Incorporating nerve-gliding techniques in the conservative treatment of cubital Tunnel syndrome

Coppieters, MW, Bartholomeeusen, KE and Stappaerts, KH (2004) Incorporating nerve-gliding techniques in the conservative treatment of cubital Tunnel syndrome. Journal of Manipulative And Physiological Therapeutics, 27 9: 560-568.


Author Coppieters, MW
Bartholomeeusen, KE
Stappaerts, KH
Title Incorporating nerve-gliding techniques in the conservative treatment of cubital Tunnel syndrome
Journal name Journal of Manipulative And Physiological Therapeutics   Check publisher's open access policy
ISSN 0161-4754
Publication date 2004
Sub-type Article (original research)
DOI 10.1016/j.jmpt.2004.10.006
Volume 27
Issue 9
Start page 560
End page 568
Total pages 9
Editor D.Lawrence
Place of publication USA
Publisher Mosby
Collection year 2004
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730114 Skeletal system and disorders (incl. arthritis)
Abstract Objective: To discuss the diagnosis and treatment of a patient with cubital tunnel syndrome and to illustrate novel treatment modalities for the ulnar nerve and its surrounding structures and target tissues. The rationale for the addition of nerve-gliding techniques will be highlighted. Clinical Features: Two months after onset, a 17-year-old female nursing student who had a traumatic onset of cubital tunnel syndrome still experienced pain around the elbow and paresthesia in the ulnar nerve distribution. Electrodiagnostic tests were negative. Segmental cervicothoracic motion dysfunctions were present which were regarded as contributing factors hindering natural recovery. Intervention and Outcomes: After 6 sessions consisting of nerve-gliding techniques and segmental joint manipulation and a home exercise program consisting of nerve gliding and light free-weight exercises, a substantial improvement was recorded on both the impairment and functional level (pain scales, clinical tests, and Northwick Park Questionnaire). Symptoms did not recur within a 10-month follow-up period, and pain and disability had completely resolved. Conclusions: Movement-based management may be beneficial in the conservative management of cubital tunnel syndrome. As this intervention is in contrast with the traditional recommendation of immobilization, comparing the effects of both interventions in a systematic way is an essential next step to determine the optimal treatment of patients with cubital tunnel syndrome.
Keyword Health Care Sciences & Services
Integrative & Complementary Medicine
Rehabilitation
Manipulation
Neurodynamic Test
Ulnar Nerve
Cubital Tunnel Syndrome
Peripheral-nerves
Neural Mobilization
Pathophysiology
Compression
Elbow
Pain
Neuropathies
Entrapment
Management
Q-Index Code C1

 
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