Abstract
Problem statement: Nerves are frequently injured by traumatic lesions , such as crushing, compression (entrapment), stretching, partial and t otal extraction, resulting in damages to the transmission of nerve impulses and to the reduction or loss of sensitivity, to the motility and to the reflexes of the innervated area. The objective of t his study was to evaluate the results of a rehabili tation program that lasted three months in the process of traumatic injury recovery of the median and ulnar nerves in a 52 year-old patient. Approach: The patient underwent an evaluation of the muscle strength and the functional capacity before and after three months of rehabilitation treatment, consisting of movements and specific techniques of Proprioceptive Neuromuscular Facilitation (PNF), which lasted approximately 50-60 min per session and with a freq uency of three weekly visits. She also performed stretching, neural mobilization maneuvers, ultrasou nd and laser. Results: The physical therapy approach proposed, in the present case, minimized the injury impact and facilitated the gradual return of patie nts to basic and instrumental activities of daily living. It was possible to observe improvement on the funct ional abilities and the muscle strength after the end of the protocol. Conclusion: The morphological and functional recovery after a nerve injury is rarely complete and perfect, as it was in this case. Howev er, a proper clinical management, combined with a rehabilitation protocol can minimize the deficiencies and facilitate the return of patients to their daily ac tivities.
Highlights
Nerve traumatic injuries are common, the treatment success will depend on essential things, such as, the patient’s age, the injure itself, the nerve fix, the level of injury and the time between the injury and the repair surgery, if necessary
Due to scarcity of clinical studies using the Proprioceptive Neuromuscular Facilitation techniques (PNF) associated with neuromeningeal mobilization, stretching, lowintensity laser and ultrasound, the aim of this study was to investigate the effectiveness of a physiotherapy protocol in the functional recovery from the traumatic peripheral lesion of the median and ulnar nerves
After the data obtained by electromyography, it was found that the patient presented an axonotmesis crush
Summary
Nerve traumatic injuries are common, the treatment success will depend on essential things, such as, the patient’s age, the injure itself, the nerve fix, the level of injury and the time between the injury and the repair surgery, if necessary. The kind and the severity of the peripheral nerve injury determine the pathological degree change, the clinical (muscle strength, sensibility, reflexes), the regeneration capacity and the prognosis. J. 3 (2): 161-168, 2012 regarding recovery She said that at the time of the trauma, Lundborg, 2003). She looked for medical care because she suspected. According to Seddon (1975), peripheral nerve she had a fracture. She took anti-inflammatory drugs injuries are classified into: (a) Neuropraxia From the with motor and sensory loss, without significant incident time, it was already referred a thumb and structural changes), (b) Axonotmesis
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