The Experts below are selected from a list of 186 Experts worldwide ranked by ideXlab platform
Josue Fernandezcarnero - One of the best experts on this subject based on the ideXlab platform.
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radial nerve mobilization decreases pain sensitivity and improves motor performance in patients with thumb carpometacarpal osteoarthritis a randomized controlled trial
Archives of Physical Medicine and Rehabilitation, 2012Co-Authors: Jorge Hugo Villafane, Guillermo B Silva, Mark D Bishop, Josue FernandezcarneroAbstract:Abstract Villafane JH, Silva GB, Bishop MD, Fernandez-Carnero J. Radial nerve mobilization decreases pain sensitivity and improves motor performance in patients with thumb carpometacarpal osteoarthritis: a randomized controlled trial. 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 No patients were withdrawn from the study.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/cm 2 ( P P P P P Conclusions Radial nerve mobilization decreases pain sensitivity in the trapeziometacarpal joint and increases tip pinch strength.
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effect of thumb joint mobilization on pressure pain threshold in elderly patients with thumb carpometacarpal osteoarthritis
Journal of Manipulative and Physiological Therapeutics, 2012Co-Authors: Jorge Hugo Villafane, Guillermo B Silva, Josue FernandezcarneroAbstract:Abstract Objective This study evaluated the effects of Maitland's passive accessory mobilization on local hypoalgesia and strength in thumb carpometacarpal osteoarthritis (TCOA). Methods Twenty-eight patients between 70 and 90 years old with secondary TCOA were randomized into glide mobilization and sham groups. This study was designed as a double-blind, randomized controlled trial. Therapy consisted of Maitland's passive accessory mobilization of the dominant hand during 4 sessions over 2 weeks. We measured pressure pain threshold (PPT) at the trapeziometacarpal joint (TMJ), the tubercle of the scaphoid Bone, and the unciform apophysis of the Hamate Bone by algometry. The tip and tripod pinch strength was also measured. Grip strength was measured by a grip dynamometer. Measurements were taken before treatment and after 1 week (first follow-up [FU]) and 2 weeks (second FU). Results All values in sham group remained unchanged along the treatment period. In the treated group, the PPT in the TMJ was 3.85 ± 0.35 kg/cm 2 , which increased after treatment to 3.99 ± 0.37 and was maintained at the same level during the first FU 3.94 ± 0.39 and second FU 4.74 ± 0.40. In contrast, we found no differences in PPT in the other studied structures after treatment. Similarly, tip, tripod pinch, and grip strength remained without change after treatment. Conclusions Passive accessory mobilization increased PPT in the TMJ; however, it did not increase motor function in patients with TCOA.
Jorge Hugo Villafane - One of the best experts on this subject based on the ideXlab platform.
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radial nerve mobilisation had bilateral sensory effects in people with thumb carpometacarpal osteoarthritis a randomised trial
Journal of Physiotherapy, 2013Co-Authors: Jorge Hugo Villafane, Mark D Bishop, Cesar Fernandezdelaspenas, Dolores LangfordAbstract:Question In people with thumb carpometacarpal osteoarthritis, does radial nerve mobilisation to the affected hand reduce pressure pain sensitivity in the contralateral hand? Design Secondary analysis of data from a randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants Sixty people with thumb CMC osteoarthritis in the dominant hand aged 70–90 years. Interventions The experimental group received sliding mobilisation of the radial nerve and the control group received a non-therapeutic dose of intermittent ultrasound, on the affected side for six sessions over four weeks. Outcome measures On the contralateral side, pressure pain thresholds at the lateral epicondyle, thumb CMC joint, tubercle of the scaphoid Bone, and Hamate Bone were assessed before and after the intervention with follow-up at 1 and 2 months. Results No important baseline differences were noted between groups. At the end of the intervention period, the experimental group had significantly a higher (ie, better) pressure pain threshold than the control group at the lateral epicondyle by 1.5kg/cm 2 (95% CI 0.2 to 2.2), CMC joint by 1.2kg/cm 2 (95% CI 0.5 to 2.0), scaphoid Bone by 1.0kg/cm 2 (95% CI 0.2 to 1.8) and Hamate Bone by 1.9kg/cm 2 (95% CI 1.0 to 2.7). Although mean values in the experimental group remained better than the control group at all sites at both follow-up assessments, these differences were not statistically significant. Conclusion Radial nerve gliding applied to the symptomatic hand induced hypoalgesic effects on the contralateral hand in people with CMC osteoarthritis, suggesting bilateral hypoalgesic effects of the intervention.
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effects of passive upper extremity joint mobilization on pain sensitivity and function in participants with secondary carpometacarpal osteoarthritis a case series
Journal of Manipulative and Physiological Therapeutics, 2012Co-Authors: Jorge Hugo Villafane, Guillermo B Silva, Alessandro ChiarottoAbstract:Abstract Objective The purpose of this case series is to report on the effects of passive joint mobilization (PJM) of the shoulder, elbow, and wrist on pain intensity, pain sensitivity, and function in elderly participants with secondary carpometacarpal osteoarthritis (CMC OA). Methods Fifteen inpatients from the Department of Physical Therapy, Residenze Sanitarie Assistenziali, Collegno (Italy), with secondary CMC OA (70-90 years old) were included in this study. All patients received PJM of the dominant arm (shoulder, elbow, and wrist) for 4 sessions for 2 weeks. Pain severity was measured by visual analog scale, and pain sensitivity was measured with pressure pain threshold (PPT) at CMC joint, at the tubercle of the scaphoid Bone, and at the unciform apophysis of the Hamate Bone. Tip and tripod pinch strength were measured by a pinch gauge. Results Passive joint mobilization reduced pain severity after the first follow-up by 30%, in addition to increased PPT by 13% in the Hamate Bone. Strength was enhanced after treatment. Tripod pinch increased by 18% in the dominant hand after treatment. Conclusions This case series provides preliminary evidence that PJM of upper extremity joints diminished pain and may increase PPT tip and tripod pinch in some participants with secondary CMC OA.
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radial nerve mobilization decreases pain sensitivity and improves motor performance in patients with thumb carpometacarpal osteoarthritis a randomized controlled trial
Archives of Physical Medicine and Rehabilitation, 2012Co-Authors: Jorge Hugo Villafane, Guillermo B Silva, Mark D Bishop, Josue FernandezcarneroAbstract:Abstract Villafane JH, Silva GB, Bishop MD, Fernandez-Carnero J. Radial nerve mobilization decreases pain sensitivity and improves motor performance in patients with thumb carpometacarpal osteoarthritis: a randomized controlled trial. 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/cm 2 ( P P P P P Conclusions Radial nerve mobilization decreases pain sensitivity in the trapeziometacarpal joint and increases tip pinch strength.
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effect of thumb joint mobilization on pressure pain threshold in elderly patients with thumb carpometacarpal osteoarthritis
Journal of Manipulative and Physiological Therapeutics, 2012Co-Authors: Jorge Hugo Villafane, Guillermo B Silva, Josue FernandezcarneroAbstract:Abstract Objective This study evaluated the effects of Maitland's passive accessory mobilization on local hypoalgesia and strength in thumb carpometacarpal osteoarthritis (TCOA). Methods Twenty-eight patients between 70 and 90 years old with secondary TCOA were randomized into glide mobilization and sham groups. This study was designed as a double-blind, randomized controlled trial. Therapy consisted of Maitland's passive accessory mobilization of the dominant hand during 4 sessions over 2 weeks. We measured pressure pain threshold (PPT) at the trapeziometacarpal joint (TMJ), the tubercle of the scaphoid Bone, and the unciform apophysis of the Hamate Bone by algometry. The tip and tripod pinch strength was also measured. Grip strength was measured by a grip dynamometer. Measurements were taken before treatment and after 1 week (first follow-up [FU]) and 2 weeks (second FU). Results All values in sham group remained unchanged along the treatment period. In the treated group, the PPT in the TMJ was 3.85 ± 0.35 kg/cm 2 , which increased after treatment to 3.99 ± 0.37 and was maintained at the same level during the first FU 3.94 ± 0.39 and second FU 4.74 ± 0.40. In contrast, we found no differences in PPT in the other studied structures after treatment. Similarly, tip, tripod pinch, and grip strength remained without change after treatment. Conclusions Passive accessory mobilization increased PPT in the TMJ; however, it did not increase motor function in patients with TCOA.
Dolores Langford - One of the best experts on this subject based on the ideXlab platform.
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radial nerve mobilisation had bilateral sensory effects in people with thumb carpometacarpal osteoarthritis a randomised trial
Journal of Physiotherapy, 2013Co-Authors: Jorge Hugo Villafane, Mark D Bishop, Cesar Fernandezdelaspenas, Dolores LangfordAbstract:Question In people with thumb carpometacarpal osteoarthritis, does radial nerve mobilisation to the affected hand reduce pressure pain sensitivity in the contralateral hand? Design Secondary analysis of data from a randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants Sixty people with thumb CMC osteoarthritis in the dominant hand aged 70–90 years. Interventions The experimental group received sliding mobilisation of the radial nerve and the control group received a non-therapeutic dose of intermittent ultrasound, on the affected side for six sessions over four weeks. Outcome measures On the contralateral side, pressure pain thresholds at the lateral epicondyle, thumb CMC joint, tubercle of the scaphoid Bone, and Hamate Bone were assessed before and after the intervention with follow-up at 1 and 2 months. Results No important baseline differences were noted between groups. At the end of the intervention period, the experimental group had significantly a higher (ie, better) pressure pain threshold than the control group at the lateral epicondyle by 1.5kg/cm 2 (95% CI 0.2 to 2.2), CMC joint by 1.2kg/cm 2 (95% CI 0.5 to 2.0), scaphoid Bone by 1.0kg/cm 2 (95% CI 0.2 to 1.8) and Hamate Bone by 1.9kg/cm 2 (95% CI 1.0 to 2.7). Although mean values in the experimental group remained better than the control group at all sites at both follow-up assessments, these differences were not statistically significant. Conclusion Radial nerve gliding applied to the symptomatic hand induced hypoalgesic effects on the contralateral hand in people with CMC osteoarthritis, suggesting bilateral hypoalgesic effects of the intervention.
Mark D Bishop - One of the best experts on this subject based on the ideXlab platform.
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radial nerve mobilisation had bilateral sensory effects in people with thumb carpometacarpal osteoarthritis a randomised trial
Journal of Physiotherapy, 2013Co-Authors: Jorge Hugo Villafane, Mark D Bishop, Cesar Fernandezdelaspenas, Dolores LangfordAbstract:Question In people with thumb carpometacarpal osteoarthritis, does radial nerve mobilisation to the affected hand reduce pressure pain sensitivity in the contralateral hand? Design Secondary analysis of data from a randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants Sixty people with thumb CMC osteoarthritis in the dominant hand aged 70–90 years. Interventions The experimental group received sliding mobilisation of the radial nerve and the control group received a non-therapeutic dose of intermittent ultrasound, on the affected side for six sessions over four weeks. Outcome measures On the contralateral side, pressure pain thresholds at the lateral epicondyle, thumb CMC joint, tubercle of the scaphoid Bone, and Hamate Bone were assessed before and after the intervention with follow-up at 1 and 2 months. Results No important baseline differences were noted between groups. At the end of the intervention period, the experimental group had significantly a higher (ie, better) pressure pain threshold than the control group at the lateral epicondyle by 1.5kg/cm 2 (95% CI 0.2 to 2.2), CMC joint by 1.2kg/cm 2 (95% CI 0.5 to 2.0), scaphoid Bone by 1.0kg/cm 2 (95% CI 0.2 to 1.8) and Hamate Bone by 1.9kg/cm 2 (95% CI 1.0 to 2.7). Although mean values in the experimental group remained better than the control group at all sites at both follow-up assessments, these differences were not statistically significant. Conclusion Radial nerve gliding applied to the symptomatic hand induced hypoalgesic effects on the contralateral hand in people with CMC osteoarthritis, suggesting bilateral hypoalgesic effects of the intervention.
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radial nerve mobilization decreases pain sensitivity and improves motor performance in patients with thumb carpometacarpal osteoarthritis a randomized controlled trial
Archives of Physical Medicine and Rehabilitation, 2012Co-Authors: Jorge Hugo Villafane, Guillermo B Silva, Mark D Bishop, Josue FernandezcarneroAbstract:Abstract Villafane JH, Silva GB, Bishop MD, Fernandez-Carnero J. Radial nerve mobilization decreases pain sensitivity and improves motor performance in patients with thumb carpometacarpal osteoarthritis: a randomized controlled trial. 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/cm 2 ( P P P P P Conclusions Radial nerve mobilization decreases pain sensitivity in the trapeziometacarpal joint and increases tip pinch strength.
Lazar Jelev - One of the best experts on this subject based on the ideXlab platform.
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a case of distal ulnar nerve variation presence of sensory loop around the hook of the Hamate Bone un caso de variacion distal del nervio ulnar presencia de un bucle alrededor del gancho del hueso ganchoso
Revista Argentina de Anatomía Clínica, 2016Co-Authors: Alexander Krasimirov Angelov, Lazar JelevAbstract:Las variaciones del nervio cubital ulnar en la muneca son extranas, pero todavia tienen importancia clinica. Durante una diseccion de rutina de la mano derecha de un hombre europeo de 67 anos, se encontro en la muneca un nervio ulnar aberrante. Su rama superficial se bifurco y formo un lazo completo alrededor del gancho del hueso ganchoso. Los nervios sensoriales de los dedos surgieron de las diferentes partes de este lazo. La presencia de dicha variacion predispone al nervio a una neuropatia por compresion incluyendo una lesion accidental ocasionada durante las intervenciones quirurgicas. Ulnar nerve variations in the wrist are rare but still have clinical importance. In the course of a routine dissection of the right hand of a 67-y-old Caucasian male cadaver an aberrant ulnar nerve at the wrist was found. Its superficial branch bifurcated and formed a complete loop around the hook of the Hamate Bone. The sensory digital nerves arose from the different parts of this loop. The presence of such a variant neural loop predisposes the nerve to compression neuropathy and accidental injury during surgical interventions.
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a case of distal ulnar nerve variation presence of sensory loop around the hook of the Hamate Bone
2014Co-Authors: Alexander Krasimirov Angelov, Lazar JelevAbstract:Ulnar nerve variations in the wrist are rare but still have clinical importance. In the course of a routine dissection of the right hand of a 67-y-old Caucasian male cadaver an aberrant ulnar nerve at the wrist was found. Its superficial branch bifurcated and formed a complete loop around the hook of the Hamate Bone. The sensory digital nerves arose from the different parts of this loop. The presence of such a variant neural loop predisposes the nerve to compression neuropathy and accidental injury during surgical interventions.
