作者
Michel W Coppieters, Ali M Alshami
发表日期
2007/7
期刊
Journal of orthopaedic Research
卷号
25
期号
7
页码范围
972-980
出版商
Wiley Subscription Services, Inc., A Wiley Company
简介
Nerve and tendon gliding exercises are advocated in the conservative and postoperative management of carpal tunnel syndrome (CTS). However, traditionally advocated exercises elongate the nerve bedding substantially, which may induce a potentially deleterious strain in the median nerve with the risk of symptom exacerbation in some patients and reduced benefits from nerve gliding. This study aimed to evaluate various nerve gliding exercises, including novel techniques that aim to slide the nerve through the carpal tunnel while minimizing strain (“sliding techniques”). With these sliding techniques, it is assumed that an increase in nerve strain due to nerve bed elongation at one joint (e.g., wrist extension) is simultaneously counterbalanced by a decrease in nerve bed length at an adjacent joint (e.g., elbow flexion). Excursion and strain in the median nerve at the wrist were measured with a digital calliper and …
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MW Coppieters, AM Alshami - Journal of orthopaedic Research, 2007