Femoral nerve excursion with knee and neck movements in supine, sitting and side-lying slump: An in vivo study using ultrasound imaging
| Autor: | Michel W. Coppieters, Marco J.M. Hoozemans, Eva Sierra-Silvestre, Francesca Bosello, Josué Fernández-Carnero |
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| Přispěvatelé: | Neuromechanics, AMS - Ageing and Morbidity |
| Rok vydání: | 2018 |
| Předmět: |
Male
Supine position Knee Joint Movement Physical Therapy Sports Therapy and Rehabilitation Neurodynamics Thigh Neuropathic pain Sitting 03 medical and health sciences 0302 clinical medicine Femoral nerve Supine Position medicine Humans Range of Motion Articular Ultrasonography Sitting Position 030222 orthopedics Groin business.industry Ultrasound Excursion Biomechanics Reproducibility of Results Biomechanical Phenomena Neuropathy Sonography medicine.anatomical_structure Female business Nuclear medicine Femoral Nerve 030217 neurology & neurosurgery |
| Zdroj: | Musculoskeletal Science and Practice, 37, 58-63. Elsevier BV Sierra-Silvestre, E, Bosello, F, Fernández-Carnero, J, Hoozemans, M J M & Coppieters, M W 2018, ' Femoral nerve excursion with knee and neck movements in supine, sitting and side-lying slump : An in vivo study using ultrasound imaging ', Musculoskeletal Science and Practice, vol. 37, pp. 58-63 . https://doi.org/10.1016/j.msksp.2018.06.007 |
| ISSN: | 2468-7812 2468-8630 |
| Popis: | Background: Neurodynamic assessment and management are advocated for femoral nerve pathology. Contrary to neurodynamic techniques for other nerves, there is limited research that quantifies femoral nerve biomechanics. Objectives: To quantify longitudinal and transverse excursion of the femoral nerve during knee and neck movements. Design: Single-group, experimental study, with within-participant comparisons. Methods: High-resolution ultrasound recordings of the femoral nerve were made in the proximal thigh/groin region in 30 asymptomatic participants. Scans were made during knee flexion in supine and a semi-seated position, and during neck flexion in side-lying slump (Slump FEMORAL). Healthy participants were assessed to reveal normal nerve biomechanics, not influenced by pathology. Data were analysed with one-sample and paired t-tests. Reliability was assessed with intraclass correlation coefficients (ICC). Results: Longitudinal and transverse excursion measurements were reliable (ICC≥0.87). With knee flexion, longitudinal femoral nerve excursion was significant and larger in supine than in sitting (supine (mean (SD)): 3.6 (2.0) mm; p < 0.001; sitting: 1.1 (1.6) mm; p = 0.001; comparison: p = 0.001). There was also excursion in a medial direction (supine: 1.4 (0.3) mm; p < 0.001; sitting: 0.7 (0.6) mm; p < 0.001) and anterior direction (supine: 0.2 (0.2) mm; p < 0.001; sitting: 0.1 (0.2) mm; p = 0.06). Neck flexion in Slump FEMORAL did not result in longitudinal (0.0 (0.3) mm; p = 0.55) or anteroposterior (0.0 (0.1) mm; p = 0.10) excursion, but resulted in medial excursion (1.1 (0.5) mm; p < 0.001). Conclusion: Although the femoral nerve terminates proximal to the knee, femoral nerve excursion in the proximal thigh occurred with knee flexion; Neck flexion in Slump FEMORAL resulted in medial excursion. |
| Databáze: | OpenAIRE |
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