Evidence map›Paper›PMID 36766469›Full record

ReviewDiagnostics (Basel, Switzerland)2023

The Role of Physical Exercise and Rehabilitative Implications in the Process of Nerve Repair in Peripheral Neuropathies: A Systematic Review.

Rita Chiaramonte, Vito Pavone, Gianluca Testa, Isabella Pesce, Dalila Scaturro, Giuseppe Musumeci, Giulia Letizia Mauro, Michele Vecchio

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. BeyondFrontiers in pain research (Lausanne, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rita ChiaramonteSection of Pharmacology, Department of Biomedical and Biotechnological Sciences, University of Catania, 95124 Catania, Italy.ORCID 0000-0003-1256-7605
Vito PavoneSection of Orthopaedics and Traumatology, Department of General Surgery and Medical Surgical Specialties, University Hospital Policlinico "Rodolico-San Marco", University of Catania, 95123 Catania, Italy.ORCID 0000-0001-5664-8066
Gianluca TestaSection of Orthopaedics and Traumatology, Department of General Surgery and Medical Surgical Specialties, University Hospital Policlinico "Rodolico-San Marco", University of Catania, 95123 Catania, Italy.
Isabella PesceSection of Pharmacology, Department of Biomedical and Biotechnological Sciences, University of Catania, 95124 Catania, Italy.
Dalila ScaturroDepartment of Surgery, Oncology, and Stomatology, University of Palermo, Via Liborio Giuffrè 5, 90127 Palermo, Italy.ORCID 0000-0002-5035-2288
Giuseppe MusumeciDepartment of Biomedical and Biotechnological Sciences, Anatomy, Histology and Movement Sciences Section, University of Catania, 95124 Catania, Italy.ORCID 0000-0002-8260-8890
Giulia Letizia MauroDepartment of Surgery, Oncology, and Stomatology, University of Palermo, Via Liborio Giuffrè 5, 90127 Palermo, Italy.
Michele VecchioSection of Pharmacology, Department of Biomedical and Biotechnological Sciences, University of Catania, 95124 Catania, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe various mechanisms involved in peripheral nerve regeneration, induced by exercise and electrical nerve stimulation, are still unclear.

objectiveThe aim of this review was to summarize the influence of physical exercise and/or electrical stimulation on peripheral nerve repair and regeneration and the variation of impact of intervention depending on timing, as well as kind and dosage of the intervention. A literature survey was conducted on PubMed, Scopus, and Web of Science, between February 2021 to July 2021, with an update in September 2022. METHODOLOGY: The literature search identified 101,386 articles with the keywords: "peripheral nerve" OR "neuropathy" AND "sprouting" OR "neuroapraxia" OR "axonotmesis" OR "neurotmesis" OR "muscle denervation" OR "denervated muscle" AND "rehabilitation" OR "physical activity" OR "physical exercise" OR "activity" OR "electrical stimulation". A total of 60 publications were included. Eligible studies were focused on evaluating the process of nerve repair (biopsy, electromyographic parameters or biomarker outcomes) after electrical stimulation or physical exercise interventions on humans or animals with peripheral sensory or motor nerve injury. SYNTHESIS: This study shows that the literature, especially regarding preclinical research, is mainly in agreement that an early physical program with active exercise and/or electrical stimulation promotes axonal regenerative responses and prevents maladaptive response. This was evaluated by means of changes in electrophysiological recordings of CMAPs for latency amplitude, and the sciatic functional index (SFI). Furthermore, this type of activity can cause an increase in weight and in muscle fiber diameter. Nevertheless, some detrimental effects of exercising and electrical stimulation too early after nerve repair were recorded.

conclusionIn most preclinical studies, peripheral neuropathy function was associated with improvements after physical exercise and electrical stimulation. For humans, too little research has been conducted on this topic to reach a complete conclusion. This research supports the need for future studies to test the validity of a possible rehabilitation treatment in humans in cases of peripheral neuropathy to help nerve sprouting.

Indexed as

animalsexercisehumansnerve regenerationnerve stimulationperipheral neuropathyphysical activity

Identifiers

PMID36766469
PMCPMC9914426

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.