Obstetric Brachial Plexus Palsy
Arm nerve injury occurring during birth. Early rehabilitation for optimal recovery.
Obstetric Brachial Plexus Palsy
Obstetric brachial plexus palsy occurs during difficult deliveries, with an incidence of 0.5-3 per 1,000 births (Pondaag et al., 2004). Early physiotherapy with daily passive mobilization prevents joint contractures and stimulates nerve recovery. 60-80% recover spontaneously within 3-6 months.
Regular physiotherapy follow-up is recommended until 2 years to monitor recovery and prevent functional sequelae.
Signs and characteristics
- Limp arm or reduced mobility at birth
- Spontaneous recovery often (partial or complete)
- Essential physiotherapy from first days
Physiotherapy assessment
Assessment is individualised. It considers the observed characteristics, the child's history and comfort, and the family's goals. It does not replace a medical diagnosis.
Physiotherapy care
- Daily passive mobilizations
- Prevention of joint contractures
- Stimulation of nerve recovery
- Teaching exercises to parents
Indicative duration: 6 months to 2 years depending on recovery
Home Exercises and Tips
- Practice the exercises shown by the physiotherapist
- Follow the recommended positioning for your baby
- Perform nasal washes if prescribed
- Stimulate motor development through play
Frequently asked questions
What signs may be observed?
Limp arm or reduced mobility at birth Spontaneous recovery often (partial or complete) Essential physiotherapy from first days
What can physiotherapy offer?
Daily passive mobilizations Prevention of joint contractures Stimulation of nerve recovery Teaching exercises to parents
How long does support last?
6 months to 2 years depending on recovery