erb's palsy

[angelpriya]

I have been treating quite a few number of babies with erb's palsy.Although most of them recover by 1 year ,recently i am treating a baby presented with erb's paly on the right side.the baby is a female child aged 4 months.She presented with total paralysis of the entire arm along with Horner's syndrome?After 3 months she started to get some movements in the shoulder - flexion .She is also able to do active elbow flexion.Please suggest me the best treatment.I would also like to know if electrical treatment will be of benefit to the child.If so ,at what month can i begin to stimulate the muscles? thanks. [email protected]

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[ben]

hi
hope this is of help

• Provide patient's parents with home program PROM sheets
• Begin gentle PROM exercise in supine to increase joint flexibility and muscle tone. 2-3 daily PROM x 10 reps in all motions
• Provide tactile stimulation to involved extremity using various textured materials, koosh balls, vibration and massage to increase sensory awareness of that extremity in overall body scheme
• Joint compression/weight bearing throughout involved extremity to increase proprioceptive input/muscle co-contraction
• Active use of involved extremity using a variety of developmentally appropriate activities to increase strength and coordination beginning in gravity eliminated then advance to against gravity
• Always include bimanual/bilateral motor planning activities
• Pool therapy