Cargando…

IS THE OUTCOME OF DIAGNOSTIC NERVE BLOCK RELATED TO SPASTIC MUSCLE ECHO INTENSITY? A RETROSPECTIVE OBSERVATIONAL STUDY ON PATIENTS WITH SPASTIC EQUINOVARUS FOOT

OBJECTIVE: To investigate the relationship between spastic calf muscles echo intensity and the outcome of tibial nerve motor branches selective block in patients with spastic equinovarus foot. DESIGN: Retrospective observational study. PATIENTS: Forty-eight patients with spastic equinovarus foot. ME...

Descripción completa

Detalles Bibliográficos
Autores principales: FILIPPETTI, Mirko, DI CENSO, Rita, VARALTA, Valentina, BARICICH, Alessio, SANTAMATO, Andrea, SMANIA, Nicola, PICELLI, Alessandro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical Journals Sweden AB 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8966640/
https://www.ncbi.nlm.nih.gov/pubmed/35266004
http://dx.doi.org/10.2340/jrm.v54.85
_version_ 1784678682571309056
author FILIPPETTI, Mirko
DI CENSO, Rita
VARALTA, Valentina
BARICICH, Alessio
SANTAMATO, Andrea
SMANIA, Nicola
PICELLI, Alessandro
author_facet FILIPPETTI, Mirko
DI CENSO, Rita
VARALTA, Valentina
BARICICH, Alessio
SANTAMATO, Andrea
SMANIA, Nicola
PICELLI, Alessandro
author_sort FILIPPETTI, Mirko
collection PubMed
description OBJECTIVE: To investigate the relationship between spastic calf muscles echo intensity and the outcome of tibial nerve motor branches selective block in patients with spastic equinovarus foot. DESIGN: Retrospective observational study. PATIENTS: Forty-eight patients with spastic equinovarus foot. METHODS: Each patient was given selective diagnostic nerve block (lidocaine 2% perineural injection) of the tibial nerve motor branches. All patients were evaluated before and after block. Outcomes were: spastic calf muscles echo intensity measured with the Heckmatt scale; affected ankle dorsiflexion passive range of motion; calf muscles spasticity measured with the modified Ashworth scale and the Tardieu scale (grade and angle). RESULTS: Regarding the outcome of tibial nerve selective diagnostic block (difference between pre- and post-block condition), Spearman’s correlation showed a significant inverse association of the spastic calf muscles echo intensity with the affected ankle dorsiflexion passive range of motion (p = 0.045; ρ = 00–0.269), modified Ashworth scale score (p = 0.014; ρ = –0.327), Tardieu grade (p = 0.008; ρ = –0.352) and Tardieu angle (p = 0.043; ρ = –0.306). CONCLUSION: These findings support the hypothesis that patients with spastic equinovarus foot with higher spastic calf muscles echo intensity have a poor response to selective nerve block of the tibial nerve motor branches.
format Online
Article
Text
id pubmed-8966640
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Medical Journals Sweden AB
record_format MEDLINE/PubMed
spelling pubmed-89666402022-03-31 IS THE OUTCOME OF DIAGNOSTIC NERVE BLOCK RELATED TO SPASTIC MUSCLE ECHO INTENSITY? A RETROSPECTIVE OBSERVATIONAL STUDY ON PATIENTS WITH SPASTIC EQUINOVARUS FOOT FILIPPETTI, Mirko DI CENSO, Rita VARALTA, Valentina BARICICH, Alessio SANTAMATO, Andrea SMANIA, Nicola PICELLI, Alessandro J Rehabil Med Short Communication OBJECTIVE: To investigate the relationship between spastic calf muscles echo intensity and the outcome of tibial nerve motor branches selective block in patients with spastic equinovarus foot. DESIGN: Retrospective observational study. PATIENTS: Forty-eight patients with spastic equinovarus foot. METHODS: Each patient was given selective diagnostic nerve block (lidocaine 2% perineural injection) of the tibial nerve motor branches. All patients were evaluated before and after block. Outcomes were: spastic calf muscles echo intensity measured with the Heckmatt scale; affected ankle dorsiflexion passive range of motion; calf muscles spasticity measured with the modified Ashworth scale and the Tardieu scale (grade and angle). RESULTS: Regarding the outcome of tibial nerve selective diagnostic block (difference between pre- and post-block condition), Spearman’s correlation showed a significant inverse association of the spastic calf muscles echo intensity with the affected ankle dorsiflexion passive range of motion (p = 0.045; ρ = 00–0.269), modified Ashworth scale score (p = 0.014; ρ = –0.327), Tardieu grade (p = 0.008; ρ = –0.352) and Tardieu angle (p = 0.043; ρ = –0.306). CONCLUSION: These findings support the hypothesis that patients with spastic equinovarus foot with higher spastic calf muscles echo intensity have a poor response to selective nerve block of the tibial nerve motor branches. Medical Journals Sweden AB 2022-03-29 /pmc/articles/PMC8966640/ /pubmed/35266004 http://dx.doi.org/10.2340/jrm.v54.85 Text en © Published by Medical Journals Sweden, on behalf of the Foundation for Rehabilitation Information https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Short Communication
FILIPPETTI, Mirko
DI CENSO, Rita
VARALTA, Valentina
BARICICH, Alessio
SANTAMATO, Andrea
SMANIA, Nicola
PICELLI, Alessandro
IS THE OUTCOME OF DIAGNOSTIC NERVE BLOCK RELATED TO SPASTIC MUSCLE ECHO INTENSITY? A RETROSPECTIVE OBSERVATIONAL STUDY ON PATIENTS WITH SPASTIC EQUINOVARUS FOOT
title IS THE OUTCOME OF DIAGNOSTIC NERVE BLOCK RELATED TO SPASTIC MUSCLE ECHO INTENSITY? A RETROSPECTIVE OBSERVATIONAL STUDY ON PATIENTS WITH SPASTIC EQUINOVARUS FOOT
title_full IS THE OUTCOME OF DIAGNOSTIC NERVE BLOCK RELATED TO SPASTIC MUSCLE ECHO INTENSITY? A RETROSPECTIVE OBSERVATIONAL STUDY ON PATIENTS WITH SPASTIC EQUINOVARUS FOOT
title_fullStr IS THE OUTCOME OF DIAGNOSTIC NERVE BLOCK RELATED TO SPASTIC MUSCLE ECHO INTENSITY? A RETROSPECTIVE OBSERVATIONAL STUDY ON PATIENTS WITH SPASTIC EQUINOVARUS FOOT
title_full_unstemmed IS THE OUTCOME OF DIAGNOSTIC NERVE BLOCK RELATED TO SPASTIC MUSCLE ECHO INTENSITY? A RETROSPECTIVE OBSERVATIONAL STUDY ON PATIENTS WITH SPASTIC EQUINOVARUS FOOT
title_short IS THE OUTCOME OF DIAGNOSTIC NERVE BLOCK RELATED TO SPASTIC MUSCLE ECHO INTENSITY? A RETROSPECTIVE OBSERVATIONAL STUDY ON PATIENTS WITH SPASTIC EQUINOVARUS FOOT
title_sort is the outcome of diagnostic nerve block related to spastic muscle echo intensity? a retrospective observational study on patients with spastic equinovarus foot
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8966640/
https://www.ncbi.nlm.nih.gov/pubmed/35266004
http://dx.doi.org/10.2340/jrm.v54.85
work_keys_str_mv AT filippettimirko istheoutcomeofdiagnosticnerveblockrelatedtospasticmuscleechointensityaretrospectiveobservationalstudyonpatientswithspasticequinovarusfoot
AT dicensorita istheoutcomeofdiagnosticnerveblockrelatedtospasticmuscleechointensityaretrospectiveobservationalstudyonpatientswithspasticequinovarusfoot
AT varaltavalentina istheoutcomeofdiagnosticnerveblockrelatedtospasticmuscleechointensityaretrospectiveobservationalstudyonpatientswithspasticequinovarusfoot
AT baricichalessio istheoutcomeofdiagnosticnerveblockrelatedtospasticmuscleechointensityaretrospectiveobservationalstudyonpatientswithspasticequinovarusfoot
AT santamatoandrea istheoutcomeofdiagnosticnerveblockrelatedtospasticmuscleechointensityaretrospectiveobservationalstudyonpatientswithspasticequinovarusfoot
AT smanianicola istheoutcomeofdiagnosticnerveblockrelatedtospasticmuscleechointensityaretrospectiveobservationalstudyonpatientswithspasticequinovarusfoot
AT picellialessandro istheoutcomeofdiagnosticnerveblockrelatedtospasticmuscleechointensityaretrospectiveobservationalstudyonpatientswithspasticequinovarusfoot