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  4. Early Intensive Neurorehabilitation in Traumatic Peripheral Nerve Injury—State of the Art

Early Intensive Neurorehabilitation in Traumatic Peripheral Nerve Injury—State of the Art

Animals, 2024 · DOI: https://doi.org/10.3390/ani14060884 · Published: March 13, 2024

NeurologyVeterinary MedicineNeurorehabilitation

Simple Explanation

Peripheral nerve injuries are common in the clinical setting and may affect functionality by permanent monoplegia that could end in amputation. Electrical stimulation is an option to help recovery, in addition to exercises and locomotor training with a positive synergetic effect on nerve regeneration. These approaches could benefit from other rehabilitation techniques, such as laser and ultrasounds, as well as cell-based therapies, considering a One Health perspective.

Study Duration
Not specified
Participants
Dogs and cats
Evidence Level
Review

Key Findings

  • 1
    Non-invasive neurorehabilitation modalities could be prescribed in PNI, considering the synergetic power of FES and locomotor training as one of the best therapeutic approaches to obtain faster recovery of sensory–motor functions.
  • 2
    Regenerative medicine, including stem cell transplantation (such as MSCs), are innovative therapeutic tools in the field of nerve repair that may help to revert cellular changes, reducing neural apoptosis and supporting neurogenesis
  • 3
    The recovery and repair of nerve sensory–motor functions depend on several different factors, which include muscle atrophy, joint contractures, persistent lameness, a weakness that enables weight support and possible neuropathic pain.

Research Summary

Peripheral nerve injuries are common lesions that affect several hundred thousand humans, as well as dogs and cats. This review offers a hands-on vision of the non-invasive and conservative approaches to peripheral nerve injury, focusing on the role of neurorehabilitation in nerve repair and regeneration. Non-invasive neurorehabilitation modalities could be prescribed in PNI, considering the synergetic power of FES and locomotor training as one of the best therapeutic approaches to obtain faster recovery of sensory–motor functions.

Practical Implications

Clinical Practice

The review provides a consolidated overview of current non-invasive neurorehabilitation approaches for peripheral nerve injuries in veterinary medicine, including electrical stimulation, exercises, laser therapy, and cell-based therapies. This information can aid clinicians in developing comprehensive treatment plans.

Future Research

The review highlights the potential benefits of combining different therapeutic modalities, such as FES and locomotor training, and regenerative medicine approaches like stem cell transplantation. Further research is needed to optimize these combined therapies and evaluate their long-term efficacy.

One Health Perspective

By emphasizing the translational potential of animal models for studying nerve regeneration, the review encourages a One Health approach to peripheral nerve injury research. This perspective promotes collaboration between veterinary and human medicine to improve therapeutic outcomes for both species.

Study Limitations

  • 1
    Lack of standardized parameters for rehabilitation modalities.
  • 2
    Limited long-term studies on the efficacy of combined therapies.
  • 3
    Variability in individual responses to treatment.

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