BRAIN. Broad Research in Artificial Intelligence and Neuroscience

Volume: 14 | Issue: 3

Specialized Manual Therapy Techniques which Can Improve Neuromotor Outcome in Patients with Foot-Drop Syndrome

Dragoș Petrică Sardaru - Department of Biomedical Sciences, Faculty of Medical Bioengineering, University of Medicine and Pharmacy "Grigore T. Popa" IaÅŸi, Romania (RO), Ilie Onu - Department of Biomedical Sciences, Faculty of Medical Bioengineering, University of Medicine and Pharmacy "Grigore T. Popa" IaÅŸi, Romania ORCID ID: https://orcid.org/0000-0002-1003-0719, (RO), Cătălina Luca - Department of Biomedical Sciences, Faculty of Medical Bioengineering, University of Medicine and Pharmacy "Grigore T. Popa" IaÅŸi, Romania; ORCID ID: https://orcid.org/0000-0003-0991-8582 (RO), Dan Zaharia-Kezdi - Department of Biomedical Sciences, Faculty of Medical Bioengineering, University of Medicine and Pharmacy "Grigore T. Popa" IaÅŸi, Romania (RO), Daniela Matei - Department of Biomedical Sciences, Faculty of Medical Bioengineering, University of Medicine and Pharmacy "Grigore T. Popa" IaÅŸi, Romania (RO), Daniela DruguȘ - Department of public health and health management, University of Medicine and Pharmacy "Grigore T. Popa" IaÅŸi; ORCID ID: https://orcid.org/0000-0002-1940-8343 (RO), Emanuel-Andrei Piseru - Technical University "Gheorghe Asachi" Faculty of Electrical Engineering, Energetics and Applied Informatics Iasi, Romania; (RO), Alin Pandea - National University of Physical Education and Sports, Faculty of Physical Education and Sport, Bucharest, Romania; (RO), Daniel-Andrei Iordan - Department of Individual Sports and Kinetotherapy, Faculty of Physical Education and Sport "Dunărea de Jos" University of Galați, and Center of Physical Therapy and Rehabilitation, "Dunărea de Jos" University of Galați, România; ORCID ID: https://orcid.org/0000-0001-6422-2030 (), Carmina-Liana MuȘat - Department of Morphological and Functional Sciences, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, 800008 Galati, Romania; "Sf. Apostol Andrei" Clinical Emergency County Hospital, Galați. ORCID ID: https://orcid.org/0000-0002-2383-6455 (RO),

Abstract

Introduction: Functional rehabilitation of foot-drop syndrome due to lumbar disc herniation it is a problem that concerns many researchers. Study objective was to investigate if specialized manual therapy techniques and functional electrical stimulation alone and combined can influence the overall neuromotor outcome. Methods: 90 subjects were randomized to 3 groups, 30 subjects allocated to control group (CG) which received physical therapy, 30 subjects in functional electrical stimulation group (FES) and 30 subjects in combined FES with manual therapy techniques (FES-MT). All groups received a number of 20 sessions. We evaluated nerve conduction study, dynamometry, goniometry, functional ankle disability index (FADI), Oswestry Disability Index (ODI) and Numeric Rating Scale (NRS). Results: For Compound muscle action potential we have found significant modifications when comparing FES-MT vs CG (p<0.011). For dynamometry we registered as follows: FES-MT vs CG (0.0001), FES-MT vs FES (p<0.003). ODI and FADI scores were more significant in FES-MT and FES compare with CG. Conclusions: Manual therapy techniques utilized for increasing the excitability of neuromuscular spindle can increase the overall functionality of the tibialis muscle in case of foot drop syndrome. The combination between FES and MT showed better functional results than physical therapeutic exercises and FES alone.

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