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Brachial plexus palsy is one of the most serious and common consequences after a patient experiences a trauma, be it a traffic accident or an occupational accident. Brachial plexus paralysis often makes patients very difficult in daily activities, causing loss of some functions, so it is very necessary to have measures to treat brachial plexus paralysis as well as to restore function for the disease. core.
1. Brachial plexus paralysis
Brachial plexus palsy is a condition of brachial plexus damage that affects certain functions of the patient. Clinically, brachial plexus palsy is divided into 2 main types as follows:
Total paralysis: Including the two most common types, which are the most common upper body paralysis or C5, C6 segment paralysis and lower trunk paralysis, ie. is C8 and T1 paralysis. Incomplete paralysis: This is a case where the nerve fibers of the brachial plexus are still active, the most common in clinical practice is paralysis of C5, C6, the middle trunk of C7, possibly part of the trunk. below C8 and T1. In addition, some cases of brachial plexus palsy in neonates can also occur if the infant is born with difficult birth, low birth weight, breech position, drunken or weak output, loss of muscle sensation in the extremities. above, there may be sympathetic nervous disorder, soft tissue contracture and signs of limb deformity.
Liệt đám rối thần kinh cánh tay ở trẻ sơ sinh có thể do sinh ngôi mông
Brachial plexus palsy in infants has adverse effects on the health and function of the child. In order to accurately diagnose brachial plexus palsy in infants, it is necessary to take the birth history, ask the patient, especially the clinical examination to observe the baby's movements in the supine position as well as lying down. baby's reflexes such as Moro reflex, Galant reflex, hand or fist placement, limb movements, assessment of muscle tone, muscle strength, and range of motion of the joints normal limits, whether the length of the limbs is shorter, as well as whether the child has muscle atrophy.
Some necessary paraclinical techniques to diagnose brachial plexus palsy in newborns are X-ray of the clavicle, humerus, electromyography, magnetic resonance imaging of the cervical spine and cloud. brachial nerve disorder. Brachial plexus palsy needs to be differentiated from some other pathologies such as paralysis due to damage to the inferior and superior motor nerves.
2. Treatment of brachial plexus paralysis
In order to successfully treat brachial plexus palsy, the patient needs to be operated on as soon as possible, to avoid the fibrous adhesions of the nerves, the recovery in this stage will become very difficult, causing danger during surgery for the patient. Therefore, in the event that the nerves have just been broken, they should be connected in time to the patient to bring about the highest recovery efficiency, so that the patient can practice better rehabilitation.
However, in some cases where the patient has fallen and hit the shoulder, there is no open wound and is diagnosed with brachial plexus palsy, it is necessary to wait for a period of 3 to 5 months to Assess nerve damage and stretch or completely break, then surgery can be indicated or not.
Tập vận động thụ động cho bệnh nhân giúp phục hồi chức năng cho bệnh nhân liệt đám rối thần kinh cánh tay
The most important issue with patients with brachial plexus paralysis is rehabilitation. Rehabilitation needs to follow some principles as follows:
Increase circulation, reduce edema of injured limbs Prevent muscle contractures Prevent wrong movements of the shoulder blades and arms Exercise muscles Stimulation Patient sensation More specifically, rehabilitation for patients with brachial plexus palsy includes the following techniques:
Gentle massage to reduce bleeding and edema on the patient Always place the patient The patient is in the elevating position. Passive exercise for the patient is gently and slowly, and the rehabilitation technician should not forcefully pull the shoulder joint because it is easy to cause secondary injuries. broadcast. Control the movements of the shoulder blades, especially when performing flexion and lobe joint movements of the arm Exercise and restore some motor function by participating in therapeutic activities paralysis such as games, facilitation... Expose the patient to and touch objects of various sizes and paralytic substances to increase the patient's sensation Small-intensity electrical stimulation to perform rehabilitation early neurology for patients. Brachial plexus palsy is a neurological condition that greatly affects the patient's quality of life, especially some daily activities. Therefore, in addition to surgical treatment of brachial plexus palsy at an appropriate time, rehabilitation is one of the decisive factors in the recovery of motor functions and reintegration into the community. patient.
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