Changes in Median Nerve Excursion with Neurodynamic techniques in patients with carpal tunnel syndrome and healthy adults: influencing factors
Farghaly, H., Rashed, H., Elgendy, H., Mohamed, A. (2023). Changes in Median Nerve Excursion with Neurodynamic techniques in patients with carpal tunnel syndrome and healthy adults: influencing factors. EKB Journal Management System, 14(1), 29-34. doi: 10.21608/ejpt.2022.137472.1083
Hanaa Farghaly; Hebatallah Rashed; Hanan Elgendy; Alyaa Mohamed. "Changes in Median Nerve Excursion with Neurodynamic techniques in patients with carpal tunnel syndrome and healthy adults: influencing factors". EKB Journal Management System, 14, 1, 2023, 29-34. doi: 10.21608/ejpt.2022.137472.1083
Farghaly, H., Rashed, H., Elgendy, H., Mohamed, A. (2023). 'Changes in Median Nerve Excursion with Neurodynamic techniques in patients with carpal tunnel syndrome and healthy adults: influencing factors', EKB Journal Management System, 14(1), pp. 29-34. doi: 10.21608/ejpt.2022.137472.1083
Farghaly, H., Rashed, H., Elgendy, H., Mohamed, A. Changes in Median Nerve Excursion with Neurodynamic techniques in patients with carpal tunnel syndrome and healthy adults: influencing factors. EKB Journal Management System, 2023; 14(1): 29-34. doi: 10.21608/ejpt.2022.137472.1083

Changes in Median Nerve Excursion with Neurodynamic techniques in patients with carpal tunnel syndrome and healthy adults: influencing factors

Egyptian Journal of Physical Therapy
Volume 14, Issue 1, June 2023, Pages 29-34    PDF (215.82 K)
Document Type: Original Article
DOI: 10.21608/ejpt.2022.137472.1083
Authors
Hanaa Farghaly* 1; Hebatallah Rashed2; Hanan Elgendy3; Alyaa Mohamed4
1The orthopedic physical therapy department at Cairo University, Egypt
2Professor at Neurology department, Ain shams University, Egypt
3Professor at Neurology department, Cairo University, Egypt
4Faculty of Physical Therapy, Cairo University, Egypt
Abstract
Background: Neurodynamic techniques are used for nerve entrapment rehabilitation, these techniques have a direct effect on median nerve excursion in patients with carpal tunnel syndrome and healthy adults. This narrative review clarifies how changes in upper limb positions and movements can change median nerve excursion magnitude and direction.
Aim of work: to determine the best neurodynamic techniques which increase median nerve excursion magnitude and detect the least effective one, and obtain how these techniques affect the excursion direction.
Methods: Google Scholer and PubMed were searched in English and utilized these Keywords: Carpal tunnel syndrome, Neurodynamic techniques, neural mobilization, median nerve excursion.
Results: 12 studies (systematic review, case-control, cross-sectional) studies were included in this review.
Conclusion: Median nerve excursion is influenced by upper limb and neck movements distally or proximally according to the moving joints and direction of movements. Wrist extension and full fist had the greatest effect on median nerve excursion, and MCP joints flexion had the least median nerve excursion.
Keywords
Carpal tunnel syndrome; Neurodynamic techniques; Neural mobilization; Median nerve excursion
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