measures accurately reflect day-to-day arm use following adult traumatic brachial plexus injury? J Rehabil Med. 2015; 47 ( 5 ): 438 - 444. | |
dc.identifier.citedreference | Schmier JK, Halpern MT. Patient recall and recall bias of health state and health status. Expert Rev Pharmacoecon Outcomes Res. 2004; 4 ( 2 ): 159 - 163. | |
dc.identifier.citedreference | Gates DH, Walters LS, Cowley J, Wilken JM, Resnik L. Range of motion requirements for upper-limb activities of daily living. Am J Occup Ther. 2016; 70 ( 1 ): 1 - 10. | |
dc.identifier.citedreference | Lang CE, Waddell KJ, Klaesner JW, Bland MD. A method for quantifying upper limb performance in daily life using accelerometers. J Vis Exp. 2017; 122: e55673. | |
dc.identifier.citedreference | Rand D, Eng JJ. Predicting daily use of the affected upper extremity 1 year after stroke. J Stroke Cerebrovasc Dis. 2015; 24 ( 2 ): 274 - 283. | |
dc.identifier.citedreference | van Eijk RPA, Bakers JNE, Bunte TM, de Fockert AJ, Eijkemans MJC, van den Berg LH. Accelerometry for remote monitoring of physical activity in amyotrophic lateral sclerosis: a longitudinal cohort study. J Neurol. 2019; 266 ( 10 ): 2387 - 2395. | |
dc.identifier.citedreference | Thorp JE, Adamczyk PG, Ploeg HL, Pickett KA. Monitoring motor symptoms during activities of daily living in individuals with Parkinson’s disease. Front Neurol. 2018; 9: 1036. | |
dc.identifier.citedreference | Coker-Bolt P, Downey RJ, Connolly J, Hoover R, Shelton D, Seo NJ. Exploring the feasibility and use of acceleromters before, during, and after a camp-based CIMT program for children with cerebral palsy. J Pediatr Rehabil Med. 2017; 10 ( 1 ): 27 - 36. | |
dc.identifier.citedreference | Smith BW, Chang KW, Saake SJ, Yang LJ, Chung KC, Brown SH. Quantifying real-world upper-limb activity via patient-initiated movement after nerve reconstruction for upper brachial plexus injury. Neurosurgery. 2019; 85 ( 3 ): 369 - 374. | |
dc.identifier.citedreference | Narakas AO. Injuries of the brachial plexus and neighboring peripheral nerves in vertebral fractures and other trauma of the cervical spine. Orthopade. 1987; 16 ( 1 ): 81 - 86. | |
dc.identifier.citedreference | Herisson O, Maurel N, Diop A, Le Chatelier M, Cambon-Binder A, Fitoussi F. Shoulder and elbow kinematics during the Mallet score in obstetrical brachial plexus palsy. Clin Biomech (Bristol, Avon). 2017; 43: 1 - 7. | |
dc.identifier.citedreference | Yang LJ. Neonatal brachial plexus palsy—management and prognostic factors. Semin Perinatol. 2014; 38 ( 4 ): 222 - 234. | |
dc.identifier.citedreference | Tassin J. Paralysies obstetricales du plexus brachial. Evolution spontanee, resultats des interventions reparatrices precoces. Paris: Universite Paris; 1983. | |
dc.identifier.citedreference | Smith NC, Rowan P, Benson LJ, Ezaki M, Carter PR. Neonatal brachial plexus palsy. Outcome of absent biceps function at three months of age. J Bone Joint Surg Am. 2004; 86 ( 10 ): 2163 - 2170. | |
dc.identifier.citedreference | Birch R, Bonney G, Wynn Parry CB. Birth lesions of the brachial plexus. In: Birch R, Bonney G, Wynn Parry CB, eds. Surgical Disorders of the Peripheral Nerves. New York: Churchill Livingstone; 1998: 209 - 233. | |
dc.identifier.citedreference | Bailey RR, Klaesner JW, Lang CE. An accelerometry-based methodology for assessment of real-world bilateral upper extremity activity. PLoS One. 2014; 9 ( 7 ): e103135. | |
dc.identifier.citedreference | Bailey RR, Klaesner JW, Lang CE. Quantifying real-world upper-limb activity in nondisabled adults and adults with chronic stroke. Neurorehabil Neural Repair. 2015; 29 ( 10 ): 969 - 978. | |
dc.identifier.citedreference | van der Pas SC, Verbunt JA, Breukelaar DE, van Woerden R, Seelen HA. Assessment of arm activity using triaxial accelerometry in patients with a stroke. Arch Phys Med Rehabil. 2011; 92 ( 9 ): 1437 - 1442. | |
dc.identifier.citedreference | Smith BW, Daunter AK, Yang LJ, Wilson TJ. An update on the management of neonatal brachial plexus palsy-replacing old paradigms: a review. JAMA Pediatr. 2018; 172 ( 6 ): 585 - 591. | |
dc.identifier.citedreference | Davidge KM, Clarke HM, Borschel GH. Nerve transfers in birth related brachial plexus injuries: where do we stand? Hand Clin. 2016; 32 ( 2 ): 175 - 190. | |
dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.