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No differences were found between groups for the coactivation index and grip strength. DISCUSSION The reduced muscle activity may be due to an inability of the patients of the HOAG to recruit all motor units or to an inhibition related to the presence of pain. CONCLUSION In the early stages of HOA, there is a functional deficit associated with a reduced muscle activity of the wrist muscles during manual activities. STUDY DESIGN Prospective longitudinal cohort study. INTRODUCTION Traumatic brachial plexus injuries (BPIs) can be devasta