STUDY OF EFFICACY OF ADDITION OF KINESIOLOGICAL TAPING WITH CONVENTIONAL PHYSIOTHERAPY IN CASE OF TRAUMATIC BRACHIAL PLEXUS INJURY A CASE REPORT
DOI:
https://doi.org/10.69980/7qwdyb02Keywords:
BPI- brachial plexus injury, MMT- Manual muscle testing, MRC grading- medical research council, VAS –visual analogue scale, DASH-Disability of ARM, Shoulder and handAbstract
Rationable-
Adult traumatic brachial plexus injury is a serious and difficult to treat peripheral nerve injuries, it leads to multiple physical disabilities ,sensory and motor deficit .It is devastating, and occurring with increasing frequency. Physical therapist does Patient evaluation concentrating over upper limb sensory and motor function with radiologic studies.
This study discusses conservative management and addition of kinesiological taping to comprehensive Rehabilitation Protocol for Brachial Plexus Injury. Kinesiological taping helps in pain management, improved circulation selective immobilization of the soft tissues and at the same time correction of biomechanics of the joints and the muscles involved. It provide proprioceptive sensory stimulation through the soft tissue. To ensure the efficiency of the protocol, therapist documented progress using MMT modified oxford grading, and validated functional outcome scales (e.g., DASH score) with nerve conduction test pre and post rehabilitation.
Patient concern-
Intense neuropathic pain, especially of the neck and shoulder
Sever Sensory and motor deficit. Tenderness over affected tissues.
Weakness or heaviness in the extremity, loss of function ,psychological distress.
Diminished pulses .
Intervention-
One adult patient with traumatic BPI underwent with kinesiotaping , with muscle stimulation and specialized exercise prescription .kinesiotaping once in a week and muscle stimulation alternate days.
Record the patient’s MMT MRC grading with VAS and DASH score pre rehab and 2 weeks,1 month,2months,and 6,month after rehab.
Diagnosis- Adult with traumatic brachial plexus injury preganglionic .
Outcome-After kinesiotaping Marked improvement in VAS scale, MMT , and improved DASH score. However exercise protocol was being followed by the patient with taping.
Abbreviation-MMT,NCV, BPI, DASH score.
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