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

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