Influence of immobilization and sensory re-education on the sensory recovery after reconstruction of digital nerves with direct suture or muscle-in-vein conduits

Manoli, Theodora; Schiefer, Jennifer Lynn; Schulz, Lukas; Fuchsberger, Thomas; Schaller, Hans-Eberhard

doi:10.4103/1673-5374.169638

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…This finding can be attributed to the therapeutic effect of the standard exercise program (e.g., tendon and median nerve gliding), which agreed with Warran, 2001, who reported that standard physical therapy treatment was effective in treatment of for CTS symptoms [27]. The additional improvement in the group who received sensory re-learning may be attributed to improvement of hand sensibility as there is a direct correlation between motor and sensory conduction velocities of the median nerve and hand grip strength in women as reported by Abdel-Fattah et al, 2014 Improving sensibility threshold will improve motor function and overall functional outcome of the hand [26].…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Sensory Re-Education Paradigm on Functional Outcomes in Patients with Carpal Tunnel Syndrome

Abdul-Shafy¹,

Al-Balawy

Zakaria³

et al. 2020

The Medical Journal of Cairo University

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Background: Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy due to compression of the median nerve as it travels through the wrist at the carpal tunnel. The function of the hand can be severely affected by the sole loss of sensibility of the hand even though motor function is normal. Until now there is no optimal physical therapy protocol for making patients with CTS satisfied with the functional outcomes therefore most of patients are refuge to surgical interference. Aim of Study: To investigate the efficacy of sensory reeducation paradigm on pain intensity, symptom severity, and functional outcomes in carpal tunnel syndrome patients. Subjects and Methods: Thirty patients suffering from mild to moderate carpal tunnel syndrome were enrolled. They were randomly assigned into two equal groups. The study group (A): Received sensory re-education paradigm in addition to a selected physical therapy program.The control group (B): Received the same selected physical therapy program only. Pain intensity level was assessed by the visual analogue scale (VAS), symptom severity and functional outcomes were assessed by Boston Carpal Tunnel Syndrome Questionnaire (BCTQ). The assessment was done before and after twelve treatment sessions. Results: There was a statistically significant improvement in pain intensity, and symptom severity in both groups post treatment. There was a statistically significant improvement in functional status score post treatment only in group (A) (p<0.05). A significant difference was recorded between both groupsin favor of the study group in functional status scorepost treatment (p<0.05). Conclusion: Adding Sensory re-education paradigm to traditional physical therapy is a beneficial rehabilitation program in improving the functional outcomes in patients with CTS.

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Section: Discussionmentioning

confidence: 99%

“…On the contrary, a systematic review by Manoli et al, 2016 reported limited evidence supporting the use of early and late sensory relearning modalities in the treatment of peripheral nerve lesions, also only mixed nerves were included in the analysis [26].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Sensory Re-Education Paradigm on Functional Outcomes in Patients with Carpal Tunnel Syndrome

Abdul-Shafy¹,

Al-Balawy

Zakaria³

et al. 2020

The Medical Journal of Cairo University

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Outcome After Reconstruction of 43 Digital Nerve Defects With Muscle-in-Vein Conduits

Ederer

Mayer

Heinzel

et al. 2023

The Journal of Hand Surgery

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Muscle-in-Vein Conduits for the Treatment of Symptomatic Neuroma of Sensory Digital Nerves

Ederer

Kolbenschlag

Daigeler

et al. 2022

JPM

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Background: Considering the debilitating burden of neuroma resulting in a significant loss of function and excruciating pain, the use of muscle-in-vein conduits (MVCs) for the reconstruction of painful neuroma of sensory nerves of the fingers was assessed. Methods: We retrospectively analyzed 10 patients who underwent secondary digital nerve repair by MVCs. The recovery of sensibility was evaluated by static and moving two-point discrimination (2PDs, 2PDm) and Semmes–Weinstein monofilament testing (SWM). The minimum follow-up was set 12 months after the operation. Results: The median period between trauma and nerve repair was 13.4 weeks (IQR 53.5). After neuroma resection, defects ranged from 10–35 mm (mean 17.7 mm, SD 0.75). The successful recovery of sensibility was achieved in 90% of patients after a median follow-up of 27.0 months (IQR 31.00). The mean 2PDs and 2PDm was 8.1 mm (SD 3.52) and 5.2 mm (SD 2.27), respectively. Assessment by SWM resulted in a mean value of 3.54 (SD 0.69). Reduction in pain was achieved among all patients; eight patients reported the complete relief of neuropathic pain. There was no recurrence of neuroma in any patient. Conclusions: Muscle-in-vein conduits provide an effective treatment for painful neuroma of digital nerves, resulting in satisfactory restoration of sensory function and relief of pain.

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Influence of immobilization and sensory re-education on the sensory recovery after reconstruction of digital nerves with direct suture or muscle-in-vein conduits

Cited by 3 publications

References 25 publications

Efficacy of Sensory Re-Education Paradigm on Functional Outcomes in Patients with Carpal Tunnel Syndrome

Efficacy of Sensory Re-Education Paradigm on Functional Outcomes in Patients with Carpal Tunnel Syndrome

Outcome After Reconstruction of 43 Digital Nerve Defects With Muscle-in-Vein Conduits

Muscle-in-Vein Conduits for the Treatment of Symptomatic Neuroma of Sensory Digital Nerves

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