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Ultrasound-Guided Percutaneous Neuromodulation in Multiple Sclerosis: A Case Report. | LitMetric

AI Article Synopsis

  • Multiple sclerosis is an inflammatory disease that affects musculoskeletal functions, prompting research into alternative treatments like invasive physiotherapy.
  • This study focused on a 51-year-old male patient with multiple sclerosis and left upper limb hemiparesis, using ultrasound-guided neuromodulation involving a dry needling technique on the median nerve.
  • The treatment resulted in immediate and progressive improvements in grip strength and hand function, indicating potential for further research on this technique for other neurological conditions.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9888012PMC
http://dx.doi.org/10.2147/DNND.S395082DOI Listing

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