Effect of elbow position on shoulder function after latissimus dorsi and teres major transfer in erb'spalsy / Hanaa Saeed Hamed Afify ; Supervised Faten Hassan Abdelaziem , Abdelhakim Abdallah Farag

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Faculty of Physical Therapy Growth and Development Disorders in Pediatric

Purpose: The present study was conducted to investigate the efficacy of different elbow position on shoulder function after latissimusdorsi and teres major transfer in erb's palsied children. Subjects and Methods: Thirtypost-operative erb's palsied children who had latissimusdorsi and teres major transfer received treatment program 3 times /week. Their age ranged from 3 to 6 years. Evaluation of range of motion and muscle strength was performed pre and post-operative eight weeks of rehabilitation. They were divided randomly into two groups of equal numbers; 15 patients each; the control group (A) received selected program of physical therapy exercises in the form of active gradual strengthen exercise of shoulder flexion with and extension, abduction and external rotation, gentle passive stretch of shoulder external rotation, forearm supination and pronation and wrist flexion and extension. While the study group (B) received the same program as in the control group in addition to strengthening exercises of triceps muscles. Night splint was worn after removal of cast for 2 weeks. Results: The results revealed significant improvement in range of motion in of shoulder flexion with elbow extended, abduction and external rotation in two groups after eight successive weeks, also revealed significant difference between the two groups after treatment in favor of the group (B). Conclusion: Elbow position with elbow extension had an effect on shoulder function after latissimusdorsi and teres major transfer in erb's palsied children, better than with elbow flexed

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