Intramuscular Sensory Neurolysis : A New Technique to Control Spasticity

Authors

Chang-Zern Hong

Translated Title

肌肉內感覺神經阻斷術：控制痙攣狀態之新方法

Abstract

This preliminary report demonstrated a new technique, “intramuscular sensory neurolysis” (IMSN), to control the muscle spasticity. Similar to myofascial trigger point (MTrP) injection, the needle were rapidly inserted, for a short distance (1 mm) each thrust, into the MTrP region (in the endplate zone) to elicit local twitch responses to identify the terminal sensory fibers for phenol injection. Immediate relief of spasticity was noticed both subjectively and objectively after IMSN. As compared with the traditional motor point block, the advantage of IMSN includes: 1) less time (usually 3-5 minutes for each MTrP region) required to perform the whole procedure in a site, 2) less amount of phenol solution required to inject a muscle to obtain significant therapeutic effectiveness, 3) less trauma to muscle, 4) Less systemic side effects, 5) no obvious side effect of motor weakness, and 6) less cost.

Language

English

DOI Link

https://doi.org/10.6315/JRMA.200103.00436

First Page

43

Last Page

49

Recommended Citation

Hong, Chang-Zern (2001) "Intramuscular Sensory Neurolysis : A New Technique to Control Spasticity," Rehabilitation Practice and Science: Vol. 29: Iss. 1, Article 5.
DOI: https://doi.org/10.6315/JRMA.200103.00436
Available at: https://rps.researchcommons.org/journal/vol29/iss1/5