Author(s): Shumaila Dogar1, Sadia Hussain2, Kanwal Zameer3, Ifrah Ali4, Ansa Naseem5, Komal Saeed6
Pages: 31-35 | DOI: https://doi.org/10.5455/pjps.1719568330
Background: Brachial plexus injuries (BPI) are severe injuries that cause significant physical disability and
functional Impairment.
Objective: This study aimed to investigate motor recovery, functional ability, and psychological well-being
after surgical treatment for BPI in a developing Country.
Methodology: A retrospective study was conducted at Mayo Hospital Lahore, including 12 patients who
underwent surgical intervention for BPI. Motor function was assessed using the British Medical Research
Council grading system, functional ability was evaluated using the QuickDASH score, and psychological
well-being was assessed using the Patient Health Questionnaire-8.
Results: The study found varying degrees of motor recovery, with an average MRC grade of 4.2. Functional
assessment revealed moderate disability in all patients, with an average QuickDASH score of 40.15±8.09.
Psychological assessment showed no signs of depression in all patients, with an average PHQ-8 score of
4±0.5.
Conclusion: The study highlights the importance of incorporating psychological assessments into initial
evaluations to ensure comprehensive care and support for these patients. Further research is needed to fully
understand the complexities of BPI and their impact on patient’s lives.
Received | 28-06-2024 1 Revision | 09-08-2024 2 Revision | 05-09-2024 Accepted | 17-11-2024 st nd
Keywords | Brachial Plexus, Psychological Impact, BPI, QuickDASH, Functional outcome
- Yavari M, Shahrokh Shahraki S, Mousavizadeh SM, Karimi Rouzbahani A, Mahmoudvand G, Sedghi Asl H. Satisfaction and Functional Outcome of Surgical Treatment in Patients with Brachial Plexus Injury: A Decade of Retrospective Comparative Study. World J Plast Surg. 2022;11(3):28-37. doi: 10.52547/wjps.11.3.28. PMID: 36694682; PMCID: PMC9840768.
- Ahmad S, Masood K, Shafi HMK, Qureshi KZ, Saadat B, Basra KR. Traumatic Brachial Plexus Injuries: HULS Protocol of Management. J Pak Ortho Assoc 2020;32(04):206-10.
- Rasulić L, Savić A, Živković B, Vitošević F, Mićović M, Baščarević V, Puzović V, Novaković N, Lepić M, Samardžić M, Mandić-Rajčević S. Outcome after brachial plexus injury surgery and impact on quality of life. Acta Neurochir (Wien). 2017 Jul;159(7):1257-1264. doi: 10.1007/s00701-017-3205-1. Epub 2017 May 24. PMID: 28540442.
- Committee MRCNI, Riddoch G. Aids to the investigation of peripheral nerve injuries: HM Stationery Office; 1943.
- Beaton DE, Wright JG, Katz JN; Upper Extremity Collaborative Group. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005 May;87(5):1038-46. doi: 10.2106/JBJS.D.02060. PMID: 15866967.
- Ali M, Cheema TA, Makki MKH, Shami HB, Hussain B, Qureshi HMA. Outcome of Dual Nerve Transfer in C5-C6 Brachial Plexus Injuries. J Pak Ortho Assoc 2021;33(03):107-11.
- Yannascoli SM, Stwalley D, Saeed MJ, Olsen MA, Dy CJ. A Population-Based Assessment of Depression and Anxiety in Patients With Brachial Plexus Injuries. J Hand Surg Am. 2018 Dec;43(12):1136.e1-1136.e9. doi: 10.1016/j.jhsa.2018.03.056. Epub 2018 May 19. PMID: 29789186; PMCID: PMC6242776.
- Landers ZA, Jethanandani R, Lee SK, Mancuso CA, Seehaus M, Wolfe SW. The Psychological Impact of Adult Traumatic Brachial Plexus Injury. J Hand Surg Am. 2018 Oct;43(10):950.e1-950.e6. doi: 10.1016/j.jhsa.2018.02.019. Epub 2018 Apr 17. PMID: 29678427.
- Dy CJ, Brogan DM, Rolf L, Ray WZ, Wolfe SW, James AS. A qualitative study of life satisfaction after surgery for adult traumatic brachial plexus injury. Bone Jt Open. 2021 Jan 3;2(1):9-15. doi: 10.1302/2633-1462.21.BJO-2020-0175.R1. PMID: 33537671; PMCID: PMC7842160.
- Albrecht GL, Devlieger PJ. The disability paradox: high quality of life against all odds. Soc Sci Med. 1999 Apr;48(8):977-88. doi: 10.1016/s0277-9536(98)00411-0. PMID: 10390038.
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