Bezmialem Vakıf University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Silahtarağa Street, No:189, 34060 İstanbul, Turkey.
Biruni University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, 10.Yıl Street, No:45, 34025 İstanbul, Turkey.
Hand Surg Rehabil. 2022 Apr;41(2):252-257. doi: 10.1016/j.hansur.2021.11.008. Epub 2021 Dec 3.
Functional outcome assessment for children with brachial plexus birth palsy (BPBP) is essential. We aimed to investigate the association between the Brachial Plexus Outcome Measure (BPOM) and the Pediatric Outcomes Data Collection Instrument (PODCI) in children with BPBP and healthy matched controls, and to explore upper-limb function and the discriminative properties of the two tests. Thirty children, aged 6-14 years, diagnosed with BPBP and undergoing shoulder tendon transfer and 20 age-matched healthy controls were included. In both groups, the Turkish version of the PODCI, used to evaluate daily living activities, was implemented. The Turkish version of the BPOM, specifically developed for BPBP, was applied in children with BPBP. Test results, demographic and clinical characteristics were recorded. The mean age of children with BPBP was 8.53 ± 2.53 years and their BPOM Activity scale score was 42.93 ± 8.28. The PODCI Upper Extremity Function score (74.97 ± 23.49 vs. 100) and the PODCI Global Functioning score (89.20 ± 7.73 vs. 99.36 ± 7.73) were significantly lower in the BPBP group (p < 0.01). While there was a significant and very strong relationship between the BPOM Activity and PODCI Global Functioning scores (r = 0.845; p = 0.037), no correlation was found between the BPOM Self-Evaluation scale and PODCI Global Functioning score (r = 0.456; p = -0.141). The PODCI correlated with the BPOM Activity scale, providing an appropriate alternative measurement for upper-limb function in children with BPBP after shoulder tendon transfer.
对患有臂丛神经麻痹（BPBP）的儿童进行功能预后评估至关重要。我们旨在研究 BPBP 患儿与健康匹配对照组之间的臂丛神经功能测量（BPOM）和儿科结果数据采集工具（PODCI）之间的关联，并探讨两种测试的上肢功能和区分性能。共纳入 30 名 6-14 岁诊断为 BPBP 并接受肩肌腱转移术的儿童和 20 名年龄匹配的健康对照组。在两组中，均实施了用于评估日常生活活动的土耳其语版 PODCI。BPBP 特定开发的土耳其语版 BPOM 用于评估 BPBP 患儿。记录了测试结果、人口统计学和临床特征。BPBP 患儿的平均年龄为 8.53±2.53 岁，BPOM 活动量表评分为 42.93±8.28。PODCI 上肢功能评分（74.97±23.49 比 100）和 PODCI 整体功能评分（89.20±7.73 比 99.36±7.73）在 BPBP 组显著降低（p<0.01）。虽然 BPOM 活动与 PODCI 整体功能评分之间存在显著的强相关性（r=0.845；p=0.037），但 BPOM 自我评估量表与 PODCI 整体功能评分之间没有相关性（r=0.456；p=-0.141）。PODCI 与 BPOM 活动量表相关，为肩肌腱转移后 BPBP 患儿的上肢功能提供了适当的替代测量方法。
