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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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New innovation in splinting the obstetric brachial plexus injury (Extended Erb’s Palsy) using dynamic splinting protocol

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  • presenting/speaker Erastus Shuma - Pwani Occupational & Hand Therapy Clinic, Kenya Medical Training College-Mombasa Campus, Mombasa, Kenya

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1067

doi: 10.3205/19ifssh1451, urn:nbn:de:0183-19ifssh14516

Published: February 6, 2020

© 2020 Shuma.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: The aim of the study was to describe the new innovation in splinting the obstetric brachial plexus injury (Extended Erb's Palsy) using dynamic splinting protocol to improve shoulder, arm, forearm and hand functions.

Materials and Methods: In the department of rehabilitation-hand therapy clinic, Pwani Occupational & Hand Therapy Services, Mombasa-KENYA, all patients more than 1 month old affected by obstetric brachial plexus injury (Extended Erb's Palsy) who underwent the new innovation dynamic splinting protocol were included in the study between January 2015 December 2017. A specific designed questionnare was used.

Results: The expectations before the new innovation dynamic splinting protocol were that the majority of the shoulder, arm, forearm and hand functions would be improved. There were some differences between the children and their parents expectations. After 4-6 months of the new innovation dynamic splinting both therapist and parents were overall satisfied with the upper limb functions.

Conclusions: This study shows that expectations of shoulder, arm, forearm and hand functions before 4-6 months of new innovation dynamic splinting protocol were high and both therapist and parents reported positive feedback 4-6 months after the new dynamic splinting protocol. Most of the children did not seek secondary surgery opinion on the shoulder. A long term study is warranted if final conclusions are to be drawn.