Skip to main content

Principles of Nerve and Muscle Rehabilitation

  • Chapter
  • First Online:
Atlas of Neuromuscular Diseases

Abstract

Medical rehabilitation, in general, aims at improving function, activity, and participation of the patients rather than curing the disease. A widely accepted model of rehabilitation is provided by the International Classification of Functioning, Disability and Health (ICF) by the World Health Organization. Accordingly, the principle of rehabilitation of neuromuscular disorders is to improve function, which may be impaired due to motor, sensory, and autonomic dysfunction, pain, as well as tendon, muscle, and joint contractures. The interventions depend on the clinical picture, the course of disease, and, furthermore, the activity and participation as demanded by the patients. Therefore, rehabilitation always aims at enabling the patient to lead a self-determined and independent life as good as possible. The knowledge of underlying pathology and the course of disease are very important to design a proper rehabilitation program for the patient.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 189.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Agre JC, Rodriquez AA, Franke TM, Swiggum ER, Harmon RL, Curt JT (1996) Low-intensity, alternate-day exercise improves muscle performance without apparent adverse effect in postpolio patients. J Phys Med Rehabil 75:50–58

    Article  CAS  Google Scholar 

  • Aszmann OC, Dietl H, Frey M (2008) Selective nerve transfer to improve the control of myoelectric arm prosthesis. Handchir Mikrochir Plast Chir 40(1):60–65

    Article  CAS  PubMed  Google Scholar 

  • Bello-Haas VD, Florence JM, Kloos AD, Scheirbecker J, Lopate G, Hayes SM, Pioro EP, Mitsumoto H (2007) A randomized controlled trial of resistance exercise in individuals with ALS. Neurology 68:2003–2007

    Article  PubMed  Google Scholar 

  • Butland R et al (1982) Two, six, and 12 minute walking tests in respiratory disease. BR Med J 284:1607–1608

    Article  CAS  Google Scholar 

  • Chetlin RD, Gutmann L, Tarnopolsky M, Ullrich IH, Yeater RA (2004) Resistance training effectiveness in patients with Charcot-Marie-Tooth disease: recommendations for exercise prescription. Arch Phys Med Rehabil 85:1217–1223

    Article  PubMed  Google Scholar 

  • Collen FM, Wade DT, Bradshaw CM (1990) Mobility after stroke: reliability of measures of impairment and disability. Int Disabil Stud 12(1):6–9

    Article  CAS  PubMed  Google Scholar 

  • DeLateur BJ, Giaconi RM (1979) Effect on maximal strength of submaximal exercise in Duchenne muscular dystrophy. Am J Phys Med 58:26–36

    CAS  Google Scholar 

  • Dellon AL, Curtis RM, Edgerton MT (1971) Reeducation of sensation in the hand following nerve injury. J Bone Joint Surg 53A:813

    Google Scholar 

  • Demeurisse G, Demol O, Robaye E (1980) Motor evaluation in vascular hemiplegia. Eur Neurol 19:382–389

    Article  CAS  PubMed  Google Scholar 

  • Doherty TJ (2009) Exercise therapy in neuromuscular disease – why bother? AANEM Course, AANEM 56th annual meeting, San Diego

    Google Scholar 

  • Ebenbichler GR, Resch KL, Nicolakis P, Wiesinger GF, Uhl F, Ghanem AH, Fialka V (1998) Ultrasound treatment for treating the carpal tunnel syndrome: randomised “sham” controlled trial. BMJ 316:731–735

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Grisold W, Vass A, Schmidhammer R, Zifko U (2007) Rehabilitation of neuropathies. Crit Rev Phys Rehabil Med 19(1):19–53

    Article  Google Scholar 

  • Hobermann M (1959) Physical medicine and rehabilitation: its value and limitations in progressive muscular dystrophy. Am J Phys Med Rehabil 34

    Google Scholar 

  • Ince LP, Leon MS (1986) Biofeedback treatment of upper extremity dysfunction in Guillain-Barre syndrome. Arch Phys Med Rehabil 67(1):30–33

    CAS  PubMed  Google Scholar 

  • Kern H, Carraro U, Adami N, Biral D, Hofer C, Forstner C, Mödlin M, Vogelauer M, Pond A, Boncompagni S, Paolini C, Mayr W, Protasi F, Zampieri S (2010) Home-based functional electrical stimulation rescues permanently denervated muscles in paraplegic patients with complete lower motor neuron lesion. Neurorehabil Neural Repair 24(8):709–721

    Article  PubMed  Google Scholar 

  • Kuiken TA, Li G, Lock BA, Lipschutz RD, Miller LA, Stubblefield KA, Englehart KB (2009) Targeted muscle reinnervation for real-time myoelectric control of multifunctional artificial arms. JAMA 301(6):619–628

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Lincoln N, Leadbitter D (1979) Assessment of motor function in stroke patients. Physiotherapy 65:48–51

    CAS  PubMed  Google Scholar 

  • Lindeman E, Leffers P, Spaans F, Drukker J, Reulen J, Kerckhofs M, Koke A (1995) A strength training in patients with myotonic dystrophy and hereditary motor and sensory neuropathy: a randomized clinical trial. Arch Phys Med Rehabil 76:612–620

    Article  CAS  PubMed  Google Scholar 

  • Maggi G, Monti Bragadin M, Padua L, Fiorina E, Bellone E, Grandis M, Reni L, Bennicelli A, Grosso M, Saporiti R, Scorsone D, Zuccarino R, Crimi E, Schenone A (2011) Outcome measures and rehabilitation treatment in patients affected by Charcot-Marie-Tooth neuropathy: a pilot study. Am J Phys Med Rehabil 90(8):628–637

    Article  PubMed  Google Scholar 

  • Marshall S, Tardif G, Ashworth N (2007) Local corticosteroid for carpal tunnel syndrome. Chochrane Database Syst Rev (2):CD001554

    Google Scholar 

  • Medical Research Council (1976) Aids to the examination of the peripheral nervous system. Memorandum No. 45. Her Majesty’s Stationary Office, London

    Google Scholar 

  • Merkies ISJ, Schmitz PI, Samijn JP, van der Meche FG, van Doorn PA (1999) Fatigue in immune mediated polyneuropathies. Neurology 53:1648–1654

    Article  CAS  PubMed  Google Scholar 

  • Milner-Brown HS, Miller RG (1988) Muscle strengthening through high-resistance weight training in patients with neuromuscular disorders. Arch Phys Med Rehabil 69:14–19

    CAS  PubMed  Google Scholar 

  • Novak I (2011) Effective home programme intervention for adults: a systematic review. Clin Rehabil 25(12):1066–1085

    Article  PubMed  Google Scholar 

  • O’Connor D, Marshall S, Massy-Westropp N (2003) Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome. Cochrane Database Syst Rev (1):CD003219

    Google Scholar 

  • Otterman NM, van Schie CH, van der Schaaf M et al (2011) An exercise programme for patients with diabetic complications: a study on feasibility and preliminary effectiveness. Diabet Med 28:212–217

    Article  CAS  PubMed  Google Scholar 

  • Oxford Grice K, Vogel KA, Le V, Mitchell A, Muniz S, Vollmer MA (2003) Adult norms for a commercially available Nine Hole Peg Test for finger dexterity. Am J Occup Ther 57(5):570–573

    Article  PubMed  Google Scholar 

  • Page MJ, O’Connor D, Pitt V, Massy-Westropp N (2012) Therapeutic ultrasound for carpal tunnel syndrome. Cochrane Database Syst Rev (1):CD009601

    Google Scholar 

  • Paternostro-Sluga T, Keilani M, Posch M, Fialka-Moser V (2003) Factors that influence the duration of splint wearing in peripheral nerve lesions. Am J Phys Med Rehabil 82(2):86–95

    Article  PubMed  Google Scholar 

  • Paternostro-Sluga T, Stieger M, Keilani MY (2004) Hand splints. Crit Rev Phys Rehabil Med 16(4):102–126

    Article  Google Scholar 

  • Paternostro-Sluga T, Grim-Stieger M, Posch M, Schuhfried O, Vacariu G, Mittermaier C, Bittner C, Fialka-Moser V (2008) Reliability and validity of the medical research council (MRC) scale and a modified scale for testing muscle strength in patients with radial palsy. J Rehabil Med 40:665–671

    Article  PubMed  Google Scholar 

  • Pieber K, Herceg M, Paternostro-Sluga T (2010) Electrotherapy for the treatment of painful diabetic peripheral neuropathy: a review. J Rehabil Med 42:289–295

    Article  PubMed  Google Scholar 

  • Plan EL, Elshoff JP, Stockis A, Sargentini-Maier ML, Karlsson MO (2012) Likert Pain Score modeling: a Markov integer model and an autoregressive continuous model. Clin Pharmacol Ther 91(5):820–828

    Google Scholar 

  • Podsiadlo D, Richardson S (1991) The timed “Up and Go”: a test of basic functional mobility for frail elderly persons. JAGS 39:142–148

    CAS  Google Scholar 

  • Postma TJ, Aaronson NK, Heimans JJ (2005) The development of an EORTC quality of life questionnaire to assess chemotherapy-induced peripheral neuropathy: the QLQ-CIPN20. Eur J Cancer 41(8):1135–1139

    Article  CAS  PubMed  Google Scholar 

  • Rakos M, Freudenschuß B, Girsch W, Hofer C, Kaus J, Meiners T, Paternostro-Sluga T, Mayr W (1999) Electromyogram-controlled functional electrical stimulation for treatment of the paralyzed upper extremity. Artif Organs 23(5):466–469

    Article  CAS  PubMed  Google Scholar 

  • Steenbeek D, Gorter JW, Ketelaar M, Galama K, Lindeman E (2011) Responsiveness of Goal Attainment Scaling in comparison to two standardized measures in outcome evaluation of children with cerebral palsy. Clin Rehabil 25(12):1128–1139

    Article  PubMed  Google Scholar 

  • Van der Kooi EL, Vogels OJ, van Asseldonk RJ, Lindeman E, Hendriks JC, Wohlgemuth M, van der Maarel SM, Padberg GW (2004) Strength training and albuterol in facioscapulohumeral muscular dystrophy. Neurology 63:702–708

    Article  PubMed  Google Scholar 

  • Van der Meche FG, Schmitz PI (1992) A randomized trial comparing intravenous immune globulin and plasma exchange in Guillain-Barre syndrome. Dutch Guillain-Barre Study Group. N Engl J Med 326:1123–1129

    Article  PubMed  Google Scholar 

  • Vignos PJ, Watkins MP (1966) Physical therapy for muscular dystrophy children. JAMA 197:26–32

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Wien

About this chapter

Cite this chapter

Paternostro-Sluga, T., Quittan, M. (2014). Principles of Nerve and Muscle Rehabilitation. In: Atlas of Neuromuscular Diseases. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1605-0_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-1605-0_3

  • Published:

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1604-3

  • Online ISBN: 978-3-7091-1605-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics