Abstract
This case report describes the rehabilitation of a 23-year-old male with brachial plexus lesion. Patient was diagnosed clinically as partial erbrsquos palsy. Patient was referred to the department of Physical Medicine for further management. On examination patient could not lift his shoulder bend the elbow and muscle strength for supraspinatus infraspinatus deltoid were grade zero where as biceps was grade 2. However wrist and hand function was preserved. After testing the patient the following goals were set improving muscle strength and overall shoulder function. A one-month in-patient rehabilitation program followed by out-patient rehabilitation program was advised by Physiatrist till the patient showed good recovery.Subject reported for physiotherapy sessions weekly once and home exercises program was also advised. Initially arm sling was given to support shoulder and elbow joints. In the early physiotherapy sessions electrical stimulation facilitation techniques like brushing quick icing vibration amp taping were included and in the next stage assisted exercise using suspension re-education board amp skate roller were added. Later free exercises followed by isometric exercises were performed and finally progressive resisted exercises were added. After six months of structured rehabilitation active range of motion was close to normal and attained grade 5 muscle power. A structured protocol and patient motivation can result in successful rehabilitation of brachial plexus Injuries.
Published Version
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