dc.contributor.author | Sierra-Silvestre, Eva | |
dc.contributor.author | Bosello, Francesca | |
dc.contributor.author | Fernandez-Carnero, Josue | |
dc.contributor.author | Hoozemans, Marco JM | |
dc.contributor.author | Coppieters, Michel W | |
dc.date.accessioned | 2019-05-29T13:15:52Z | |
dc.date.available | 2019-05-29T13:15:52Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 2468-7812 | |
dc.identifier.doi | 10.1016/j.msksp.2018.06.007 | |
dc.identifier.uri | http://hdl.handle.net/10072/382037 | |
dc.description.abstract | 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. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.publisher.place | United Kingdom | |
dc.relation.ispartofpagefrom | 58 | |
dc.relation.ispartofpageto | 63 | |
dc.relation.ispartofjournal | Musculoskeletal Science and Practice | |
dc.relation.ispartofvolume | 37 | |
dc.subject.fieldofresearch | Clinical sciences not elsewhere classified | |
dc.subject.fieldofresearchcode | 320299 | |
dc.title | Femoral nerve excursion with knee and neck movements in supine, sitting and side-lying slump: An in vivo study using ultrasound imaging | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.description.version | Accepted Manuscript (AM) | |
gro.faculty | An Unassigned Group, An Unassigned Department | |
gro.rights.copyright | © 2018 Musculoskeletal Science and Practice. Published by Elsevier Ltd. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Coppieters, Michel | |