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Assessment of Spinal Curvatures in Children With Upper Trunk Obstetrical Brachial Plexus Palsy

Acaröz Candan, Sevim, PT, PhD; Fırat, Tüzün, PT, PhD; Livanelioğlu, Ayşe, PT, PhD

doi: 10.1097/PEP.0000000000000606
RESEARCH REPORTS
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Purpose: Effects of upper trunk obstetrical brachial plexus palsy (OBPP) on the spinal curvature and relationship between the curvature degrees and upper limb movements have not been reported.

Methods: Spinal Mouse was used to assess spinal curvature characteristics in the sagittal and frontal planes. Upper limb movements were assessed with using the Active Movement Scale in only study group.

Results: The degree of frontal plane curvatures was higher in the study group. In the OBPP group, 11 of 25 (44%) children had thoracal C-shaped scoliosis. Nine of these children had contralateral side scoliosis. Shoulder external rotation was inversely correlated with scoliosis angle. Moreover, shoulder external rotation and elbow flexion were lower in children with scoliosis in the OBPP group.

Conclusions: Upper trunk OBPP may affect frontal plane alignment. Especially insufficient shoulder external rotation scores may lead to constitute thoracal scoliosis as a result of trunk compensation.

This study assesses the frontal and sagittal plane curvatures and their properties including curve direction, shape, and apex levels in children with obstetrical brachial plexus palsy.

Department of Physiotherapy and Rehabilitation (Dr Candan), Faculty of Health Sciences, Ordu University, Ordu, Turkey; Department of Physiotherapy and Rehabilitation (Drs Fırat and Livanelioğlu), Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.

Correspondence: Tüzün Fırat, PT, PhD, Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, 06100 Sıhhiye, Ankara, Turkey (tuzun75@gmail.com).

Sevim Acaröz Candan carried out the assessment procedure, recorded the data, and drafted the manuscript; Tüzün Fırat carried out the study procedure, drafted the manuscript, and performed the statistical analysis and interpretation of the results; and Ayşe Livanelioğlu participated in the study design, drafted the manuscript, participated in coordination of the study.

The authors declare no conflicts of interest.

Copyright © 2019 Academy of Pediatric Physical Therapy of the American Physical Therapy Association