PMID: 9188034Apr 1, 1997Paper

Repetitive use and static postures: a source of nerve compression and pain

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
C B Novak, S E Mackinnon

Abstract

Nerve compression or musculoskeletal diagnoses require consideration of both the repetitive movements and static postures that may be contributing to the problem. Certain postures and positions assumed at home, at work, and during sleep will have three major influences: (1) directly increasing pressure on nerves at entrapment sites; (2) placing muscles in shortened positions so that adaptive muscle shortening may then secondarily compress nerves; and (3) placing some muscles in elongated and weakened positions, resulting in other muscles being over-used, thus creating the cycle of muscle imbalance. Successful management of the patient with upper extremity pain, paresthesia, and numbness should begin with initial identification of all sites that are contributing to the presenting symptoms. Treatment must then be directed toward the sources of nerve compression and musculoskeletal dysfunction. Upper quadrant symptomatology can be alleviated with an appropriate therapy program, even in the patient with chronic symptoms, but only with patient education, compliance with an exercise program, and behavioral modification at home, work, and during sleep.

References

Jan 1, 1992·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·G LundborgT Strömberg
Jan 1, 1992·The Journal of Hand Surgery·G M RayanJ Duke
Feb 1, 1991·Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association·T C Jetzer
Mar 1, 1991·Annals of Plastic Surgery·A L Dellon, S E Mackinnon
Feb 1, 1990·Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association·B K GrunertS McCallum-Burke
Jan 1, 1988·Lasers in Surgery and Medicine·S Stellar
Aug 1, 1987·Scandinavian Journal of Work, Environment & Health·G LundborgB Rosén
Nov 1, 1986·Neuropathology and Applied Neurobiology·S E MackinnonD A Hunter
May 1, 1987·Plastic and Reconstructive Surgery·J H PhillipsJ P O'Brien
Nov 1, 1987·Annals of Plastic Surgery·J P O'BrienD A Hunter
Sep 1, 1986·The Journal of Hand Surgery·G LundborgI Pyykkö
Aug 18, 1973·Lancet·A R Upton, A J McComas
Oct 1, 1970·Acta Physiologica Scandinavica·M Knibestöl, A B Vallbo
Jul 1, 1968·Experimental Neurology·A B Vallbo, K E Hagbarth
Jan 1, 1984·The Journal of Hand Surgery·R M SzaboM P Dimick
Mar 1, 1984·The Journal of Hand Surgery·V MathiowetzN Kashman
Mar 1, 1983·Plastic and Reconstructive Surgery·A L Dellon
Jul 1, 1995·The Journal of Hand Surgery·C B NovakS E Mackinnon
Sep 1, 1994·The Journal of Hand Surgery·C B NovakL Lay
Sep 1, 1994·The Journal of Hand Surgery·S E Mackinnon, C B Novak
Mar 1, 1993·The Journal of Hand Surgery·C B NovakG A Patterson
Apr 1, 1996·The British Journal of Surgery·J F Thompson, F Jannsen
Jul 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·T OhtsukaA Furuse
May 1, 1996·The Journal of Hand Surgery·A J Weiland
May 1, 1996·The Journal of Hand Surgery·P A Nathan
Jun 7, 1997·Lancet·J M HarringtonR H McCaig

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Citations

Oct 22, 2013·Journal of Bodywork and Movement Therapies·José Luís Pimentel do RosárioÉrica Sato Hanada
Nov 27, 2002·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Martha Atwood Sanders, Claudia Michalak Turcotte
Jun 25, 2009·Journal of Sports Sciences·Andy ThompsonRobyn L Jones
Oct 26, 2013·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Kelvin Guoping Tan, Winston Yoon Chong Chew
Apr 2, 2014·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Joseph M DayTim L Uhl
Nov 5, 2015·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Nuno Morais, Joana Cruz
Sep 4, 2008·Complementary Therapies in Medicine·Daisy L M FrançaMarco Antonio M Guimarães
Nov 7, 1999·Lancet·D S McNally, M Halliwell
Oct 16, 2003·Applied Ergonomics·Valerie WoodsRoger Haslam
Nov 19, 2003·The Journal of the American Dental Association·Bethany Valachi, Keith Valachi
Jul 20, 2002·The American Journal of Sports Medicine·Hans-Juergen RichterPietro Segantini
Sep 20, 2007·Public Health Reports·Leon M StrakerMark Perry
Jun 21, 2018·Healthcare·Nicholas A Levine, Brandon R Rigby
Sep 25, 2008·Ciência & saúde coletiva·Josiane Schadeck de AlmeidaEliane Cristina Pastre
Jun 9, 2021·Current Sports Medicine Reports·Alexandra Warrick, Brian Davis

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