Journal of Hand Therapy
Volume 21, Issue 3 , Pages 221-228 , July 2008

The Excursion of the Median Nerve during Nerve Gliding Exercise: An Observation with High-resolution Ultrasonography

  • Ayumu Echigo, MS, OT

      Affiliations

    • Corresponding Author InformationCorrespondence and reprint requests to Ayumu Echigo, MS, OT, Sapporo Tokushukai Hospital, Hokkaido Trauma and Microsurgery Center, Division of Hand Therapy, Shiroishi-ku, Sakaedori18-4-10, Sapporo, 003-0021 Japan.

References 

  1. Millesi H, Zoch G, Rath T. The gliding apparatus of peripheral nerve and its clinical significance. Ann Hand Surg. 1990;9:87–97
  2. Lundborg G, Dahlin LB. Anatomy, function, and pathophysiology of peripheral nerves and nerve compression. Hand Clin. 1996;12:185–193
  3. Wilgis EFS, Murphy R. The significance of longitudinal excursion in peripheral nerves. Hand Clin. 1986;2:761–766
  4. Szabo RM, Bay BK, Sharkey NA, et al. Median nerve displacement through the carpal canal. J Hand Surg. 1994;19A:901–906
  5. Wright TW, Glowczewskie F, Wheeler D, et al. Excursion and strain of median nerve. J Bone Joint Surg. 1996;78A:1897–1903
  6. Bay BK, Sharkey NA, Szabo RM. Displacement and strain of the median nerve at the wrist. J Hand Surg. 1997;22A:621–627
  7. McLellan DL, Swash M. Longitudinal sliding of median nerve during movements of the upper limb. J Neurol Neurosurg Psychiatry. 1976;39:566–570
  8. Dilley A, Greening J, Lynn B, et al. The use of cross-correlation analysis between high-frequency ultrasound images to measure longitudinal median nerve movement. Ultrasound Med Biol. 2001;27:1211–1218
  9. Greening J, Lynn B, Leary R, Warren L, et al. The use of ultrasound imaging to demonstrate reduced movement of the median nerve during wrist flexion in patients with non-specific arm pain. J Hand Surg. 2001;26B:401–406
  10. Erel E, Dilley A, Greening J, et al. Longitudinal sliding of the median nerve in patients with carpal tunnel syndrome. J Hand Surg. 2003;28B:439–443
  11. Dilley A, Lynn B, Greeting J, DeLeon N, et al. Quantitative in vivo studies of median nerve sliding in response to wrist, elbow, shoulder and neck movements. Clin Biomech. 2003;18:899–907
  12. Greeting J, Dilley A, Lynn B. In vivo study of nerve movement and mechanosensitivity of the median nerve in whiplash and non-specific arm pain patients. Pain. 2005;115:248–253
  13. Nakamichi K, Tachibana S. Restricted motion of the median nerve in carpal tunnel syndrome. J Hand Surg. 1995;20B:460–464
  14. Hough AD, Moore AP, Jones MP. Peripheral nerve motion measurement with spectral doppler sonography: a reliability study. J Hand Surg. 2000;25B:585–589
  15. Nakamichi K, Tachibana S. Transverse sliding of the median nerve beneath the flexor retinaculum. J Hand Surg. 1992;17B:213–216
  16. Fornage BD. Peripheral nerves of the extremities: imaging with US. Radiology. 1998;167:179–182
  17. Totten PA, Hunter JM. Therapeutic techniques to enhance nerve gliding in thoracic outlet syndrome and carpal tunnel syndrome. Hand Clin. 1991;7:505–520
  18. Rozmaryn LM, Dovelle S, Rothman ER, et al. Nerve and tendon gliding exercise and conservative management of carpal tunnel syndrome. J Hand Ther. 1998;11:171–179
  19. Akalin E, El O, Peker O, et al. Treatment of carpal tunnel syndrome with nerve and tendon gliding exercises. Am J Phys Med Rehabil. 2002;81:108–113
  20. Muller M, Tsui D, Schnurr R, et al. Effectiveness of hand therapy interventions in primary management of carpal tunnel syndrome. J Hand Ther. 2004;17:210–228
  21. Topp KS, Boyd BS. Structure and biomechanics of peripheral nerves: nerve responses to physical stresses and implications for physical therapist practice. Phys Ther. 2006;86:92–109

PII: S0894-1130(07)00223-2

doi: 10.1197/j.jht.2007.11.001

Journal of Hand Therapy
Volume 21, Issue 3 , Pages 221-228 , July 2008