Rehabilitation examination of patients with compression-ischemic neuropathy of the upper limb
DOI:
https://doi.org/10.15391/snsv.2019-3.012Keywords:
rehabilitation examination, compression-ischemic neuropathy, patients, physical therapy, motor, sensory disturbancesAbstract
Olena Bismak
Compression-ischemic neuropathy of the upper limb is a common disease of the peripheral nervous system, accompanied by impaired motor, sensory spheres and a decrease in the quality of life in people of working age.
Purpose: to reveal the structure of rehabilitation examination in people with compression-ischemic neuropathy of the upper limb.
Material & Methods: analysis and synthesis of data from scientific and methodological literature and the Internet information network; interrogation, history taking, palpation, tests, mathematical methods. The study was conducted on the basis of the neurological departments No. 1 and No. 2 of the Kiev City Clinical Hospital No. 4, Kiev, from 2017 to 2019. The examination involved 48 patients with compression-ischemic neuropathy of the upper limb.
Results: a scheme (algorithm) of rehabilitation examination was proposed, which included: a survey, history taking, determining the level of damage, the degree of neurological deficit, motor and sensory disturbances, muscle hypotrophy and atrophy, joint and muscle contracture. During the initial examination of patients with compression-ischemic neuropathy of the upper limb, the predominance of male patients was revealed, namely 89.6%. Damage to the peripheral nerves of the upper limb was more often observed in patients of able-bodied young and middle age – 77,1%. The vast majority were patients with radiation injuries – 52,1% and ulnar nerves – 35,4%. In 60,4% of individuals, pains of moderate intensity were observed (4–6 points on a 10-point visual-analogue scale for assessing pain intensity (VAS)).
Conclusions: an initial examination was carried out indicating the presence of disorders of the motor and sensory function of the affected limb in individuals with this pathology. To restore the functional state and preserve the function of the affected limb, it is necessary to comply with the developed scheme (algorithm) of the rehabilitation examination, and will contribute to the development of an effective physical therapy program.
References
Бахтерева, Е.В. (2017), Компрессионные периферические невропатии верхних конечностей: роль производственных факторов, ранняя диагностика и лечение: автореф. дис. д-ра мед. наук: 14.02.04, Екатеринбург, 44 с.
Бісмак, О.В. (2019), "Периферичні невропатії верхньої кінцівки як медико-соціальна проблема", Науковий часопис Національного педагогічного університету імені М.П. Драгоманова. Серія № 15. Науково-педагогічні проблеми фізичної культури (фізична культура і спорт), Випуск 7 (115)19, С. 12-16.
Бісмак, О.В. (2019), "Роль фізичного терапевта у реабілітації хворих на карпальний тунельний синдром", Матеріали міжнародної науково-практичної конференції «Традиції та інновації у підготовці фахівців з фізичної культури та фізичної реабілітації», Київ, С. 53-58.
Голубев, В.Л., Меркулова, Д.М., Орлова, О.Р., Данилов, А.Б. (2009), "Туннельные синдромы руки", Русский медицинский журнал, № 1, С. 7-8.
Левин, О.С. (2005), ПолиневропатииМИА, Москва.
Меркулова, Д.М., Меркулов, Ю.А., Никитин, C.C. (2012), "Туннельные невропатии. Диагностика и принципы патогенетической терапии", Consilium Med., № 2, С. 1–2.
Никитин, С.С., Маслак, А.А., Куренков, А.Л., Савицкая, Н.Г., Приписнова, С.Г. (2013), "Особенности диагностики синдрома карпального канала с помощью электромиографии и ультразвукового исследования", Анналы клинической и экспериментальной неврологии, Том 7, № 4, С. 20-26.
Пизова, Н.В. (2017), "Клиника, диагностика и терапия некоторых туннельных синдромов верхних конечностей", Русский медицинский журнал, № 21, С. 1548-1552.
Супонева, Н.А., Пирадов, М.А., Гнедовская, Е.В., Белова, Н.В., Юсупова, Д.Г., Вуйцик, Н.Б., Лагода, Д.Ю. (2016), "Карпальный туннельный синдром: основные вопросы диагностики, лечения и реабилитации (обзор)", Ульяновский медико-биологический журнал, № 2, С. 91-97.
Халимова, А.А. (2013), "Туннельный синдром запястья (Обзор литературы) ", Вестник АГИУВ, С. 94-101.
Цимбалюк, Ю.В. (2014), Відновне нейрохірургічне лікування ушкоджень периферичних нервів із застосуванням довготривалої електростимуляції: автореф. дис. д-ра мед. наук: 14.01.05, НАМН України, Ін-т нейрохірургії ім. А.П. Ромоданова, Київ, 40 c.
Assmus, H., Antoniadis, G. & Bischoff, C. (2015), "Carpal and cubital tunnel and other, rarer nerve compression syndromes", Dtsch Arztebl Int., Vol. 112(1-2), pp. 14-25.
Dong-Wook, R., Sang Hee, I., Seong-Kyun, K. et al. (2011), "Median nerve conduction study through the carpal tunnel using segmental nerve length measured by ultrasonographic and conventional tape methods", Phys. Med. Rehabilitation, No. 92, pp. 1-2.
Hagert, E. & Hagert, C-G. (2008), "Manual Muscle Testing – A Clinical Examination Technique for Diagnosing Focal Neuropathies in the Upper Extremity" In book: Upper Extremity Nerve Repair: Tips and Techniques, Chapter: 36, American Society for Surgery of the Hand, Editors: David Slutsky, pp.451-466.
Jepsen, J.R., Laursen, L.H., Kreiner, S. & Larsen, A.I. (2009), "Neurological Examination of the Upper Limb: A Study of Construct Validity", Open Neurol J., No. 3, pp. 54-63, doi: 10.2174/1874205X00903010054.
Jepsen, J.R. (2018), "Studies of upper limb pain in occupational medicine, in general practice, and among computer operators", Dan Med J., No. 65(4).
Linda, D.D., Harish, S., Stewart, B.G., Finlay, K., Parasu, N., Rebello, R.P. (2010), "Multimodality imaging of peripheral neuropathies of the upper limb and brachial plexus", Radiographics, No. 30(5), pp. 1373-400, doi: 10.1148/rg.305095169.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Олена Бісмак
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our publications make use of copyright CREATIVE COMMONS open access journals.
Authors published in this journal agree to the following terms:
1 The authors reserve the right of authorship of the work and pass the journal right of first publication of this work are licensed under the Creative Commons Attribution License, which allows others to freely distribute the published work with reference to the authors of the original work and the first publication of this magazine.
2 The authors have the right to enter into separate agreements for additional non-exclusive distribution of work in the form in which it was published the magazine (such as work place electronic repository institution or publish as part of the monograph), provided that the reference to the first publication of this magazine.