Harmouche Mohamed, El Hamlili Sarra, Elmir Siham, El Anbari Younes, El Oumri Ahmed Amine
Physical Medicine and Rehabilitation, Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MAR.
Physical Medicine and Rehabilitation, Mohammed VI University Hospital Center, Oujda, MAR.
Cureus. 2025 Aug 5;17(8):e89440. doi: 10.7759/cureus.89440. eCollection 2025 Aug.
This case report describes the functional outcomes of a proprioceptive rehabilitation protocol for primary prevention in a 31-year-old patient with L5-S1 radiculopathy sequelae confirmed by electroneuromyography and associated ankle proprioceptive deficit. The patient underwent a seven-week proprioceptive rehabilitation protocol comprising 10 supervised sessions, with a six-month follow-up period. Assessment tools included the Foot and Ankle Ability Measure (FAAM), the single-leg balance test with eyes closed, and the visual analog scale (VAS) for perceived stability. At six-month follow-up, significant improvements were observed: FAAM activities of daily living (FAAM-ADL) score increased from 68% to 94%, FAAM sports activities (FAAM-Sport) score improved from 45% to 87%, single-leg balance time with eyes closed extended from 3 to 18 seconds, and VAS for perceived stability increased from 3/10 to 8/10. No ankle sprain episodes were reported during the follow-up period. These findings suggest that preventive proprioceptive rehabilitation effectively reduces ankle sprain risk in patients with peripheral neurological deficits. This primary prevention approach demonstrates promising results for managing functional deficits secondary to radiculopathy and warrants evaluation in larger cohorts. The protocol's success highlights the importance of targeted proprioceptive training in preventing musculoskeletal complications in neurologically compromised patients.
本病例报告描述了一名31岁经肌电图确诊为L5-S1神经根病后遗症且伴有踝关节本体感觉缺陷的患者，采用本体感觉康复方案进行一级预防的功能结果。该患者接受了为期7周的本体感觉康复方案，包括10次有监督的训练课程，并进行了6个月的随访。评估工具包括足踝能力测量（FAAM）、闭眼单腿平衡测试以及用于感知稳定性的视觉模拟量表（VAS）。在6个月的随访中，观察到显著改善：FAAM日常生活活动（FAAM-ADL）评分从68%提高到94%，FAAM体育活动（FAAM-Sport）评分从45%提高到87%，闭眼单腿平衡时间从3秒延长到18秒，感知稳定性的VAS评分从3/10提高到8/10。随访期间未报告踝关节扭伤事件。这些发现表明，预防性本体感觉康复可有效降低周围神经功能缺损患者的踝关节扭伤风险。这种一级预防方法在管理神经根病继发的功能缺损方面显示出有希望的结果，值得在更大的队列中进行评估。该方案的成功突出了针对性本体感觉训练在预防神经功能受损患者肌肉骨骼并发症方面的重要性。
