Hacettepe University, Ankara, Turkey.
Dev Neurorehabil. 2021 Apr;24(3):150-158. doi: 10.1080/17518423.2020.1800856. Epub 2020 Jul 30.
This study aimed to assess sitting skills and trunk control in children with obstetric brachial plexus palsy (OBPP) and investigate the effect of these skills on upper extremity function.
A total of 106 children with OBPP aged 10-18 months were included in this study. Injury severity was determined with Narakas Classification. The Gross Motor Function Measurement Sitting Sub-scale was used to assess sitting skills, while the Sitting Assessment Scale was used to evaluate the trunk control. The upper extremity functions were assessed with using the Active Movement Scale and the Modified Mallet Score.
As the severity of injury increased, sitting skills and trunk control values decreased ( = .0001). In addition, upper extremity function decreased with the decreasing sitting skills and trunk control ( = .0001).
Rehabilitation approaches should involve approaches that aim to increase trunk control in addition to programs targeting the extremity function in children with OBPP.
本研究旨在评估产伤性臂丛神经麻痹（OBPP）患儿的坐姿技能和躯干控制能力，并探讨这些技能对上肢功能的影响。
本研究共纳入 106 名 10-18 个月大的 OBPP 患儿。损伤严重程度采用 Narakas 分类法进行评估。使用粗大运动功能测量坐姿分量表评估坐姿技能，使用坐姿评估量表评估躯干控制能力。使用主动运动量表和改良马利特评分评估上肢功能。
随着损伤严重程度的增加，坐姿技能和躯干控制能力值降低（ =.0001）。此外，随着坐姿技能和躯干控制能力的降低，上肢功能也随之降低（ =.0001）。
对于 OBPP 患儿，康复方法应包括旨在增强躯干控制能力的方法，以及针对肢体功能的方案。
