Proprioceptive Neuromuscular Facilitation Protocol for adults with Traumatic Upper Plexus Injury

Not Applicable

Recruiting

• Conditions: Traumatic Brachial Plexus Injury; S14.3

• Registration Number: RBR-3yc3bg
• Lead Sponsor: niversidade Federal de Pernambuco

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-10-01
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Recruiting
• Sex: Not specified
• Target Recruitment: Not specified

Inclusion Criteria

Individuals who suffered traumatic upper brachial plexus injury; both sexes; age between 18 and 40 years; clinical diagnosis according to the routine protocol established at the service and confirmed by electrodiagnostic assessment - Electromyography (EMG) and/or Magnetic Resonance Imaging; who have indication of performing nerve transfer surgery; accompanied in the neurosurgery of peripheral nerves ambulatory at the Hospital da Restauração; with the minimum degree of comprehension necessary to understand the questions of the questionnaires, according to the Mini Mental State Examination (MMSE).

Exclusion Criteria

Patients with some type of articular ankylosis (shoulder, elbow, wrist); with incapacitating and uncontrolled neuropathic pain; who have suffered multi-trauma that makes it impossible to perform the positions and exercises of the protocol.

Study & Design

• Study Type: Intervention
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Improved functionality, evaluated by the DASH score reduction in the initial, pre-surgical and postoperative evaluation (15 days, 3, 6, 9 and 12 months after).;Perception of patient improvement, assessed by the score obtained from the Patient Global Impression of Change Scale, portuguese version (PGIC - VP), at the end of the intervention.;Improved quality of life, assessed by WHOQOL-BREF brazilian version developed by World Health Organization.

Secondary Outcome Measures

Name	Time	Method
Increased range of joint and shoulder motion, assessed by goniometry, data collected in the initial evaluation, preoperative and postoperative (15 days, 3, 6, 9 and 12 months after).;Increased muscle strength of the shoulder and elbow muscles, assessed by the Medical Research Council Manual Test, data collected in the initial evaluation, preoperative and postoperative (15 days, 3, 6, 9 and 12 months after).;Reduction of pain intensity, evaluated by the numerical scale of pain (0 to 10), and absence of neuropathic pain, evaluated by neuropathic pain questionnaire in 4 questions. Data collected in the initial evaluation, preoperative and postoperative (15 days, 3, 6, 9 and 12 months after).;Sensitivity improvement, classified as normal, by evaluation in the areas of the corresponding C5 and C6 dermatomes, data collected in the initial evaluation, preoperative and postoperative (15 days, 3, 6, 9 and 12 months after).