Question
A 7-month-old baby has less flexible movement in the right arm compared to the left, and rarely actively grasps objects with the right hand. The left hand can play with objects. Currently being treated at Xinxiang Children’s Hospital, undergoing physical therapy, rehabilitation, and closed treatment. After 5-6 closed treatments, recovery is nearly half a month, with some improvement in raising the right arm, but no progress in the right hand’s ability to grasp objects.
Answer
Based on your description, the child showed signs of oxygen deficiency during birth, resulting in a lower Apgar score and poor respiratory function. I’m not sure if there was any pulling of the right arm during the delivery process? If so, combined with the current child’s performance, it can be diagnosed as brachial plexus injury. From birth to now, it has been 7 months, and there has been some improvement in the movement of the right hand and arm after treatment. Personally, I believe that conservative treatment as described can still be carried out. During the treatment process, the efficacy should be compared once a month. If there is improvement, continue treatment. If there is no improvement, further examination or consultation at a higher-level hospital for treatment is needed. Additionally, observe the child’s lower limb movement and intelligence status.