RESPONSE OF PAIN INTENSITY TO SOFT TISSUE MOBILIZATION AND NEURODYNAMIC TECHNIQUE: A SERIES OF 18 PATIENTS WITH CHRONIC CARPAL TUNNEL SYNDROME
RESPONSE OF PAIN INTENSITY TO SOFT TISSUE MOBILIZATION AND NEURODYNAMIC TECHNIQUE: A SERIES OF 18 PATIENTS WITH CHRONIC CARPAL TUNNEL SYNDROME
复制标题
DOI：
10.1016/j.jmpt.2012.06.002
复制
发表时间：
2012-07-01
影响因子：
1.3
通讯作者：
Fernandez-de-las-Penas, Cesar
中科院分区：
文献类型：
--
作者：
De-la-Llave-Rincon, Ana I.;Ortega-Santiago, Ricardo;Fernandez-de-las-Penas, Cesar
目的：本前瞻性病例系列的目的是研究软组织动员和神经滑块神经动力学技术对慢性腕管综合征（CTS）女性疼痛和压力敏感性的综合影响。方法：18名临床和肌电图诊断CTS的女性参加。患者完成了当前、最差和最低疼痛强度的数字疼痛评定量表（NPRS），并在正中神经、桡神经和尺神经、C5-C6关节突关节、腕管和胫骨前肌上进行了疼痛压力阈值（PPT）测试。在基线和1周随访时评估疼痛，而在基线和干预后立即和1周后评估PPT。每个接受软组织动员和神经滑块神经动力学技术针对不同的解剖部位的潜在preservationsof正中nerve.Results：平均电流强度和最严重的手疼痛水平（P <0.01）的减少被发现1周后的治疗会话（平均变化，2.2 +/- 1.1点）。发现C5-C6关节突关节的PPT水平的治疗效果（P <0.001）：干预后1周，PPT双侧增加。PPT水平无其他显著变化（P > 0.195）。结论：软组织松动术和神经动力学技术的应用降低了慢性CTS女性患者的疼痛强度，但没有改变对压痛的敏感性。（J Manipulative Physiol Ther 2012;35：420-427）
Objective: The purpose of this prospective case series was to examine the combined effects of soft tissue mobilization and nerve slider neurodynamic technique on pain and pressure sensitivity in women with chronic carpal tunnel syndrome (CTS).Methods: Eighteen women with a clinical and electromyographic diagnosis of CTS participated. Patients completed the numerical pain rating scale (NPRS) for current, worst, and lowest pain intensity and underwent pain pressure threshold (PPT) testing over the median, radial, and ulnar nerves; the C5-C6 zygapophyseal joint; the carpal tunnel; and the tibialis anterior muscle. Pain was assessed at baseline and 1-week follow-up, whereas PPT were assessed at baseline and immediately after and 1-week after intervention. Each received soft tissue mobilization and nerve slider neurodynamic technique directed at different anatomical sites of potential entrapment of the median nerve.Results: A decrease in the mean current intensity and worst level of hand pain (P < .01) was found 1 week after the treatment session (mean changes, 2.2 +/- 1.1 points). A treatment effect for PPT levels over the C5-C6 zygapophysealjoint (P < .001) was found: PPT increased bilaterally 1 week after the intervention. No other significant changes in PPT levels were found (P > .195).Conclusions: The application of soft tissue mobilization and neurodynamic technique decreased the intensity of pain but did not change pressure pain sensitivity in this group of women with chronic CTS. (J Manipulative Physiol Ther 2012;35:420-427)