Article

Purpose : To evaluate the
ultrasonographic median nerve changes under tendon gliding exercise in patients
with carpal tunnel syndrome (CTS) and healthy controls. METHODS: Seventy-three
patients with CTS and 53 healthy volunteers were consecutively recruited. Each
subject underwent a physical examination, nerve conduction studies and
ultrasonographic examinations of the median nerve during tendon gliding exercises. RESULTS: Significant changes in the cross-sectional area of the median
nerve were found while moving from the straight position to the hook position and
from the hook position to the fist position. There were also significant changes
in the flattening ratio when moving from the hook position to the fist position.
CONCLUSIONS: Ultrasonography revealed that the median nerve was compressed in the
fist position in both CTS patients and healthy volunteers.
Thus, forceful
grasping should be avoided during tendon gliding exercises performed in the fist position.
LEVEL OF EVIDENCE: 3b.
CI - Copyright (c) 2014 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS