Palomo R, Sánchez R
Universidad de Castilla-La Mancha, Toledo, España.
Fisioterapia pediátrica, Murcia, España.
Rev Neurol. 2020 Jul 1;71(1):1-10. doi: 10.33588/rn.7101.2020029.
Obstetric brachial palsy is involved with affected upper limb, resulting in permanent structural and function sequelae that limit the motion articular range and reduce independence in daily activities, as well as the children participation in their natural environment.
To describe the physiotherapy treatments currently used to increase the affected upper limb functionality in children from 0 to 10 years diagnosed with obstetric brachial palsy.
A bibliographic search of published studies between 2009 and 2018 was carried out in the PubMed, PEDro, ScienceDirect and The Cochrane Library databases.
After applying the inclusion/exclusion criteria, ten studies were obtained with favorable results for the affected upper limb functionality and bone mineralization density, regardless of the technique of choice used during the intervention. The used physiotherapy programs in the different studies such as Constraint Induced movement therapy, kinesiotape, electrotherapy, virtual reality and use of splints or orthotics were analyzed.
All the described techniques suggest favorable results for the affected upper limb functionality in obstetric brachial palsy from 0 to 10 years.
产瘫累及上肢，导致永久性的结构和功能后遗症，限制关节活动范围，降低日常活动的独立性，以及儿童融入自然环境的能力。
描述目前用于提高0至10岁诊断为产瘫儿童患侧上肢功能的物理治疗方法。
在PubMed、PEDro、ScienceDirect和Cochrane图书馆数据库中对2009年至2018年发表的研究进行文献检索。
应用纳入/排除标准后，获得了10项研究，这些研究对患侧上肢功能和骨矿化密度均有良好效果，无论干预期间采用何种技术。分析了不同研究中使用的物理治疗方案，如强制性运动疗法、肌内效贴布、电疗法、虚拟现实以及夹板或矫形器的使用。
所有描述的技术对0至10岁产瘫患儿患侧上肢功能均显示出良好效果。
