NEURODYNAMIC MOBILIZATION APPLICATION IN DROP FOOT: A PEDIATRIC CASE REPORT

Authors : Ömer Faruk Özçelep, Atahan Turhan

Pages : 383-396

View : 20 | Download : 16

Publication Date : 2024-12-16

Article Type : Other Papers

Abstract :Drop foot is characterized by the inability to lift the foot at the ankle. It is a common symptom in neurological conditions and can also result from orthopedic trauma. Neurodynamic mobilizations are techniques that involve sliding the nerves to alleviate nerve tension. There is limited literature on the use of neurodynamic mobilizations in pediatric patients. A four-year-old female patient presented with a drop foot to Kırşehir Ahi Evran University Physical Therapy and Rehabilitation Hospital. The main finding was that she dragged her foot on the ground while walking. This finding was confirmed by electromyography (EMG) testing of the deep peroneal nerve. In addition, loss of function was assessed with the Stanmore Assessment Questionnaire, loss of motor movement was assessed with the manual muscle strength test, and loss of sensation was assessed with the pinprick test and cotton wool. Electrical stimulation (EMS), passive mobilization of the peroneal nerve using neurodynamic techniques, and terminal knee extension with a resistant band and kinesiotape were applied. The pre-treatment score of 24 (poor) increased to 90 (good) after treatment. This study showed that a physiotherapy and rehabilitation program including passive neurodynamic mobilizations applied to the peroneal nerve increased functionality in a pediatric patient with foot drop.
Keywords : nörodinamik mobilizasyon, düşük ayak, pediatrik mobilizasyon