Skip to main content
H&B Neurolife
Treatment in Shangrao

Brachial plexus injury

CodeBrachial plexusICD-10P14.3

Also known as: Erb's palsy, Klumpke's palsy, Obstetric brachial plexus palsy, Traumatic plexopathy

A rehabilitation program for brachial plexus injury in children aged 1-14 at H&B Neurolife (Shangrao). Targeted recovery of arm function through neuromuscular electrical stimulation, acupuncture, occupational therapy, and PT.

1–3 months
course
Fill out the form
About the condition

What is Brachial plexus injury?

Brachial plexus injury is damage to the nerves that supply the upper limb. In children, it most often occurs as a birth trauma (stretching or compression of the plexus during difficult delivery with shoulder dystocia). Less commonly - post-traumatic injuries later in childhood. Clinically, Erb's palsy (upper type) - the arm "hangs" along the body, rotated inward, with the shoulder adducted - and Klumpke's palsy (lower type) - weakness and atrophy of hand muscles - are distinguished. Severity ranges from mild plexopathy with rapid recovery to severe forms with prolonged recovery and persistent functional limitations.

At H&B Neurolife International Rehabilitation Center (Shangrao), the program for brachial plexus injury combines instrumental, training, and TCM methods. Neuromuscular electrical stimulation - low-frequency impulses activate the affected nerves and muscles, build strength, and regulate tone. Pediatric acupuncture - brachial plexus injury is one of the key indications at the center; special ultra-thin pediatric needles are used, with individual point selection by the principle of "one person - one prescription." Occupational therapy works on functional restoration of the arm - fine motor skills, hand-eye coordination, and using the hand for daily tasks. PT addresses gross motor skills and asymmetry. Pediatric Tui Na massage complements the program. When indicated, neuroregulation and Chinese herbal medicine are added.

What parents should know

The principle of early intervention in neurology is especially important: the younger the child, the better the recovery of nerve function. For newborns and infants, adapted methods are used. Parents are taught techniques for daily home practice - Tui Na massage, gentle mobilization exercises, and forming proper posture. Regular reassessment shows progress in strength and range of motion and allows the program to be adjusted.

Causes

In children it most often results from a difficult delivery — obstructed shoulders, a large baby or breech presentation. The C5–T1 nerve roots are damaged.

Symptoms

The main sign is weakness or immobility of the arm: it hangs down, bends poorly at the elbow and grips weakly. Sensation may drop and muscle atrophy can develop.

Diagnostics

A paediatric neurologist diagnoses it from examination and reflexes. ENMG, nerve ultrasound and, if needed, MRI clarify the severity.

Prognosis and treatment approach

Mild injuries often recover within the first months; severe ones need long-term rehabilitation. The earlier it begins, the better the result.

Our approach

How we treat Brachial plexus injury

01

Diagnostics

Comprehensive examination and patient assessment by an international team of specialists

02

Treatment plan

Development of an individual rehabilitation program considering diagnosis specifics

03

Therapy

Intensive course of procedures: physical therapy, massage, physiotherapy, acupuncture and other methods

04

Results

Progress evaluation, home recommendations and maintenance therapy plan

Treatment methods

Treatment procedures: Brachial plexus injury

An H&B Neurolife practitioner performs scalp acupuncture using a TCM technique

Pediatric Acupuncture

Specialized external TCM method for children: ultra-fine needles, individualized point selection, safe and minimally painful.

20–30 minutes
1–3 courses
Learn more
Ch

Chinese Herbal Medicine

Individualized Chinese herbal formulas as part of TCM support to harmonize organ function and strengthen the child's constitution.

30–45 minutes
1–3 courses
Learn more
An H&B Neurolife specialist shows a flashcard to a child during a one-on-one session

Individual 1:1 sessions (个别化训练)

Foundational format for targeted work — 'one child, one program': an individually tailored integration of ABA, sensory integration, speech, and social work.

30–45 minutes
1–3 months
Learn more
Ne

Neuromuscular Electrical Stimulation

Low-frequency impulses to activate nerves and muscles: muscle strength gains, tone regulation, and faster progression through motor milestones.

15–30 minutes
10–20 sessions
Learn more
Bi

Biological Therapy and Neuroregulation

Biomedical work on the physiological foundation of brain development: neurotransmitters, cerebral circulation, neuronal metabolism, and cognitive and social motivation.

15–60 minutes
1–3 courses
Learn more
An H&B Neurolife specialist and a child train fine motor skills with a lacing board during occupational therapy

Occupational therapy (OT)

An international approach to functional development: fine motor skills, hand–eye coordination, self-care, daily self-reliance, and adaptation to the environment.

30–45 minutes
1–3 months
Learn more
Pa

Parent–child sessions (亲子课)

Joint sessions of parent and child guided by a specialist — developing the child while training the parent in techniques to support them.

30–45 minutes
1–3 months
Learn more
An H&B Neurolife specialist helps a child keep balance on training cones during physical therapy

Physical Therapy (PT)

Targeted training of gross motor skills, balance, and coordination — the foundation of motor development for children with cerebral palsy and motor impairments.

30–45 minutes
from 2–3 months
Learn more
Se

Self-Care Skills Training

Targeted work on daily-living skills — dressing, eating, hygiene, toileting — as the foundation of independence and the child's integration into everyday life.

30–45 minutes
1–3 months
Learn more
A child exercises on a balance trainer guided by specialists during a sensory integration session

Sensory Integration (SI)

Professional game-based training of sensory processing on specialised equipment — the foundation for the development of attention, emotion, speech, and social skills.

30–45 minutes
1–3 months
Learn more
An H&B Neurolife practitioner gives a child a pediatric Tui Na massage

Pediatric Tui Na Massage (推拿)

Purely manual, non-pharmacological TCM method: professional techniques on specific body points to restore channel flow and harmonize qi and blood.

30–40 minutes
1–3 courses
Learn more
FAQ

Frequently asked questions: Brachial plexus injury

Book a free consultation

Leave a short request — a coordinator will contact you within 24 hours, answer your questions and suggest the first steps.

Leave a request

We use cookies and analytics to improve the website experience. Privacy Policy