| Titre : | The sono-elastography evaluation of the immediate effects of neurodynamic mobilization technique on median nerve stiffness in patients with carpal tunnel syndrome (2023) |
| Auteurs : | Sahar Khademi ; Amin Kordi Yoosefinejad ; Alireza Motealleh ; Iman Rezaei ; Leila Abbasi ; Reza Jalli |
| Type de document : | Article |
| Dans : | Journal of Bodywork and Movement Therapies (Vol. 36, Octobre 2023) |
| Article en page(s) : | p. 62-68 |
| Note générale : | https://doi.org/10.1016/j.jbmt.2023.01.001 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Élasticité ; Imagerie d'élasticité tissulaire ; Mobilisation ; Nerf médian ; Rigidité vasculaire ; Syndrome du canal carpien |
| Résumé : | Objectives The stiffness of median nerve increases in carpal tunnel syndrome (CTS) even at mild stage of syndrome which could be regarded as a diagnostic criterion. The aim of this study was to evaluate the immediate effects of neurodynamic technique on median nerve stiffness and cross-sectional area (CSA) at wrist and elbow in individuals with CTS. Material and methods It was a quasi-experimental study. Twenty patients were recruited for this study. They were included if aged 18?65 years and diagnosed with CTS based on electrodiagnostic and clinical findings. The exclusion criteria were previous surgeries at wrist or elbow. Patients were assessed by shear wave sono-elastography before and immediately after one session of neurodynamic mobilization technique (NDM). The primary outcome measure was the stiffness of the median nerve at wrist and the secondary outcomes were nerve stiffness at elbow and CSA of nerve at wrist and elbow. Results Median nerve stiffness and CSA decreased significantly at wrist immediately after a session of NDM. These parameters also decreased at elbow but were not statistically significant. Conclusion One session of NDM reduced the stiffness and CSA of median nerve at wrist in patients with CTS as detected by sono-elastography verifying that sono-elastography is able to quickly detect the immediate biomechanical changes of the median nerve. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1360859223000013 |
Bibliothèques HE Vinci
