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Three-dimensional upper limb movement analysis in children and adolescents with brachial plexus birth injury : a systematic review

Laura Le Roy (UGent) , Anke Van Bladel (UGent) , Sophie De Mits (UGent) , Luc Vanden Bossche (UGent) and Ruth Van der Looven (UGent)
(2024) PEDIATRIC NEUROLOGY. 153. p.19-33
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Abstract
Background To synthesize the current evidence on clinical use of three-dimensional upper limb movement analysis (3D-ULMA) in children and adolescents with brachial plexus birth injury (BPBI). Methods MEDLINE, Embase, and Web of Science were searched for relevant studies up to April 2022. An automatic e-mail alert was installed to ensure no eligible article was missed. Articles evaluating 3D-ULMA in children and adolescents with BPBI were included. Covidence web-based platform was used for blind screening of eligible articles. Twenty-one observational studies with a final sample size of 609, encompassing 493 BPBI cases, met the inclusion criteria. Data were extracted using a custom form to support standardized extraction conforming to the Cochrane Checklist of items. Risk of bias was assessed using the Newcastle-Ottawa Scale, the Strengthening the Reporting of Observational Studies in Epidemiology checklist, and a specifically established quality assessment form for kinematic analysis studies. Results Study setups differed, including six different types of kinematic devices. Twelve studies used the (modified) Mallet positions for their 3D-ULMA. Throughout the studies, 3D-ULMA was used for various purposes. The Newcastle-Ottawa Scale scored 16 articles with five stars or more, indicating fair to moderate quality. Conclusions This systematic review summarizes the different 3D-ULMA kinematic devices, test protocols, and their clinical use for BPBI. The use of 3D-ULMA provides valuable, objective, and quantified data to clinicians with regard to movement strategies; it complements existing clinical scales and can be implemented to evaluate effectiveness of therapy interventions. Implications for future research and clinical practice are discussed.
Keywords
Brachial plexus birth injury, Brachial plexus neuropathies, Biomechanics, Kinematics, Upper extremity

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MLA
Le Roy, Laura, et al. “Three-Dimensional Upper Limb Movement Analysis in Children and Adolescents with Brachial Plexus Birth Injury : A Systematic Review.” PEDIATRIC NEUROLOGY, vol. 153, 2024, pp. 19–33, doi:10.1016/j.pediatrneurol.2023.12.022.
APA
Le Roy, L., Van Bladel, A., De Mits, S., Vanden Bossche, L., & Van der Looven, R. (2024). Three-dimensional upper limb movement analysis in children and adolescents with brachial plexus birth injury : a systematic review. PEDIATRIC NEUROLOGY, 153, 19–33. https://doi.org/10.1016/j.pediatrneurol.2023.12.022
Chicago author-date
Le Roy, Laura, Anke Van Bladel, Sophie De Mits, Luc Vanden Bossche, and Ruth Van der Looven. 2024. “Three-Dimensional Upper Limb Movement Analysis in Children and Adolescents with Brachial Plexus Birth Injury : A Systematic Review.” PEDIATRIC NEUROLOGY 153: 19–33. https://doi.org/10.1016/j.pediatrneurol.2023.12.022.
Chicago author-date (all authors)
Le Roy, Laura, Anke Van Bladel, Sophie De Mits, Luc Vanden Bossche, and Ruth Van der Looven. 2024. “Three-Dimensional Upper Limb Movement Analysis in Children and Adolescents with Brachial Plexus Birth Injury : A Systematic Review.” PEDIATRIC NEUROLOGY 153: 19–33. doi:10.1016/j.pediatrneurol.2023.12.022.
Vancouver
1.
Le Roy L, Van Bladel A, De Mits S, Vanden Bossche L, Van der Looven R. Three-dimensional upper limb movement analysis in children and adolescents with brachial plexus birth injury : a systematic review. PEDIATRIC NEUROLOGY. 2024;153:19–33.
IEEE
[1]
L. Le Roy, A. Van Bladel, S. De Mits, L. Vanden Bossche, and R. Van der Looven, “Three-dimensional upper limb movement analysis in children and adolescents with brachial plexus birth injury : a systematic review,” PEDIATRIC NEUROLOGY, vol. 153, pp. 19–33, 2024.
@article{01HP1KT6T5RT6HN503JQNZXQJP,
  abstract     = {{Background
To synthesize the current evidence on clinical use of three-dimensional upper limb movement analysis (3D-ULMA) in children and adolescents with brachial plexus birth injury (BPBI).

Methods
MEDLINE, Embase, and Web of Science were searched for relevant studies up to April 2022. An automatic e-mail alert was installed to ensure no eligible article was missed. Articles evaluating 3D-ULMA in children and adolescents with BPBI were included. Covidence web-based platform was used for blind screening of eligible articles. Twenty-one observational studies with a final sample size of 609, encompassing 493 BPBI cases, met the inclusion criteria. Data were extracted using a custom form to support standardized extraction conforming to the Cochrane Checklist of items. Risk of bias was assessed using the Newcastle-Ottawa Scale, the Strengthening the Reporting of Observational Studies in Epidemiology checklist, and a specifically established quality assessment form for kinematic analysis studies.

Results
Study setups differed, including six different types of kinematic devices. Twelve studies used the (modified) Mallet positions for their 3D-ULMA. Throughout the studies, 3D-ULMA was used for various purposes. The Newcastle-Ottawa Scale scored 16 articles with five stars or more, indicating fair to moderate quality.

Conclusions
This systematic review summarizes the different 3D-ULMA kinematic devices, test protocols, and their clinical use for BPBI. The use of 3D-ULMA provides valuable, objective, and quantified data to clinicians with regard to movement strategies; it complements existing clinical scales and can be implemented to evaluate effectiveness of therapy interventions. Implications for future research and clinical practice are discussed.}},
  author       = {{Le Roy, Laura and Van Bladel, Anke and De Mits, Sophie and Vanden Bossche, Luc and Van der Looven, Ruth}},
  issn         = {{0887-8994}},
  journal      = {{PEDIATRIC NEUROLOGY}},
  keywords     = {{Brachial plexus birth injury,Brachial plexus neuropathies,Biomechanics,Kinematics,Upper extremity}},
  language     = {{eng}},
  pages        = {{19--33}},
  title        = {{Three-dimensional upper limb movement analysis in children and adolescents with brachial plexus birth injury : a systematic review}},
  url          = {{http://doi.org/10.1016/j.pediatrneurol.2023.12.022}},
  volume       = {{153}},
  year         = {{2024}},
}
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