scholarly journals Degree of disability, pain levels, muscle strength, and electromyographic function in patients with Hansen's disease with common peroneal nerve damage

2012 ◽  
Vol 45 (3) ◽  
pp. 375-379 ◽  
Author(s):  
Larissa Sales Téles Véras ◽  
Rodrigo Gomes de Souza Vale ◽  
Danielli Braga de Mello ◽  
José Adail Fonseca de Castro ◽  
Vicente Lima ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
Negative Influence ◽  
Pain Scale ◽  
Nerve Damage ◽  
Control Group ◽  
Control Subjects ◽  
Degree Of Disability ◽  
The Right

INTRODUCTION: This study evaluated the degree of disability, pain levels, muscle strength, and electromyographic function (RMS) in individuals with leprosy. METHODS: We assessed 29 individuals with leprosy showing common peroneal nerve damage and grade 1 or 2 disability who were referred for physiotherapeutic treatment, as well as a control group of 19 healthy participants without leprosy. All subjects underwent analyses of degree of disability, electromyographic tests, voluntary muscle force, and the Visual Analog Pain Scale. RESULTS: McNemar's test found higher levels of grade 2 of disability (Δ = 75.9%; p = 0.0001) among individuals with leprosy. The Mann-Whitney test showed greater pain levels (Δ = 5.0; p = 0.0001) in patients with leprosy who had less extension strength in the right and left extensor hallucis longus muscles (Δ = 1.28, p = 0.0001; Δ = 1.55, p = 0.0001, respectively) and dorsiflexion of the right and left feet (Δ = 1.24, p = 0.0001; Δ = 1.45, p = 0.0001, respectively) than control subjects. The Kruskal-Wallis test showed that the RMS score for dorsiflexion of the right (Δ = 181.66 m·s-2, p = 0.001) and left (Δ = 102.57m·s-2, p = 0.002) feet was lower in patients with leprosy than in control subjects, but intragroup comparisons showed no difference. CONCLUSIONS: Leprosy had a negative influence on all of the study variables, indicating the need for immediate physiotherapeutic intervention in individuals with leprosy. This investigation opens perspectives for future studies that analyze leprosy treatment with physical therapeutic intervention.

scholarly journals Dynamic neuropathy of the common peroneal nerve at the level of the fibular head (literature review and case report)

2019 ◽  
Vol 21 (1) ◽  
pp. 54-59
Author(s):  
M. G. Bashlachev ◽  
G. Yu. Evzikov ◽  
V. A. Parfenov ◽  
N. B. Vuitsyk ◽  
F. V. Grebenev
Keyword(s):  
Ankle Joint ◽  
Peroneal Nerve ◽  
Correct Diagnosis ◽  
Clinical Manifestations ◽  
Common Peroneal Nerve ◽  
Diagnostic Methods ◽  
Fibular Head ◽  
Study Objective ◽  
The Common ◽  
The Right

The study objective is to report a case of dynamic neuropathy of the common peroneal nerve at the level of the fibular head and to discuss diagnostic methods and neurosurgical treatment. Materials and methods. We report a case of dynamic neuropathy of the common peroneal nerve at the level of the fibular head in a female patient. The patient was treated in the Neurology Clinic of I.M. Sechenov First Moscow State Medical University. We analyzed clinical manifestations and compared them with the data described in research literature. Results. Upon admission, the patient complained of pain in the anterolateral surface of the right shin and in the dorsum of the foot during walking. At rest, the patient experienced no pain. We observed no motor or sensory disorders typical of nerve root disorders at the level of L5. Lasegue’s test was negative. The patient had a positive Tinel’s sign in the area of the right fibular head. In order to clarify the diagnosis, we performed a repeated extension test in the right ankle joint and it was positive. The patient underwent surgery that included peroneal nerve decompression and neurolysis at the level of the fibular head. In the postoperative period, the patient had complete pain relief. Conclusion. Due to the difficulties in the diagnostics of dynamic neuropathy of the common peroneal nerve, this disease is often mistaken for radiculopathy at the level of L5. Thorough clinical examination, testing for Tinel’s sign in the area of the fibular head, and repeated extension test in the ankle joint ensure the correct diagnosis and reduce the frequency of ineffective surgeries on the lumbar spine. Surgical decompression of the common peroneal nerve at the level of the fibular head with obligatory opening of the entrance to the nerve canal is an effective method of treatment in such patients.

scholarly journals Unilateral higher division of sciatic nerve and its clinical importance

2019 ◽  
Vol 8 (1) ◽  
pp. 355
Author(s):  
Sonia Jandial
Keyword(s):  
Sciatic Nerve ◽  
Coming Out ◽  
Peroneal Nerve ◽  
Tibial Nerve ◽  
Clinical Importance ◽  
Common Peroneal Nerve ◽  
Gluteal Region ◽  
Piriformis Muscle ◽  
Long Course ◽  
The Right

The sciatic nerve has a long course right from the pelvis to the apex of the popliteal fossa. The point of division of the sciatic nerve into tibial and common peroneal nerves is very variable. The variation in the division of the sciatic nerve described in the present study should be helpful for anaesthetists and orthopaedic surgeons. While doing the dissection and teaching of the gluteal region in the Post Graduate Department of Anatomy, government medical college, Jammu, it was found that on the left side tibial nerve and common peroneal nerve were present instead of sciatic nerve. It meant that the main nerve that is the sciatic nerve had already been divided into its terminal branches in the pelvis region. Both tibial and common peroneal nerve were seen coming out of the pelvis below the piriformis muscle, while on the right side there were no variation. The sciatic nerve was seen coming out of the pelvis below the piriformis muscle as usual. Because of this high division of the sciatic nerve in the pelvis, there are many complications like failed sciatic nerve block during anaesthesia while performing surgery, but high division of the sciatic nerve may result in escape of either tibial nerve or common peroneal nerve. The gluteal region, back of the thigh and leg of the lower limb were dissected to study further course of tibial nerve and the common peroneal nerve. Photographs were also taken.

scholarly journals Giant intramuscular infiltrating fibrolipoma of the right leg with common peroneal nerve neuropathy

2021 ◽  
Vol 14 (8) ◽  
pp. e244852
Author(s):  
Sanjay K. Giri ◽  
Dipun Mishra ◽  
Mantu Jain ◽  
Suvnedu Purkait
Keyword(s):  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
The Right

scholarly journals Comparison Between Strength of Muscles Rotating the Knee in Healthy Individuals and Patients one Year after an ACL Reconstruction

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0014
Author(s):  
Marcın Popieluch ◽  
Robert Śmigıelski ◽  
Darıusz Straszewski ◽  
Marcın Plenzler ◽  
Mıchał Stanıszewski
Keyword(s):  
Muscle Strength ◽  
Internal Rotation ◽  
Acl Reconstruction ◽  
Lower Leg ◽  
Control Group ◽  
Special Device ◽  
Healthy Individuals ◽  
Static State ◽  
Significant Difference ◽  
The Right

Objectives: In this study we have made an attempt to establish torque value of the muscles rotating the knee of patients who had ruptured their ACLs during an amateur football practise on an artificial turf. In this study we presented biomechanical research on torques of muscles responsible for internal and external rotation of the lower leg. We presented a method whereby it is possible to measure the muscle strength before and after the ACL rupture but also during the process of rehabilitation and after its finish. The available literature on measurements of torque of the knee is quite extensive though it mainly describes torques of muscles flexing and extending the joint. In Polish literature there is scarcity of studies focused on torques of muscles rotating the knee. In foreign literature there is an increasing emphasis on the role of lower leg rotation, as the element greatly impacting, for instance, the position of the foot. Methods: The study presents results of 22 patients and 50 healthy individuals (not practising any particular sport regularly) being the control group. All patients had their ACLs reconstructed using the double-bundle technique. The material for the graft was obtained from the hamstrings. The aim was to measure the maximal torque of the muscles responsible for external and internal rotation of the knee (lower leg in a static state using a special device). The device allowed measurement of the torque of muscles rotating the lower leg in its axis by stabilizing the ankle with special emphasis on foot mounting (stabilization of footwear). The special device was connected to a PC with CPS/HMF software. The software enabled observation and recording of increase in the value of the torque until it reached its maximum. The measurements were taken in two knee positions: 30 degrees and 90 degrees flexion. Results: The result were analyzed statistically, means and SDs were calculated. Only right-legged subjects were included in the analysis. The Shapiro-Wilk test was used to test normality of the distribution. Some of the data did not have a normal distribution so in order to compare results of different groups a non-parametric Mann–Whitney U test was used. The groups differed significantly in terms of age (p=0.001), did not differ in terms of body height (p=0.529) or mass (p=0.233). Statistically significant differences (p<0.001) were marked by an asterix symbol (*). Each measurement of the left and right leg was also compared between the groups. The Kruskal–Wallis one-way analysis of variance by ranks was used and significant differences were those with p<0.001. When analyzing it has been noted that there was a statistically significant difference (p<0.001) between the torque value of muscles responsible for internal rotation (S40) when examining the right limb (after ACL reconstruction) in both groups. Significant differences were observed in all starting positions, as well as in both degrees of flexion – 30 and 900. Deficit of muscle strength on the right side – the injured one – when compared to the left was sometimes as high as 30%. Conclusion: 1. Near 30% deficit of strength of muscles responsible for internal rotation of the knee indicates that the knee is rotationally unstable after a year from the surgery. 2. Based on the fact that using the hamstrings tendons – responsible for internal rotation of the knee – in order to reconstruct the ACL, poses a risk of rotational instability of the joint for as long as a year after the procedure, the rehabilitation protocol for such patients should be adjusted or completely changed.

scholarly journals Overview of Motor Nerve Damage in People with Diabetes Mellitus

2021 ◽  
Vol 1 (3) ◽  
pp. 242-248
Author(s):  
Ana Nistiandani ◽  
Rondhianto Rondhianto ◽  
Muhammad Fakhrur Rozsy
Keyword(s):  
Muscle Strength ◽  
Motor Nerve ◽  
Sampling Technique ◽  
Nerve Damage ◽  
Foot Biomechanics ◽  
Foot Injury ◽  
History Of ◽  
Motor Nerves ◽  
The Right ◽  
Agricultural Areas

Damage to motor nerves in people with diabetes increases the risk of a foot injury. This occurs because the damage results in changes in foot biomechanics, muscle atrophy, deformity, and increased pressure on the feet. So far, the examination of motor nerve damage in people with diabetes in agricultural areas such as the Jember Regency is still rarely touched by primary health services. The purpose of this study was to identify motor nerve damage in people with diabetes in the agriculture area of ​​the Jember Regency. This type of research is exploratory, descriptive, 102 respondents obtained by purposive sampling technique. Inclusion criteria in this study are age> 18 years; do not have DFU active, and did not experience amputation in both legs. Data collection uses instrument modification from MNSI (Michigan Neuropathy Screening Instrument) and MDNS (Michigan Diabetic Neuropathy Score). MNSI using in inspecting for deformity, while MDNS using for forms of physiological reflex damage and muscle strength.  The analysis used in univariate and displayed in the frequency distribution. The results showed that the majority of respondents who suffer from DM are experienced in the middle adulthood category (71.6%), with a length of suffering more than five years (95.1%), and have a history of comorbidities (68.6%). The most common form of motor deformity damage was hallux valgus on the right and left legs (38.2%; 26.4%). Forms of motor damage in the form of muscle strength, severe damage to the abduction of the right and left legs (7.8%), and were found right or left toe extensions (1.9%; 2.9%). Motor damage in the form of no physiological reflexes was found in the right and left Quadriceps femoral (2%; 1%), and right or left leg Achilles (1%). The result of total motor damage assessment is that people with diabetes have decreased muscle strength in the right and left extremities (74.5%; 72.5%). This research shows that the majority of people with diabetes in the agricultur area of ​​the Jember Regency suffer motor nerve damage. Therefore, there is a need for preventive measures to prevent the worsening condition of people with diabetes.    

Fibular Osteochondroma Presenting as Chronic Ankle Sprain

1995 ◽  
Vol 16 (4) ◽  
pp. 207-209 ◽  
Author(s):  
Bruce J. Montella ◽  
Dermot A. O'Farrell ◽  
Wm. Stephen Furr ◽  
John M. Harrelson
Keyword(s):  
Ankle Sprain ◽  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
Complete Recovery ◽  
Ankle Injury ◽  
Baseball Player ◽  
The Common ◽  
The Right

A 19-year-old baseball player was referred for assessment of recurrent sprains of the right ankle. This was found to be secondary to a palsy of the common peroneal nerve that was compressed by an osteochondroma of the fibular neck. The lesion was resected from the fibula and the patient made a complete recovery. We present this case as an example of a rare underlying problem in a patient who was initially diagnosed as having a sports-related ankle injury.

Abnormal Functional Activation During a Simple Word Repetition Task: A PET Study of Adult Dyslexics

2000 ◽  
Vol 12 (5) ◽  
pp. 753-762 ◽  
Author(s):  
Eamon McCrory ◽  
Uta Frith ◽  
Nicola Brunswick ◽  
Cathy Price
Keyword(s):  
Phonological Processing ◽  
Auditory Processing ◽  
Right Hemisphere ◽  
Temporal Cortex ◽  
Normal Subjects ◽  
Control Group ◽  
Implicit Processing ◽  
Control Subjects ◽  
Dyslexic Group ◽  
The Right

Eight dyslexic subjects, impaired on a range of tasks requiring phonological processing, were matched for age and general ability with six control subjects. Participants were scanned using positron emission tomography (PET) during three conditions: repeating real words, repeating pseudowords, and rest. In both groups, speech repetition relative to rest elicited widespread bilateral activation in areas associated with auditory processing of speech; there were no significant differences between words and pseudowords. However, irrespective of word type, the dyslexic group showed less activation than the control group in the right superior temporal and right post-central gyri and also in the left cerebellum. Notably, the right anterior superior temporal cortex (Brodmann's area 22 [BA 22]) was less activated in each of the eight dyslexic subjects, compared to each of the six control subjects. This deficit appears to be specific to auditory repetition as it was not detected in a previous study of reading which used the same sets of stimuli (Brunswick, N., McCrory, E., Price, C., Frith, C.D., & Frith, U. [1999]. Explicit and implicit processing of words and pseudowords by adult developmental dyslexics: A search for Wernicke's Wortschatz? Brain, 122, 1901-1917). This implies that the observed neural manifestation of developmental dyslexia is task-specific (i.e., functional rather than structural). Other studies of normal subjects indicate that attending to the phonetic structure of speech leads to a decrease in right-hemisphere processing. Lower right hemisphere activation in the dyslexic group may therefore indicate less processing of non-phonetic aspects of speech, allowing greater salience to be accorded to phonological aspects of attended speech.

scholarly journals ERGONOMIC EXERCISES TO DECREASE JOINT PAIN SCALE AND MUSCLE STRENGTH IN ELDERLY

2018 ◽  
Vol 2 (1) ◽  
pp. 118
Author(s):  
Titih Huriah ◽  
Ema Waliyanti ◽  
Afiani Septina Rahmawati ◽  
Yuliana Mz Matoka
Keyword(s):  
Muscle Strength ◽  
Joint Pain ◽  
Sampling Technique ◽  
Epidemiological Data ◽  
Pain Scale ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Purposive Sampling ◽  
Activity Therapy

Introduction. Epidemiological data showed an increased prevalence of chronic pain and weakness in the elderly. Nonpharmacological modality therapy is a component of multi modal management that very important for pain management, including Ergonomic Exercises. The aims of the study was to determine the effect of activity therapy ergonomic exercises to decrease joint pain scale, and to increase muscle strength in elderly with joints degenerative. Method. Quasi-experimental with pretest-posttest control group design was carried out in this study. Purposive sampling was used to identify the study subjects. A sample of 50 elderly was included in the study for experimental (17) and control (33) groups. Sampling technique used purposive sampling. T-test, Wilcoxon, and two sample Wilcoxon rank-sum, tests were used to analysis the data. Results. During the four weeks intervention of ergonomic exercise, there were significant decreases in scale joint pain in elderly with degenerative joint by P value 0.000 (α < 0.05), and increases in muscle strength by P value 0.002 for muscles pull and P value 0,0001 for muscles push. Discussion. Activity therapy of an ergonomic exercise has significant influence to decrease joint pain scale and to increase muscle strength in elderly with degenerative joints.Keywords: joint degenerative, elderly, joint pain, muscle strength, ergonomic exercises

scholarly journals The effect of surgical decompression on symptoms in peroneal nerve entrapment neuropathy

2020 ◽  
Author(s):  
Serdar Ercan ◽  
Zeki Serdar Ataizi
Keyword(s):  
Muscle Strength ◽  
Peroneal Nerve ◽  
Surgical Intervention ◽  
Surgical Decompression ◽  
Nerve Entrapment ◽  
Entrapment Neuropathy ◽  
Foot Drop ◽  
Fibula Head ◽  
The Right ◽  
Recovery Of Motor Function

Abstract Objective CPN entrapment neuropathy is a form of lower extremity entrapment, most commonly seen at the level of the fibula head, often presenting with foot drop findings. We aimed to investigate whether decompressive surgical intervention contributes to neuropathy clinic. Materials and methods Patients who were admitted to our clinic with a preliminary diagnosis of peroneal entrapment neuropathy and underwent surgical intervention were included in the study. Preoperative and postoperative motor functions and pain were evaluated. Results Postoperative significant changes in pain and muscle strength scores were observed. A significant decrease was observed in the postoperative VAS score. Conclusion Surgical decompression is the right option for the recovery of motor function in the treatment of peroneal nerve entrapment neuropathy.

Matched-Pair Analysis of Magnetic Resonance Images for Location of the Common Peroneal Nerve in Valgus Knees: Comparison with the Varus Knees

2020 ◽  
Author(s):  
Kwang Am Jung ◽  
Oog-Jin Shon ◽  
Mohd Irfan Banday ◽  
Abhishek Patil ◽  
Gi Beom Kim
Keyword(s):  
Magnetic Resonance ◽  
Subgroup Analysis ◽  
Peroneal Nerve ◽  
Common Peroneal Nerve ◽  
Matched Pair ◽  
Soft Tissue Release ◽  
Control Group ◽  
Matched Pair Analysis ◽  
The Common ◽  
Pair Analysis

AbstractThis study aimed to assess the distance and angular location of the common peroneal nerve (CPN) on axial magnetic resonance imaging (MRI) in the valgus knees and compare the measurements with those obtained from the control group. We compared the location of the CPN according to the type of alignment by performing a subgroup analysis. From January 2009 to December 2019, we identified 41 knees with preoperative MRI in patients who underwent total knee arthroplasty (TKA) for valgus deformity (valgus group). We performed one-to-two matched-pair analysis to a cohort of patients who underwent MRI but were not candidates for TKA (control group), according to sex and age. The valgus group was classified according to the grading system reported by Ranawat et al, and the control group was also subdivided according to the hip-knee-ankle (HKA) angle obtained from lower extremity scanography: neutral (–3 to +3 degrees from the neutral mechanical axis), valgus (> +3 degrees), and varus alignment (< –3 degrees). Distance between the CPN and posterolateral cortex of the tibia at the knee joint (distance J) and tibial cut level (distance C) were measured. Angle of the CPN from the central anteroposterior axis of the tibia (angle α) was measured. We compared the measurements between the groups. Distance J was significantly closer in the valgus group (p < 0.001), whereas angle α was significantly smaller in the valgus group (p < 0.001). However, no significant differences were found in the subgroup analysis. Moreover, a significant correlation was found between distance J and the HKA angle (p < 0.001). The location of the CPN in the valgus knees was closer to the posterolateral cortex of the tibia at the joint level and showed a smaller angle than that in the other aligned knees. We recommend that lateral soft tissue release for valgus knees should not be performed at the joint line. The results of this study suggest that this would be less safe than a release performed at the level of the proximal tibial bone resection.

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