Understanding Brachial Plexus Palsy - The Royal Children's Hospital

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3. Wrist and fingers exercises A. Gently bend the wrist backwards and hold, then straighten the fingers and hold. B. Use the same wrist position as above. Straighten the thumb and hold. B. Keep the elbow bent at 90° with the upper arm against the body. Start with the palm down. Turn the forearm until the palm is up and hold. <strong>The</strong>n, turn the forearm until the palm is down and hold. 15
4. Activity exercises A. Place the child on their side with the affected arm highest. Place a large rolled up towel snugly at the child’s back and another at their front. Put toys in front to encourage activity of the uppermost affected arm. This position makes reaching easier because the child does not have B. Place the child on the floor on their tummy with their arms forward. Encourage them to lean on the affected arm and reach for a toy with the opposite arm. <strong>The</strong>n reverse the exercise so they are reaching the toy with the affected arm. This allows practise of both supporting and reaching with the affected arm. to lift against gravity. C. Place your hands on the child’s arms or elbows and assist them in a two handed activity such as reaching for a toy or clapping. This encourages co-ordination between the unaffected and affected arms. 16
Page 1 and 2: Understanding BRACHIAL PLEXUS PALSY
Page 3 and 4: C5 C6 T1 & C8 C7 Brachial plexus Cl
Page 5 and 6: • A rupture is when the nerve is
Page 8 and 9: How can you tell how severe the inj
Page 10 and 11: Surgery for brachial plexus injurie
Page 13 and 14: Range of motion exercises for infan
Page 15: 2. Elbow exercises A. Keeping the p
Page 19 and 20: Obstetrical brachial plexus injurie
Page 21: 040088 Design/photography by the Ed

Understanding Brachial Plexus Palsy - The Royal Children's Hospital

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