THE ROLE OF THE REPEATED CONTRACTIONS AND OF THE ACTIVE RELAXATION-OPPOSITION MOVEMENT IN FACILITATING THE MOTOR RESPONSE IN THE CASE OF PATIENTS WITH MIXED PARESIS ON THE LEVEL OF THE MEDIAL AND CUBITAL NERVE

Abstract

This paper presents a study performed on a number of three subjects with mixed median and cubital nerve paresis, study carried out over a period of 10 months and aiming at underlining the role of the proprioceptive and neuromuscular facilitation techniques, more exactly the repeated contractions and the active relaxation-opposition movement in facilitating the motor response on the level of the paretic muscles.  The individualized recovery programme focused on: isometric contractions, analytical active mobilisations of the non-affected segments, Trendelenburg positions, cryotherapy with antialgic decontracting role, massage, manual lymphatic drainage, ultrasounds and ionizations with anti-inflammatory and anti-sclerotic effect, orthotic therapy, application of wet cataplasms with Mg sulphate, passive, auto-passive, active exercise and active exercise with resistance, as well as facilitation techniques.

The results achieved confirm the hypotheses formulated, and in conclusion we can state that the facilitation techniques, more exactly the repeated contractions (RC) and the active relaxation-opposition movement (AROM) are the basic methods during the first stage of the recovery of the peripheral motor neuron injuries, since only by using them can we induce the voluntary motor activity, and later increase the muscular strength, which lead to the improvement of the sensorial and the vascular-motor parameters and finally the patient recovers the functionality during the daily activities.