Background: 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: 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: 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: 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: Positive outcomes were reported without evidence of risk or adverse events for the participant.

The Muscle Shortening Maneuver: a noninvasive approach to the treatment of peroneal nerve injury. A case report / Longo D, Ammannati L, Melchiorre D, Serafini I, Bagni MA, Ferrarello F.. - In: PHYSIOTHERAPY THEORY AND PRACTICE. - ISSN 0959-3985. - ELETTRONICO. - (2022), pp. 1-8. [10.1080/09593985.2022.2106915]

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

Longo D
;
Ammannati L;Melchiorre D;Serafini I;Bagni MA;Ferrarello F.
2022

Abstract

Background: 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: 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: 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: 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: Positive outcomes were reported without evidence of risk or adverse events for the participant.
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Longo D, Ammannati L, Melchiorre D, Serafini I, Bagni MA, Ferrarello F.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2158/1290905
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