The Muscle Shortening Maneuver: a noninvasive approach to the treatment of peroneal nerve injury. A case report.
| Autor: | Longo, Diego, Ammannati, Lorenzo, Melchiorre, Daniela, Serafini, Isabella, Bagni, Maria Angela, Ferrarello, Francesco |
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| Předmět: |
WOUND care
EXERCISE tests RANGE of motion of joints MUSCLE contraction PERONEAL nerve PHYSICAL therapy OSTEOTOMY GAIT in humans MOBILE apps EXERCISE physiology SMARTPHONES GAIT disorders ORTHOPEDIC traction TREATMENT effectiveness DIAGNOSIS MUSCLE strength RESEARCH funding FIBULA ELECTROMYOGRAPHY EWING'S sarcoma |
| Zdroj: | Physiotherapy Theory & Practice; Jan2024, Vol. 40 Issue 1, p176-183, 8p |
| Abstrakt: | The treatment of peripheral nerve injuries is a debated topic. The Muscle Shortening Maneuver (MSM), a physiotherapy approach, is noninvasive and free of side effects; it consists of a muscle shortening and a solicitation in traction applied simultaneously. The focus of this report is to describe the effects of the MSM combined with walking retraining in a patient with incomplete injury of the peroneal nerve. The patient was a 17-year-old man, who underwent osteotomy surgery of the proximal two-thirds of the fibula, due to an Ewing sarcoma that caused a partial injury of the left peroneal nerve. Our assessment plan of the left ankle movement ability comprised range of movement, muscle strength, and surface electromyography (EMG); and a gait analysis was conducted by using an iPhone application. MSM and walking retraining were administered twice and once a week, respectively, for 4 weeks. The active range of movement substantially improved in dorsiflexion (≥15°), whereas slightly decreased in plantar flexion (−5°). Aside from the tibialis anterior, an increase in muscle strength was detected. Surface EMG showed an increased activation, particularly in the peroneus longus. A decrease in gait speed and step length was recorded from the gait analysis, with a better bilateral symmetry. Positive outcomes were reported without evidence of risk or adverse events for the participant. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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