{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:14:52Z","timestamp":1787314492812,"version":"build-2736575974"},"reference-count":24,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T00:00:00Z","timestamp":1661472000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>This paper presents a case report of a child with Neonatal Brachial Plexus Palsy on the right arm, with C5, C6, and C7 nerve injuries. The symptoms presented at birth and at the time of diagnosis were absence of movement in the right arm but with mobility of the fingers; internal rotation of the injured limb with elbow extension; active flexion of the wrist and fingers; and ulnar deviation of the hand. The rehabilitation plan followed the conservative approach and included different intervention strategies (passive and active mobilisation, kinesio tape, use of splints, bimanual stimulation, etc.) carried out by the occupational therapist and the physical therapist. The rehabilitation allowed the child to have a functional limb for daily activities, with bimanual motor integration and coordination; passive and active range of motion in the different joints except for pronation, sensibility, and maintained strength. In conclusion, it can be said that this case report describes a set of rehabilitation strategies that were used in the conservative treatment of a child with NBPP and the functional gains they allowed. Early intervention, parental involvement in the rehabilitation process, and continuous follow-up of the child favoured the prognosis and allowed the prevention of functional sequelae of the limb.<\/jats:p>","DOI":"10.3390\/children9091298","type":"journal-article","created":{"date-parts":[[2022,8,28]],"date-time":"2022-08-28T21:22:56Z","timestamp":1661721776000},"page":"1298","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Rehabilitation of a Child with Neonatal Brachial Plexus Palsy: Case Report Described by Parents"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6190-5298","authenticated-orcid":false,"given":"F\u00e1tima","family":"Frade","sequence":"first","affiliation":[{"name":"Departamento de Enfermagem da Crian\u00e7a e do Jovem, Escola Superior de Enfermagem de Lisboa, Avenida Professor Egas Moniz, 1600-190 Lisboa, Portugal"},{"name":"Centro de Administra\u00e7\u00e3o e Pol\u00edticas P\u00fablicas (CAPP), Instituto Superior de Ci\u00eancias Sociais e Pol\u00edticas da Universidade de Lisboa, Rua Almerindo Lessa, 1300-663 Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lurdes","family":"Neves","sequence":"additional","affiliation":[{"name":"Escolher Brincar Terapia Ocupacional, Rua Professor Barbosa Soeiro 6, 4\u00ba Dto, 1600-598 Lisboa, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e1tima","family":"Florindo-Silva","sequence":"additional","affiliation":[{"name":"Physiotherapy and Osteopathy Departments, Atl\u00e2ntica Health School, Universidade Atlantica, 2730-036 Barcarena, Portugal"},{"name":"Servi\u00e7o de Medicina F\u00edsica e Reabilita\u00e7\u00e3o, Hospital Dona Estef\u00e2nia-Centro Hospitalar Universit\u00e1rio Lisboa Central, 1169-045 Lisboa, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9053-7730","authenticated-orcid":false,"given":"Juan","family":"G\u00f3mez-Salgado","sequence":"additional","affiliation":[{"name":"Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain"},{"name":"Safety and Health Postgraduate Programme, Universidad Esp\u00edritu Santo, Guayaquil 092301, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lia","family":"Jacobsohn","sequence":"additional","affiliation":[{"name":"Physiotherapy and Osteopathy Departments, Atl\u00e2ntica Health School, Universidade Atlantica, 2730-036 Barcarena, Portugal"},{"name":"Centro de Medicina de Reabilita\u00e7\u00e3o do Alcoit\u00e3o, 2649-506 Alcabideche, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4947-1052","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Frade","sequence":"additional","affiliation":[{"name":"Centre for Innovative Care and Health Technology (ciTechcare), Escola Superior de Sa\u00fade, Instituto Polit\u00e9cnico de Leiria, 2411-901 Leiria, Portugal"},{"name":"Unit for Multidisciplinary Research in Biomedicine (UMIB), University of Porto, 4099-002 Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.jht.2019.12.004","article-title":"Recommendations for management of Neonatal Brachial Plexus Palsy: Based on clinical review","volume":"33","author":"Eldridge","year":"2020","journal-title":"J. Hand Ther."},{"key":"ref_2","first-page":"e2833","article-title":"Instrumentos de avalia\u00e7\u00e3o da terapia ocupacional para crian\u00e7as e adolescentes no Brasil: Uma revis\u00e3o da literatura","volume":"29","author":"Mazak","year":"2021","journal-title":"Braz. J. Occup. Ther."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1002\/ca.23739","article-title":"Risk factors for Neonatal Brachial Plexus Palsy attributed to anatomy, physiology, and evolution","volume":"34","author":"Dunbar","year":"2021","journal-title":"Clin. Anat."},{"key":"ref_4","first-page":"412","article-title":"Atua\u00e7\u00e3o Fisioterap\u00eautica Na Paralisia Braquial Obst\u00e9trica","volume":"3","author":"Lopes","year":"2020","journal-title":"Rev. Inic. Cient. Ext."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Frade, F., G\u00f3mez-Salgado, J., Jacobsohn, L., and Florindo-Silva, F. (2019). Rehabilitation of Neonatal Brachial Plexus Palsy: Integrative Literature Review. J. Clin. Med., 8.","DOI":"10.3390\/jcm8070980"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1093\/pch\/pxab083","article-title":"The evaluation and management of Neonatal Brachial Plexus Palsy","volume":"26","author":"Vibhuti","year":"2021","journal-title":"Paediatr. Paediatr. Child Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1111\/dmcn.14741","article-title":"Constraint-induced movement therapy for children with neonatal brachial plexus palsy: A randomized crossover trial","volume":"63","author":"Werner","year":"2021","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e014141","DOI":"10.1136\/bmjopen-2016-014141","article-title":"Canadian OBPI Working Group. Obstetrical brachial plexus injury (OBPI): Canada\u2019s national clinical practice guideline","volume":"7","author":"Coroneos","year":"2017","journal-title":"BMJ Open"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1097\/PHM.0000000000000852","article-title":"Efficacy of Armeo\u00ae Robotic Therapy Versus Conventional Therapy on Upper Limb Function in Children With Hemiplegic Cerebral Palsy","volume":"97","year":"2018","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_10","first-page":"319","article-title":"Effect of virtual reality versus conventional physical therapy on upper extremity function in children with obstetric brachial plexus injury","volume":"17","author":"Alsharif","year":"2017","journal-title":"J. Musculoskelet. Neuronal Interact."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1123\/jsr.2015-0005","article-title":"The Effect of Shoulder Plyometric Training on Amortization Time and Upper-Extremity Kinematics","volume":"25","author":"Swanik","year":"2016","journal-title":"J. Sport Rehabil."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"38","DOI":"10.7453\/gahmj.2013.008","article-title":"The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development","volume":"2","author":"Gagnier","year":"2013","journal-title":"Glob. Adv. Health Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"83605","DOI":"10.34117\/bjdv7n8-528","article-title":"Early intervention in obstetric brachial palsy: A review","volume":"7","author":"Barbosa","year":"2021","journal-title":"Braz. J. Dev."},{"key":"ref_14","first-page":"635","article-title":"Obstetric Brachial Plexus Palsy in the Context of Early Physical Rehabilitation","volume":"12","author":"Yanes","year":"2014","journal-title":"MediSur"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/j.jht.2014.10.004","article-title":"Home-based movement therapy in Neonatal Brachial Plexus Palsy: A case study","volume":"28","author":"Brown","year":"2015","journal-title":"J. Hand Ther."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1590\/0004-282X20150105","article-title":"Neonatal brachial plexus palsy: A permanente challenge","volume":"73","author":"Otto","year":"2015","journal-title":"Arq. Neuropsiquiatr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.jht.2014.06.001","article-title":"Sup-ER orthosis: An innovative treatment for infants with birth related brachial plexus injury","volume":"27","author":"Durlacher","year":"2014","journal-title":"J. Hand Ther."},{"key":"ref_18","first-page":"32","article-title":"Effect of reaching training combined with electrical stimulation in infants with brachial plexus palsy: A single subject design","volume":"28","author":"Goncalves","year":"2021","journal-title":"Fisioter. Pesqui."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"10","DOI":"10.15453\/2168-6408.1431","article-title":"Use of Neuromuscular Electrical Stimulation in the Treatment of Neonatal Brachial Plexus Palsy: A Literature Review","volume":"6","author":"Justice","year":"2018","journal-title":"Open J. Occup. Ther."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"150","DOI":"10.5958\/0973-5674.2015.00071.4","article-title":"The effect of Nerve Branch Stimulation in Adjunct to convencional Treatment on C6-C7 Obstetric Brachial Plexus Injury: A Case Report","volume":"9","author":"Jeyanthi","year":"2015","journal-title":"Indian J. Physiother. Occup. Ther."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"490","DOI":"10.3109\/09593980903578872","article-title":"Treatment of a brachial plexus injury using kinesiotape and exercise","volume":"26","author":"Walsh","year":"2010","journal-title":"Physiother. Theory Pract."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"7","DOI":"10.15453\/2168-6408.1540","article-title":"The Perceptions of Pediatric Occupational Therapists Regarding Constraint-Induced Movement Therapy","volume":"7","author":"Chakraborty","year":"2019","journal-title":"Open J. Occup. Ther."},{"key":"ref_23","first-page":"215","article-title":"Utility of ultrasound-guided injection of botulinum toxin type A for muscle imbalance in children with obstetric brachial plexus palsy: Description of the procedure and action protocol","volume":"34","author":"Gallardo","year":"2017","journal-title":"Neurology"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.2106\/00004623-200309000-00012","article-title":"Reliability of three classification systems measuring active motion in brachial plexus birth palsy","volume":"85","author":"Bae","year":"2003","journal-title":"J. Bone Jt. Surg. Am."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/9\/9\/1298\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:16:09Z","timestamp":1760141769000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/9\/9\/1298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,26]]},"references-count":24,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2022,9]]}},"alternative-id":["children9091298"],"URL":"https:\/\/doi.org\/10.3390\/children9091298","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,26]]}}}