Hand function in children with an upper brachial plexus birth injury: Results of the nine-hole peg test

Igor Immerman, Daniel T. Alfonso, Lorna E. Ramos, Leslie A. Grossman, Israel Alfonso, Patricia Ditaranto, John A I Grossman

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Aim The aim of this study was to evaluate hand function in children with Erb upper brachial plexus palsy. Method Hand function was evaluated in 25 children (eight males; 17 females) with a diagnosed upper (C5/C6) brachial plexus birth injury. Of these children, 22 had undergone primary nerve reconstruction and 13 of the 25 had undergone simultaneous and/or secondary shoulder procedures. Hand function was evaluated using the nine-hole peg test at a mean age of 9years (SD 2y 2mo), and compared with the contralateral, uninvolved hand. Results were compared with age- and sex-matched population norms, and correlated with shoulder outcomes using the Gilbert and Miami scores. Results Although shoulder function was graded as good or excellent in 24 of 25 children, hand function as measured by the nine-hole peg test was significantly altered in the involved hand in 80% (p=0.008). On average the participants took 18.8% longer to complete the task with the involved hand; this was significantly different from the expected difference of 7.2% (p=0.008). Interpretation Hand function is impaired in individuals with upper brachial plexus birth injury. These results suggest that from the initiation of treatment in this population, attention should be paid to recognizing and focusing therapy on subtle limitations of hand function.

Original languageEnglish
Pages (from-to)166-169
Number of pages4
JournalDevelopmental Medicine and Child Neurology
Volume54
Issue number2
DOIs
StatePublished - Feb 1 2012

Fingerprint

Birth Injuries
Brachial Plexus
Arm
Hand
Paralysis
Population

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Developmental Neuroscience

Cite this

Immerman, I., Alfonso, D. T., Ramos, L. E., Grossman, L. A., Alfonso, I., Ditaranto, P., & Grossman, J. A. I. (2012). Hand function in children with an upper brachial plexus birth injury: Results of the nine-hole peg test. Developmental Medicine and Child Neurology, 54(2), 166-169. https://doi.org/10.1111/j.1469-8749.2011.04120.x

Hand function in children with an upper brachial plexus birth injury : Results of the nine-hole peg test. / Immerman, Igor; Alfonso, Daniel T.; Ramos, Lorna E.; Grossman, Leslie A.; Alfonso, Israel; Ditaranto, Patricia; Grossman, John A I.

In: Developmental Medicine and Child Neurology, Vol. 54, No. 2, 01.02.2012, p. 166-169.

Research output: Contribution to journalArticle

Immerman, I, Alfonso, DT, Ramos, LE, Grossman, LA, Alfonso, I, Ditaranto, P & Grossman, JAI 2012, 'Hand function in children with an upper brachial plexus birth injury: Results of the nine-hole peg test', Developmental Medicine and Child Neurology, vol. 54, no. 2, pp. 166-169. https://doi.org/10.1111/j.1469-8749.2011.04120.x
Immerman, Igor ; Alfonso, Daniel T. ; Ramos, Lorna E. ; Grossman, Leslie A. ; Alfonso, Israel ; Ditaranto, Patricia ; Grossman, John A I. / Hand function in children with an upper brachial plexus birth injury : Results of the nine-hole peg test. In: Developmental Medicine and Child Neurology. 2012 ; Vol. 54, No. 2. pp. 166-169.
@article{f73ebaaa33c54b40b3244c8908a56416,
title = "Hand function in children with an upper brachial plexus birth injury: Results of the nine-hole peg test",
abstract = "Aim The aim of this study was to evaluate hand function in children with Erb upper brachial plexus palsy. Method Hand function was evaluated in 25 children (eight males; 17 females) with a diagnosed upper (C5/C6) brachial plexus birth injury. Of these children, 22 had undergone primary nerve reconstruction and 13 of the 25 had undergone simultaneous and/or secondary shoulder procedures. Hand function was evaluated using the nine-hole peg test at a mean age of 9years (SD 2y 2mo), and compared with the contralateral, uninvolved hand. Results were compared with age- and sex-matched population norms, and correlated with shoulder outcomes using the Gilbert and Miami scores. Results Although shoulder function was graded as good or excellent in 24 of 25 children, hand function as measured by the nine-hole peg test was significantly altered in the involved hand in 80{\%} (p=0.008). On average the participants took 18.8{\%} longer to complete the task with the involved hand; this was significantly different from the expected difference of 7.2{\%} (p=0.008). Interpretation Hand function is impaired in individuals with upper brachial plexus birth injury. These results suggest that from the initiation of treatment in this population, attention should be paid to recognizing and focusing therapy on subtle limitations of hand function.",
author = "Igor Immerman and Alfonso, {Daniel T.} and Ramos, {Lorna E.} and Grossman, {Leslie A.} and Israel Alfonso and Patricia Ditaranto and Grossman, {John A I}",
year = "2012",
month = "2",
day = "1",
doi = "10.1111/j.1469-8749.2011.04120.x",
language = "English",
volume = "54",
pages = "166--169",
journal = "Developmental Medicine and Child Neurology",
issn = "0012-1622",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - Hand function in children with an upper brachial plexus birth injury

T2 - Results of the nine-hole peg test

AU - Immerman, Igor

AU - Alfonso, Daniel T.

AU - Ramos, Lorna E.

AU - Grossman, Leslie A.

AU - Alfonso, Israel

AU - Ditaranto, Patricia

AU - Grossman, John A I

PY - 2012/2/1

Y1 - 2012/2/1

N2 - Aim The aim of this study was to evaluate hand function in children with Erb upper brachial plexus palsy. Method Hand function was evaluated in 25 children (eight males; 17 females) with a diagnosed upper (C5/C6) brachial plexus birth injury. Of these children, 22 had undergone primary nerve reconstruction and 13 of the 25 had undergone simultaneous and/or secondary shoulder procedures. Hand function was evaluated using the nine-hole peg test at a mean age of 9years (SD 2y 2mo), and compared with the contralateral, uninvolved hand. Results were compared with age- and sex-matched population norms, and correlated with shoulder outcomes using the Gilbert and Miami scores. Results Although shoulder function was graded as good or excellent in 24 of 25 children, hand function as measured by the nine-hole peg test was significantly altered in the involved hand in 80% (p=0.008). On average the participants took 18.8% longer to complete the task with the involved hand; this was significantly different from the expected difference of 7.2% (p=0.008). Interpretation Hand function is impaired in individuals with upper brachial plexus birth injury. These results suggest that from the initiation of treatment in this population, attention should be paid to recognizing and focusing therapy on subtle limitations of hand function.

AB - Aim The aim of this study was to evaluate hand function in children with Erb upper brachial plexus palsy. Method Hand function was evaluated in 25 children (eight males; 17 females) with a diagnosed upper (C5/C6) brachial plexus birth injury. Of these children, 22 had undergone primary nerve reconstruction and 13 of the 25 had undergone simultaneous and/or secondary shoulder procedures. Hand function was evaluated using the nine-hole peg test at a mean age of 9years (SD 2y 2mo), and compared with the contralateral, uninvolved hand. Results were compared with age- and sex-matched population norms, and correlated with shoulder outcomes using the Gilbert and Miami scores. Results Although shoulder function was graded as good or excellent in 24 of 25 children, hand function as measured by the nine-hole peg test was significantly altered in the involved hand in 80% (p=0.008). On average the participants took 18.8% longer to complete the task with the involved hand; this was significantly different from the expected difference of 7.2% (p=0.008). Interpretation Hand function is impaired in individuals with upper brachial plexus birth injury. These results suggest that from the initiation of treatment in this population, attention should be paid to recognizing and focusing therapy on subtle limitations of hand function.

UR - http://www.scopus.com/inward/record.url?scp=84855612700&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84855612700&partnerID=8YFLogxK

U2 - 10.1111/j.1469-8749.2011.04120.x

DO - 10.1111/j.1469-8749.2011.04120.x

M3 - Article

C2 - 22129161

AN - SCOPUS:84855612700

VL - 54

SP - 166

EP - 169

JO - Developmental Medicine and Child Neurology

JF - Developmental Medicine and Child Neurology

SN - 0012-1622

IS - 2

ER -