Medical Rehabilitation and Occupational Therapy in Patients with Lesion of Plexus Brachialis


Causes for plexus brachialis damage are versatile, and in some cases remain unknown, but mostly result from degenerative and inflammatory processes. Treatment of brachial plexus dysfunction is often conservative and is subject to a team of specialists - neurologists, traumatologists, rehabilitation physicians, kinesitherapists and occupational therapists. The objective of the research is to report the recovery of patients with lesion of plexus brachialis after a complex physiotherapy and rehabilitation treatment program that includes electrostimulation, remedial massage, kinesitherapy, electrotherapy and occupational therapy. A total of 159 patients, treated at the Clinic of Physical Therapy, University Hospital of Pleven, were included in the study. Improvement of measured indexes: pain assessment, centimetry, assessment of upper limb muscle weakness, dynamometry and functional test of activities of daily living, was registered in all patients under observation. In order to achieve good results in the rehabilitation of patients with injured plexus brachialis, timely diagnosis, good medication therapy and early start of complex physiotherapy and rehabilitation are of crucial importance, so that performance of daily living activities improves. The good results come slowly and with difficulties, but the quality of life of patients and the quality of labor performed by them, improves significantly.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1.

  • 2. Shy ME. Peripheral neuropathies. In: Goldman L, Schafer AI, eds. Cecil Medicine, 24-th ed. Philadelphia, Pa: Saunders Elsevier; 2011:428.

  • 3. Ensrud E, King JC. Plexopathy-brachial. In: Frontera WR, Silver JK, Rizzo TD, eds. Essentials of Physical Medicine and Rehabilitation, 2-nd ed. Philadelphia, Pa: Saunders Elsevier; 2008:134.

  • 4. Spillane JD. Localized neuritis of the shoulder girdle. A report of 46 patients in the MEF. Lancet. 1943;2:532-5.

  • 5. Delank H. In: Delank, editor. Neurology. Sofia: MI „Sharov“; 1996:137-9.

  • 6. Katirji B, Koontz D. Disorders of peripheral nerves. In: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC, eds. Bradley’s Neurology in Clinical Practice, 6-th ed. Philadelphia, Pa: Saunders Elsevier; 2012:76.

  • 7. Georgiev I., Bozhinov S. Textbook on Nervous Disease. Sofia: Medicina i physcultura, 1982:89-104; 164-6.

  • 8. Gatev St., Bankov St., Busarov St. Manual for Physical Therapy. Sofia: Medicina i physcultura, 1992:165-75.

  • 9. Slanchev P., Bonev L., Bankov St. Textbook on Kinesitherapy. Sofia: Medicina i physcultura, 1986:134-52; 175-91.

  • 10. Karaneshev G., Sokolov B., Venova L. et al. Edited by G. Karaneshev. Theory and methods of remedial gymnastics. Sofia: Medicina i physcultura, 1983:279-90.

  • 11. Topuzov I. Occupational Therapy. ІІІ part; Sofia: RIK „Simel”, 2009:169-75.

  • 12. Karaneshev G., Milcheva D. Methods for diagnostics and examination in remedial gymnastics. Sofia: National Sport Academy, 1984:89-104.

  • 13. Tsairis P, Dyck PJ, Mulder DW. Natural history of brachial plexus neuropathy. Report on 99 patients. Arch Neurol. 1972;27:109-17.

  • 14.

  • 15. Rutchik, Jonathan S. „Toxic Neuropathy“, e-Medicine. Eds. Robert A. Hauser, et al. Medscape, 2009:17.

  • 16.

  • 17. Kadiysky D., Svetoslavova M., Sales N., Deslys J. Morphological Profile of VVA (+) Cells in CNS During Neurodegeneration. Comptes rendus de l’Acade‘mie bulgare des Sciences, Vol 58:12:1473.

  • 18. Berner YN, Kimchi OL, Spokoiny V et Finkeltov B. The effect of electrical stimulation treatment on the functional rehabilitation of acute geriatric patients with stroke - a preliminary study. Archives of Gerontology and Geriatrics. 2004, 39:125-32.

  • 19. Ishpekova, B. N. Muradyan, D. Atanassova, L. Christova, A. Alexandrov. Electrodiagnostic Significance of a-waves Recorded in Routine f-waves Studiesb. Comptes rendus de l’Acade‘mie bulgare des Sciences, Vol 56:10:119-24.

  • 20. Trombly CA. Occupational Therapy for Physical Dysfunction. Boston - Baltimor - Philadelphia - Hong-Kong - London - New York - Sydney - Tokyo: Williams & Wilkins, 1996, 213-8.


Journal + Issues