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Case report
Traumatic brachial plexus injury rehabilitation using neuromuscular electrical muscle stimulation in a polytrauma patient
  1. Jessica Anne Rich1,
  2. Abraham Newell1 and
  3. Timothy Williams2
  1. 1Physiotherapy Department, Royal London Hospital, Barts Health NHS Trust, London, UK
  2. 2Camden Musculoskeletal Service, University College London Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Jessica Anne Rich; jessrich60{at}


We report a 28-year-old man admitted postmotorcycle versus car in September 2017. The patient sustained multiple injuries in both the upper and lower limbs. He sustained a complex brachial plexus injury on his left side and was transferred immediately to Stanmore Hospital to undergo specialist surgery (supraclavicular brachial plexus exploration and neurolysis) to repair his brachial plexus injury. The patient was transferred back to the specialist trauma ward for additional surgeries for his subsequent injuries. Due to the complexity of the injury and surgery the patient was not able to start rehabilitation until six weeks post operation, at which point he was referred to outpatient physiotherapy. Prior to this his left upper limb was in a sling but was instructed to move it as able. The patient commenced his comprehensive physiotherapy programme in January 2018.

  • musculoskeletal and joint disorders
  • trauma
  • trauma CNS /PNS
  • physiotherapy (rehabilitation)
  • neurosurgery

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  • Contributors The corresponding author of this manuscript is JAR. Contribution of the authors is mentioned below with their responsibility in the research. AN is senior physiotherapist and TW is advanced physiotherapy practitioner. All authors have been involved in planning, conducting and reporting of this case study. JAR and AN have been involved in the interpretation of data. TW was involved in writing up and discussion of the case report along side JAR and AN. All authors have made a substantial contribution to the conception and design of the case report and the acquisition of the report. Drafting and review of critically important and intellectual content of the manuscript were completed and submitted by all. The manuscript has not been previously published and is not under consideration elsewhere.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.