The Effect of Selective Temporary Anaesthesia in Combination with Sensory Re-education on Impovement of Hand Sensitivity after Median/ Ulnar Nerve Repair
• Background:The outcom of nerve repair in adult is often poor. We hypothesized that forearm would enhance the sensory outcome by increasing the cortical hand representation. • Materials and Methods:A prospective, randomized and double-blind study was designed. During 2 weeks a Topical anaesthetic...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | fas |
| Published: |
Vesnu Publications
2008-09-01
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| Series: | مجله پژوهش در علوم توانبخشی |
| Online Access: | http://jrrs.mui.ac.ir/index.php/jrrs/article/view/84 |
| Summary: | • Background:The outcom of nerve repair in adult is often poor. We hypothesized that forearm would enhance the sensory outcome by increasing the cortical hand representation.
• Materials and Methods:A prospective, randomized and double-blind study was designed. During 2 weeks a Topical anaesthetic ointment (Lidocaine-PTC, n = 6) or placebo (n=7) was applied repeatedly (twice a week) under occlusive bandage on the flexor aspect of injured forearm combined with sensory re-education for one hour. Regular Assessments of sensory function prior to the experiment and after the fourth application of Lidocaine-PTC /placebo and 4 weeks after the last Lidocaine-PTC /placebo session were performed.
• Results:After 6 weeks the lidocaine-ptc group had a significant improvement in touch and pressure perception in comparison with placebo group.In placebo group, no significant changes were seen. Two-point discrimination improved significantly only in the Lidocaine-PTC group (p=0.005).
• Conclusion:The findings suggest that forearm differentiation of injured limb, in combination with sensory re-education, can enhance sensory reovery after nerve repair.
• Keywords: Nerve repair, selective anaesthesia, sensory re-education |
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| ISSN: | 1735-7519 2008-2606 |