Tags

Type your tag names separated by a space and hit enter

Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis: a case report.
J Chiropr Med. 2013 Sep; 12(3):176-81.JC

Abstract

OBJECTIVE

The purpose of this case report is to describe a therapeutic intervention for peroneal nerve paralysis involving the sciatic nerve.

CLINICAL FEATURES

A 24-year-old man presented with peroneal nerve paralysis with decreased sensation, severe pain in the popliteal fossa, and steppage gait, which occurred 3 days prior to the consultation. Magnetic resonance imaging and electromyography confirmed lumbar disk herniation with sciatic common peroneal nerve entrapment in the popliteal fossa.

INTERVENTION AND OUTCOME

A combined treatment protocol of spinal and fibular head manipulation and neurodynamic mobilization including soft tissue work of the psoas and hamstring muscles was performed. Outcome measures were assessed at pretreatment, 1 week posttreatment, and 3-month follow-up and included numeric pain rating scale, range of motion, pressure pain threshold, and manual muscle testing. Treatment interventions were applied for 3 sessions over a period of 1 week. Results showed reduction of the patient's subjective pain and considerable improvement in range of motion, strength, and sensation in his left foot, which was restored to full function.

CONCLUSION

A combined program of spinal and fibular head manipulation and neurodynamic mobilization reduced pain, increased range of motion and strength, and restored full function to the left leg in this patient who had severe functional impairment related to a compressed left common peroneal nerve.

Authors+Show Affiliations

Researcher, IRCCS Don Gnocchi Foundation, Milan, Italy.Physical Therapist, Associate Professor, Department of Biomedical and Neuromotor Sciences, University of Bologna, Italy.Researcher, Mechanical and Industrial Engineering Department. University of Brescia, Brescia, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24396318

Citation

Villafañe, Jorge Hugo, et al. "Manual Therapy and Neurodynamic Mobilization in a Patient With Peroneal Nerve Paralysis: a Case Report." Journal of Chiropractic Medicine, vol. 12, no. 3, 2013, pp. 176-81.
Villafañe JH, Pillastrini P, Borboni A. Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis: a case report. J Chiropr Med. 2013;12(3):176-81.
Villafañe, J. H., Pillastrini, P., & Borboni, A. (2013). Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis: a case report. Journal of Chiropractic Medicine, 12(3), 176-81. https://doi.org/10.1016/j.jcm.2013.10.007
Villafañe JH, Pillastrini P, Borboni A. Manual Therapy and Neurodynamic Mobilization in a Patient With Peroneal Nerve Paralysis: a Case Report. J Chiropr Med. 2013;12(3):176-81. PubMed PMID: 24396318.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis: a case report. AU - Villafañe,Jorge Hugo, AU - Pillastrini,Paolo, AU - Borboni,Alberto, PY - 2013/08/14/received PY - 2013/09/17/revised PY - 2013/09/24/accepted PY - 2014/1/8/entrez PY - 2014/1/8/pubmed PY - 2014/1/8/medline KW - Manual therapy KW - Peroneal neuropathies KW - Sciatic nerve SP - 176 EP - 81 JF - Journal of chiropractic medicine JO - J Chiropr Med VL - 12 IS - 3 N2 - OBJECTIVE: The purpose of this case report is to describe a therapeutic intervention for peroneal nerve paralysis involving the sciatic nerve. CLINICAL FEATURES: A 24-year-old man presented with peroneal nerve paralysis with decreased sensation, severe pain in the popliteal fossa, and steppage gait, which occurred 3 days prior to the consultation. Magnetic resonance imaging and electromyography confirmed lumbar disk herniation with sciatic common peroneal nerve entrapment in the popliteal fossa. INTERVENTION AND OUTCOME: A combined treatment protocol of spinal and fibular head manipulation and neurodynamic mobilization including soft tissue work of the psoas and hamstring muscles was performed. Outcome measures were assessed at pretreatment, 1 week posttreatment, and 3-month follow-up and included numeric pain rating scale, range of motion, pressure pain threshold, and manual muscle testing. Treatment interventions were applied for 3 sessions over a period of 1 week. Results showed reduction of the patient's subjective pain and considerable improvement in range of motion, strength, and sensation in his left foot, which was restored to full function. CONCLUSION: A combined program of spinal and fibular head manipulation and neurodynamic mobilization reduced pain, increased range of motion and strength, and restored full function to the left leg in this patient who had severe functional impairment related to a compressed left common peroneal nerve. SN - 1556-3707 UR - https://www.unboundmedicine.com/medline/citation/24396318/Manual_therapy_and_neurodynamic_mobilization_in_a_patient_with_peroneal_nerve_paralysis:_a_case_report_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1556-3707(13)00223-X DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.