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Exercise therapies in peripheral neuropathies.

G J Herbison, M M Jaweed, J F Ditunno

    Archives of Physical Medicine and Rehabilitation
    |May 1, 1983
    PubMed
    Summary
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    Treating peripheral neuropathies involves maintaining joint motion and retraining activities. Electrical stimulation is not effective for denervated muscles, and overstretching weakened muscles can be detrimental.

    Area of Science:

    • Neurology
    • Physical Therapy

    Background:

    • Peripheral neuropathies impact joint mobility, skilled activities, and muscle strength.
    • Numerous techniques exist to aid muscle function, but their efficacy varies.
    • Optimizing recovery requires careful consideration of muscle status.

    Purpose of the Study:

    • To evaluate the effectiveness of different therapeutic techniques for peripheral neuropathies.
    • To identify optimal strategies for strengthening partially and totally denervated muscles.
    • To guide clinicians in selecting beneficial interventions for patients with peripheral nerve damage.

    Main Methods:

    • Review of existing literature on treatment modalities for peripheral neuropathies.
    • Analysis of the impact of electrical stimulation on muscle reinnervation.

    Related Experiment Videos

  • Assessment of the effects of overstretching and overwork on weakened and paretic muscles.
  • Comparison of isometric/isotonic contractions versus exhaustive activity programs.

    • Main Results:

    • Electrical stimulation does not enhance reinnervation in completely denervated muscles.
    • Overstretching of weakened muscles can hinder the use of paretic muscles.
    • Partially denervated muscles may be damaged by overwork.
    • Brief isometric or isotonic contractions show potential for increasing strength.

    Conclusions:

    • Therapeutic strategies for peripheral neuropathies must be carefully chosen.
    • Avoid electrical stimulation for totally denervated muscles.
    • Gentle, controlled exercises like brief isometric or isotonic contractions are preferable to exhaustive programs for strengthening weakened muscles.