Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Acta Medica Bulgarica

2 Issues per year

Open Access
Online
ISSN
0324-1750
See all formats and pricing
More options …

Medical Rehabilitation and Occupational Therapy in Patients with Lesion of Plexus Brachialis

D. Vacheva
  • Corresponding author
  • Department for Physical Medicine, Rehabilitation, Occupational Therapy and Sport, Clinic of Physical Medicine and Rehabilitation, University Нospital – Pleven, Bulgaria
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2015-05-22 | DOI: https://doi.org/10.1515/amb-2015-0008

Summary

Causes for plexus brachialis damage are versatile, and in some cases remain unknown, but mostly result from degenerative and inflammatory processes. Treatment of brachial plexus dysfunction is often conservative and is subject to a team of specialists - neurologists, traumatologists, rehabilitation physicians, kinesitherapists and occupational therapists. The objective of the research is to report the recovery of patients with lesion of plexus brachialis after a complex physiotherapy and rehabilitation treatment program that includes electrostimulation, remedial massage, kinesitherapy, electrotherapy and occupational therapy. A total of 159 patients, treated at the Clinic of Physical Therapy, University Hospital of Pleven, were included in the study. Improvement of measured indexes: pain assessment, centimetry, assessment of upper limb muscle weakness, dynamometry and functional test of activities of daily living, was registered in all patients under observation. In order to achieve good results in the rehabilitation of patients with injured plexus brachialis, timely diagnosis, good medication therapy and early start of complex physiotherapy and rehabilitation are of crucial importance, so that performance of daily living activities improves. The good results come slowly and with difficulties, but the quality of life of patients and the quality of labor performed by them, improves significantly.

Keywords : plexus brachialis; rehabilitation; occupational therapy

References

  • 1. http://www.aafp.org/afp/2000/1101/p2067.htmlGoogle Scholar

  • 2. Shy ME. Peripheral neuropathies. In: Goldman L, Schafer AI, eds. Cecil Medicine, 24-th ed. Philadelphia, Pa: Saunders Elsevier; 2011:428.Google Scholar

  • 3. Ensrud E, King JC. Plexopathy-brachial. In: Frontera WR, Silver JK, Rizzo TD, eds. Essentials of Physical Medicine and Rehabilitation, 2-nd ed. Philadelphia, Pa: Saunders Elsevier; 2008:134.Google Scholar

  • 4. Spillane JD. Localized neuritis of the shoulder girdle. A report of 46 patients in the MEF. Lancet. 1943;2:532-5.Google Scholar

  • 5. Delank H. In: Delank, editor. Neurology. Sofia: MI „Sharov“; 1996:137-9.Google Scholar

  • 6. Katirji B, Koontz D. Disorders of peripheral nerves. In: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC, eds. Bradley’s Neurology in Clinical Practice, 6-th ed. Philadelphia, Pa: Saunders Elsevier; 2012:76.Google Scholar

  • 7. Georgiev I., Bozhinov S. Textbook on Nervous Disease. Sofia: Medicina i physcultura, 1982:89-104; 164-6.Google Scholar

  • 8. Gatev St., Bankov St., Busarov St. Manual for Physical Therapy. Sofia: Medicina i physcultura, 1992:165-75.Google Scholar

  • 9. Slanchev P., Bonev L., Bankov St. Textbook on Kinesitherapy. Sofia: Medicina i physcultura, 1986:134-52; 175-91.Google Scholar

  • 10. Karaneshev G., Sokolov B., Venova L. et al. Edited by G. Karaneshev. Theory and methods of remedial gymnastics. Sofia: Medicina i physcultura, 1983:279-90.Google Scholar

  • 11. Topuzov I. Occupational Therapy. ІІІ part; Sofia: RIK „Simel”, 2009:169-75.Google Scholar

  • 12. Karaneshev G., Milcheva D. Methods for diagnostics and examination in remedial gymnastics. Sofia: National Sport Academy, 1984:89-104.Google Scholar

  • 13. Tsairis P, Dyck PJ, Mulder DW. Natural history of brachial plexus neuropathy. Report on 99 patients. Arch Neurol. 1972;27:109-17.PubMedGoogle Scholar

  • 14. http://emedicine.medscape.com/article/1175276-overview.Google Scholar

  • 15. Rutchik, Jonathan S. „Toxic Neuropathy“, e-Medicine. Eds. Robert A. Hauser, et al. Medscape, 2009:17.Google Scholar

  • 16. http://www.advancedreconstruction.com/brachial-plexus-injuries/PubMedGoogle Scholar

  • 17. Kadiysky D., Svetoslavova M., Sales N., Deslys J. Morphological Profile of VVA (+) Cells in CNS During Neurodegeneration. Comptes rendus de l’Acade‘mie bulgare des Sciences, Vol 58:12:1473.Google Scholar

  • 18. Berner YN, Kimchi OL, Spokoiny V et Finkeltov B. The effect of electrical stimulation treatment on the functional rehabilitation of acute geriatric patients with stroke - a preliminary study. Archives of Gerontology and Geriatrics. 2004, 39:125-32.Google Scholar

  • 19. Ishpekova, B. N. Muradyan, D. Atanassova, L. Christova, A. Alexandrov. Electrodiagnostic Significance of a-waves Recorded in Routine f-waves Studiesb. Comptes rendus de l’Acade‘mie bulgare des Sciences, Vol 56:10:119-24.Google Scholar

  • 20. Trombly CA. Occupational Therapy for Physical Dysfunction. Boston - Baltimor - Philadelphia - Hong-Kong - London - New York - Sydney - Tokyo: Williams & Wilkins, 1996, 213-8. Google Scholar

About the article

Published Online: 2015-05-22

Published in Print: 2015-05-01


Citation Information: Acta Medica Bulgarica, ISSN (Online) 0324-1750, DOI: https://doi.org/10.1515/amb-2015-0008.

Export Citation

© 2015. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

Comments (0)

Please log in or register to comment.
Log in