Current Research in Medicine

Physical Therapy Improved Hand Function in a Patient with Traumatic Peripheral Lesion: A Case Study

Marco Orsini, Julio Guilherme Silva, Clynton Lourenco Correa, Diego Rogrigues, Acary Bulle Oliveira, Valeria Marques Coelho, Debora Gollo, Antonio Marcos da Silva Catharino, Dionis Machado, Victor Hugo do Vale Bastos, Marco Antonio Araujo Leite, Gabriela Guerra Leal Souza, Carlos Henrique Melo Reis and Sara Lucia Silveira de Menezes

DOI : 10.3844/amjsp.2012.161.168

Current Research in Medicine

Volume 3, 2012

Pages 161-168

Abstract

Problem statement: Nerves are frequently injured by traumatic lesions, such as crushing, compression (entrapment), stretching, partial and total 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 this study was to evaluate the results of a rehabilitation 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 frequency of three weekly visits. She also performed stretching, neural mobilization maneuvers, ultrasound and laser. Results: The physical therapy approach proposed, in the present case, minimized the injury impact and facilitated the gradual return of patients to basic and instrumental activities of daily living. It was possible to observe improvement on the functional 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. However, a proper clinical management, combined with a rehabilitation protocol can minimize the deficiencies and facilitate the return of patients to their daily activities.

Copyright

© 2012 Marco Orsini, Julio Guilherme Silva, Clynton Lourenco Correa, Diego Rogrigues, Acary Bulle Oliveira, Valeria Marques Coelho, Debora Gollo, Antonio Marcos da Silva Catharino, Dionis Machado, Victor Hugo do Vale Bastos, Marco Antonio Araujo Leite, Gabriela Guerra Leal Souza, Carlos Henrique Melo Reis and Sara Lucia Silveira de Menezes. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.