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首页> 外文期刊>Journal of Brachial Plexus and Peripheral Nerve Injury >Serratus muscle stimulation effectively treats notalgia paresthetica caused by long thoracic nerve dysfunction: a case series
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Serratus muscle stimulation effectively treats notalgia paresthetica caused by long thoracic nerve dysfunction: a case series

机译：锯齿肌刺激有效治疗长胸神经功能障碍引起的纳塔尔痛感（病例系列）

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Currently, notalgia paresthetica (NP) is a poorly-understood condition diagnosed on the basis of pruritus, pain, or both, in the area medial to the scapula and lateral to the thoracic spine. It has been proposed that NP is caused by degenerative changes to the T2-T6 vertebrae, genetic disposition, or nerve entrapment of the posterior rami of spinal nerves arising at T2-T6. Despite considerable research, the etiology of NP remains unclear, and a multitude of different treatment modalities have correspondingly met with varying degrees of success. Here we demonstrate that NP can be caused by long thoracic nerve injury leading to serratus anterior dysfunction, and that electrical muscle stimulation (EMS) of the serratus anterior can successfully and conservatively treat NP. In four cases of NP with known injury to the long thoracic nerve we performed transcutaneous EMS to the serratus anterior in an area far lateral to the site of pain and pruritus, resulting in significant and rapid pain relief. These findings are the first to identify long thoracic nerve injury as a cause for notalgia paresthetica and electrical muscle stimulation of the serratus anterior as a possible treatment, and we discuss the implications of these findings on better diagnosing and treating notalgia paresthetica.
机译：目前，根据在肩cap骨内侧和胸部脊柱外侧的瘙痒，疼痛或两者兼有的诊断，纳塔尔痛感病（NP）是一种难以理解的疾病。已经提出，NP是由T2-T6椎骨的退行性改变，遗传倾向或T2-T6处脊神经后支神经的神经束缚引起的。尽管进行了大量的研究，NP的病因仍不清楚，并且许多不同的治疗方式相应地获得了不同程度的成功。在这里，我们证明了NP可能是由长期的胸神经损伤导致的锯齿状前肌功能障碍引起的，并且锯齿肌的电刺激（EMS）可以成功并保守地治疗NP。在4例已知长胸神经损伤的NP病例中，我们对疼痛和瘙痒部位较远的一侧的前锯肌进行了经皮EMS治疗，从而显着快速地缓解了疼痛。这些发现是第一个发现长胸神经损伤是导致感觉异常的原因，而电刺激锯齿前肌是一种可能的治疗方法，并且我们将讨论这些发现对更好地诊断和治疗感觉异常的意义。

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