Neuromuscular Electrical Stimulation and Hand Rehabilitation Following Median Nerve and Radial Artery Injury in a Pediatric Patient: A Case Report

Abstract Median nerve injuries in pediatric patients represent a significant challenge due to their impact on hand function and fine motor development. This case report presents the rehabilitation outcomes of a seven-year-old child who sustained a traumatic injury involving the flexor pollicislongus and flexor carpi radialis muscles with associated radial artery injury and median nerve lesion. The patient underwent a structured physiotherapy program including neuromuscular electrical stimulation and task-oriented hand exercises over six weeks. Electrodiagnostic evaluation before treatment revealed severe denervation of the recurrent thenar motor branch of the median nerve. Follow up electrodiagnostic findings after rehabilitation demonstrated improvement in motor nerve parameters which correlated with marked functional recovery. This case highlights the potential effectiveness of neuromuscular electrical stimulation combined with functional hand training in pediatric peripheral nerve injuries.