000136274 001__ 136274
000136274 005__ 20250923084426.0
000136274 0247_ $$2doi$$a10.1016/j.msksp.2024.103146
000136274 0248_ $$2sideral$$a139306
000136274 037__ $$aART-2024-139306
000136274 041__ $$aeng
000136274 100__ $$aPérez-Bellmunt, Albert
000136274 245__ $$aEffect of cervical contralateral lateral flexion on the median nerve and fascia at the wrist – Cadaveric study
000136274 260__ $$c2024
000136274 5060_ $$aAccess copy available to the general public$$fUnrestricted
000136274 5203_ $$aBackground
Neurodynamic tests are an essential aspect of the physical examination of the patient when suspicion of neural involvement exists. A manoeuvre that is hypothesised to move nerves differentially relative to other structures (structural differentiation) has been proposed as a necessary part of neurodynamic testing for differential diagnosis. However, although the specificity of structural differentiation for peripheral nerve over muscle has been demonstrated in some body regions, no study has tested specificity of nerve movement relative to fascia.
Objectives
The aim of this study was to measure the effect of the cervical contralateral lateral flexion (CCLF) as an structural differentiation manoeuvre for the median nerve compared to fascia (superficial and deep) at the wrist during the upper limb neurodynamic test 1 (ULNT1).
Design
A cross-sectional study was performed in 5 fresh frozen cadavers.
Methods
Excursion and strain in the fascia (superficial and deep) and the median nerve were measured at the wrist with structural differentiation during the ULNT1. KINOVEA software was used to measure kinematic parameters.
Results
CCLF resulted in significant proximal excursion in the median nerve (p < 0.001*) but not in the strain. CCLF neither produced changes in strain nor excursion in the superficial and deep fascia (p > 0.05).
Conclusion
This study showed that CCLF produced significant differential excursion in the median nerve at the wrist compared to the local superficial and deep fascia during the ULNT1. The data support CCLF in mechanical differentiation between nerve and fascia in this area in diagnosis of local sources of wrist pain.
000136274 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000136274 590__ $$a2.2$$b2024
000136274 592__ $$a0.85$$b2024
000136274 591__ $$aREHABILITATION$$b43 / 173 = 0.249$$c2024$$dQ1$$eT1
000136274 593__ $$aPhysical Therapy, Sports Therapy and Rehabilitation$$c2024$$dQ1
000136274 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000136274 700__ $$aLópez-de-Celis, Carlos
000136274 700__ $$0(orcid)0000-0002-5161-7479$$aEstébanez-de-Miguel, Elena$$uUniversidad de Zaragoza
000136274 700__ $$0(orcid)0000-0001-5842-6010$$aPérez-Rey, Jorge$$uUniversidad de Zaragoza
000136274 700__ $$aShacklock, Michael
000136274 700__ $$aOrtiz-Miguel, Sara
000136274 700__ $$0(orcid)0000-0002-0026-9224$$aBueno-Gracia, Elena$$uUniversidad de Zaragoza
000136274 7102_ $$11003$$2027$$aUniversidad de Zaragoza$$bDpto. Anatom.Histolog.Humanas$$cArea Anatom.Embriol.Humana
000136274 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000136274 773__ $$g73 (2024), 103146 [5 pp.]$$pMusculoeskelet. sci. pract.$$tMUSCULOSKELETAL SCIENCE AND PRACTICE$$x2468-8630
000136274 8564_ $$s3066269$$uhttps://zaguan.unizar.es/record/136274/files/texto_completo.pdf$$yVersión publicada
000136274 8564_ $$s2449479$$uhttps://zaguan.unizar.es/record/136274/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000136274 909CO $$ooai:zaguan.unizar.es:136274$$particulos$$pdriver
000136274 951__ $$a2025-09-22-14:39:54
000136274 980__ $$aARTICLE