000147926 001__ 147926
000147926 005__ 20250923084438.0
000147926 0247_ $$2doi$$a10.3390/diagnostics14242881
000147926 0248_ $$2sideral$$a141429
000147926 037__ $$aART-2024-141429
000147926 041__ $$aeng
000147926 100__ $$aCiuffreda, Gianluca$$uUniversidad de Zaragoza
000147926 245__ $$aImpact of Neurodynamic Sequencing on the Mechanical Behaviour of the Median Nerve and Brachial Plexus: An Ultrasound Shear Wave Elastography Study
000147926 260__ $$c2024
000147926 5060_ $$aAccess copy available to the general public$$fUnrestricted
000147926 5203_ $$aBackground: When performing the Upper Limb Neurodynamic Test 1 (ULNT1), the order of joint movement can be varied to place more stress onto certain nerve segments. However, the mechanisms underlying this phenomenon are still unclear. This study aimed to analyze the differences in the stiffness of the median nerve (MN) and the brachial plexus (BP) using ultrasound shear wave elastography during three sequences of the ULNT1: standard (ULNT1-STD), distal-to-proximal (ULNT1-DIST), and proximal-to-distal (ULNT1-PROX). Methods: Shear wave velocity (SWV) was measured at the initial and final position of each sequence at the MN (wrist) and at the C5 and C6 nerve roots (interscalene level) in 31 healthy subjects. Results: A significant interaction was found between ULNT1 sequence and location (p < 0.001). The ULNT1-STD and ULNT1-DIST induced a greater stiffness increase in the MN (5.67 ± 0.91 m/s, +113.94%; 5.65 ± 0.98 m/s, +115.95%) compared to C5 and C6 (p < 0.001). The ULNT1-PROX resulted in a significantly smaller increase in stiffness at the MN (4.13 ± 0.86 m/s, +54.17%, p < 0.001), but a greater increase at C5 (4.88 ± 1.23 m/s, +53.39%, p < 0.001) and at C6 (4.87 ± 0.81 m/s, +31.55%). The differences for the ULNT1-PROX at C6 were only significant compared to the ULNT1-STD (p < 0.001), but not the ULNT1-DIST (p = 0.066). Conclusions: BP and MN stiffness vary depending on the joint movement sequence during neurodynamic testing. However, the influence of the surrounding tissues may have affected SWV measurements; consequently, these results should be interpreted with caution.
000147926 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000147926 590__ $$a3.3$$b2024
000147926 592__ $$a0.773$$b2024
000147926 591__ $$aMEDICINE, GENERAL & INTERNAL$$b57 / 332 = 0.172$$c2024$$dQ1$$eT1
000147926 593__ $$aInternal Medicine$$c2024$$dQ2
000147926 593__ $$aClinical Biochemistry$$c2024$$dQ2
000147926 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000147926 700__ $$0(orcid)0000-0002-5161-7479$$aEstébanez-de-Miguel, Elena$$uUniversidad de Zaragoza
000147926 700__ $$0(orcid)0000-0003-1292-3163$$aAlbarova-Corral, Isabel$$uUniversidad de Zaragoza
000147926 700__ $$0(orcid)0000-0001-9080-0543$$aMalo-Urriés, Miguel$$uUniversidad de Zaragoza
000147926 700__ $$aShacklock, Michael
000147926 700__ $$0(orcid)0009-0000-0252-5642$$aMontaner-Cuello, Alberto$$uUniversidad de Zaragoza
000147926 700__ $$0(orcid)0000-0002-0026-9224$$aBueno-Gracia, Elena$$uUniversidad de Zaragoza
000147926 7102_ $$11003$$2027$$aUniversidad de Zaragoza$$bDpto. Anatom.Histolog.Humanas$$cArea Anatom.Embriol.Humana
000147926 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000147926 773__ $$g14, 24 (2024), 2881 [14 pp.]$$tDiagnostics$$x2075-4418
000147926 8564_ $$s2895778$$uhttps://zaguan.unizar.es/record/147926/files/texto_completo.pdf$$yVersión publicada
000147926 8564_ $$s2709067$$uhttps://zaguan.unizar.es/record/147926/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000147926 909CO $$ooai:zaguan.unizar.es:147926$$particulos$$pdriver
000147926 951__ $$a2025-09-22-14:48:31
000147926 980__ $$aARTICLE