Effect of splinting and exercise on intraneural edema of the median nerve in carpal tunnel syndrome-an MRI study to reveal therapeutic mechanisms

Journal of Orthopaedic Research

Volumn 30, Issue 8, 2012, Pages 1343-1350

  Schmid, Annina B ^a   Elliott, James M ^a,b   Strudwick, Mark W ^a,c   Little, Mary ^d   Coppieters, Michel W ^a  

^a UNIVERSITY OF QUEENSLAND   (Australia)

^b NORTHWESTERN UNIVERSITY   (United States)

^c MONASH UNIVERSITY   (Australia)

^d PRINCESS ALEXANDRA HOSPITAL   (Australia)

Author keywords

carpal tunnel syndrome; MRI; nerve and tendon gliding exercises; neurodynamics; splinting

Indexed keywords

ADULT; ARTICLE; CARPAL TUNNEL SYNDROME; CLINICAL ARTICLE; DISEASE SEVERITY; EDEMA; EXERCISE; FEMALE; HUMAN; INTRANEURAL EDEMA; MALE; MEDIAN NERVE; NUCLEAR MAGNETIC RESONANCE IMAGING; OUTCOME ASSESSMENT; PHYSIOTHERAPY; PRIORITY JOURNAL; SPLINTING; TENDON GLINDING; WRIST;

ADULT; AGED; CARPAL TUNNEL SYNDROME; EXERCISE; EXERCISE THERAPY; FEMALE; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; MEDIAN NERVE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PAIN MEASUREMENT; REPRODUCIBILITY OF RESULTS; SPLINTS; TREATMENT OUTCOME; WRIST; WRIST JOINT;

EID: 84862772907     PISSN: 07360266     EISSN: 1554527X     Source Type: Journal    
DOI: 10.1002/jor.22064     Document Type: Article

References (40)

1. Bland JD,. 2005. Carpal tunnel syndrome. Curr Opin Neurol 18: 581-585.
2. Gelberman RH, Hergenroeder PT, Hargens AR, et al. 1981. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am 63: 380-383.
3. Okutsu I, Ninomiya S, Yoshida A, et al. 2004. Measurement of carpal canal and median nerve pressure in patients with carpal tunnel syndrome. Tech Hand Up Extrem Surg 8: 124-128.
4. Mackinnon SE,. 2002. Pathophysiology of nerve compression. Hand Clin 18: 231-241.
5. Phalen GS,. 1966. The carpal-tunnel syndrome. Seventeen years' experience in diagnosis and treatment of six hundred fifty-four hands. J Bone Joint Surg Am 48: 211-228.
6. Tuncali D, Barutcu AY, Terzioglu A, et al. 2005. Carpal tunnel syndrome: comparison of intraoperative structural changes with clinical and electrodiagnostic severity. Br J Plast Surg 58: 1136-1142.
7. Mallouhi A, Pulzl P, Trieb T, et al. 2006. Predictors of carpal tunnel syndrome: accuracy of gray-scale and color Doppler sonography. AJR Am J Roentgenol 186: 1240-1245.
8. Cudlip SA, Howe FA, Clifton A, et al. 2002. Magnetic resonance neurography studies of the median nerve before and after carpal tunnel decompression. J Neurosurg 96: 1046-1051.
9. Kleindienst A, Hamm B, Hildebrandt G, et al. 1996. Diagnosis and staging of carpal tunnel syndrome: comparison of magnetic resonance imaging and intra-operative findings. Acta Neurochir (Wien) 138: 228-233.
10. Coppieters MW, Soon BTC,. 2011. Non-invasive management of carpal tunnel syndrome. A national practice survey among Australian hand therapists. in press.
11. Luchetti R, Schoenhuber R, Nathan P,. 1998. Correlation of segmental carpal tunnel pressures with changes in hand and wrist positions in patients with carpal tunnel syndrome and controls. J Hand Surg [Br] 23: 598-602.
12. Weiss ND, Gordon L, Bloom T, et al. 1995. Position of the wrist associated with the lowest carpal-tunnel pressure: implications for splint design. J Bone Joint Surg Am 77: 1695-1699.
13. Sugimoto H, Miyaji N, Ohsawa T,. 1994. Carpal tunnel syndrome: evaluation of median nerve circulation with dynamic contrast-enhanced MR imaging. Radiology 190: 459-466.
14. Medina McKeon JM, Yancosek KE,. 2008. Neural gliding techniques for the treatment of carpal tunnel syndrome: a systematic review. J Sport Rehabil 17: 324-341.
15. Huisstede BM, Hoogvliet P, Randsdorp MS, et al. 2010. Carpal tunnel syndrome. Part I: effectiveness of nonsurgical treatments- A systematic review. Arch Phys Med Rehabil 91: 981-1004.
16. Coppieters MW, Butler DS,. 2008. Do 'sliders' slide and 'tensioners' tension? An analysis of neurodynamic techniques and considerations regarding their application. Man Ther 13: 213-221.
17. Rozmaryn LM, Dovelle S, Rothman ER, et al. 1998. Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. J Hand Ther 11: 171-179.
18. Hansford T, Blood H, Kent B, et al. 1986. Blood flow changes at the wrist in manual workers after preventive interventions. J Hand Surg [Am] 11: 503-508.
19. Totten PA, Hunter JM,. 1991. Therapeutic techniques to enhance nerve gliding in thoracic outlet syndrome and carpal tunnel syndrome. Hand Clin 7: 505-520.
20. AAEM. 1993. Practice parameter for carpal tunnel syndrome (summary statement). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 43: 2406-2409.
21. AAEM. 2002. Practice parameter: electrodiagnostic studies in carpal tunnel syndrome. Neurology 58: 1589-1592.
22. Padua L, Lo Monaco M, Padua R, et al. 1997. Neurophysiological classification of carpal tunnel syndrome: assessment of 600 symptomatic hands. Ital J Neurol Sci 18: 145-150.
23. Wehbe MA, Hunter JM,. 1985. Flexor tendon gliding in the hand. Part II. Differential gliding. J Hand Surg [Am] 10: 575-579.
24. Coppieters MW, Hough AD, Dilley A,. 2009. 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 39: 164-171.
25. Coppieters MW, Alshami AM,. 2007. Longitudinal excursion and strain in the median nerve during novel nerve gliding exercises for carpal tunnel syndrome. J Orthop Res 25: 972-980.
26. Coppieters MW, Vicenzino B, Soon BTC, et al. 2011. Comparative efficacy of a multimodal physiotherapy approach versus ultrasound for carpal tunnel syndrome: a protocol for a randomised, single blind clinical trial. Approved Project grant #511161 (2008-2011). Canberra, Australia: National Health and Medical Research Council.
27. Zailaa A, Vegh V, Maillet D, et al. 2009. Quadrature radio frequency coil for magnetic resonance imaging of the wrist at 4T. Concepts Magn Reson 35B: 191-197.
28. Finn JP, Deshpande VS, Simonetti OP,. 2006. Clinical magnetic resonance imaging. 3rd ed. Philadelphia: Saunders Elsevier.
29. Tsujii M, Hirata H, Morita A, et al. 2009. Palmar bowing of the flexor retinaculum on wrist MRI correlates with subjective reports of pain in carpal tunnel syndrome. J Magn Reson Imaging 29: 1102-1105.
30. Uchiyama S, Itsubo T, Yasutomi T, et al. 2005. Quantitative MRI of the wrist and nerve conduction studies in patients with idiopathic carpal tunnel syndrome. J Neurol Neurosurg Psychiatry 76: 1103-1108.
31. Monagle K, Dai G, Chu A, et al. 1999. Quantitative MR imaging of carpal tunnel syndrome. AJR Am J Roentgenol 172: 1581-1586.
32. Levine DW, Simmons BP, Koris MJ, et al. 1993. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am 75: 1585-1592.
33. Stratford P, Gill C, Westaway M, et al. 1995. Assessing disability and change on individual patients: a report of a patient specific measure. Physiother Can 47: 258-263.
34. Kowalchuk Horn K, Jennings S, Richardson G, et al. 2011. The Patient-Specific Functional Scale: psychometrics, clinimetrics, and application as a clinical outcome measure. J Orthop Sports Phys Ther. (Epub ahead of print).
35. Nakamichi KI, Tachibana S,. 2000. Enlarged median nerve in idiopathic carpal tunnel syndrome. Muscle Nerve 23: 1713-1718.
36. Seradge H, Jia YC, Owens W,. 1995. In vivo measurement of carpal tunnel pressure in the functioning hand. J Hand Surg [Am] 20: 855-859.
37. Han SE, Boland RA, Krishnan AV, et al. 2009. Ischaemic sensitivity of axons in carpal tunnel syndrome. J Peripher Nerv Syst 14: 190-200.
38. Leite JC, Jerosch-Herold C, Song F,. 2006. A systematic review of the psychometric properties of the Boston Carpal Tunnel Questionnaire. BMC Musculoskelet Disord 7: 78.
39. Brahme SK, Hodler J, Braun RM, et al. 1997. Dynamic MR imaging of carpal tunnel syndrome. Skeletal Radiol 26: 482-487.
40. Bialosky JE, Bishop MD, Price DD, et al. 2009. A randomized sham-controlled trial of a neurodynamic technique in the treatment of carpal tunnel syndrome. J Orthop Sports Phys Ther 39: 709-723.