Abstract
Objective: To examine the effects of radial nerve mobilization on pain sensitivity and motor performance in subjects with secondary thumb carpometacarpal osteoarthritis. Design: Randomized controlled trial. Treatment and placebo were given for 4 weeks. Measurements were taken before intervention, after 1 month (first follow-up), and after 2 months (second follow-up). Setting: Patients from the Department of Physical Therapy, Azienda Sanitaria Locale 3, Collegno (Italy). Participants: Participants (N=60; age range, 70-90y) with right-dominant hand secondary thumb carpometacarpal osteoarthritis without other motor-related pathology. All patients completed the study. No patients were withdrawn from the study. Interventions: Sliding mobilization of the proximal-distal radial nerve or intermittent ultrasound therapy, used as placebo. Main Outcome Measures: We hypothesized that radial nerve mobilization induces hypoalgesia and increases strength in secondary thumb carpometacarpal osteoarthritis. We measured pressure pain threshold (PPT) at the trapeziometacarpal joint, the tubercle of the scaphoid bone, and the unciform apophysis of the hamate bone by algometry. Tip pinch strength and tripod pinch strength were measured by a mechanical pinch gauge. Results: Treatment increased PPT by 3.33±.24kg/cm2 (P
| Original language | English |
|---|---|
| Pages (from-to) | 396-403 |
| Number of pages | 8 |
| Journal | Archives of Physical Medicine and Rehabilitation |
| Volume | 93 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Mar 2012 |
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Keywords
- Hand strength
- Osteoarthritis
- Radial nerve
- Rehabilitation
- Thumb
ASJC Scopus subject areas
- Rehabilitation
- Physical Therapy, Sports Therapy and Rehabilitation
Cite this
Radial nerve mobilization decreases pain sensitivity and improves motor performance in patients with thumb carpometacarpal osteoarthritis : A randomized controlled trial. / Villafañe, Jorge H.; Silva, Guillermo B.; Bishop, Mark D.; Fernandez-Carnero, Josue.
In: Archives of Physical Medicine and Rehabilitation, Vol. 93, No. 3, 03.2012, p. 396-403.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Radial nerve mobilization decreases pain sensitivity and improves motor performance in patients with thumb carpometacarpal osteoarthritis
T2 - A randomized controlled trial
AU - Villafañe, Jorge H.
AU - Silva, Guillermo B.
AU - Bishop, Mark D.
AU - Fernandez-Carnero, Josue
PY - 2012/3
Y1 - 2012/3
N2 - Objective: To examine the effects of radial nerve mobilization on pain sensitivity and motor performance in subjects with secondary thumb carpometacarpal osteoarthritis. Design: Randomized controlled trial. Treatment and placebo were given for 4 weeks. Measurements were taken before intervention, after 1 month (first follow-up), and after 2 months (second follow-up). Setting: Patients from the Department of Physical Therapy, Azienda Sanitaria Locale 3, Collegno (Italy). Participants: Participants (N=60; age range, 70-90y) with right-dominant hand secondary thumb carpometacarpal osteoarthritis without other motor-related pathology. All patients completed the study. No patients were withdrawn from the study. Interventions: Sliding mobilization of the proximal-distal radial nerve or intermittent ultrasound therapy, used as placebo. Main Outcome Measures: We hypothesized that radial nerve mobilization induces hypoalgesia and increases strength in secondary thumb carpometacarpal osteoarthritis. We measured pressure pain threshold (PPT) at the trapeziometacarpal joint, the tubercle of the scaphoid bone, and the unciform apophysis of the hamate bone by algometry. Tip pinch strength and tripod pinch strength were measured by a mechanical pinch gauge. Results: Treatment increased PPT by 3.33±.24kg/cm2 (P
AB - Objective: To examine the effects of radial nerve mobilization on pain sensitivity and motor performance in subjects with secondary thumb carpometacarpal osteoarthritis. Design: Randomized controlled trial. Treatment and placebo were given for 4 weeks. Measurements were taken before intervention, after 1 month (first follow-up), and after 2 months (second follow-up). Setting: Patients from the Department of Physical Therapy, Azienda Sanitaria Locale 3, Collegno (Italy). Participants: Participants (N=60; age range, 70-90y) with right-dominant hand secondary thumb carpometacarpal osteoarthritis without other motor-related pathology. All patients completed the study. No patients were withdrawn from the study. Interventions: Sliding mobilization of the proximal-distal radial nerve or intermittent ultrasound therapy, used as placebo. Main Outcome Measures: We hypothesized that radial nerve mobilization induces hypoalgesia and increases strength in secondary thumb carpometacarpal osteoarthritis. We measured pressure pain threshold (PPT) at the trapeziometacarpal joint, the tubercle of the scaphoid bone, and the unciform apophysis of the hamate bone by algometry. Tip pinch strength and tripod pinch strength were measured by a mechanical pinch gauge. Results: Treatment increased PPT by 3.33±.24kg/cm2 (P
KW - Hand strength
KW - Osteoarthritis
KW - Radial nerve
KW - Rehabilitation
KW - Thumb
UR - http://www.scopus.com/inward/record.url?scp=84857047161&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84857047161&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2011.08.045
DO - 10.1016/j.apmr.2011.08.045
M3 - Article
C2 - 22218138
AN - SCOPUS:84857047161
VL - 93
SP - 396
EP - 403
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 3
ER -