Neurodynamics of median nerve in patients with carpal tunnel syndrome

論文翻譯標題: 腕隧道症候群患者的正中神經之神經動力學
  • 王 聖皓

學生論文: Master's Thesis


Background and purpose: Upper limb neurodynamic test for median nerve bias (ULNT1) have been used to assess neurodynamics and evaluate nerve entrapments particularly in patients with cervical radiculopathy The measured angle of elbow extension during ULNT1 procedure is the commonly acceptable parameter representing the neurodynamics of the median nerve However the neurodynamic properties in patients with carpal tunnel syndrome (CTS) is still unclear and whether dissimilar responses will be found while different sequences of ULNT1 are applied to those patients is unknown Therefore the main purpose of this study was to compare the neurodynamics of the median nerve between patients with patients with CTS and the healthy adults and then further to investigate the associations between joint angles measured during the ULNT1 and clinical symptoms and functional measures in patients with CTS The second purpose was to investigate the neurodynamics of median nerve in patients with CTS using different sequences of the ULNT1 Methods: This study included 39 patients with CTS aged between 38 and 82 (mean 59 4) years and 25 healthy adults aged 20-32 (mean 22) years All participants received the standard ULNT1 testing and a series of measures of physical functions Measures of physical functions included the two-point discrimination (2PD) Semmes-Weinstein monofilament (SWM) test grip strength pinch strength and questionnaire surveys of CTS DASH and SF36 The upper limb neurodynamic test 1 was performed using two different movement sequences to quantitatively assess the median nerve neurodynamics upon joint angles of wrist or elbow Spearman's rank correlation coefficient was used to examine the correlations between the joint angle measured by ULNT1 and the results of SWM while the correlations between the joint angles measured by ULNT1 and other physical function parameters were examined using the Pearson's correlation coefficient The differences of neurodynamic properties between the patients with CTS and healthy adults were examined using the independent t-tests The significant level was set at p
獎項日期2017 一月 24
監督員Yi-Ju Tsai (Supervisor)