Patient Diagnosis: Brachial Plexus Injury (Erb’s Palsy)

Ultraflex Therapy Support: Dynamic Assist Elbow Orthosis

Victor was diagnosed with total brachial plexus injury at birth. At 4 months of age he required primary nerve surgery, and at 18 months had arthroscopic reduction of the left shoulder. Botulinum toxin was used at 18- and 24 months to increase range. Victor was fitted with an Ultraflex dynamic assist Elbow Orthosis (EO) at 30 months, with the treatment goal of gaining back lost range, improving positioning and cosmesis.

By 36 months, Victor had gained back his range with near 60° degrees of flexion, had outstanding compliance (wearing his Ultraflex orthosis 22 hours per day for stretching and functional positioning for daytime activities), and now has awareness of his arm and hand – using his left hand as a helper hand. His mother says, “Playing and eating is where we have noticed the biggest difference.”

“Before the brace, Victor wasn’t aware of his left hand,” said his mom.

With gratitude for their clinical contributions to Danielle C. Dunn, MS, OTR/L and Taffy Bowman, CPO; and a special thank you to Victor and his family for sharing their story.

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