PDF(Pubmed)
Abstract：
Multiple sclerosis is a degenerative inflammatory disease that causes different musculoskeletal problems. Its impact has led to the study of treatment alternatives such as the use of invasive physiotherapy. In this study, we analyze the effects of ultrasound-guided percutaneous neuromodulation to a 51-year-old man suffering from multiple sclerosis and an associated hemiparesis in the left upper limb. A dry needling needle was placed in contact with the median nerve under ultrasound guidance and 10 trains of 10 seconds of electrostimulation with a frequency of 10 Hz and an impulse width of 240 µs were applied, with 10 seconds of pause between them. There was a significant improvement in the grip strength immediately after the treatment which increased progressively at 24 hours and at 4 days follow-up. There was also an improvement in the hand function, with a decrease in the time necessary to perform the 9 Hole Peg Test immediately after the treatment, which was maintained at 24 hours and at 4 days follow-up. Future studies with larger samples are needed to further test the effects of this invasive physiotherapy technique as well as its possible applications to other neurological conditions.
摘要：
多发性硬化症是一种退行性炎性疾病，会导致不同的肌肉骨骼问题。它的影响导致了对治疗替代方案的研究，例如使用侵入性物理疗法。在这项研究中,我们分析了超声引导下经皮神经调节对一名患有多发性硬化和左上肢相关偏瘫的51岁男性患者的影响.在超声引导下将干燥的针刺针与正中神经接触，并施加10列10秒的电刺激，频率为10Hz，脉冲宽度为240µs，他们之间有10秒钟的停顿。治疗后即刻握力有显著改善,在24小时和4天随访时逐渐增加。手功能也有了改进，治疗后立即进行9孔钉试验所需的时间减少，在24小时和4天随访时维持。未来需要更大样本的研究来进一步测试这种侵入性物理治疗技术的效果以及其对其他神经系统疾病的可能应用。
