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Motion Analytics of...
Motion Analytics of Trapezius Muscle Activity in an 18-Year-Old Female with Extended Upper Brachial Plexus Birth Palsy
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- Lin, Jasmine J. (författare)
- Department of Orthopaedics, Rutgers New Jersey Medical School, NJ, Newark, United States
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- Chan, Gromit Y.Y. (författare)
- Tandon School of Engineering, New York University, New York, United States
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- Silva, Cláudio T. (författare)
- Tandon School of Engineering, New York University, New York, United States
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- Nonato, Luis G. (författare)
- Instituto de Ciências Matemáticas e de Computação (ICMC), University of São Paulo, São Paulo, Brazil
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- Raghavan, Preeti (författare)
- Department of Physical Medicine and Rehabilitation and Neurology, Johns Hopkins University, School of Medicine, MD, Baltimore, United States
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- McGrath, Aleksandra M, 1975- (författare)
- Umeå universitet,Professionell utveckling
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- Chu, Alice (författare)
- Department of Orthopaedics, Rutgers New Jersey Medical School, NJ, Newark, United States
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(creator_code:org_t)
- 2021-10-26
- 2021
- Engelska.
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Ingår i: Journal of Brachial Plexus and Peripheral Nerve Injury. - : Georg Thieme Verlag KG. - 1749-7221. ; 16:1, s. 51-55
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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http://www.thieme-co...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: The trapezius muscle is often utilized as a muscle or nerve donor for repairing shoulder function in those with brachial plexus birth palsy (BPBP). To evaluate the native role of the trapezius in the affected limb, we demonstrate use of the Motion Browser, a novel visual analytics system to assess an adolescent with BPBP.Method: An 18-year-old female with extended upper trunk (C5-6-7) BPBP underwent bilateral upper extremity three-dimensional motion analysis with Motion Browser. Surface electromyography (EMG) from eight muscles in each limb which was recorded during six upper extremity movements, distinguishing between upper trapezius (UT) and lower trapezius (LT). The Motion Browser calculated active range of motion (AROM), compiled the EMG data into measures of muscle activity, and displayed the results in charts.Results: All movements, excluding shoulder abduction, had similar AROM in affected and unaffected limbs. In the unaffected limb, LT was more active in proximal movements of shoulder abduction, and shoulder external and internal rotations. In the affected limb, LT was more active in distal movements of forearm pronation and supination; UT was more active in shoulder abduction.Conclusion: In this female with BPBP, Motion Browser demonstrated that the native LT in the affected limb contributed to distal movements. Her results suggest that sacrificing her trapezius as a muscle or nerve donor may affect her distal functionality. Clinicians should exercise caution when considering nerve transfers in children with BPBP and consider individualized assessment of functionality before pursuing surgery.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Nyckelord
- birth palsy
- brachial plexus
- motion analysis
- motion browser
- nerve transfer
- trapezius
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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