Manual Therapy
Volume 13, Issue 3 , Pages 213-221 , June 2008

Do ‘sliders’ slide and ‘tensioners’ tension? An analysis of neurodynamic techniques and considerations regarding their application

  • Michel W. Coppieters

      Affiliations

    • Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, QLD 4072, St. Lucia Brisbane, Australia
    • Neuro-Orthopaedic Institute, 19 North Street, Adelaide 5000, Australia
    • Corresponding Author InformationCorresponding author. Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Building 84A, St. Lucia, QLD 4072 Brisbane, Australia. Tel.: +610733654590; fax: +610733651622.
    • ,
  • David S. Butler

      Affiliations

    • Neuro-Orthopaedic Institute, 19 North Street, Adelaide 5000, Australia

Received 7 April 2006 ,Revised 8 December 2006 ,Accepted 15 December 2006.

References 

  1. Akalin E, El O, Peker O, Senocak O, Tamci S, Gulbahar S, et al. Treatment of carpal tunnel syndrome with nerve and tendon gliding exercises. American Journal of Physical Medicine & Rehabilitation. 2002;81(2):108–113
  2. Allmann KH, Horch R, Uhl M, Gufler H, Altehoefer C, Stark GB, et al. MR imaging of the carpal tunnel. European Journal of Radiology. 1997;25(2):141–145
  3. Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosen I. Prevalence of carpal tunnel syndrome in a general population. Journal of the American Medical Association. 1999;282(2):153–158
  4. Baldwin RL, Stolowitz ML, Hood L, Wisnieski BJ. Structural changes of tumor necrosis factor alpha associated with membrane insertion and channel formation. Proceedings of the National Academy of Sciences of the United States of America. 1996;93(3):1021–1026
  5. Barnhart S, Demers PA, Miller M, Longstreth WT, Rosenstock L. Carpal tunnel syndrome among ski manufacturing workers. Scandinavian Journal of Work, Environment & Health. 1991;17(1):46–52
  6. Baysal O, Altay Z, Ozcan C, Ertem K, Yologlu S, Kayhan A. Comparison of three conservative treatment protocols in carpal tunnel syndrome. International Journal of Clinical Practice. 2006;60(7):820–828
  7. Boyd BS, Puttlitz C, Gan J, Topp KS. Strain and excursion in the rat sciatic nerve during a modified straight leg raise are altered after traumatic nerve injury. Journal of Orthopaedic Research. 2005;23(4):764–770
  8. Burke FD, Ellis J, McKenna H, Bradley MJ. Primary care management of carpal tunnel syndrome. Postgraduate Medical Journal. 2003;79(934):433–437
  9. Butler DS. The sensitive nervous system. Adelaide: Noigroup Publications; 2000;
  10. Butler DS. The neurodynamics techniques. DVD and handbook. Adelaide: Noigroup Publications; 2005;
  11. Byl C, Puttlitz C, Byl N, Lotz J, Topp K. Strain in the median and ulnar nerves during upper-extremity positioning. Journal of Hand Surgery [Am]. 2002;27(6):1032–1040
  12. Cobb TK, An KN, Cooney WP. Effect of lumbrical muscle incursion within the carpal tunnel on carpal tunnel pressure: a cadaveric study. Journal of Hand Surgery [Am]. 1995;20(2):186–192
  13. Cook AC, Szabo RM, Birkholz SW, King EF. Early mobilization following carpal tunnel release. A prospective randomized study. Journal of Hand Surgery [Br]. 1995;20(2):228–230
  14. Coppieters MW, Alshami AM, Babri AS, Souvlis T, Kippers V, Hodges PW. Strain and excursion of the sciatic, tibial and plantar nerves during a modified straight leg raising test. Journal of Orthopaedic Research. 2006;24(9):1883–1889
  15. Coppieters MW, Bartholomeeusen KE, Stappaerts KH. Incorporating nerve-gliding techniques in the conservative treatment of cubital tunnel syndrome. Journal of Manipulative and Physiological Therapeutics. 2004;27(9):560–568
  16. Diao E, Shao F, Liebenberg E, Rempel D, Lotz JC. Carpal tunnel pressure alters median nerve function in a dose-dependent manner: a rabbit model for carpal tunnel syndrome. Journal of Orthopaedic Research. 2005;23(1):218–223
  17. Dilley A, Lynn B, Greening J, DeLeon N. Quantitative in vivo studies of median nerve sliding in response to wrist, elbow, shoulder and neck movements. Clinical Biomechanics. 2003;18(10):899–907
  18. Dilley A, Lynn B, Pang SJ. Pressure and stretch mechanosensitivity of peripheral nerve fibres following local inflammation of the nerve trunk. Pain. 2005;117(3):462–472
  19. Druschky K, Kaltenhauser M, Hummel C, Druschky A, Huk WJ, Stefan H, et al. Alteration of the somatosensory cortical map in peripheral mononeuropathy due to carpal tunnel syndrome. Neuroreport. 2000;11(17):3925–3930
  20. Erel E, Dilley A, Greening J, Morris V, Cohen B, Lynn B. Longitudinal sliding of the median nerve in patients with carpal tunnel syndrome. Journal of Hand Surgery [Br]. 2003;28(5):439–443
  21. Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH. The carpal tunnel syndrome. A study of carpal canal pressures. Journal of Bone and Joint Surgery [Am]. 1981;63(3):380–383
  22. Gerritsen AA, de Krom MC, Struijs MA, Scholten RJ, de Vet HC, Bouter LM. Conservative treatment options for carpal tunnel syndrome: a systematic review of randomised controlled trials. Journal of Neurology. 2002;249(3):272–280
  23. Gorsche RG, Wiley JP, Renger RF, Brant RF, Gemer TY, Sasyniuk TM. Prevalence and incidence of carpal tunnel syndrome in a meat packing plant. Occupational and Environmental Medicine. 1999;56(6):417–422
  24. Hansford T, Blood H, Kent B, Lutz G. Blood flow changes at the wrist in manual workers after preventive interventions. Journal of Hand Surgery [Am]. 1986;11(4):503–508
  25. Kleinrensink GJ, Stoeckart R, Mulder PG, Hoek G, Broek T, Vleeming A, et al. Upper limb tension tests as tools in the diagnosis of nerve and plexus lesions. Anatomical and biomechanical aspects. Clinical Biomechanics. 2000;15(1):9–14
  26. Lundborg G. Nerve injuries and repair. Edinburgh: Churchill Livingstone; 1988;
  27. MacDermid JC. The quality of clinical practice guidelines in hand therapy. Journal of Hand Therapy. 2004;17(2):200–209
  28. Mackinnon SE. Pathophysiology of nerve compression. Hand Clinics. 2002;18(2):231–241
  29. Marshall S, Tardif G, Ashworth N. Local corticosteroid injection for carpal tunnel syndrome. The Cochrane Database of Systematic Reviews. 2002;4:CD001554
  30. Maves TJ, Gebhart GF, Meller ST. Continuous infusion of acidified saline around the rat sciatic nerve produces thermal hyperalgesia. Neuroscience Letters. 1995;194(1–2):45–48
  31. Michlovitz SL. Conservative interventions for carpal tunnel syndrome. The Journal of Orthopaedic and Sports Physical Therapy. 2004;34(10):589–600
  32. Millesi H, Zoch G, Reihsner R. Mechanical properties of peripheral nerves. Clinical Orthopaedics. 1995;314):76–83
  33. Muller M, Tsui D, Schnurr R, Biddulph-Deisroth L, Hard J, MacDermid JC. Effectiveness of hand therapy interventions in primary management of carpal tunnel syndrome: a systematic review. Journal of Hand Therapy. 2004;17(2):210–228
  34. Myers RR, Murakami H, Powell HC. Reduced nerve blood flow in edematous neuropathies: a biomechanical mechanism. Microvascular Research. 1986;32(2):145–151
  35. Nakamichi K, Tachibana S. Restricted motion of the median nerve in carpal tunnel syndrome. Journal of Hand Surgery [Br]. 1995;20(4):460–464
  36. Nathan PA, Meadows KD, Keniston RC. Rehabilitation of carpal tunnel surgery patients using a short surgical incision and an early program of physical therapy. Journal of Hand Surgery [Am]. 1993;18(6):1044–1050
  37. O’Connor D, Marshall S, Massy-Westropp N. Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome. The Cochrane Database of Systematic Reviews. 2003;1:CD003219
  38. Osterman AL, Whitman M, Porta LD. Nonoperative carpal tunnel syndrome treatment. Hand Clinics. 2002;18(2):279–289
  39. Pinar L, Enhos A, Ada S, Gungor N. Can we use nerve gliding exercises in women with carpal tunnel syndrome?. Advances in Therapy. 2005;22(5):467–475
  40. Rempel D, Dahlin L, Lundborg G. Pathophysiology of nerve compression syndromes: response of peripheral nerves to loading. Journal of Bone and Joint Surgery [Am]. 1999;81(11):1600–1610
  41. Rozmaryn LM, Dovelle S, Rothman ER, Gorman K, Olvey KM, Bartko JJ. Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. Journal of Hand Therapy. 1998;11(3):171–179
  42. Seradge H, Parker W, Baer C, Mayfield K, Schall L. Conservative treatment of carpal tunnel syndrome: an outcome study of adjunct exercises. The Journal of the Oklahoma State Medical Association. 2002;95(1):7–14
  43. Shacklock MO. Clinical neurodynamics: a new system of musculoskeletal treatment. Edinburgh: Elsevier Butterworth-Heinemann; 2005;
  44. Sorkin LS, Xiao WH, Wagner R, Myers RR. Tumour necrosis factor-alpha induces ectopic activity in nociceptive primary afferent fibres. Neuroscience. 1997;81(1):255–262
  45. Steen KH, Steen AE, Kreysel HW, Reeh PW. Inflammatory mediators potentiate pain induced by experimental tissue acidosis. Pain. 1996;66(2-3):163–170
  46. Sunderland S. The nerve lesion in the carpal tunnel syndrome. Journal of Neurology, Neurosurgery, and Psychiatry. 1976;39(7):615–626
  47. Szabo RM, Bay BK, Sharkey NA, Gaut C. Median nerve displacement through the carpal canal. The Journal of Hand Surgery [Am]. 1994;19(6):901–906
  48. Tal-Akabi A, Rushton A. An investigation to compare the effectiveness of carpal bone mobilisation and neurodynamic mobilisation as methods of treatment for carpal tunnel syndrome. Manual Therapy. 2000;5(4):214–222
  49. Tecchio F, Padua L, Aprile I, Rossini PM. Carpal tunnel syndrome modifies sensory hand cortical somatotopy: a MEG study. Human Brain Mapping. 2002;17(1):28–36
  50. Totten PA, Hunter JM. Therapeutic techniques to enhance nerve gliding in thoracic outlet syndrome and carpal tunnel syndrome. Hand Clinics. 1991;7(3):505–520
  51. Tuzuner S, Ozkaynak S, Acikbas C, Yildirim A. Median nerve excursion during endoscopic carpal tunnel release. Neurosurgery. 2004;54(5):1155–1160
  52. Valls-Sole J, Alvarez R, Nunez M. Limited longitudinal sliding of the median nerve in patients with carpal tunnel syndrome. Muscle & Nerve. 1995;18(7):761–767
  53. Watkins LR, Maier SF. Beyond neurons: evidence that immune and glial cells contribute to pathological pain states. Physiological Reviews. 2002;82(4):981–1011
  54. Wilson JK, Sevier TL. A review of treatment for carpal tunnel syndrome. Disability and Rehabilitation. 2003;25(3):113–119
  55. Wright TW, Glowczewskie F, Cowin D, Wheeler DL. Ulnar nerve excursion and strain at the elbow and wrist associated with upper extremity motion. The Journal of Hand Surgery [Am]. 2001;26(4):655–662
  56. Wright TW, Glowczewskie F, Wheeler D, Miller G, Cowin D. Excursion and strain of the median nerve. Journal of Bone and Joint Surgery [Am]. 1996;78(12):1897–1903

PII: S1356-689X(07)00034-3

doi: 10.1016/j.math.2006.12.008

Manual Therapy
Volume 13, Issue 3 , Pages 213-221 , June 2008

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