Article

Volume : 2 Issue :1 Month : February (2015) Page No : 347-351

EFFECT OF UNIPOLAR ACU-STIM ON MUSCLE RE-EDUCATION FOLLOWING TENDON TRANSFER - A CASE STUDY

Author/s : Uday Raj J, Prof. Srikanth R, Khyati G, Balakrishna G

DOI : 10.15621/ijphy/2015/v2i1/60039

Background: Tendon transfer surgery is usually done to improve function, following damage to either major nerve trunks or peripheral nerves. Re-education of the muscle is of utmost importance to gain functional activity.To achieve this, along with re-education exercises, faradic stimulation is usually used. Unipolar Acu-Stim (UAS), is an innovative technique where an acupuncture needle is used to stimulate the transferred tendon with Surged Faradic Currents (SFC). The objective of the study is to identify if the application of SFC using UAS method, is effective to re-educate a transferred muscle.
Case Description: The subject was a 24 year old male who had a loss of finger and thumb extension following Posterior Interosseous Nerve (PIN) palsy, for which Flexor Carpi Radialis (FCR) was transferred to Extensor Digitorum Communis (EDC) and Palmaris Longus (PL) was transferred to Extensor Pollicis Longus (EPL). Following removal of the POP, UAS with surged faradic current was applied for 4 weeks along with re-education exercises. Prognosis of finger extension was assessed by goniometry and video recordings.
Outcome: At the end of 8th week, as observed on goniometry and video recordings, complete finger extension was achieved.
Discussion: UAS with SFC, is useful in re-education of a transferred muscle, as desired movement can be achieved with low intensity.
Keywords: Acu-Stim, Surged Faradic Current, Electric Stimulation, Tendon Transfer, Electroacupuncture, Muscle Re-education.
___________________________________________________________________________________________________________
REFERENCES
1. Stedman’s Medical Dictionary. Lippincott Williams and Wilkins; 2006.
2. Petrofsky JS. Electrical stimulation: Neurophysiological basis and application. Basi ApplMyol. 2004;14(4):205-13.
3. Singh J; Step by Step: Practical Electrotherapy. 2nd edition; 2006.
4. Hicks; Angela. The acupuncture handbook: how acupuncture works and how it can help you.2005.
5. Ellis, A; Wiseman N; Boss K. Fundamentals of Chinese Acupuncture. Revised edition; 1991.
6. Aung S, Chen W. Clinical introduction to medical acupuncture.2007.
7. Baldry P. The integration of acupuncture within medicine in the UK—the British Medical Acupuncture Society’s 25th anniversary. Acupunct Med. 2005;23(1):2-12
8. Price J, White A. The use of acupuncture and attitudes to regulation among doctors in the UK—a survey. Acupunct Med.2004; 22(2):72-4.
9. Connor J; Bensky. Acupuncture: A comprehensive text. 1st edition; 1981.
10. Payton OD, Manual of Physical Therapy.1989.
11. Mayor DF. Electroacupuncture: An introduction and its use for peripheral facial paralysis. Journal of Chinese Medicine. 84;2007.
12. Norheim AJ. Adverse effects of acupuncture: a study of the literature for the years 1981-1994. J AlternComple-ment Med. 1996;2(2):291-97.
13. Robertson V, Ward A, Low J, Reed A. Electrotherapy Explained: Principles and Practice. 4th edition; 2005.
14. Forster and Palastanga. Clayton’s Electrotherapy: Theory and Practice. 9th edition; 2006 15. Kisner C, Colby LA. Therapeutic Exercise-Foundations and Techniques.2002.

 



Full Text Attachment

Article Tools

EndNote Format RIS Format Bib Tex Format