Effects of percutaneous neuromodulation on the sciatic nerve in hamstring muscles. Case series

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Abstract

Introduction: After an injury or surgery, one of the problems a patient faces is muscle inhibition and alterations in the activation pattern of the muscles. Innovative invasive physiotherapy techniques such as Ultrasound-Guided Percutaneous Neuromodulation (UGPN) have emerged in recent years to improve the quality and timing of treatment for this type of injury.

Case presentation: The objective of the study was to evaluate the activation of the hamstring muscles using dynamometry after the application of UGPN on the sciatic nerve in healthy subjects. The study was conducted on 8 subjects, of whom 5 were women and 3 were men. The variables measured in the study were strength and impulse, which were measured at three time points: pre-intervention, post-intervention, and 24 hours after the intervention.

Results: Significant differences in muscle strength were observed immediately after the intervention (p=0.0078) and at 24 hours (p=0.0156). Regarding impulse, significant differences were also found after the intervention (p=0.0156) and at 24 hours (p=0.0391).

Conclusions: The study shows that the ‘UGPN’ technique improves muscle strength and power immediately after the intervention, with the improvements maintained at 24 hours.

References

Erickson LN, Sherry MA. Rehabilitation and return to sport after hamstring strain injury. J Sport Health Sci. 2017 Sep;6:262–70. doi: 10.1016/j.jshs.2017.04.001. DOI: https://doi.org/10.1016/j.jshs.2017.04.001

Ribeiro-Alvares JB, Dornelles MP, Fritsch CG, de Lima-E-Silva FX, Medeiros TM, Severo-Silveira L, et al. Prevalence of hamstring strain injury risk factors in professional and under-20 male football (Soccer) players. J Sport Rehabil. 2020 Mar 1;29(3):339–45. doi: 10.1123/jsr.2018-0084 DOI: https://doi.org/10.1123/jsr.2018-0084

Weldon N, Atteberry BSED M, Werner D, Kallman T, Tao M, Wellsandt EP. Poster 359: Muscle Performance and Drop Jump Mechanics Associate with Second Injury in a Matched Cohort of Athletes Who Passed Functional Return-to-Sport Criteria after ACL Reconstruction [Internet]. Available from: http://www.sagepub.com/journalspermissions

Wan X, Li S, Best TM, Liu H, Li H, Yu B. Effects of flexibility and strength training on peak hamstring musculotendinous strains during sprinting. J Sport Health Sci [Internet]. 2021 Mar 1 [cited 2023 Jun 12];10(2):222–9. Available from: https://pubmed.ncbi.nlm.nih.gov/32795623/ DOI: https://doi.org/10.1016/j.jshs.2020.08.001

Guney-Deniz H, Sayaca C, Calik M, Doral MN. Effects on Lower Extremity Neuromuscular Control Exercises on Knee Proprioception, Muscle Strength, and Functional Level in Patients with ACL Reconstruction. Biomed Res Int. 2019;2019. doi: 10.1155/2019/1694695 DOI: https://doi.org/10.1155/2019/1694695

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