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Verma, Chhaya V.; Vora, Tanvee; Thatte, Mukund; Yardi, Sujata
Journal of hand therapy, October-December 2020, 2020-10-00, 20201001, Volume: 33, Issue: 4Journal Article
This is a qualitative case study. Considering individual patient's perception is an important aspect of rehabilitation according to International Classification of Functioning model (Geneva, 2002). The report highlights the importance of patient education and considering individual's perception to achieve rehabilitation outcomes. A written informed consent for case report was given by a 24-year-old male, a mass media graduate student diagnosed with global brachial plexus injury. Detailed evaluation by a senior therapist was conducted in a tertiary government hospital using the following tools:BMRC GradingDASH and WHOQOL BREF ScoresBRIEF-COPE and SWAP-BPI ScoresIndividual muscle testingActivity limitation and quality of lifeCoping strategies and satisfaction with appearanceBMRC = British Medical Research Council; DASH = Disabilities of Arm, Shoulder, and Hand; WHOQOL = World Health Organization Quality of Life; SWAP-BPI = Satisfaction with Appearance after Brachial Plexus Injury.Aggressive rehabilitation program and counseling was undertaken. Patient education and rehabilitation led to signs of clinical improvement at the end of 5 months. In spite of this clinical signs of recovery, patient showed lack of satisfaction in terms of his appearance and body image. As employment and social life determined our patient's satisfaction level, a negative impact was seen on functional recovery. Considering an individual's perception regarding the condition in terms of their contextual and personal factors is an important aspect of rehabilitation according to International Classification of Functioning model (Geneva, 2002). •Functional recovery occurs with customized rehabilitation plan.•Patient perception is a result of impact after traumatic brachial plexus injury.•Self-appearance and body image is affected after brachial plexus injury.•Patient satisfaction determines overall recovery.
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