The Muscle Shortening Maneuver: a noninvasive approach to the treatment of peroneal nerve injury. A case report.

Peroneal nerve physiotherapy rehabilitation

Journal

Physiotherapy theory and practice
ISSN: 1532-5040
Titre abrégé: Physiother Theory Pract
Pays: England
ID NLM: 9015520

Informations de publication

Date de publication:
31 Jul 2022
Historique:
pubmed: 2 8 2022
medline: 2 8 2022
entrez: 1 8 2022
Statut: aheadofprint

Résumé

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.

Sections du résumé

BACKGROUND UNASSIGNED
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.
OBJECTIVE UNASSIGNED
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.
DESCRIPTION UNASSIGNED
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.
OUTCOMES UNASSIGNED
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.
CONCLUSIONS UNASSIGNED
Positive outcomes were reported without evidence of risk or adverse events for the participant.

Identifiants

pubmed: 35912501
doi: 10.1080/09593985.2022.2106915
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-8

Auteurs

Diego Longo (D)

Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Biological Systems Movement Research Laboratory, Pistoia Italy.

Lorenzo Ammannati (L)

Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.

Daniela Melchiorre (D)

Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Biological Systems Movement Research Laboratory, Pistoia Italy.

Isabella Serafini (I)

Department of Functional Rehabilitation Activities, Azienda USL Toscana Centro, Ex Filanda, V. Cesare Battisti 30, Pescia, Italy.

Maria Angela Bagni (MA)

Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Biological Systems Movement Research Laboratory, Pistoia Italy.

Francesco Ferrarello (F)

Department of Functional Rehabilitation Activities, Azienda USL Toscana Centro, c/o CSS Giovannini, Prato, Italy.

Classifications MeSH