Median Nerve Excursion During Neurodynamic Mobilization
NCT ID: NCT03970408
Last Updated: 2021-07-28
Study Results
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Basic Information
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COMPLETED
18 participants
OBSERVATIONAL
2019-05-01
2020-12-01
Brief Summary
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Detailed Description
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Arm will be held in abduction to 90° - 110° and external rotation to 90°, forearm supination, elbow extension and wrist and fingers extension using a custom made splint.
The standard MNT1 includes neck contralateral side flexion. Then, the researcher will move the neck passively into rotation and flexion. Passive range limit will be determined prior to testing using a goniometer and passive end feel. Movement order will be randomized using an excel random function.
Every position will be tested three times. A single researcher will do all movements passively. Nerve excursion will be measured in real time by the same ultrasonographer who is blinded to patients grouping.
Conditions
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Study Design
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CASE_CONTROL
CROSS_SECTIONAL
Study Groups
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Carpal tunnel syndrome
Patients with CTS who fulfill the following eligibility criteria:
Inclusion criteria
* Females and male patients referred with a CTS diagnosis confirmed by nerve conduction studies and positive Tinel and Phalen tests.
* Age ranging from 30-50 years old.
* The selected patient will be able to tolerate the entire standard neurodynamic technique.
Exclusion criteria
* Symptoms referred to the neck.
* Sever CTS
* More than 10% limitation of neck flexion, rotation, and side bending ranges.
* History of disease, trauma, or surgery to neck, thorax, or upper limbs.
* Presence of peripheral neuropathy or cervical radiculopathy.
* History of systemic disease associated with neuropathies such as diabetes mellitus, connective tissue diseases, thyroid disease, or obesity.
MNT1
Participants will in supine. Arm will be position in standard MNT1. Shoulder, elbow, wrist and fingers will be maintained in the required position using a costumed splint throughout all testing.
All movements will be limited to the range where pain or other symptoms are not provoked. Passive neck flexion and rotation will be added to MNT1 and will be applied as tensioning movements at level 3. All movements will be repeated three times and an average will be calculated. Myrin goniometer will be used to assess neck flexion and rotation. The movements order will be randomized using excel random generation function. Movements will be done by a single trained therapist. The end position will be held up to 10 seconds until median nerve excursion is recorded by US. For US capturing, the transducer will be positioned perpendicularly and aligned longitudinally with the median nerve at the wrist. Assessor will be blinded to participants grouping.
Healthy control
Asymptomatic healthy age-matched control with no symptoms or history of upper quadrant disease, dysfunction, trauma or surgery.
MNT1
Participants will in supine. Arm will be position in standard MNT1. Shoulder, elbow, wrist and fingers will be maintained in the required position using a costumed splint throughout all testing.
All movements will be limited to the range where pain or other symptoms are not provoked. Passive neck flexion and rotation will be added to MNT1 and will be applied as tensioning movements at level 3. All movements will be repeated three times and an average will be calculated. Myrin goniometer will be used to assess neck flexion and rotation. The movements order will be randomized using excel random generation function. Movements will be done by a single trained therapist. The end position will be held up to 10 seconds until median nerve excursion is recorded by US. For US capturing, the transducer will be positioned perpendicularly and aligned longitudinally with the median nerve at the wrist. Assessor will be blinded to participants grouping.
Interventions
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MNT1
Participants will in supine. Arm will be position in standard MNT1. Shoulder, elbow, wrist and fingers will be maintained in the required position using a costumed splint throughout all testing.
All movements will be limited to the range where pain or other symptoms are not provoked. Passive neck flexion and rotation will be added to MNT1 and will be applied as tensioning movements at level 3. All movements will be repeated three times and an average will be calculated. Myrin goniometer will be used to assess neck flexion and rotation. The movements order will be randomized using excel random generation function. Movements will be done by a single trained therapist. The end position will be held up to 10 seconds until median nerve excursion is recorded by US. For US capturing, the transducer will be positioned perpendicularly and aligned longitudinally with the median nerve at the wrist. Assessor will be blinded to participants grouping.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Must be able to tolerate the entire standard MNT1 position.
Exclusion Criteria
* Symptoms referred to the neck.
* Limited neck flexion, rotation, and side bending ranges (\>10%).
* History of upper quadrant trauma, dysfunction or surgery.
* History of peripheral neuropathy or cervical radiculopathy.
* History of systemic disease associated with neuropathies such as diabetes mellitus, connective tissue diseases, thyroid disease, or obesity.
30 Years
50 Years
ALL
Yes
Sponsors
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Aliaa Rehan Youssef
OTHER
Responsible Party
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Aliaa Rehan Youssef
Associate professor of Orthopedic Physical Therapy
Principal Investigators
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Aliaa Rehan Youssef, Phd
Role: PRINCIPAL_INVESTIGATOR
Cairo University
Locations
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Ain Shamas University
Cairo, , Egypt
Cairo University Hospital
Cairo, , Egypt
Countries
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References
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Other Identifiers
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HMahmoud
Identifier Type: -
Identifier Source: org_study_id
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