brachial plexus injury

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Brachial Plexus Injury. 실습 병원 : 삼성 서울병원 담당 치료사 : 정현순 선생님 실 습 생 : 양미진 , 최슬이. Subject. Name : 김 oo Sex : M Age : 6 On set  : Birth Injury Evaluation date: 2007. 03. 28 Dx : Lt. Brachial Plexus Injury C/C: Lt. Arm not use. PHx - PowerPoint PPT Presentation

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  • Brachial Plexus Injury : : : ,

  • SubjectName : oo Sex : M Age : 6 On set : Birth Injury Evaluation date: 2007. 03. 28Dx : Lt. Brachial Plexus Injury C/C: Lt. Arm not use

  • PHx G.A(40wk , 4000mg) NSVD , .H , K Home Ex . EMG&NCS Lt entire brachial Plexopathy . C5 level Dorsal scapular nerve issuing root level, (C6,7,8,T1) long thoracic nerve issuing level .

  • ObjectM/S : AlertOrientation(T/P/P) : +/+/+Sensory - Superficial intact - Proprioception intactDTR BJ(++/0) TJ(++/0) Length arm (18/15)cm forearm(13/14)cm

  • Motor MMT U/E - Scapular elevation (G/F-) depression (G/F-) retraction (G/P-) protraction (G/P-)

  • Shoulder flexion (G/F-) extension (G/P-) abduction (G/P-) adduction (G/T) internal rotation (G/T) external rotation (G/T)

  • Elbow flexion (G/T) extension (G/T) supination (G/T) pronation (G/T)Wrist flexion (G/F-) extension (G/F-)Deformity winging scapular assymmetryPROM WNL

  • Postural evaluation - Prone on hand, Backward sitting position 5 . - Prone kneeling, Forward sitting, side sitting Lt side weight bearing .

  • AssessmentProblem list - Lt. U/E muscle weakness - Lt. Non-weight bearing

  • Long term goal(8 )1. Lt. Side .2. Prone on hand positon 1 5 .3. backward sitting position Rt. side midline 1 .

  • Short term goal(4 )1. Lt. Side .2. prone kneeling position 1 5 .3. backward sitting position midline 1 .

  • Plan1. Strengthning Ex -PROM Ex

  • -Full can empty Ex -sitting potion play Tx -standing potion play Tx

  • 2. EST (intensity : 4.0mA 10min)

  • 3. Elbow traction.4. Lt side sitting position play Tx.5. Ball Ex. prone position

    -END-

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