Surgical Repercussions in Respiratory System in Patients With Post-Traumatic Brachial Plexus Injuries: A Prospective Cohort Study
Condition: Brachial Plexus Injury; Respiratory Evaluation
MeSH terms: Wounds and Injuries
Study type: Observational [Patient Registry]

Summary: 
      To evaluate the surgical repercussions in patients with traumatic brachial plexus injury in
      the respiratory and motor systems, trunk biomechanics, functional capacity and quality of
      life.
    

Detailed description: 
      Type of study will be a prospective cohort. The study will be performed at the Laboratory of
      Cardiopulmonary Physiotherapy of the Federal University of Pernambuco (UFPE). The sample will
      be calculated from a pilot study to be previously performed. The pilot study should have 10
      individuals, 5 patients in each of the two groups. A group of patients who has brachial
      plexus injury and a group of healthy individuals for the pairing by sex and age. Eligibility
      criteria: patients who will undergo surgical intervention (within one year of the trauma), of
      both sexes, between 20 and 45 years of age, sedentary (oriented and encouraged to perform the
      activities of daily living at home, however , outside of any rehabilitation program) and
      encouraged to refrain from using tobacco. Patients with pulmonary contusions, severe
      pneumopathies, patients with congestive heart failure (NYHA class III or IV), diabetes
      mellitus, coronary artery disease, hemodynamic instability (MAP <60 mmHg), multiple thorax
      fractures, amputation of one limb cognitive changes. Physiotherapeutic evaluations will be
      performed by a single physiotherapist trained in the preoperative one, three and six months
      after surgery for brachial plexus injury. The instruments of evaluation included are:
      optoelectronic plethysmography, spirometry, manovacuometry, diaphragmatic ultrasound, g-walk,
      upper limb dynamometry, pain questionnaires (Mcgill and DN4), upper limb functionality
      questionnaire (DASH) minutes and the quality of life questionnaire (Whoquol). Expected
      Results: The greatest impact should be to assist the patient in the prevention and
      physiotherapeutic treatment in relation to the possible sequels arising from the surgical
      process, besides fomenting the literature, expanding the knowledge about the subject and
      determining the applicability of the existing therapeutic resources, so that these are not
      used indiscriminately in daily practice.
    

Intervention name(s): optoelectronic plethysmography; diaphragmatic ultrasound; Postural evaluation; Pain evaluation; Evaluation of the function; Functional capacity assessment; Quality of life assessment
Intervention type(s): Device; Device; Device; Device; Device; Device; Device
Intervention description(s): Evaluates the thoracoabdominal kinematics and the ventilatory pattern of the patient through the filming with cameras, simple and non-invasive examinations; Evaluates the diaphragmatic mobility through images, simple and non-invasive use; Evaluates the patient's posture through photos and filming, rapid examination, simple and non-invasive; by means of questionnaires; through questionnaires; Evaluated through the six-minute walk test, where the patient walks along a 30-meter corridor, simple, fast and safe assessment; through questionnaire
Observational model: Cohort
Time perspective: Prospective
Sampling method: Probability Sample
Study population: 
        The study population will be composed of patients diagnosed with traumatic injury of the
        brachial plexus, at most one year of injury after the accident, confirmed by
        electromyography (ENMG), and who will undergo surgical intervention. The patients will be
        screened at the main reference center in Pernambuco, Recife Hospital / Recife