Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis: a case report

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.

The effect of neurodynamic technique of tibial nerve on range of motion, pain, and mechanosensitivity of the lower extremity in healthy individuals: A preliminary study

“…In this study, pain significantly decreased at P1 and P2 after the neurodynamic technique of tibial nerve was performed. These results are consistent previous studies where neurodynamic technique was performed on upper and lower extremities (Coppieters & Butler, 2008;Saban et al, 2014;Villafañe et al, 2013;). This positive change in pain is attributed to the increased neural movements between the nerves and adjacent tissues, reduced pressure on nerves, increased blood flow, and controlled release of harmful substances that are induced by the neurodynamic technique (Butler & Moseley, 2013;Shacklock, 2005).…”

Therapeutic exercise based on biobehavioral approach for the rehabilitation of a radial nerve injury after surgical removal of a schwannoma: a case report

“…Neural mobilization, which has shown to promote neural regeneration after peripheral neurogenic injury, was key in the treatment, as were the techniques aimed at provoking cortical reorganization by improving the motor function (e.g., motor imaging and visual mirror feedback) (da Silva et al, 2015). The study conducted by Villafañe et al (2013), found similar results to those obtained in the present study, where a program with manual therapy and neurodynamic mobilization improved the function of a patient with peroneal nerve paralysis.…”

Mechatronic Device for Elbow Rehabilitation

“…Kinematical [35][36][37][38][39][40][41] an dynamical [42][43][44] aspects of the proposed device are not described in this work, where we prefer put the attention on the possibilities of use. Dimensioning is realized according with EU standard [45][46][47][48].…”