{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T10:39:33Z","timestamp":1790073573847,"version":"4.0.1"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T00:00:00Z","timestamp":1594857600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100005247","name":"University of British Columbia","doi-asserted-by":"publisher","award":["Division of Plastic Surgery Academic Grant"],"award-info":[{"award-number":["Division of Plastic Surgery Academic Grant"]}],"id":[{"id":"10.13039\/501100005247","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Plastic Surgery Academic grant"},{"name":"Summer Student Research Program grant"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>\n                    <jats:bold>Background<\/jats:bold>\n                    : Our group previously developed an upper extremity repositioning (Sup-ER) protocol for brachial plexus birth injuries (BPBIs) that may improve supination and external rotation (ER) at 2 years of age. Questions were raised about the potential for the protocol to cause internal rotation (IR) deficits. The goal of this study was to explore the longer-term outcomes of the Sup-ER protocol and investigate IR\/ER function.\n                    <jats:bold>Methods<\/jats:bold>\n                    : This prospective cross-sectional cohort study examined 16 children older than 4 years of age with significant enough BPBI to be treated with the Sup-ER protocol. Total shoulder and elbow function were assessed, including passive and active ranges of motion and strength of IR and ER.\n                    <jats:bold>Results<\/jats:bold>\n                    : Range of motion (ROM) for most active movements was decreased in the affected compared to unaffected arm. Notably, IR passive ROM was similar in the affected (78.7\u00b0) and unaffected arm (82.8\u00b0). External rotation strength of the affected arm was weaker (42.8 N) compared to the unaffected arm (57.9 N). IR strength had a greater deficit in the affected (43.2 N) arm compared to the unaffected arm (72.2 N), but both ER and IR showed less deficit than described in the literature.\n                    <jats:bold>Conclusions<\/jats:bold>\n                    : Despite differences in ranges of motion between the affected and unaffected arms, ROMs for the affected arm were comparable to the functional limits as reported in the literature. The Sup-ER protocol shows potential to optimize long-term shoulder rotation function in children with BPBI without compromising IR.\n                  <\/jats:p>","DOI":"10.1177\/1558944720937365","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T07:41:38Z","timestamp":1594971698000},"page":"549-557","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Shoulder Rotation Function Following the Sup-ER Protocol in Children with Brachial Plexus Injuries"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1504-1772","authenticated-orcid":false,"given":"Leeor S.","family":"Yefet","sequence":"first","affiliation":[{"name":"University of British Columbia, Vancouver, Canada"},{"name":"British Columbia Children\u2019s Hospital, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doria","family":"Bellows","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, Canada"},{"name":"British Columbia Children\u2019s Hospital, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marija","family":"Bucevska","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, Canada"},{"name":"British Columbia Children\u2019s Hospital, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Courtemanche","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, Canada"},{"name":"British Columbia Children\u2019s Hospital, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Durlacher","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, Canada"},{"name":"British Columbia Children\u2019s Hospital, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Hynes","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, Canada"},{"name":"British Columbia Children\u2019s Hospital, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8284-1975","authenticated-orcid":false,"given":"Cynthia","family":"Verchere","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, Canada"},{"name":"British Columbia Children\u2019s Hospital, Vancouver, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,16]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3171\/2015.6.PEDS14703."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.060."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2009.03479.x."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1191\/0269215500cr341oa."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014141."},{"issue":"11","key":"e_1_3_3_7_2","first-page":"17","article-title":"A review of brachial plexus birth palsy: injury and rehabilitation","volume":"100","author":"Raducha JE","year":"2017","unstructured":"Raducha JE, Cohen B, Blood T, et al. A review of brachial plexus birth palsy: injury and rehabilitation. 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Arthroscopic release and latissimus dorsi transfer for shoulder internal rotation contractures and glenohumeral deformity secondary to brachial plexus birth palsy. J Bone Joint Surg-Am Vol. 2006;88(3):564-574.","journal-title":"J Bone Joint Surg-Am Vol"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2014.12.001."},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199805000-00007."},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2002.32965."},{"key":"e_1_3_3_21_2","first-page":"166","article-title":"[Obstetrical paralysis of the brachial plexus. II. Therapeutics. Treatment of sequelae. Priority for the treatment of the shoulder. Method for the expression of results]","volume":"58","author":"Mallet J","year":"1972","unstructured":"Mallet J. [Obstetrical paralysis of the brachial plexus. II. Therapeutics. Treatment of sequelae. Priority for the treatment of the shoulder. 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