Median Nerve Disease
Conditions
Keywords
neuromobilization, elasticity, shear wave elastography
Brief summary
Purpose: The aim of this study was to investigate the effect of median nerve neuromobilization on median nerve elasticity using shear wave elastography. Methods: The study included 36 healthy volunteers (72 upper extremities) aged 18-30 years. Inclusion criteria; no known systemic neuromuscular and metabolic diseases, no nerve impingement syndrome, and no upper extremity bone-tendon-muscle surgery in the last six months. Sociodemographic data of the participants were recorded. Wrist flexion and extension bilaterally with universal goniometer and finger grip strength bilaterally were measured with pinchmeter. Median Nerve Stress Test was performed. Median nerve elasticity was measured by Shear Wave Ultrasound Elastography. The extremity of the dominant side as a study group and the non-dominant side as a control group were measured bilaterally. Median nerve neuromobilization (stretching (n = 18) and shifting (n = 18)) was applied to the upper extremities of the dominant side. The application was carried out as 3 sets in one session. Evaluations were repeated after application.
Interventions
OTHERneuromobilization exercises
Median nerve neuromobilization (stretching and shifting) was performed. For median nerve stretching; The subjects were brought to shoulder depression and 90 degrees of abduction while the dominant side forearms were supination. In this position, median nerve stretching was performed by extending the participant's head to the opposite side while flexing the wrist and finger. After waiting for 30 seconds in this position, the wrist and head were moved to the neutral position and the participants relaxed. For median nerve shift; The subjects were brought to shoulder depression and 90 degrees of abduction while the dominant side forearms were supination. In this position, the participant flexed his wrist and fingers while lateral flexion of his head to the opposite side, and flexed his wrist and fingers while lateral flexion of the head to the same side.
Sponsors
Istinye University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
The researcher who performed shear wave elastography did not know which group the case was evaluated during the measurement.
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
Yes
Inclusion criteria
* 18-30 years of age * Healthy individuals without any known systemic disease
Exclusion criteria
* Those who have undergone an upper extremity bone-tendon-muscle operation in the last six months * People with a systemic disease such as rheumatoid arthritis, diabetes mellitus * Patients with any neuromuscular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Median Nerve Tension Test | 4 weeks | The test was performed in a position with shoulder depression and 90 degrees abduction and external rotation, elbow 90 degrees flexion, forearm full supination, and wrist and fingers fully extended. Maintaining this position, the elbow was passively extended and the tension of the median nerve was tested. The test was stopped at the point where the patient felt pain and tension, and the angle at the elbow was measured by a universal goniometer. |
| Median nerve elasticity with Shear Wave Ultrasound Elastography | 4 weeks | The nerve elasticity was measured by measuring the velocity of shear waves in the median nerve by means of high frequency ultrasound waves. |
| Bilaterally finger grip strength with pinchmeter | 4 weeks | finger grip strength was measured bilaterally by pinch meter. |
Countries
Turkey (Türkiye)
Outcome results
None listed