Title: Effect of Aerobic Exercise on Common Peroneal Nerve Conduction in Post Burn Children

Authors: Ibrahim M.  Zoheiry, Somaia A. Hamed, Tamer E. El-Negamy, Heba M. Mohamad

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i3.47

Abstract

Purpose: to determine the effect of aerobic exercise on common peroneal nerve conduction in post burn children.

Methods of Evaluation: (Measurement of motor common peroneal nerve conduction velocity).

Subjects: Forty children their age ranged from (12-18) years of both sexes suffered from severe burn covering 20% or more of the total body surface area were divided randomly into 2 groups of equal numbers. Group (A) received Oxandrolone 1mg/kg/day and 12 weeks Aerobic exercise program. Group (B) received Oxandrolone 1mg/kg/day only; all children were selected randomly from several teaching and general hospitals in Great Cairo with the children were enrolled in 12 weeks aerobic exercise program. Measurement of motor conduction velocity of was done prior and after 12 weeks. Results are expressed as mean ± standard deviation (SD).

Results: Common peroneal motor conduction velocity were significantly improved after finishing exercise training than before start of training.

Conclusion: Aerobic exercise-induced enhancements in common peroneal motor nerve conduction indicates strong relation between aerobic exercise and nerve conduction.

Keywords: Aerobic exercise, Common peroneal nerve, Oxandrolone , nerve conduction study , severe burn.

References

 1.      Adkison, D. P., Bosse, M. J., Gaccione, D. R., & Gabriel, K. R. (1991). Anatomical variations in the course of the superficial peroneal nerve. The Journal of Bone & Joint Surgery, 73(1), 112-114.

2.      Atiyeh, B., and Janom, H. H. (2014): Physical rehabilitation of pediatric burns.Annals of burns and fire disasters, 27(1), 37.

3.      Baxter CR, (1988): "Emergency treatment of burn injury". Ann. Energ. Med. 17: 1305.

4.      Branski, L. K., Herndon, D. N., Barrow, R. E., Kulp, G. A., Klein, G. L., Suman, O. E., ... & Chinkes, D. L. (2009). Randomized controlled trial to determine the efficacy of long-term growth hormone treatment in severely burned children. Annals of surgery, 250(4), 514.

5.      Browne, G., Byrne, C., Brown, B., Pennock, M., Streiner, D., Roberts, R., ... & Dabbs, R. (1985). Psychosocial adjustment of burn survivors. Burns,12(1), 28-35.

6.      Daniels TR, Lau JT, and Hearn TC, (2003): "The effects of foot position and load on tibial nerve tension". Foot Ankle Int; 19(2):73-8.

7.      Davoodi, P., Fernandez, J. M., & Seung-Jun, O. (2008). Postburn sequelae in the pediatric patient: clinical presentations and treatment options. Journal of Craniofacial Surgery, 19(4), 1047-1052.

8.      Deutsch, A., Wyzykowski, R. J., & Victoroff, B. N. (1999). Evaluation of the anatomy of the common peroneal nerve defining nerve-at-risk in arthroscopically assisted lateral meniscus repair. The American journal of sports medicine, 27(1), 10-15.

9.      Dhavalikar, M., Narkeesh, A. & Gupta, N. (2009). Effect of Skin Temperature on Nerve Conduction Velocity and Reliability of Temperature Correction Formula in Indian Females. Journal of Exercise Science and Physiotherapy, 5 (1), 24-29.

10.  Disseldorp, L. M., Mouton, L. J., Takken, T., Van Brussel, M., Beerthuizen, G. I., Van der Woude, L. H., & Nieuwenhuis, M. K. (2012). Design of a cross-sectional study on physical fitness and physical activity in children and adolescents after burn injury. BMC pediatrics, 12(1), 1.

11.  Dixit, S., Maiya, A., & Shastry, B. (2014). Effect of aerobic exercise on quality of life in population with diabetic peripheral neuropathy in type 2 diabetes: a single blind, randomized controlled trial. Quality of Life Research,23(5), 1629-1640.

12.  Esselman, P. C., Thombs, B. D., Magyar-Russell, G., & Fauerbach, J. A. (2006). Burn rehabilitation: state of the science. American Journal of Physical Medicine & Rehabilitation, 85(4), 383-413.

13.  Güvençer, M., Akyer, P., Iyem, C., Tetik, S., & Naderi, S. (2008). Anatomic considerations and the relationship between the piriformis muscle and the sciatic nerve. Surgical and Radiologic Anatomy, 30(6), 467-474.

14.  Hart, D. W., Wolf, S. E., Ramzy, P. I., Chinkes, D. L., Beauford, R. B., Ferrando, A. A., ... & Herndon, D. N. (2001). Anabolic effects of oxandrolone after severe burn. Annals of surgery, 233(4), 556-564.

15.  Helm PA, and Head MD, (1998): "Healing time in out-patient burns as related to depth, percent, type, location and patients age". A Burn Association.

16.  Herndon, D. N., and Tompkins, R. G. (2004). Support of the metabolic response to burn injury. The Lancet, 363(9424), 1895-1902.

17.  Jablecki, C. K., Andary, C. M. T., So, Y. T., Wilkins, D. E., Williams, F. H., & AAEM Quality Assurance Committee. (1993). Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. Muscle & nerve, 16(12), 1392-1414.

18.  Kaplan SS, (2004): "Carpal tunnel syndrome: an electrodignostic and surgical Correlation". JBJS Am. V 01 34. p. 56-60.

19.  Keck CA, (2000): "The Carpal tunnel syndrome". JBJS. 44-A: 180-182.

20.  Kim JA, and Dellon AL, (2001): "Pain at the site of the tarsal tunnel incision due to the posterior branch of the saphenous nerve". JAM Podiat. Med., 91 (3): 109-113.

21.  Krause KH, Witt TL, and Ross AP, (1999): The anterior tarsal tunnel syndrome. J. neurol. 217:67.

22.  Lambert, E. H. (1969). The accessory deep peroneal nerve A common variation in innervation of extensor digitorum brevis. Neurology, 19(12), 1169-1169.

23.  M., Hafeez, S., & Mehmood, K. (2010). Management of burns. Journal Of Pharmaceutical Sciences & Research, 2, 492-498.

24.  Mallik, A., & Weir, A. (2005). Nerve conduction studies: essentials and pitfalls in practice. Journal of Neurology, Neurosurgery, and Psychiatry, 76 ( Suppl 2), ii23–ii31.

25.  Mang, C. S. (2016). The effects of acute high-intensity aerobic exercise on motor cortical plasticity and motor learning (Doctoral dissertation, University of British Columbia).

26.  Menno GG, (2004): " Carpal tunnel syndrome secondary to neurolimoma of the medial planter nerve". JBJS. Vol. 31 B-P 131-135.

27.  Nakano KK, (1998): "Entrapment neuropathies". Muscle. Nerve. 1:264.

28.  Nathan, P. A., Wilcox, A., Emerick, P. S., Meadows, K. D., & McCormack, A. L. (2001). Effects of an aerobic exercise program on median nerve conduction and symptoms associated with carpal tunnel syndrome. Journal of occupational and environmental medicine, 43(10), 840-843.

29.  Oh SJ, and Meyer RD, (1989): "Entrapment neuropathies of the tibial (posterior tibial nerve)". Neurol clin: 17 (3): 593-615.

30.  Oh SJ, and Meyer RD, (1991): "Entrapment neuropathies of the tibial (posterior tibial) nerve". Neurol Clin; 17(3):593-615. 

31.  Suman, O. E., Spies, R. J., Celis, M. M., Mlcak, R. P., & Herndon, D. N. (2001). Effects of a 12-wk resistance exercise program on skeletal muscle strength in children with burn injuries. Journal of applied physiology, 91(3), 1168-1175.

32.  Vemula MK, Berthiaume FM, and Jayaraman AS, (2004): "Expression profiling analysis of the metabolic and inflammatory changes following burn injury in rats". Physiol. Genomics, 18: 87-98.

33.  Wolfe RR and Durkot MJ, (2001): "Evaluation of the role of the sympathetic nervous system in the response of substrate kinetics and oxidation to burn injury. Circ. Shock. 9:395-406.

Corresponding Author

Ibrahim M.  Zoheiry

Physical Therapy Department for Surgery,

Faculty of Physical Therapy, October 6 University