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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 林居正(Jiu-Jenq Lin) | |
| dc.contributor.author | Chien-Ying Huang | en |
| dc.contributor.author | 黃建穎 | zh_TW |
| dc.date.accessioned | 2021-05-13T08:40:48Z | - |
| dc.date.available | 2019-02-24 | |
| dc.date.available | 2021-05-13T08:40:48Z | - |
| dc.date.copyright | 2016-02-24 | |
| dc.date.issued | 2016 | |
| dc.date.submitted | 2016-01-27 | |
| dc.identifier.citation | Reference
1. Atroshi, I., C. Gummesson, R. Johnsson, E. Ornstein, J. Ranstam, and I. Rosen, Prevalence of carpal tunnel syndrome in a general population. JAMA, 1999. 282(2): p. 153-8. 2. de Krom, M.C., P.G. Knipschild, A.D. Kester, C.T. Thijs, P.F. Boekkooi, and F. Spaans, Carpal tunnel syndrome: prevalence in the general population. J Clin Epidemiol, 1992. 45(4): p. 373-6. 3. Keith, M.W., V. Masear, K. Chung, K. Maupin, M. Andary, P.C. Amadio, R.W. Barth, W.C. Watters, 3rd, M.J. Goldberg, R.H. Haralson, 3rd, C.M. Turkelson, and J.L. Wies, Diagnosis of carpal tunnel syndrome. J Am Acad Orthop Surg, 2009. 17(6): p. 389-96. 4. Szabo, R.M. and D.R. Steinberg, Nerve Entrapment Syndromes in the Wrist. J Am Acad Orthop Surg, 1994. 2(2): p. 115-123. 5. Amirfeyz, R., C. Gozzard, and I.J. Leslie, Hand elevation test for assessment of carpal tunnel syndrome. J Hand Surg Br, 2005. 30(4): p. 361-4. 6. Keir, P.J. and D.M. Rempel, Pathomechanics of peripheral nerve loading. Evidence in carpal tunnel syndrome. J Hand Ther, 2005. 18(2): p. 259-69. 7. Mackinnon, S.E. and A.L. Dellon, Experimental study of chronic nerve compression. Clinical implications. Hand Clin, 1986. 2(4): p. 639-50. 8. Topp, K.S. and B.S. Boyd, Peripheral nerve: from the microscopic functional unit of the axon to the biomechanically loaded macroscopic structure. J Hand Ther, 2012. 25(2): p. 142-51; quiz 152. 9. Topp, K.S. and B.S. Boyd, Structure and biomechanics of peripheral nerves: nerve responses to physical stresses and implications for physical therapist practice. Phys Ther, 2006. 86(1): p. 92-109. 10. Dilley, A., B. Lynn, J. Greening, and N. DeLeon, Quantitative in vivo studies of median nerve sliding in response to wrist, elbow, shoulder and neck movements. Clin Biomech (Bristol, Avon), 2003. 18(10): p. 899-907. 11. Sunderland, S., The nerve lesion in the carpal tunnel syndrome. J Neurol Neurosurg Psychiatry, 1976. 39(7): p. 615-26. 12. Hough, A.D., A.P. Moore, and M.P. Jones, Peripheral nerve motion measurement with spectral Doppler sonography: a reliability study. J Hand Surg Br, 2000. 25(6): p. 585-9. 13. Okutsu, I., S. Ninomiya, I. Hamanaka, N. Kuroshima, and H. Inanami, Measurement of pressure in the carpal canal before and after endoscopic management of carpal tunnel syndrome. J Bone Joint Surg Am, 1989. 71(5): p. 679-683. 14. Walsh, M.T., Upper limb neural tension testing and mobilization. Fact, fiction, and a practical approach. J Hand Ther, 2005. 18(2): p. 241-58. 15. Yoshii, Y., H.R. Villarraga, J. Henderson, C. Zhao, K.N. An, and P.C. Amadio, Ultrasound assessment of the displacement and deformation of the median nerve in the human carpal tunnel with active finger motion. J Bone Joint Surg Am, 2009. 91(12): p. 2922-30. 16. van Doesburg, M.H., Y. Yoshii, H.R. Villarraga, J. Henderson, S.S. Cha, K.N. An, and P.C. Amadio, Median nerve deformation and displacement in the carpal tunnel during index finger and thumb motion. J Orthop Res, 2010. 28(10): p. 1387-90. 17. Yoshii, Y., T. Ishii, W.L. Tung, S. Sakai, and P.C. Amadio, Median nerve deformation and displacement in the carpal tunnel during finger motion. J Orthop Res, 2013. 31(12): p. 1876-80. 18. O'Connor, D., S. Marshall, and N. Massy-Westropp, Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome. Cochrane Database Syst Rev, 2003(1): p. Cd003219. 19. Page, M.J., D. O'Connor, V. Pitt, and N. Massy-Westropp, Exercise and mobilisation interventions for carpal tunnel syndrome. Cochrane Database Syst Rev, 2012. 6: p. Cd009899. 20. Page, M.J., D. O'Connor, V. Pitt, and N. Massy-Westropp, Therapeutic ultrasound for carpal tunnel syndrome. Cochrane Database Syst Rev, 2013. 3: p. Cd009601. 21. Scholten, R.J., A. Mink van der Molen, B.M. Uitdehaag, L.M. Bouter, and H.C. de Vet, Surgical treatment options for carpal tunnel syndrome. Cochrane Database Syst Rev, 2007(4): p. Cd003905. 22. Duncan, K.H., R.C. Lewis, Jr., K.A. Foreman, and M.D. Nordyke, Treatment of carpal tunnel syndrome by members of the American Society for Surgery of the Hand: results of a questionnaire. J Hand Surg Am, 1987. 12(3): p. 384-91. 23. Orman, G., S. Ozben, N. Huseyinoglu, M. Duymus, and K.G. Orman, Ultrasound elastographic evaluation in the diagnosis of carpal tunnel syndrome: initial findings. Ultrasound Med Biol, 2013. 39(7): p. 1184-9. 24. Klauser, A.S., E.J. Halpern, T. De Zordo, G.M. Feuchtner, R. Arora, J. Gruber, C. Martinoli, and W.N. Löscher, Carpal Tunnel Syndrome Assessment with US: Value of Additional Cross-sectional Area Measurements of the Median Nerve in Patients versus Healthy Volunteers1. Radiology, 2009. 250(1): p. 171-177. 25. Knee, P., Adverse mechanical tension in the nervous system: a model for assessment and treatment. J Physiother. Vol, 1989. 35(4): p. 227. 26. MT., W., Interventions in the disturbances in the motor and sensory environment. J Hand Ther. , 2012. 25(2): p. 17. 27. Marshall, S., G. Tardif, and N. Ashworth, Local corticosteroid injection for carpal tunnel syndrome. Cochrane Database Syst Rev, 2000(4): p. Cd001554. 28. Rozmaryn, L.M., S. Dovelle, E.R. Rothman, K. Gorman, K.M. Olvey, and J.J. Bartko, Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. J Hand Ther, 1998. 11(3): p. 171-9. 29. Page, M.J., N. Massy-Westropp, D. O'Connor, and V. Pitt, Splinting for carpal tunnel syndrome. Cochrane Database Syst Rev, 2012. 7: p. Cd010003. 30. Park, G.Y., S.K. Kim, and J.H. Park, Median nerve injury after carpal tunnel injection serially followed by ultrasonographic, sonoelastographic, and electrodiagnostic studies. Am J Phys Med Rehabil, 2011. 90(4): p. 336-41. 31. Kleinrensink, G.J., R. Stoeckart, P.G. Mulder, G. Hoek, T. Broek, A. Vleeming, and C.J. Snijders, Upper limb tension tests as tools in the diagnosis of nerve and plexus lesions. Anatomical and biomechanical aspects. Clin Biomech (Bristol, Avon), 2000. 15(1): p. 9-14. 32. Michael Shacklock, M.A.S., Dip. Physio. , Clinical Neurodynamics: A new system of musculoskeletal treatment 2005. 33. Burke, F.D., J. Ellis, H. McKenna, and M.J. Bradley, Primary care management of carpal tunnel syndrome. Postgrad Med J, 2003. 79(934): p. 433-7. 34. Grewal, R., J. Xu, D.G. Sotereanos, and S.L. Woo, Biomechanical properties of peripheral nerves. Hand Clin, 1996. 12(2): p. 195-204. 35. McNair, P.J. and S.N. Stanley, Effect of passive stretching and jogging on the series elastic muscle stiffness and range of motion of the ankle joint. Br J Sports Med, 1996. 30(4): p. 313-317. 36. McNair, P.J., E.W. Dombroski, D.J. Hewson, and S.N. Stanley, Stretching at the ankle joint: viscoelastic responses to holds and continuous passive motion. Med Sci Sports Exerc, 2001. 33(3): p. 354-358. 37. Reid, D.A. and P.J. McNair, Passive force, angle, and stiffness changes after stretching of hamstring muscles. Med Sci Sports Exerc, 2004. 36(11): p. 1944-1948. 38. Oskay, D., A. Meric, N. Kirdi, T. Firat, C. Ayhan, and G. Leblebicioglu, Neurodynamic mobilization in the conservative treatment of cubital tunnel syndrome: long-term follow-up of 7 cases. J Manipulative Physiol Ther, 2010. 33(2): p. 156-63. 39. Tal-Akabi, A. and A. Rushton, An investigation to compare the effectiveness of carpal bone mobilisation and neurodynamic mobilisation as methods of treatment for carpal tunnel syndrome. Man Ther, 2000. 5(4): p. 214-22. 40. Melhorn, J.M. and J.B. Talmage, Prevalence of carpal tunnel syndrome in motorcyclists. Orthopedics, 2013. 36(7): p. 497-8. 41. Klein, A., Peripheral nerve disease in pregnancy. Clin Obstet Gynecol, 2013. 56(2): p. 382-8. 42. Katz, J.N., R.A. Lew, L. Bessette, L. Punnett, A.H. Fossel, N. Mooney, and R.B. Keller, Prevalence and predictors of long-term work disability due to carpal tunnel syndrome. Am J Ind Med, 1998. 33(6): p. 543-550. 43. Frijlink, D.W., G.J. Brekelmans, and L.H. Visser, Increased nerve vascularization detected by color Doppler sonography in patients with ulnar neuropathy at the elbow indicates axonal damage. Muscle Nerve, 2013. 47(2): p. 188-93. 44. Feuerstein, M., V.L. Miller, L.M. Burrell, and R. Berger, Occupational upper extremity disorders in the federal workforce. Prevalence, health care expenditures, and patterns of work disability. J Occup Environ Med, 1998. 40(6): p. 546-55. 45. Taleisnik, J., The palmar cutaneous branch of the median nerve and the approach to the carpal tunnel. An anatomical study. J Bone Joint Surg Am, 1973. 55(6): p. 1212-7. 46. Korkmaz, M., M.A. Ekici, M.C. Cepoglu, and H. Ozturk, Mini transverse versus longitudinal incision in carpal tunnel syndrome. J Coll Physicians Surg Pak, 2013. 23(9): p. 645-8. 47. Akalin, E., O. El, O. Peker, O. Senocak, S. Tamci, S. Gulbahar, R. Cakmur, and S. Oncel, Treatment of carpal tunnel syndrome with nerve and tendon gliding exercises. Am J Phys Med Rehabil, 2002. 81(2): p. 108-13. 48. Gelberman, R.H., R.M. Szabo, and W.W. Mortensen, Carpal tunnel pressures and wrist position in patients with colles' fractures. J Trauma, 1984. 24(8): p. 747-9. 49. Field, T., M. Diego, C. Cullen, K. Hartshorn, A. Gruskin, M. Hernandez-Reif, and W. Sunshine, Carpal tunnel syndrome symptoms are lessened following massage therapy. J Bodyw Mov Ther, 2004. 8(1): p. 9-14. 50. Elvey, R.L., Physical evaluation of the peripheral nervous system in disorders of pain and dysfunction. J Hand Ther, 1997. 10(2): p. 122-129. 51. Phillips, J.B., X. Smit, N.D. Zoysa, A. Afoke, and R.A. Brown, Peripheral nerves in the rat exhibit localized heterogeneity of tensile properties during limb movement. J Physiol, 2004. 557(3): p. 879-887. 52. Nee, R.J., C.H. Yang, C.C. Liang, G.F. Tseng, and M.W. Coppieters, Impact of order of movement on nerve strain and longitudinal excursion: a biomechanical study with implications for neurodynamic test sequencing. Man Ther, 2010. 15(4): p. 376-81. 53. Oskay, D., A. Meriç, N. Kirdi, T. Firat, Ç. Ayhan, and G. Leblebicioğlu, Neurodynamic Mobilization in the Conservative Treatment of Cubital Tunnel Syndrome: Long-Term Follow-Up of 7 Cases. J Manipulative Physiol Ther, 2010. 33(2): p. 156-163. 54. Coppieters, M.W., A.D. Hough, and A. Dilley, Different nerve-gliding exercises induce different magnitudes of median nerve longitudinal excursion: an in vivo study using dynamic ultrasound imaging. J Orthop Sports Phys Ther, 2009. 39(3): p. 164-71. 55. Coppieters, M.W. and D.S. Butler, Do 'sliders' slide and 'tensioners' tension? An analysis of neurodynamic techniques and considerations regarding their application. Man Ther, 2008. 13(3): p. 213-21. 56. Kostopoulos, D., Treatment of carpal tunnel syndrome: a review of the non-surgical approaches with emphasis in neural mobilization. Journal of Bodywork and Movement Therapies, 2004. 8(1): p. 2-8. 57. Bialosky, J.E., M.D. Bishop, D.D. Price, M.E. Robinson, K.R. Vincent, and S.Z. George, A randomized sham-controlled trial of a neurodynamic technique in the treatment of carpal tunnel syndrome. J Orthop Sports Phys Ther, 2009. 39(10): p. 709-23. 58. Savva, C. and G. Giakas, The effect of cervical traction combined with neural mobilization on pain and disability in cervical radiculopathy. A case report. Manual Therapy, 2013. 18(5): p. 443-446. 59. De-la-Llave-Rincon, A.I., R. Ortega-Santiago, S. Ambite-Quesada, A. Gil-Crujera, E.J. Puentedura, M.C. Valenza, and C. Fernández-de-las-Peñas, Response of Pain Intensity to Soft Tissue Mobilization and Neurodynamic Technique: A Series of 18 Patients With Chronic Carpal Tunnel Syndrome. J Manipulative Physiol Ther, 2012. 35(6): p. 420-427. 60. Rempel, D., L. Dahlin, and G. Lundborg, Pathophysiology of nerve compression syndromes: response of peripheral nerves to loading. J Bone Joint Surg Am, 1999. 81(11): p. 1600-10. 61. Rydevik, B. and G. Lundborg, Permeability of intraneural microvessels and perineurium following acute, graded experimental nerve compression. Scand J Plast Reconstr Surg, 1977. 11(3): p. 179-87. 62. Lee, C.H., T.K. Kim, E.S. Yoon, and E.S. Dhong, Correlation of high-resolution ultrasonographic findings with the clinical symptoms and electrodiagnostic data in carpal tunnel syndrome. Ann Plast Surg, 2005. 54(1): p. 20-3. 63. Wang, Y., C. Zhao, S.M. Passe, A. Filius, A.R. Thoreson, K.N. An, and P.C. Amadio, Transverse ultrasound assessment of median nerve deformation and displacement in the human carpal tunnel during wrist movements. Ultrasound Med Biol, 2014. 40(1): p. 53-61. 64. Buchberger, W., W. Judmaier, G. Birbamer, M. Lener, and C. Schmidauer, Carpal tunnel syndrome: diagnosis with high-resolution sonography. AJR Am J Roentgenol, 1992. 159(4): p. 793-8. 65. Lee, D., M.T. van Holsbeeck, P.K. Janevski, D.L. Ganos, D.M. Ditmars, and V.B. Darian, Diagnosis of carpal tunnel syndrome. Ultrasound versus electromyography. Radiol Clin North Am, 1999. 37(4): p. 859-72, x. 66. Pyun, S.B., C.H. Kang, J.S. Yoon, H.K. Kwon, J.H. Kim, K.B. Chung, and Y.W. Oh, Application of 3-dimensional ultrasonography in assessing carpal tunnel syndrome. J Ultrasound Med, 2011. 30(1): p. 3-10. 67. Bayrak, I.K., A.O. Bayrak, M. Kale, H. Turker, and B. Diren, Bifid median nerve in patients with carpal tunnel syndrome. J Ultrasound Med, 2008. 27(8): p. 1129-36. 68. Pinilla, I., C. Martin-Hervas, G. Sordo, and S. Santiago, The usefulness of ultrasonography in the diagnosis of carpal tunnel syndrome. J Hand Surg Eur Vol, 2008. 33(4): p. 435-9. 69. El Miedany, Y.M., S.A. Aty, and S. Ashour, Ultrasonography versus nerve conduction study in patients with carpal tunnel syndrome: substantive or complementary tests? Rheumatology (Oxford), 2004. 43(7): p. 887-95. 70. Tagliafico, A., M. Rubino, A. Autuori, S. Bianchi, and C. Martinoli, Wrist and hand ultrasound. Semin Musculoskelet Radiol, 2007. 11(2): p. 95-104. 71. Cha, J.G., J.K. Han, S.B. Im, and S.J. Kang, Median nerve T2 assessment in the wrist joints: preliminary study in patients with carpal tunnel syndrome and healthy volunteers. J Magn Reson Imaging, 2014. 40(4): p. 789-95. 72. Tagliafico, A., G. Tagliafico, and C. Martinoli, Nerve density: a new parameter to evaluate peripheral nerve pathology on ultrasound. Preliminary study. Ultrasound Med Biol, 2010. 36(10): p. 1588-93. 73. Cudlip, S.A., F.A. Howe, A. Clifton, M.S. Schwartz, and B.A. Bell, Magnetic resonance neurography studies of the median nerve before and after carpal tunnel decompression. J Neurosurg, 2002. 96(6): p. 1046-51. 74. Abicalaf, C.A., N. de Barros, R.A. Sernik, B.F. Pimentel, A. Braga-Baiak, L. Braga, P. Houvet, J.L. Brasseur, B. Roger, and G.G. Cerri, Ultrasound evaluation of patients with carpal tunnel syndrome before and after endoscopic release of the transverse carpal ligament. Clin Radiol, 2007. 62(9): p. 891-4; discussion 895-6. 75. Schmid, A.B., J.M. Elliott, M.W. Strudwick, M. Little, and M.W. Coppieters, Effect of splinting and exercise on intraneural edema of the median nerve in carpal tunnel syndrome--an MRI study to reveal therapeutic mechanisms. J Orthop Res, 2012. 30(8): p. 1343-50. 76. Nakamichi, K. and S. Tachibana, Restricted motion of the median nerve in carpal tunnel syndrome. J Hand Surg Br, 1995. 20(4): p. 460-4. 77. Erel, E., A. Dilley, J. Greening, V. Morris, B. Cohen, and B. Lynn, Longitudinal sliding of the median nerve in patients with carpal tunnel syndrome. J Hand Surg Br, 2003. 28(5): p. 439-43. 78. Levine, D.W., B.P. Simmons, M. Koris, L. Daltroy, G. Hohl, A. Fossel, and J. Katz, A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am, 1993. 75(11): p. 1585-1592. 79. Leite, J.C., C. Jerosch-Herold, and F. Song, A systematic review of the psychometric properties of the Boston Carpal Tunnel Questionnaire. BMC Musculoskelet Disord, 2006. 7: p. 78. 80. Practice parameter for carpal tunnel syndrome (summary statement). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology, 1993. 43(11): p. 2406-9. 81. Li, Z.-M., Gender difference in carpal tunnel compliance. J Musculoskelet Res, 2005. 9(03): p. 153-159. 82. Mhoon, J.T., V.C. Juel, and L.D. Hobson-Webb, Median nerve ultrasound as a screening tool in carpal tunnel syndrome: Correlation of cross-sectional area measures with electrodiagnostic abnormality. Muscle Nerve, 2012. 46(6): p. 861-870. 83. Karadağ, Y., Ö. Karadağ, E. Çiçekli, Ş. Öztürk, S. Kiraz, Ş. Özbakır, E. Filippucci, and W. Grassi, Severity of Carpal tunnel syndrome assessed with high frequency ultrasonography. Rheumatol Int, 2010. 30(6): p. 761-765. 84. Kaymak, B., L. Özçakar, A. Çetin, M. Candan Çetin, A. Akıncı, and Z. Hasçelik, A Comparison of the Benefits of Sonography and Electrophysiologic Measurements as Predictors of Symptom Severity and Functional Status in Patients With Carpal Tunnel Syndrome. Arch Phys Med Rehabil, 2008. 89(4): p. 743-748. 85. Santos, F.M., J.T. Silva, A.C. Giardini, P.A. Rocha, A.P. Achermann, A.S. Alves, L.R. Britto, and M. Chacur, Neural mobilization reverses behavioral and cellular changes that characterize neuropathic pain in rats. Mol Pain, 2012. 8: p. 57. 86. Oskouei, A.E., G.A. Talebi, S.K. Shakouri, and K. Ghabili, Effects of neuromobilization maneuver on clinical and electrophysiological measures of patients with carpal tunnel syndrome. J Phys Ther Sci, 2014. 26(7): p. 1017-22. 87. Kim, D.H., T.L. Marquardt, J.N. Gabra, Z.L. Shen, P.J. Evans, W.H. Seitz, and Z.M. Li, Pressure-morphology relationship of a released carpal tunnel. J Orthop Res, 2013. 31(4): p. 616-20. 88. Brooks, J.J., J.R. Schiller, S.D. Allen, and E. Akelman, Biomechanical and anatomical consequences of carpal tunnel release. Clin Biomech (Bristol, Avon), 2003. 18(8): p. 685-93. 89. Pimentel, B.F., C.A. Abicalaf, L. Braga, W.M. Albertoni, C.H. Fernandes, R.A. Sernik, and F. Faloppa, Cross-Sectional Area of the Median Nerve Characterized by Ultrasound in Patients With Carpal Tunnel Syndrome Before and After the Release of the Transverse Carpal Ligament. J Diagn Med Sonogr, 2013. 29(3): p. 116-121. 90. Hough, A.D., A.P. Moore, and M.P. Jones, Reduced longitudinal excursion of the median nerve in carpal tunnel syndrome. Arch Phys Med Rehabil, 2007. 88(5): p. 569-76. 91. Coppieters, M.W., A.M. Alshami, and P.W. Hodges, An experimental pain model to investigate the specificity of the neurodynamic test for the median nerve in the differential diagnosis of hand symptoms. Arch Phys Med Rehabil, 2006. 87(10): p. 1412-7. 92. Nee, R.J., G.A. Jull, B. Vicenzino, and M.W. Coppieters, The validity of upper-limb neurodynamic tests for detecting peripheral neuropathic pain. J Orthop Sports Phys Ther, 2012. 42(5): p. 413-24. 93. Valdes, K. and P. LaStayo, The value of provocative tests for the wrist and elbow: a literature review. J Hand Ther, 2013. 26(1): p. 32-42; quiz 43. 94. Bathala, L., P. Kumar, K. Kumar, A. Shaik, and L.H. Visser, Normal values of median nerve cross-sectional area obtained by ultrasound along its course in the arm with electrophysiological correlations, in 100 Asian subjects. Muscle Nerve, 2014. 49(2): p. 284-6. 95. Chen, S.F., C.H. Lu, C.R. Huang, Y.C. Chuang, N.W. Tsai, C.C. Chang, and W.N. Chang, Ultrasonographic median nerve cross-section areas measured by 8-point 'inching test' for idiopathic carpal tunnel syndrome: a correlation of nerve conduction study severity and duration of clinical symptoms. BMC Med Imaging, 2011. 11: p. 22. 96. Mondelli, M., G. Filippou, A. Gallo, and B. Frediani, Diagnostic utility of ultrasonography versus nerve conduction studies in mild carpal tunnel syndrome. Arthritis Rheum, 2008. 59(3): p. 357-66. 97. Moran, L., M. Perez, A. Esteban, J. Bellon, B. Arranz, and M. del Cerro, Sonographic measurement of cross-sectional area of the median nerve in the diagnosis of carpal tunnel syndrome: correlation with nerve conduction studies. J Clin Ultrasound, 2009. 37(3): p. 125-31. 98. Toosi, K.K., B.G. Impnk, N.A. Baker, and M.L. Boninger, Effects of computer keyboarding on ultrasonographic measures of the median nerve. Am J Ind Med, 2011. 54(11): p. 826-833. 99. Villafane, J.H., G.B. Silva, and J. Fernandez-Carnero, Short-term effects of neurodynamic mobilization in 15 patients with secondary thumb carpometacarpal osteoarthritis. J Manipulative Physiol Ther, 2011. 34(7): p. 449-56. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/4030 | - |
| dc.description.abstract | Background and Purpose：Carpal tunnel syndrome (CTS) is one of the most common compression neuropathy in clinical practice. The compression of median nerve within carpal tunnel can result in sensorimotor dysfunction and distortion in nerve morphology, physiology and mechanical properties. Clinically, nerve mobilization technique is believed to relief the clinical symptoms and alter the compliance, circulation of nerve itself as well as the surrounding soft tissue in respond to mechanical stress. The first purpose of the study was to investigate whether the severity of carpal tunnel syndrome can be predicted by the features of median nerve mechanical properties. Second, we want to investigate the effect of manual intervention in patients with carpal tunnel syndrome. The clinical effects like current pain intensity, pressure pain threshold and mechanical properties of median nerve like cross-sectional area, aspect ratio, circularity, transverse mobility and, compliance of carpal tunnel were investigated. Third, the correlation between changes in clinical symptoms and mechanical properties after mobilization were investigated.
Methods：This was a randomized control trial with 30 subjects randomized assigned to 2 groups with and without nerve mobilization treatment. All subjects were tested on the mechanical properties of median nerve by Sonography imagine system and clinical symptoms before and after the median nerve mobilization and sham mobilization. Separated Pearson correlation coefficients were calculated to determine the relationships between severities of clinical symptoms and mechanical properties. Paired sample t-test were performed to examine the difference after manual intervention. Separated ANCOVA were used to test the group effects (mobilization versus sham-mobilization) for measures of clinical symptoms and mechanical properties with control the influence of age between groups. Correlation coefficients between changes in clinical symptoms and mechanical properties were conducted. Alpha level was set at 0.05 and adjusted accordingly to achieve significant difference. Results：Low correlations were found between clinical symptoms (Boston carpal tunnel syndrome questionnaire), and nerve properties (cross sectional area, r=.231; mean grey scale, r=-.316). After manual intervention (myofascial release with and without nerve mobilization), significant change were presented in pain (pre: 4.9±1→post: 2.4±1, p<.0005), compliance of carpal tunnel (pre: 4.9±1.0→post: 5.4±1.0, p<.0005), cross sectional area (pre: 11.0±3.2→post: 11.8±4.1, p=.007), circularity (pre: 0.57±0.09→post: 0.59±0.08, p=.029), mean grey scale (pre: 42.14±16.67→post: 45.34±18.12, p=.038) and transverse mobility (pre: 2.1±1.0→post: 2.4±1.3, p=.012). Results of ANCOVA indicated that there were significant difference in median nerve mechanical properties between groups. Transverse mobility of median nerve increased 34% in mobilization group compared to 4% in sham-mobilization group (p<.0005). The correlations, however, between changes in clinical symptoms and mechanical properties were less than 0.17. Conclusion：In patients with carpal tunnel syndrome, the clinical severities were correlated with the enlarged cross section area and diminished echodensity. After receiving manual intervention, both clinical symptoms and mechanical properties of median nerve can be altered while the transverse mobility of median nerve only improved in nerve mobilization group. However, the changes in clinical symptoms cannot be explained by the changes in mechanical properties alone. In order to further understand the behind mechanism of symptom relief, long term follow-up was suggested. | en |
| dc.description.provenance | Made available in DSpace on 2021-05-13T08:40:48Z (GMT). No. of bitstreams: 1 ntu-105-R01428013-1.pdf: 4857116 bytes, checksum: 17c030dc4cc014de0ad83468edd9d3a7 (MD5) Previous issue date: 2016 | en |
| dc.description.tableofcontents | 口試委員會審定書……………………………………………………………………i
誌謝………………………………………………………………………………….ii 中文摘要……………………………………………………………………………iii 英文摘要………………………………………………………………………………v Nature of the Study 1 Background 1 Statement of the problem 5 Purposes of the study 6 Hypotheses 6 Literature review 8 Carpal tunnel syndrome 8 Upper limb tension test and nerve mobilization 10 Basic anatomy of human nerve tissue 14 Anatomical structure of peripheral nerve 14 Blood supply 15 Mechanical properties of nerve tissue 16 Entrapment neuropathy 17 Ultrasonography of median nerve 18 Static ultrasonography 18 Dynamic ultrasonography 21 Boston carpal tunnel questionnaire 21 Methods 23 Study design 23 Participants 23 Sample size estimation 23 Inclusion criterion 24 Exclusion criterion 24 Instrumentations 25 Procedures 25 Other Outcomes 28 Clinical Ratings of Pain Intensity 28 Pressure Pain Threshold 28 Compliance of Carpal Tunnel 29 Boston carpal tunnel syndrome Questionnaires (BCTSQ) 29 Statistical Analysis 30 Results 32 Basic Data 32 Reliability 32 Whether severity of clinical symptoms is associated with mechanical properties of median nerve 32 Whether manual therapy can change the clinical symptoms and mechanical properties of median nerve 33 Effect of median nerve mobilization in patients with Carpal tunnel syndrome 33 Correlations between changes in symptom severity and median nerve mechanical properties after mobilization 34 Discussion 35 Mechanical properties of median nerve are associated with the clinical severity of CTS. 35 Conclusion 40 Reference……………………………………………………………………………..42 Figures………………………………………………………………………………..51 Tables…………………………………………………………...…………………….63 | |
| dc.language.iso | en | |
| dc.subject | 機械性特質 | zh_TW |
| dc.subject | 神經鬆動術 | zh_TW |
| dc.subject | 腕隧道症候群 | zh_TW |
| dc.subject | 超音波影像 | zh_TW |
| dc.subject | carpal tunnel syndrome | en |
| dc.subject | Nerve mobilization | en |
| dc.subject | ultrasound | en |
| dc.subject | mechanical properties | en |
| dc.title | 神經鬆動術對腕隧道症候群患者正中神經機械性特質與臨床症狀之影響 | zh_TW |
| dc.title | Effect of median nerve mobilization in subjects with carpal tunnel syndrome: nerve mechanical properties and clinical symptoms | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 104-1 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 王淑芬,張志豪,施怡芬 | |
| dc.subject.keyword | 神經鬆動術,腕隧道症候群,機械性特質,超音波影像, | zh_TW |
| dc.subject.keyword | Nerve mobilization,carpal tunnel syndrome,mechanical properties,ultrasound, | en |
| dc.relation.page | 72 | |
| dc.rights.note | 同意授權(全球公開) | |
| dc.date.accepted | 2016-01-27 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 物理治療學研究所 | zh_TW |
| 顯示於系所單位： | 物理治療學系所 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-105-1.pdf | 4.74 MB | Adobe PDF | 檢視/開啟 |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。