Electroneurography prognostic value in infants with Erb{u2019}s palsy / Mohamed Ismail Attia Elassal ; Supervised Emam Hassan Elnegmy , Shrief George Nasef

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Developmental Disorders

Decisions regarding surgery are commonly taken at 3 months of age according to Gilbert principle, although others wait until 6 or 9 months. Purpose: This study aimed to (1) determine prognostic value of electroneurography in infants with Erb{u2019}s palsy (2) determine what the best time is for conducting electroneurography to aid in decision making for early surgical interference. Subjects: Thirty infants with Erb{u2019}s palsy of both genders participated in this study. They were classified according to age into two groups of equal number, group I includes first 3 months of life and group II includes second 3 months of life. Methodology: Evaluation of biceps brachii was done through observation of its contraction during the infant activity using Toronto Active Movement Scale and Percentage of Nerve Degeneration by using Electroneurography. Scores for biceps contraction and percentage of degeneration were measured and recorded for the two groups. Results: The results revealed that there was no significant difference between Active Movement Scale and Percentage of Nerve Degeneration between the two age groups. Also, the results revealed that there was significant inverse relation between Percentage of Nerve Degeneration and Active Movement Scale and between Percentage of Nerve Degeneration and the age for both age groups. Conclusion: the higher Percentage of Nerve Degeneration, the less Active Movement Scale, the more severity and the higher indication for early surgical interference. So, early surgical interference at the age of 3 months is essential in moderate and severe cases of Erb{u2019}s palsy

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