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Clinical effect of transcutaneous electrical stimulation treatment on common peroneal nerve injury with EMG instrument |
LU Xia Aikebaier·Halike XU Jian YAN Baofeng Mutalifu·Nurehamaiti Maieraba LUAN Xinping▲ |
Cerebral Palsy Center, Second Affiliated Hospital, Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China |
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Abstract Objective To evaluate the clinical effect and safety of transcutaneous electrical stimulation treatment (TEST) on common peroneal nerve (CPN) injury with EMG instrument. Methods From January 2015 to December 2016, in the Second Affiliated Hospital, Xinjiang Medical University, 74 patients diagnosed CPN injury were collected and divided into three groups by random number table, control group (23 cases, received normal therapy without TEST by EMG instrument), short-term group (24 cases, received TEST by EMG instrument for 2 weeks) and long-term group (21 cases, received TEST by EMG instrument for 1 month). The indexes of clinical effect and the degrees of movement and perception improvement, the indexes of nerve conduction velocity (NCV), compound muscle action potential (CMAP) amplitude of extensor brevis digitorum and motor evoked potentials latent period (MEPLP), were compared among three groups at pre-therapy and 3-month post-therapy. Follow-up 1 month, the occurrences of adverse reaction were compared. Results The total effective rates of three groups were long-term group > short-term group > control group (P < 0.05). The excellent rates of three groups were long-term group > short-term group > control group (P < 0.05). The NCV and CMAP of three groups at 3-month post-therapy were higher than at pre-therapy (P < 0.05), and long-term group > short-term group > control group (P < 0.05). The MEPLP of three groups at 3-month post-therapy were lower than at pre-therapy (P < 0.05), and long-term group < short-term group < control group (P < 0.05). During treatment and follow-up 1 month, there were no serious adverse effect. Conclusion The TEST with EMG instrument can efficiently improve the clinical effect of CPN injury and the clinical effect of long-term TEST is better and the safe.
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