000147146 001__ 147146
000147146 005__ 20241212141913.0
000147146 0247_ $$2doi$$a10.1016/j.msksp.2024.103221
000147146 0248_ $$2sideral$$a140923
000147146 037__ $$aART-2024-140923
000147146 041__ $$aeng
000147146 100__ $$aCiuffreda, Gianluca$$uUniversidad de Zaragoza
000147146 245__ $$aMedian nerve stiffness with three movement sequences of the upper limb neurodynamic test 1: An ultrasound shear-wave elastography study
000147146 260__ $$c2024
000147146 5060_ $$aAccess copy available to the general public$$fUnrestricted
000147146 5203_ $$aBackground
During the Upper Limb Neurodynamic Test 1 (ULNT1) joint movement order can be varied to improve its diagnostic accuracy. However, nerve behavior with neurodynamic sequences still requires in vivo research.
Objective
To quantify differences in median nerve (MN) stiffness measuring shear-wave velocity (SWV) with ultrasound elastography during three sequences of the ULNT1.
Design
Cross-sectional study.
Methods
MN SWV was measured in 35 asymptomatic subjects at the wrist and elbow at the initial and final position (P1) of the standard (ULNT1-STD), proximal-to-distal (ULNT1-PROX) and distal-to-proximal (ULNT1-DIST) sequences of the ULNT1.
Results
Significantly different increases at P1 in nerve stiffness occurred between sequences and locations (p < 0.001). At the wrist, the ULNT1-PROX produced the smallest increase (44.32% ± 44.06, SWV: 4.49 ± 0.95 m/s), the ULNT1-STD produced a larger increase (82.13% ± 45.36, SWV: 5.67 ± 0.79 m/s, p < 0.001) and the ULNT1-DIST produced the largest (92.90% ± 55.37, SWV: 5.97 ± 0.79 m/s, p < 0.001). Differences between the ULNT1-DIST and ULNT1-STD did not reach significance.
At the elbow, the ULNT1-PROX showed a 119.92% ± 53.51 increase (SWV: 4.08 ± 0.84 m/s), the ULNT1-DIST a 134.84% ± 53.83 (SWV: 4.34 ± 0.77 m/s), and the ULNT1-STD a 113.30% ± 59.28 (SWV: 3.98 ± 1.04 m/s). No significant differences were found among the sequences.
Conclusion
The ULNT1-STD and ULNT1-DIST showed greater increases at MN stiffness at the wrist compared to the ULNT1-PROX. This supports a basis for future investigation of the mechanisms of neurodynamic testing in which emphasizing anatomical locations for improving diagnostic efficacy might be applied.
000147146 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000147146 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000147146 700__ $$0(orcid)0000-0002-5161-7479$$aEstébanez-de-Miguel, Elena$$uUniversidad de Zaragoza
000147146 700__ $$0(orcid)0000-0003-1292-3163$$aAlbarova-Corral, Isabel$$uUniversidad de Zaragoza
000147146 700__ $$0(orcid)0000-0001-9080-0543$$aMalo-Urriés, Miguel$$uUniversidad de Zaragoza
000147146 700__ $$aShacklock, Michael
000147146 700__ $$0(orcid)0009-0000-0252-5642$$aMontaner-Cuello, Alberto$$uUniversidad de Zaragoza
000147146 700__ $$0(orcid)0000-0002-0026-9224$$aBueno-Gracia, Elena$$uUniversidad de Zaragoza
000147146 7102_ $$11003$$2027$$aUniversidad de Zaragoza$$bDpto. Anatom.Histolog.Humanas$$cArea Anatom.Embriol.Humana
000147146 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000147146 773__ $$g75, 2 (2024), 103221 [8 pp.]$$pMusculoeskelet. sci. pract.$$tMUSCULOSKELETAL SCIENCE AND PRACTICE$$x2468-8630
000147146 8564_ $$s2827592$$uhttps://zaguan.unizar.es/record/147146/files/texto_completo.pdf$$yVersión publicada
000147146 8564_ $$s2490928$$uhttps://zaguan.unizar.es/record/147146/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000147146 909CO $$ooai:zaguan.unizar.es:147146$$particulos$$pdriver
000147146 951__ $$a2024-12-12-12:43:50
000147146 980__ $$aARTICLE