The impact of muscular variation on the neurodynamic test for the median nerve in a healthy population with Langer's axillary arch

Journal of Manipulative and Physiological Therapeutics
Tom Van HoofKatharina D'Herde

Abstract

The neurodynamic test of the median nerve (ULNT1) is frequently used to assess the mechanics and physiology of the brachial plexus and median nerve. The present study looks for a positive ULNT1 in a healthy population with Langer's axillary arch (LAA) and analyzes whether LAA affects the elbow extension range of motion (EE-ROM) of the ULNT1. Of 640 volunteers screened, 26 LAA sides were finally included. Additional history taking revealed "minor symptoms" in some subjects. Minor symptoms do not qualify as a disorder because there is no interference with daily activities and no medical advice is sought. This study investigates whether the ULNT1 can (re)produce minor symptoms or abnormal responses in subjects with LAA. The EE-ROM was compared between the subjects' left and right side, and the subtraction angle-which is the effect of placing the cervical spine in contralateral lateral flexion-was compared between LAA sides and controls. Langer's axillary arch sides showed a significant increase in the occurrence of minor symptoms and positive ULNT1, but no influence was observed on the EE-ROM. These findings suggest that LAA may be capable of transiently provoking the axillary neurovascular bundle. The unaffected EE-ROM may be the...Continue Reading

References

May 1, 1979·The British Journal of Surgery·A H Boontje
Jun 10, 1998·The Journal of Bone and Joint Surgery. British Volume·A M TetroR H Gelberman
Apr 7, 2000·Breast Cancer Research and Treatment·I R Daniels, G Q della Rovere
May 16, 2001·The Journal of Orthopaedic and Sports Physical Therapy·M W CoppietersF F Staes
Feb 5, 2002·Surgical and Radiologic Anatomy : SRA·M MiguelV Götzens
Aug 31, 2002·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Victoria BonastreJosé R Sañudo
May 2, 2003·Journal of Neurophysiology·Geoffrey M BoveJeong-Gill Leem
Aug 16, 2003·The Journal of Orthopaedic and Sports Physical Therapy·Michel W CoppietersKoen Janssens
Oct 21, 2003·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·J R Mérida-VelascoJ Jiménez Collado
Mar 10, 2004·Hand Clinics·Charles O Brantigan, David B Roos
Mar 10, 2004·Hand Clinics·Gerald M Patton
Apr 14, 2005·Archives of Physical Medicine and Rehabilitation·Robert S WainnerMichael L Boninger
Apr 16, 2005·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Dogan TuncaliGurcan Aslan
May 14, 2005·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Christine B Novak, Susan E Mackinnon
Sep 1, 2005·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Jeffrey LordanRobert J Spinner
Oct 26, 2005·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·I Besana-Ciani, M J Greenall
Jul 14, 2006·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·G P GeorgievL Surchev

❮ Previous
Next ❯

Citations

Nov 15, 2011·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Benjamin S Boyd
Jan 31, 2012·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Marinko RadeOlavi Airaksinen
Jun 3, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Jason M BeneciukSteven Z George

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.