Nerve Injury Rehabilitation: Difference between revisions
No edit summary |
(text) |
||
| Line 40: | Line 40: | ||
== Outcome Measures == | == Outcome Measures == | ||
Depends on various criteria ( eg upper or lower limb) but could include | |||
== Management / Interventions == | [[Muscle Strength|Oxford scale]] | ||
[[Romberg Test|Romberg]] or [[Berg Balance Scale|Berg]] balance test | |||
[[Pain disability index|Pain]] disability index | |||
[[Short-form McGill Pain Questionnaire|Short form McGill]] pain questionnaire | |||
[[Nine-Hole Peg Test|Nine-hole peg test]] | |||
(see [[Outcome Measures|Outcome Measures Database]]) | |||
== Physiotherapy Management / Interventions == | |||
add text here relating to management approaches to the condition<br> | add text here relating to management approaches to the condition<br> | ||
Revision as of 08:03, 24 March 2019
Original Editor - Your name will be added here if you created the original content for this page.
Lead Editors
Clinically Relevant Anatomy 
[edit | edit source]
Nerve regrowth in the peripheral nervous system is dependant on type of injury. Functional disability due to nerve lesions is intertwined with severity of lesion. Before reading this article it would be advised to have a good knowledge of the type of lesion and the denervation consequences[1] . Please read Classification of Peripheral Nerve Injury as an introduction to this page.
Mechanism of Injury / Pathological Process[edit | edit source]
Peripheral nerve injuries have numerous causes including: traumatic injuries; infections; metabolic problems ( one of the most common causes is diabetes mellitus); inherited causes; exposure to toxins; tumours; iatrogenic causes.[2]
Watch the below to grasp the concepts of nerve damage and repair
Clinical Presentation[edit | edit source]
Clinical presentation varies according to the nerve affected ie sensory, motor, or combined).
Signs and symptoms may include[2]
- Gradual onset of numbness, prickling or tingling in your feet or hands, which can spread upward into your legs and arms
- Sharp, jabbing, throbbing, freezing or burning pain
- Extreme sensitivity to touch
- Lack of coordination and falling
- Muscle weakness or paralysis if motor nerves are affected
- Neuromatous or causalgia pain.[4]
Assessment[edit | edit source]
After a diagnosis of a peripheral nerve injury a full subjective and objective examination is required to get a clear picture of the way the lesion is affecting the client. The examination should focus on
- Pain assessment
- Sensation deficit and skin condition
- Muscle strength/loss
- Functional deficits
- Joint stiffness
- Emotional stress
Outcome Measures[edit | edit source]
Depends on various criteria ( eg upper or lower limb) but could include
Pain disability index
Short form McGill pain questionnaire
(see Outcome Measures Database)
Physiotherapy Management / Interventions[edit | edit source]
add text here relating to management approaches to the condition
Differential Diagnosis[edit | edit source]
add text here relating to the differential diagnosis of this condition
Resources[edit | edit source]
add appropriate resources here
References[edit | edit source]
- ↑ Reza Salman Roghani and Seyed Mansoor Rayegani (2012). Basics of Peripheral Nerve Injury Rehabilitation, Basic Principles of Peripheral Nerve Disorders, Dr. Seyed Mansoor Rayegani (Ed.), ISBN: 978-953-51-0407-0, InTech, Available from: http://www.intechopen.com/books/basic-principles-of-peripheral-nervedisorders/basics-of-peripheral-nerve-injury-rehabilitation (last accessed 24.3.2019)
- ↑ 2.0 2.1 Mayo clinic. Peripheral neuropathy. Available from: https://www.mayoclinic.org/diseases-conditions/peripheral-neuropathy/symptoms-causes/syc-20352061 (last accessed 24.3.2019)
- ↑ Dr. Simon Freilich. Nerve damage and repair. Available from: https://www.youtube.com/watch?v=OlNyp0RfiBg&feature=youtu.be (last accessed 24.3.2019)
- ↑ Medscape. Peripheral nerve injuries clinical presentation. Available from: https://emedicine.medscape.com/article/1270360-clinical (last accessed 24.3.2019)
