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Recovery of brachial plexus lesions resulting from heavy backpack use: A follow-up case series

Tutkimustuotosvertaisarvioitu

Standard

Recovery of brachial plexus lesions resulting from heavy backpack use : A follow-up case series. / Nylund, Tuula; Mattila, Ville M.; Salmi, Tapani; Pihlajamäki, Harri K.; Mäkelä, Jyrki P.

julkaisussa: BMC MUSCULOSKELETAL DISORDERS, Vuosikerta 12, 62, 2011.

Tutkimustuotosvertaisarvioitu

Harvard

Nylund, T, Mattila, VM, Salmi, T, Pihlajamäki, HK & Mäkelä, JP 2011, 'Recovery of brachial plexus lesions resulting from heavy backpack use: A follow-up case series', BMC MUSCULOSKELETAL DISORDERS, Vuosikerta. 12, 62. https://doi.org/10.1186/1471-2474-12-62

APA

Nylund, T., Mattila, V. M., Salmi, T., Pihlajamäki, H. K., & Mäkelä, J. P. (2011). Recovery of brachial plexus lesions resulting from heavy backpack use: A follow-up case series. BMC MUSCULOSKELETAL DISORDERS, 12, [62]. https://doi.org/10.1186/1471-2474-12-62

Vancouver

Nylund T, Mattila VM, Salmi T, Pihlajamäki HK, Mäkelä JP. Recovery of brachial plexus lesions resulting from heavy backpack use: A follow-up case series. BMC MUSCULOSKELETAL DISORDERS. 2011;12. 62. https://doi.org/10.1186/1471-2474-12-62

Author

Nylund, Tuula ; Mattila, Ville M. ; Salmi, Tapani ; Pihlajamäki, Harri K. ; Mäkelä, Jyrki P. / Recovery of brachial plexus lesions resulting from heavy backpack use : A follow-up case series. Julkaisussa: BMC MUSCULOSKELETAL DISORDERS. 2011 ; Vuosikerta 12.

Bibtex - Lataa

@article{8c29614212bc424186de88b186a510ab,
title = "Recovery of brachial plexus lesions resulting from heavy backpack use: A follow-up case series",
abstract = "Background: Brachial plexus lesions as a consequence of carrying a heavy backpack have been reported, but the typical clinical course and long-term consequences are not clear. Here we evaluated the clinical course and pattern of recovery of backpack palsy (BPP) in a large series of patients. Methods. Thirty-eight consecutive patients with idiopathic BPP were identified from our population of 193,450 Finnish conscripts by means of computerised register. A physiotherapist provided instructions for proper hand use and rehabilitative exercises at disease onset. The patients were followed up for 2 to 8 years from the diagnosis. We also searched for genetic markers of hereditary neuropathy with pressure palsies. Mann-Whitney U-test was used to analyze continuous data. The Fischer's exact test was used to assess two-way tables. Results: Eighty percent of the patients recovered totally within 9 months after the onset of weakness. Prolonged symptoms occurred in 15{\%} of the patients, but daily activities were not affected. The weight of the carried load at the symptom onset significantly affected the severity of the muscle strength loss in the physiotherapeutic testing at the follow-up. The initial electromyography did not predict recovery. Genetic testing did not reveal de novo hereditary neuropathy with pressure palsies. Conclusions: The prognosis of BPP is favorable in the vast majority of cases. Electromyography is useful for diagnosis. To prevent brachial plexus lesions, backpack loads greater than 40 kg should be avoided.",
keywords = "HNPP, peripheral nerve trauma, peripheral neuropathy",
author = "Tuula Nylund and Mattila, {Ville M.} and Tapani Salmi and Pihlajam{\"a}ki, {Harri K.} and M{\"a}kel{\"a}, {Jyrki P.}",
year = "2011",
doi = "10.1186/1471-2474-12-62",
language = "English",
volume = "12",
journal = "BMC MUSCULOSKELETAL DISORDERS",

}

RIS (suitable for import to EndNote) - Lataa

TY - JOUR

T1 - Recovery of brachial plexus lesions resulting from heavy backpack use

T2 - A follow-up case series

AU - Nylund, Tuula

AU - Mattila, Ville M.

AU - Salmi, Tapani

AU - Pihlajamäki, Harri K.

AU - Mäkelä, Jyrki P.

PY - 2011

Y1 - 2011

N2 - Background: Brachial plexus lesions as a consequence of carrying a heavy backpack have been reported, but the typical clinical course and long-term consequences are not clear. Here we evaluated the clinical course and pattern of recovery of backpack palsy (BPP) in a large series of patients. Methods. Thirty-eight consecutive patients with idiopathic BPP were identified from our population of 193,450 Finnish conscripts by means of computerised register. A physiotherapist provided instructions for proper hand use and rehabilitative exercises at disease onset. The patients were followed up for 2 to 8 years from the diagnosis. We also searched for genetic markers of hereditary neuropathy with pressure palsies. Mann-Whitney U-test was used to analyze continuous data. The Fischer's exact test was used to assess two-way tables. Results: Eighty percent of the patients recovered totally within 9 months after the onset of weakness. Prolonged symptoms occurred in 15% of the patients, but daily activities were not affected. The weight of the carried load at the symptom onset significantly affected the severity of the muscle strength loss in the physiotherapeutic testing at the follow-up. The initial electromyography did not predict recovery. Genetic testing did not reveal de novo hereditary neuropathy with pressure palsies. Conclusions: The prognosis of BPP is favorable in the vast majority of cases. Electromyography is useful for diagnosis. To prevent brachial plexus lesions, backpack loads greater than 40 kg should be avoided.

AB - Background: Brachial plexus lesions as a consequence of carrying a heavy backpack have been reported, but the typical clinical course and long-term consequences are not clear. Here we evaluated the clinical course and pattern of recovery of backpack palsy (BPP) in a large series of patients. Methods. Thirty-eight consecutive patients with idiopathic BPP were identified from our population of 193,450 Finnish conscripts by means of computerised register. A physiotherapist provided instructions for proper hand use and rehabilitative exercises at disease onset. The patients were followed up for 2 to 8 years from the diagnosis. We also searched for genetic markers of hereditary neuropathy with pressure palsies. Mann-Whitney U-test was used to analyze continuous data. The Fischer's exact test was used to assess two-way tables. Results: Eighty percent of the patients recovered totally within 9 months after the onset of weakness. Prolonged symptoms occurred in 15% of the patients, but daily activities were not affected. The weight of the carried load at the symptom onset significantly affected the severity of the muscle strength loss in the physiotherapeutic testing at the follow-up. The initial electromyography did not predict recovery. Genetic testing did not reveal de novo hereditary neuropathy with pressure palsies. Conclusions: The prognosis of BPP is favorable in the vast majority of cases. Electromyography is useful for diagnosis. To prevent brachial plexus lesions, backpack loads greater than 40 kg should be avoided.

KW - HNPP

KW - peripheral nerve trauma

KW - peripheral neuropathy

UR - http://www.scopus.com/inward/record.url?scp=79953074256&partnerID=8YFLogxK

U2 - 10.1186/1471-2474-12-62

DO - 10.1186/1471-2474-12-62

M3 - Article

VL - 12

JO - BMC MUSCULOSKELETAL DISORDERS

JF - BMC MUSCULOSKELETAL DISORDERS

M1 - 62

ER -