Brachial Plexus Program
Brachial Plexus Program
At the Brachial Plexus and Peripheral Nerve Program, we strive to stay at the forefront of advancing knowledge via interdisciplinary, outcomes-based research efforts - to achieve the best functional gains for patients with brachial plexus and peripheral nerve dysfunction.
Mission: Is to provide the best interdisciplinary care for patients affected by brachial plexus and peripheral nerve disorders through collaboration, research, and innovation.
Vision: Is to improve the function and quality of life for all persons with brachial plexus and peripheral nerve dysfunction.
Our Approach
Our dedicated faculty and staff are pleased to offer our multidisciplinary specialty services to patients with all forms of brachial plexus and peripheral nerve injuries and dysfunction in a collaborative clinic with a single point of entry. We provide a “one-stop” consultation service that includes:
- The most advanced and comprehensive care for brachial plexus and peripheral nerve disorders in the region.
- Contact with a member of our team within 72 hours.
- Virtual visits are now available.
- Nerve transfer for patients with spinal cord injury
- Access to expertise in the following specialties including:
- Electrodiagnostics
- Hand / Plastic Surgery
- Neurology
- Neurology & Neurosurgery (Brain & Neurological Conditions)
- Nursing
- Occupational Therapy
- Orthopedic Surgery
- Orthotics
- Pain Management
- Pediatrics
- Physical Medicine & Rehabilitation
- Radiology
- Research
- Coordination of care with your local specialists.
Who We Treat
Our program provides comprehensive care for all patients with Brachial Plexus and Peripheral Nerve Disorders – adults and pediatrics. A timely diagnosis with interdisciplinary care is crucial for the best outcomes.
Appointment Information
1500 E. Medical Center Dr., SPC 5338
Ann Arbor, MI 48109-5338
Contact us to make an appointment or a referral for adult or pediatric patients.
Fax: You or your medical provider may also complete the “Request for Consultation” form that can be downloaded below and faxed to 734-647-9233 - Attn: Brachial Plexus Program.
Research
The University of Michigan Brachial Plexus and Peripheral Nerve Program is a leader of evidence-based research on peripheral nerve condition and brachial plexus palsy. From rigorous study design to data analysis and interpretation, our mission is to forward research efforts to evaluate and improve patients’ overall function and quality of life, including physical, emotional, mental, and social aspects. Our interdisciplinary setting provides the collaborative opportunity to investigate the most innovative ideas that lie at the junction of different specialties. We hope to understand more about this condition and its diagnosis, evaluation and treatment. Your participation is very important, and your willingness to share your experiences will help physicians and researchers to provide better services to you and future patients.
- Establishment of data to support the use of novel or controversial medical and surgical treatments
- Development of facile evaluation/assessment methods
- Development of nerve regeneration devices
- Development of evidence-based critical pathways for the treatment of patients
- Assessment of the efficacy of novel computer game-based home therapy exercise regimens
- Evaluation of novel radiological methods for diagnosing and treating patients
- Evaluation of electrodiagnostic methods in the clinic and operating room
- Assessment of the utility of multimedia patient educational tools
- Evaluation of the psychosocial aspects and quality of life of patients
Our program provides learning opportunities for patients, physicians, nurses, occupational/physical therapists, residents and medical students who are interested in learning more about this unique condition.
Selected Publications (full list provided upon request)
PubMed Articles →
- Smith, Chang, Saake, Yang, Chung, Brown. (2019) Quantifying Real-World Upper-Limb Activity Via Patient-Initiated Movement After Nerve Reconstruction for Upper Brachial Plexus Injury. Neurosurgery. 2019 Sep 1;85(3):369-374.
- Smith, Daunter, Yang, Wilson. (2018) An Update on the Management of Neonatal Brachial Plexus Palsy-Replacing Old Paradigms: A Review. JAMA Pediatr. 2018 Jun 1;172(6):585-591.
- Smith, Chang, Yang, Spires. (2018) Comparative Accuracies of Electrodiagnostic Studies in Neonatal Brachial Plexus Palsy. J Neurosurg Pediatr. 2018 Oct 1:1-6.
- Henning, Lueders, Chang, Yang. (2018) Ultrasound-Guided Carpal Tunnel Release Using Dynamic Expansion of the Transverse Safe Zone in a Patient with Postpolio Syndrome: A Case Report. PM R. 2018 Mar 6. pii: S1934-1482(18)30118-7.
- Chang, Wilson, Popadich, Brown, Chung, Yang. (2018) Oberlin transfer compared with nerve grafting for improving early supination in neonatal brachial plexus palsy. J Neurosurg Peds 2018 Feb;21(2):178-184.
- Justice, Awori, Spencer, Chang, Yang. (2018) Use of Neuromuscular Electrical Stimulation in the Treatment of Neonatal Brachial Plexus Palsy: A Literature Review. OJOT 2018 6(3).
- Willsey, Wilson, Henning, Yang. (2017) Intraoperative Ultrasound for Peripheral Nerve Applications. Neurosurg Clin N Am. 2017 Oct;28(4):623-632.
- Justice, Rasmussen, Di Pietro, Chang, Murphy, Nelson, Yang. (2015) Prevalence of Posterior Shoulder Subluxation in Children With Neonatal Brachial Plexus Palsy After Early Full Passive Range of Motion Exercises. PM R. 2015 Dec;7(12):1235-1242.
- Chang, Justice, Chung, Yang. (2013) A Systematic Review of Evaluation methods for Neonatal Brachial Plexus Palsy. Journal of Neurosurgery: Pediatrics, 2013 Oct;12(4):395-405
- Rasmussen, Justice, Chang, Yang, Nelson. (2013) Home Exercise DVD Promotes Exercise Accuracy by Caregivers of Children and Adolescents with Brachial Plexus Palsy. PM&R 2013; 5:924-930.
- Yang, Chang, Chung (2012) A systematic review of nerve transfer and nerve repair for the treatment of adult upper brachial plexus injury. Neurosurgery. 2012 Aug;71(2):417-429
- Vanderhave, Bovid, Alpert, Chang, Quint, Leonard, Yang. (2012) Utility of electrodiagnostic testing and computed tomography myelography in the preoperative evaluation of neonatal brachial plexus palsy. J Neurosurg Pediatr. 2012 Mar;9(3):283-289.
- Hervey-Jumper, Justice, Vanaman, Nelson, Yang. (2011) Torticollis Associated With Neonatal Brachial Plexus Palsy. Pediatr Neurol. 2011 Nov;45(5):305-310.
- Malessy, Pondaag, Yang, Hofstede-Buitenhuis, Cessie, Gert van Dijk. (2011) Severe Obstetric Brachial Plexus Palsies Can Be Identified at One Month of Age. PLoS One. 2011;6(10):e26193.
- Squitieri, Steggerda, Yang, Kim, Chung. (2011) A National Study to Evaluate Trends in the Utilization of Nerve Reconstruction for Treatment of Neonatal Brachial Plexus Palsy. Plast Reconstr Surg. 2011 Jan;127(1):277-283.
- Bowerson, M., Nelson, V.S., Yang, L.J.-S. (2009) “Diaphragmatic Paralysis Associated with Neonatal Brachial Plexus Palsy" Pediatric Neurology, 42 (3):234-23
- Ulgen, B.O., Brumblay, H., Doyle, S.M., Chung, K.C., Yang, L.J.-S. (2008) "Augusta Dejerine-Klumpke, MD (1859-1927): A Historical Perspective on Klumpke’s Palsy." Neurosurgery, 63 (2):359-366.
- Watt, A.J., Niederbichler, A.D., Yang, L.J.-S., Chung, K.C. (2007) "Wilhelm Heinrich Erb, MD (1840-1921): A Historical Perspective on Erb’s Palsy." Plast Reconstr Surg. 119(7), 2161-2166
- Yang, L.J.-S., Anand, P, Birch, R. (2005) “Limb preference in children with obstetric brachial plexus palsy” Pediatr. Neurol. 33(1), 46-49.
Patient Resources
Explore our Brachial Plexus Resources page for helpful guides, patient education materials, and support information. Visit the page to find tools and resources designed to support you and your care journey.
Locations
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Physical Medicine & Rehabilitation Clinic | Eisenhower Corporate Park 2850 S Industrial Hwy Ste 400
Ann Arbor, MI 48104-6796Get Directions
Leadership
Lynda Jun-San Yang, MD, PhD
Professor, Neurological Surgery
1967-2022
John E. McGillicuddy, MD
Doctors
Srinivas Chiravuri, MD
Clinical Associate Professor
Interventional Pain Medicine, Pain Medicine, Anesthesiology
Kevin Chi Chung, MD
Professor
Plastic Surgery, Hand Surgery
Alex Clayton Donaghy, MD
Clinical Assistant Professor
Physical Medicine & Rehabilitation
James A Leonard, MD
Clinical Professor Emeritus
Physical Medicine & Rehabilitation, Electrodiagnostic Medicine
Ava Yun Lin, MD
Clinical Assistant Professor
Child Neurology, Neuromuscular Medicine, Clinical Neuropsychology, Clinical Neurophysiology
Ann A Little, MD
Clinical Associate Professor
Neurology, Electrodiagnostic Medicine, Clinical Neurophysiology
Virginia S Nelson, MD
Clinical Professor Emeritus
Physical Medicine & Rehabilitation
Yamaan Salman Saadeh, MD
Clinical Assistant Professor
Neurological Surgery
Mary C Spires, MD
Clinical Professor Emeritus
Physical Medicine & Rehabilitation, Electrodiagnostic Medicine, Spinal Cord Injury Medicine
Providers
Shawn Brown
Denise Justice, OTRL
Miriana Popadich, NP
Adjunct Clinical Instructor in Nursing, School of Nursing