Saturday, 16 June 2018

Erb's Palsy




ERB'S PALSY(BRACHIAL PLEXUS BIRTH INJURY)
                                                    Erb's Palsy or Erb–Duchenne palsy is a paralysis of the arm caused by injury to the upper group of the arm's main nerves, specifically the severing of the upper trunk C5–C6 nerves. These form part of the brachial plexus, comprising the ventral rami of spinal nerves C5–C8 and thoracic nerve T1.
Causes:
                             They are usually due to trauma, for example falling on the shoulder, or traction on the arm at birth - in which case the name Erb Duchenne paralysis is given.
Specified features:
                            The arm hangs at the side with the elbow extended and the forearm pronated; the so-called waiter's tip or Erb's palsy. Like policemen tip getting position, So it's called as "policemen tip palsy"

PHYSICAL THERAPY  REHABILITATION:
                                If muscle having  less than 1 power means , Physios are using some of muscle activation activities are, MASSAGE, QUICK ICE, BRUSHING, ELECTRICAL MUSCLE STIMULATION, QUICK STRETCH etc..
If the muscles are having power more than 1 , we are using some of muscle strengthening  exercises ,
                                
1.Activities and exercises to promote recovery of movement and muscle strength 

2.Exercises to maintain range of movement in the joints to prevent stiffness and pain 

3.Exercises to promote increased awareness of the arm 

4.Provision of splints to prevent secondary complications and improve function 



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