000125820 001__ 125820
000125820 005__ 20230420165737.0
000125820 0247_ $$2doi$$a10.2147/DNND.S395082
000125820 0248_ $$2sideral$$a133386
000125820 037__ $$aART-2023-133386
000125820 041__ $$aeng
000125820 100__ $$aJavier-Ormazábal, Alberto
000125820 245__ $$aUltrasound-Guided Percutaneous Neuromodulation in Multiple Sclerosis: A Case Report
000125820 260__ $$c2023
000125820 5060_ $$aAccess copy available to the general public$$fUnrestricted
000125820 5203_ $$aMultiple 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.
000125820 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000125820 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000125820 700__ $$0(orcid)0000-0002-9201-0120$$aHerrero, Pablo$$uUniversidad de Zaragoza
000125820 700__ $$aGonzález-Platas, Montserrat
000125820 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000125820 773__ $$g13 (2023), 15-20$$tDegenerative Neurological and Neuromuscular Disease$$x1179-9900
000125820 8564_ $$s916678$$uhttps://zaguan.unizar.es/record/125820/files/texto_completo.pdf$$yVersión publicada
000125820 8564_ $$s2567702$$uhttps://zaguan.unizar.es/record/125820/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000125820 909CO $$ooai:zaguan.unizar.es:125820$$particulos$$pdriver
000125820 951__ $$a2023-04-20-14:37:16
000125820 980__ $$aARTICLE