AI Article Synopsis
- Traumatic ulnar nerve injuries lead to significant motor and sensory function loss, affecting patients' quality of life, highlighting the need for improved rehabilitation protocols.
- A systematic review of rehabilitation techniques involved six studies, showing that while motor and sensory outcomes improved, there was considerable variation in methods and limited inclusion of patient-reported outcomes.
- The findings suggest that more comprehensive and higher-quality research is essential to develop effective rehabilitation strategies for ulnar nerve injuries, taking patient factors and injury specifics into account.
Article Abstract
Background: Traumatic ulnar nerve injuries often result in significant loss of motor and sensory function, negatively impacting patients' quality of life. Physical rehabilitation is crucial for recovery, but standardized treatment protocols are lacking. This study aims to systematically review rehabilitation techniques to identify future research direction and improve existing protocols for ulnar nerve injury patients.
Methods: PubMed, Embase, CINAHL, Cochrane CENTRAL, Web of Science, and Scopus were queried from inception until July 31, 2023. Articles containing axonotmesis or neurotmesis injuries of the ulnar nerve were included. Reviews, opinions, editorials, technical reports without clinical outcomes, conference abstracts, non-English text, nonhuman studies, and studies without adult patients were excluded. Three independent reviewers performed screening and data extraction using Covidence, and risk of bias assessments utilizing Cochrane and JBI tools. Because of article heterogeneity, a narrative review was conducted. The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) database, registration number CRD42023442016.
Results: This systematic review included one randomized controlled trial and four observational studies (103 patients), which exhibited differences in study quality. Overall, motor and sensory outcomes improved after rehabilitation. Rehabilitation techniques varied widely, and early sensory reeducation appeared to improve sensory function. Only two studies included patient-reported outcomes.
Conclusions: Diverse rehabilitation techniques are used to address ulnar nerve injuries. The low number of included studies, differences in study quality, and small sample size underscore the need for larger and more inclusive studies to improve functional recovery after ulnar nerve injuries. Future research should consider the impact of patient and injury characteristics to develop comprehensive treatment guidelines for these patients.
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| http://dx.doi.org/10.1097/SAP.0000000000004123 | DOI Listing |
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