Do 'sliders' slide and 'tensioners' tension?: An analysis of neurodynamic techniques and considerations regarding their application
Do 'sliders' slide and 'tensioners' tension?: An analysis of neurodynamic techniques and considerations regarding their application
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DOI：
10.1016/j.math.2006.12.008
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发表时间：
2008-06-01
期刊：
影响因子：
--
通讯作者：
Butler, David S.
中科院分区：
文献类型：
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作者：
Coppieters, Michel W.;Butler, David S.
尽管腕管综合征和肘管综合征的患病率很高，但临床实践指南的质量很差，并且对非侵入性治疗方式的记录往往很少。这项尸体生物力学研究的目的是测量不同类型的神经滑动练习期间手腕和肘部近端的正中神经和尺神经的纵向偏移和应变。结果证实了临床假设，即“滑动技术”导致神经的偏移比“张紧技术”大得多（例如，手腕处的正中神经：12.6 毫米与 6.1 毫米，肘部的尺神经：8.3 毫米与 3.8 毫米），并且这种较大的偏移与较小的应变变化相关（例如，手腕处的正中神经：0.8%（滑动）与6.8%（张紧））。研究结果表明，不同类型的神经滑动练习对周围神经系统有很大不同的机械效应。因此，不同类型的技术不应被视为同质练习组的一部分，因为它们可能以不同的方式影响神经病理过程。本研究的结果以及神经滑动练习对神经病理过程可能产生的有益影响的讨论可能有助于临床医生在常见神经病的保守治疗和术后治疗中选择更合适的神经滑动练习。 (c) 2007 Elsevier Ltd. 保留所有权利。
Despite the high prevalence of carpal tunnel syndrome and cubital tunnel syndrome, the quality of clinical practice guidelines is poor and non-invasive treatment modalities are often poorly documented. The aim of this cadaveric biomechanical study was to measure longitudinal excursion and strain in the median and ulnar nerve at the wrist and proximal to the elbow during different types of nerve gliding exercises. The results confirmed the clinical assumption that 'sliding techniques' result in a substantially larger excursion of the nerve than 'tensioning techniques' (e.g., median nerve at the wrist: 12.6 versus 6.1 mm, ulnar nerve at the elbow: 8.3 versus 3.8 mm), and that this larger excursion is associated with a much smaller change in strain (e.g., median nerve at the wrist: 0.8% (sliding) versus 6.8% (tensioning)). The findings demonstrate that different types of nerve gliding exercises have largely different mechanical effects on the peripheral nervous system. Hence different types of techniques should not be regarded as part of a homogenous group of exercises as they may influence neuropathological processes differently. The findings of this study and a discussion of possible beneficial effects of nerve gliding exercises on neuropathological processes may assist the clinician in selecting more appropriate nerve gliding exercises in the conservative and post-operative management of common neuropathies. (c) 2007 Elsevier Ltd. All rights reserved.