diff dx
cause of BPI
system used to classify BPI?
narakas classification system
what pain scale is typically used to assess pain in children
wong-baker FACES pain rating scale
what nerves are encompased in the brachial plexus?
centrally: C5-T1 nerve roots. peripherally: radial, median, ulnar nerves
what is the parent education of dressing someone with BPI (what is the order of dressing)
effected side first when donning, un-effected side first when doffing
type of BPI when upper plexus is affected
erbs palsy
on the narakas classification system, type 4 effects what brachial plexus nerve roots? (+100 points: what is the likelihood for spontaneous recovery?)
C5-T1
unlikely
scale used to assess movement in affected arm with BPI
active movement scale
why do different children have different deficits when it comes to BPI? in other words, what causes different muscle impairments?
the level of nerve root affected
PROM/AROM is an important intervention for children with BPI, but what should you educate a parent NOT to do during this intervention for the first 8-12 weeks?
dont stretch into motions (go with what the child has)
type of bpi when lower plexus affected
klumpke's palsy
on the narakas classification system, type 1 effects what brachial plexus nerve roots? (+100 points: what is the likelihood for spontaneous recovery?)
C5-6
80% spontaneous recovery
scale used to assess non-verbal signs of pain
FLACC
what motions of the arm are usually most affected in a child with BPI?
shoulder ABD, ER, elbow FLEX, wrist EXT
this is an intervention that should NOT be started until 8-12 weeks of age due to hazards
KT tape
what are the risk factors for BPI that stem from the mother
maternal DM and maternal excessive weight gain
on the narakas classification system, type 3 effects what brachial plexus nerve roots? (+100 points: what is the likelihood for spontaneous recovery?)
C5-T1
30-50% spontaneous recovery
this scale is used to assess strength- (good validity at 3 mo)
Toronto test score
what is a syndrome that could arise from stage 4 BPI?
horner's syndrome
caregiver education for holding the baby should include what?
supporting the arm, but not compress the arm due to risk for further compression of the nerve
on the narakas classification system, type 2 effects what brachial plexus nerve roots? (+100 points: what is the likelihood for spontaneous recovery?)
C5-7
60% spontaneously recover
this system classifies motion in older kiddos who are able to perform active motion and/or follow commands
mallet classification system
what is the likely outcome/prognosis of a child with BPI stage 4
severe arm deficits expected without surgical intervention
how much tummy time should a baby with BPI get per day
none until they can roll on their own