Patient's question:
A 7-month-old child, the right arm's mobility is less flexible than the left arm, and the right hand rarely actively grasps objects. The left hand can grasp and play. Currently, the child is being treated at Xinxiang Children's Hospital through electrotherapy, rehabilitation, and closed-loop treatment. They have received 5-6 closed-loop treatments so far, and rehabilitation has been ongoing for nearly half a month. The right arm's elevation has shown some improvement, but there has been no progress in the right hand's grasping ability.Doctor's answer:
From your description, it appears that there were signs of hypoxia during the child's birth process, leading to a lower score after birth and poor respiratory function. I don't know if there was any pulling of the right arm during the delivery process. If there was, combined with the child's current condition, it could be diagnosed as a brachial plexus injury. From birth to now, it has been 7 months, and during this time, after treatment, there has been some improvement in the movement of the right hand and right arm. Personally, I believe that the conservative treatment you mentioned can still be continued. During the treatment process, the effectiveness should be compared monthly. If there is progress, continue the treatment. If there is no progress, further examination or treatment at a higher-level hospital may be needed. Additionally, it is necessary to observe the movement of the child's lower limbs and please monitor the intellectual development.