Document Detail


Common Interlimb Asymmetries and Neurogenic Responses during Upper Limb Neurodynamic Testing: Implications for Test Interpretation.
MedLine Citation:
PMID:  22079598     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
STUDY DESIGN: Clinical measurement pilot study. INTRODUCTION: Upper limb neurodynamic testing (ULNT1) uses interlimb comparisons to investigate nerve sensitivity to movement. PURPOSE OF THE STUDY: To establish the magnitude of range of motion asymmetries between limbs and the frequency of neurogenic sensory responses during ULNT1. METHODS: Elbow extension range of motion (EE-ROM) and sensory responses were measured during ULNT1 in dominant and nondominant limbs for 40 asymptomatic participants. Structural differentiation was performed to examine if sensory responses were associated with neurogenic sources. RESULTS: The average intraindividual EE-ROM asymmetry was 7.28 deg (6.68 standard deviation) (95% confidence interval: 5.18, 9.28). Sensory responses in the limbs during ULNT1 were altered by structural differentiation in 95% of participants. An intraindividual, interlimb difference of ≥10 deg exceeds the range of common asymmetry during ULNT1. CONCLUSIONS: Neurogenic sensory responses are common findings in healthy individuals and should be acknowledged when interpreting ULNT1 findings. LEVEL OF EVIDENCE: 3a.
Authors:
Benjamin S Boyd
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-11
Journal Detail:
Title:  Journal of hand therapy : official journal of the American Society of Hand Therapists     Volume:  -     ISSN:  1545-004X     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806591     Medline TA:  J Hand Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Physical Therapy, Samuel Merritt University, Oakland, California.
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