Overcoming Weak Limbs In Children 1 Year?

Illustration of Overcoming Weak Limbs In Children 1 Year?
Illustration: Overcoming Weak Limbs In Children 1 Year? Bing

Good afternoon DoctorrnrnDoc, When my son was less than a week old his right hand was weak and his fingers could only grip. The doctor was diagnosed with brachial plexus injury Erb’s palsy due to a difficult delivery. I have followed the doctor’s advice for routine physiotherapy but after 8 months of age, there were several times no therapy and continued therapy only once a month until now he is 1.3 years old.rnrnMy child’s development now, can’t :r n1.Bending the arms uprn2.Opening the palms up (waving motion)rn3. Opening or turning the arm outrnrnI would like to ask the following questions:rnrnIn several articles it is mentioned that erb’s palys often heals on its own at 3-6 months of age. But why my child has not recovered for more than 1 year?rnrnIs this related to the irregularity of my child’s therapy?rnrnDo I have to do an EMG if so, does it affect the age of my new child 1 ,3th ?rnrnFor the help of the doctor, I thank you very much.rnrn rnrn rnrn

1 Answer:

Hello Rahma

Erb palsy is a condition in which hand paralysis occurs due to disturbances in the woven nerve fibers that have a role in the innervation of the hands and arms. As Rahma already knows, some babies can recover on their own, but there are also those who require further medical measures such as physiotherapy and/or occupational therapy. And some others may need surgery, nerve electrical stimulation therapy, or therapy with botulinum toxin.

As for what medical action is most suitable for your child, it is not necessarily the same as the condition for erb palsy in other people, even though both are diagnosed with erb palsy. Doctors need to do a medical evaluation first to get a clear picture of the situation that is being experienced.

Whether or not an EMG is necessary can't be decided only from the information Rahma conveyed, because after all the diagnosis, as well as treatment/medical action planning is not limited to the EMG results or laboratory tests, but requires other information from a physical examination, medical history, family history , delivery history, and then supporting examinations such as EMG, imaging (eg ultrasound, X-ray) and also laboratory. All of these sources of information are like a series of puzzles (toys that compose pictures) where each piece of information is part of the puzzle pieces, where to get a complete picture, various pieces of the puzzle are needed, so you can't just focus on one piece (information only) such as for example, only focus on EMG results, but must also involve other sources of information to get a complete picture. So consult your child again to a pediatrician so that further medical evaluation can be carried out.

Hope it is useful

dr. Arnold

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