Reappraising entrapment neuropathies-Mechanisms, diagnosis and management

Schmid, Annina B., Nee, Robert J. and Coppieters, Michel W. (2013) Reappraising entrapment neuropathies-Mechanisms, diagnosis and management. Manual Therapy, 18 6: 449-457. doi:10.1016/j.math.2013.07.006


Author Schmid, Annina B.
Nee, Robert J.
Coppieters, Michel W.
Title Reappraising entrapment neuropathies-Mechanisms, diagnosis and management
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1356-689X
1532-2769
Publication date 2013-01-01
Sub-type Article (original research)
DOI 10.1016/j.math.2013.07.006
Volume 18
Issue 6
Start page 449
End page 457
Total pages 9
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Language eng
Subject 3612 Physical Therapy, Sports Therapy and Rehabilitation
Abstract The diagnosis of entrapment neuropathies can be difficult because symptoms and signs often do not follow textbook descriptions and vary significantly between patients with the same diagnosis. Signs and symptoms which spread outside of the innervation territory of the affected nerve or nerve root are common. This Masterclass provides insight into relevant mechanisms that may account for this extraterritorial spread in patients with entrapment neuropathies, with an emphasis on neuroinflammation at the level of the dorsal root ganglia and spinal cord, as well as changes in subcortical and cortical regions. Furthermore, we describe how clinical tests and technical investigations may identify these mechanisms if interpreted in the context of gain or loss of function. The management of neuropathies also remains challenging. Common treatment strategies such as joint mobilisation, neurodynamic exercises, education, and medications are discussed in terms of their potential to influence certain mechanisms at the site of nerve injury or in the central nervous system. The mechanism-oriented approach for this Masterclass seems warranted given the limitations in the current evidence for the diagnosis and management of entrapment neuropathies.
Keyword Diagnosis
Entrapment neuropathy
Management
Mechanisms
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
 
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