Spinal Accessory Nerve Injury Induced by Manipulation Therapy: A Case Report
Annals of Rehabilitation Medicine
;
: 773-776, 2018.
Article
in English
| WPRIM
| ID: wpr-717775
ABSTRACT
Spinal accessory nerve (SAN) injury mostly occurs during surgical procedures. SAN injury caused by manipulation therapy has been rarely reported. We present a rare case of SAN injury associated with manipulation therapy showing scapular winging and droopy shoulder. A 42-year-old woman visited our outpatient clinic complaining of pain and limited active range of motion (ROM) in right shoulder and scapular winging after manipulation therapy. Needle electromyography and nerve conduction study suggested SAN injury. Physical therapy (PT) three times a week for 2 weeks were prescribed. After a total of 6 sessions of PT and modality, the patient reported that the pain was gradually relieved during shoulder flexion and abduction with improved active ROM of shoulder. Over the course of 2 months follow-up, the patient reported almost recovered shoulder ROM and strength as before. She did not complain of shoulder pain any more.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Shoulder
/
Follow-Up Studies
/
Range of Motion, Articular
/
Shoulder Pain
/
Musculoskeletal Manipulations
/
Electromyography
/
Accessory Nerve Injuries
/
Ambulatory Care Facilities
/
Accessory Nerve
/
Needles
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2018
Type:
Article
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