title: Clinical research of comprehensive rehabilitation in treating brachial plexus injury patients.
abstract: BACKGROUND
  Brachial plexus injury is one of the difficult medical problems in the world. The aim of this study was to observe the clinical therapeutic effect of comprehensive rehabilitation in treating dysfunction after brachial plexus injury.
  
  
  METHODS
  Forty-three cases of dysfunction after brachial plexus injury were divided into two groups randomly. The treatment group, which totaled 21 patients (including 14 cases of total brachial plexus injury and seven cases of branch brachial plexus injury), was treated with comprehensive rehabilitation including transcutaneous electrical nerve stimulation, mid-frequency electrotherapy, Tuina therapy, and occupational therapy. The control group, which totaled 22 patients (including 16 cases of total brachial plexus injury and six cases of branch brachial plexus injury), was treated with home-based electrical nerve stimulation and occupational therapy. Each course was of 30 days duration and the patients received four courses totally. After four courses, the rehabilitation effect was evaluated according to the brachial plexus function evaluation standard and electromyogram (EMG) assessment.
  
  
  RESULTS
  In the treatment group, there was significant difference in the scores of brachial plexus function pre- and post-treatment (P < 0.01) in both "total" and "branch" injury. The scores of two "total injury" groups had statistical differences (P < 0.01), while the scores of two "branch injury" groups had statistical differences (P < 0.05) after four courses. EMG suggested that the appearance of regeneration potentials of the recipient nerves in the treatment group was earlier than the control group and had significant differences (P < 0.05).
  
  
  CONCLUSIONS
  Comprehensive rehabilitation was more effective in treating dysfunction after brachial plexus injury than nonintegrated rehabilitation.
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai 200040, China.
authors.forename: Jun-Ming
authors.initials: JM
authors.lastname: Zhou
authors.forename: Yu-Dong
authors.initials: YD
authors.lastname: Gu
authors.forename: Xiao-Jun
authors.initials: XJ
authors.lastname: Xu
authors.forename: Shen-Yu
authors.initials: SY
authors.lastname: Zhang
authors.forename: Xin
authors.initials: X
authors.lastname: Zhao
mesh_terms: D000328:Adult; D001917:Brachial Plexus / Q000293:injuries*; D020516:Brachial Plexus Neuropathies / Q000534:rehabilitation*; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009416:Nerve Regeneration / Q000502:physiology; D055815:Young Adult