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
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