Carpal tunnel syndrome. Part II: effectiveness of surgical treatments–a systematic review
The objective of this study was to present an evidence-based overview of the effectiveness of surgical and postsurgical interventions to treat carpal tunnel syndrome (CTS). A best-evidence synthesis was performed to summarize the results of the included studies. Two reviews and 25 RCTs were included. Moderate evidence was found in favor of surgical treatment compared with splinting or anti-inflammatory drugs plus hand therapy in the midterm and long term… Continue readingCarpal tunnel syndrome. Part I: effectiveness of nonsurgical treatments – a systematic review
The objective of this study was to review literature systematically concerning effectiveness of nonsurgical interventions for treating carpal tunnel syndrome (CTS). A best-evidence synthesis was performed to summarize the results of the included studies. Two reviews and 20 RCTs were included. Strong and moderate evidence was found for the effectiveness of oral steroids, steroid injections, ultrasound, electromagnetic field therapy, nocturnal splinting, and the use of ergonomic keyboards compared with… Continue readingThe myotome and dermatome dance!
Jaime and Lindsay get low showing off the myotomes and dermatomes! Go USA Yellow Class of 2012!… Continue readingIntra- and Inter-Examiner Variability in Performing Tinel’s Test
The goal of this study was to evaluate intra- and inter-examiner variability in the force generated using different techniques to elicit Tinel's sign. Nine clinicians, consisting of 3 experienced hand and peripheral nerve surgeons, 3 junior hand and peripheral nerve surgeons, and 3 surgeons in training were included in the study. Three different Tinel-type maneuvers were evaluated: (1) striking the load cell using the dominant middle finger only (“single-finger strike”)… Continue readingReliability, validity and diagnostic accuracy of palpation of the sciatic, tibial and common peroneal nerves in the examination of low back related leg pain
This study investigated the reliability, validity and diagnostic accuracy of manual palpation of the sciatic, tibial and common peroneal nerves in the examination of 45 subjects with low-back related leg pain. The nerves were palpated manually and with an algometer, to determine pressure pain thresholds (PPTs). A second examiner performed the straight leg raise (SLR) and slump tests to determine nerve trunk mechanosensitivity. The procedure was repeated by another examiner… Continue readingA Randomized Sham-Controlled Trial of a Neurodynamic Technique in the Treatment of Carpal Tunnel Syndrome
The objective of this study was to assess the believability of a novel sham intervention for a neurodynamic technique (NDT) in participants with signs and symptoms of carpal tunnel syndrome (CTS). Additionally, we wished to assess a potential mechanism of NDT (hypoalgesia) and to compare outcomes related to clinical pain and upper extremity disability between NDT and a sham intervention. 40 participants with signs and symptoms consistent with CTS provided… Continue readingWorkshops on Clinical Neurodynamics
Chief Faculty: Dr. Kiran Challagundla BPT, MPT, MIPT,FAGE Master of Orthopaedics, Sports and Manual Physiotherapy(Australia) Topics Covered; 1. The concept of neurodynamics & Neurodynamic sequencing. 2. The phenomenon of convergence. 3. Effect of bilateral neurodynamic testion on neurodynamics- SLR and upper limb neurodynamic tests, slumb test and SLR. 4. Specific neurodynamics of the lumbar spine and lower quarter. 5. Neuropathodynamics-MNT1.MNT2.RNT,UNT,RSNT and sensitization; SLR, slump, PKB, femoral slump, obturator slump, peroneal… Continue readingLongitudinal sliding of the median nerve in patients with non-specific arm pain
Andrew Dilley, Samuel Odeyinde, Jane Greening and Bruce Lynn
This study uses ultrasound imaging to examine median nerve sliding through the proximal and distal nerve segments in 18 non-specific arm pain (NSAP; also known as repetitive strain injury) patients. Longitudinal nerve sliding was measured during metacarpophalangeal, wrist and elbow movements. During elbow movements, the angle of elbow extension at which the nerve begins to move was determined, since this was expected… Continue reading
What is the normal response to structural differentiation within the slump and straight leg raise tests?
Lee Herrington, Katie Bendix, Catherine Cornwell, Nicola Fielden and Karen Hankey
The purpose of the study was to assess the effect of structural differentiation or sensitising manoeuvres on responses of normal subjects to standard neurodynamic tests of straight leg raise (SLR) and slump test. In 88 asymptomatic subjects knee flexion angle was measured during the slump test in cervical flexion and extension; and hip flexion angle was measured during SLR… Continue reading
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