The Muscle Shortening Maneuver: a noninvasive approach to the treatment of peroneal nerve injury. A case report
| Autor: | Diego Longo, Lorenzo Ammannati, Daniela Melchiorre, Isabella Serafini, Maria Angela Bagni, Francesco Ferrarello |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Physiotherapy Theory and Practice. :1-8 |
| ISSN: | 1532-5040 0959-3985 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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