Medeiros Daiane Lazzeri de, Agostinho Natália Borges, Mochizuki Luis, Oliveira Anamaria Siriani de
Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Rev Paul Pediatr. 2020 Mar 9;38:e2018304. doi: 10.1590/1984-0462/2020/38/2018304. eCollection 2020.
To compare the upper limb function and quality of life between children with neonatal brachial plexus palsy and controls with unaffected brachial plexus (typical children).
Twenty-four children with neonatal brachial plexus palsy and 24 typical ones were evaluated, both groups with 10±3 years of age. The upper limb function was assessed by the Modified Mallet Scale and the Active Movement Scale, whereas quality of life was analyzed by the Pediatric Outcome Data Collection Instrument and the Child Health Questionnaire. Mann-Whitney U tests investigated the differences between groups in such scales.
Children with neonatal brachial plexus palsy presented lower limb function compared to typical children in both scales. These children also presented lower scores for most of the Pediatric Outcome Data Collection Instrument domains, except for comfort/pain. In addition, they had lower scores in the following domains of the Child Health Questionnaire: physical functioning, pain, behavior, mental health, overall health perception, emotional impact on parents, and psychosocial summarized score.
Neonatal brachial plexus palsy has a negative influence on upper limb function and quality of life, mainly considering overall health, basic mobility, physical and psychosocial functions, happiness, pain, behavior, mental health, upper limb function, and emotional impact on their parents.
比较新生儿臂丛神经麻痹患儿与臂丛神经未受影响的对照组儿童（正常儿童）的上肢功能和生活质量。
对24例新生儿臂丛神经麻痹患儿和24例正常儿童进行评估，两组年龄均为10±3岁。采用改良槌状指量表和主动运动量表评估上肢功能，通过儿科结局数据收集工具和儿童健康问卷分析生活质量。采用曼-惠特尼U检验研究两组在这些量表上的差异。
在两个量表中，新生儿臂丛神经麻痹患儿的上肢功能均低于正常儿童。除舒适/疼痛外，这些患儿在儿科结局数据收集工具的大多数领域得分也较低。此外，他们在儿童健康问卷的以下领域得分较低：身体功能、疼痛、行为、心理健康、总体健康感知、对父母的情感影响以及心理社会综合评分。
新生儿臂丛神经麻痹对上肢功能和生活质量有负面影响，主要体现在总体健康、基本活动能力、身体和心理社会功能、幸福感、疼痛、行为、心理健康、上肢功能以及对其父母的情感影响等方面。
