TY  - JOUR
AU  - Orsini, Marco 
AU  - Silva, Julio Guilherme 
AU  - Correa, Clynton Lourenco 
AU  - Rogrigues, Diego 
AU  - Oliveira, Acary Bulle 
AU  - Coelho, Valeria Marques 
AU  - Gollo, Debora 
AU  - Catharino, Antonio Marcos da Silva 
AU  - Machado, Dionis 
AU  - Bastos, Victor Hugo do Vale 
AU  - Leite, Marco Antonio Araujo 
AU  - Souza, Gabriela Guerra Leal 
AU  - Reis, Carlos Henrique Melo 
AU  - Menezes, Sara Lucia Silveira de 
PY  - 2012
TI  - Physical Therapy Improved Hand Function in a Patient with Traumatic Peripheral Lesion: A Case Study
JF  - Current Research in Medicine
VL  - 3
IS  - 2
DO  - 10.3844/amjsp.2012.161.168
UR  - https://thescipub.com/abstract/amjsp.2012.161.168
AB  - 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.