Duruöz Hand Index in Obstetric Brachial Plexus Palsy

Istanbul University - Cerrahpasa

Status: Completed

Conditions: Obstetric Brachial Plexus Injury

Study type: Observational

Funder types: Other

Identifiers

NCT07151053

83045809-604.01.02-

Details and patient eligibility

About

Obstetric brachial plexus palsy (OBPP) arises from perinatal injury to the brachial plexus, resulting in varying degrees of motor and sensory impairment in the upper extremity. While existing assessment instruments primarily target unilateral limb function, they frequently overlook bimanual capabilities, which are essential for functional independence. This study aims to investigate the utility of the Duruöz Hand Index (DHI) as a reliable, valid, and practical instrument for evaluating functional limitations in individuals with OBPP. A cohort of 21 pediatric patients (aged 6-18 years) with OBPP was recruited from a tertiary university hospital in Turkey. Functional assessment included grip and pinch strength, range of motion, and upper extremity performance, measured using the Modified Mallet Classification, Brachial Plexus Outcome Measure (BPOM), Pediatric Outcomes Data Collection Instrument (PODCI), and DHI

Enrollment: 21 patients

Sex: All

Ages: 6 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged 6 to 18 years
• All diagnosed with OBPP who were followed up at the Physical Medicine and Rehabilitation outpatient clinic of a tertiary university hospital in Turkey.

Exclusion criteria

• A history of trauma or surgery affecting the function of the affected extremity (other than OBPP)
• The presence of systemic diseases that could impair hand function (such as polyneuropathy)
• Cognitive impairments that could affect comprehension.

Trial design

21 participants in 1 patient group

Grup 1

Description:

The study included twenty-one children aged 6 to 18 years, all diagnosed with OBPP, who were followed up at the Physical Medicine and Rehabilitation outpatient clinic of a tertiary university hospital in Turkey. The exclusion criteria were a history of trauma or surgery affecting the function of the affected extremity (other than OBPP), the presence of systemic diseases that could impair hand function (such as polyneuropathy), and cognitive impairments that could affect comprehension.