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医源性坐骨神经麻痹小儿病例中针对足下垂的物理治疗康复:一例报告

Physiotherapy Rehabilitation Towards Foot Drop in a Paediatric Case of Iatrogenic Sciatic Nerve Palsy: A Case Report.

作者信息

Saklecha Akshaya, Harjpal Pallavi, Dadgal Ragini

机构信息

Department of Neuro Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jan 6;16(1):e51771. doi: 10.7759/cureus.51771. eCollection 2024 Jan.

Abstract

In this report, we are presenting a case of injection nerve palsy in a three-year-old child whose parents visited with the complaint of weakness of the left lower limb, inability to walk, and difficulty in performing lower limb movements after taking diphtheria-tetanus-pertussis (DPT) vaccination in the gluteal region by intramuscular route. The child exhibited a foot drop on his left leg and a high step gait when examined. Nerve conduction velocity was performed, which revealed pure motor axonal mononeuropathy involving the left sciatic nerve. She was diagnosed with a left sciatic nerve injury from a foot drop and was referred to physiotherapy. With the proper exercise protocol, physiotherapy rehabilitation began. We report that after rehabilitation, she showed improvement in the strength of the lower limb and gait pattern. As a result, physiotherapy is critical in improving a patient's gait pattern, ensuring early and rapid recovery, and treating the condition's clinical manifestations. This case study concludes that physiotherapy rehabilitation for injection palsy in a three-year-old female child with foot drop led to improved lower-limb strength, which assisted the patient in ambulation and prevented other deformities.

摘要

在本报告中,我们呈现了一例三岁儿童注射性神经麻痹的病例。患儿父母前来就诊,主诉患儿在通过臀肌区域肌肉注射白喉-破伤风-百日咳(DPT)疫苗后,出现左下肢无力、无法行走以及下肢运动困难。检查时,患儿左腿表现为足下垂,步态呈高抬腿步态。进行了神经传导速度检测,结果显示为单纯运动轴索性单神经病,累及左侧坐骨神经。患儿因足下垂被诊断为左侧坐骨神经损伤,并被转诊至物理治疗科。按照适当的运动方案,物理治疗康复开始。我们报告称,康复后,患儿下肢力量和步态模式均有改善。因此,物理治疗对于改善患者的步态模式、确保早期快速恢复以及治疗该病症的临床表现至关重要。本病例研究得出结论,对一名患有足下垂的三岁女童进行注射性麻痹的物理治疗康复,可提高下肢力量,帮助患者行走并预防其他畸形。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35a7/10844766/14f2f753bc54/cureus-0016-00000051771-i01.jpg

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