Correlation between Neurodynamic Tests for Patients with Sciatic Radiculopathy

김승준

Correlation between Neurodynamic Tests for Patients with Sciatic Radiculopathy

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2011, 6(4), pp.415-424
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

김승준 ¹

¹고창효자노인병원

Candidate

ABSTRACT

연구목적：본 연구는 볼기신경 뿌리병증 환자에 대하여 역학적 스트레스인 압박과 긴장을 가하여 환자의 증상을 나타내 신경동역학적 검사간의 상관관계를 수행하였다. 연구방법：신경동역학검사인 하지직거상검사, 수정된 활시위검사, 슬럼프검사에 앞서 방사선과 전문의에 의해자기공명영상 판독을 실시하여 허리원반 이탈로 진단받은 다리쪽으로 방사통을 호소하는 21명의 환자가 참여하였다. 수집된 자료는 질적변수에 따른 빈도와 비율은 교차분석표로 작성하였고, 신경동역학적 검사간의 상관관계를 검정하기 위해 피어슨의 카이스퀘어(Pearson's chi-square)을 시행하였다. 연구결과：허리 자기공명영상 결과, 증상에 대한 두 검사 간 교차표를 작성하여 하지직거상검사와 수정된 활시위검사, 하지직거상검사와 슬럼프검사는 유의한 상관관계는 없었지만(p>.05) 수정된 활시위검사와 슬럼프검사는 통계적으로 유의한 상관관계(p<.05)가 제시되었다. 결론：볼기신경 뿌리병증 환자에 대한 신경동역학검사인 수정된 활시위검사와 슬럼프검사가 통계적으로 유의한 상관관계를 나타내는 증거를 제공하였다. 신경동역학 검사는 신경계에 역학적 스트레스 즉, 긴장, 활주, 또는 압박 자극을 주어 신경기능이상 환자에 대해 적절한 검사를 제시하였다.

KEYWORDS

신경동역학검사, 하지직거상검사, 슬럼프검사

Citation status

* References for papers published after 2023 are currently being built.

[book] Butler DS / 2009 / The sensitive nervous system. 4th ed / Adelaide. Noigroup : 98~99

[book] Butler DS / 1991 / Mobilisation of the nervous system / Churchill Livingstone : 19~127

[journal] Butler DS / 1989 / Adverse mechanical tension in the nervous system: A model for assessment and treatment / Austr J Physiother 35(4) : 227~238

[journal] Capra F / 2011 / Validity of the straight-leg raise test for patients with sciatic pain with or without lumbar pain using magnetic resonance imaging results as a reference standard / J Manipulative Physiol Ther 34 : 231~238

[journal] Coppieters MW / 2005 / The impact of neurodynamic testing on the perception of experimentally induced muscle pain / Man Ther 10 : 52~60

[journal] Devillé W / 2000 / The test of lasegue: Systematic review of the accuracy in diagnosing herniated discs / Spine 25(9) : 1140~1147

[journal] Di Fabio RP / 2001 / Neural mobilization: The impossible / Journal of Orthopaedic & Sports Physical Therapy 31(5) : 224~225

[book] Dutton M / 2002 / Manual therapy of the spine: An integrated approach / Mcgraw-Hill : 181~185

[journal] Elvey RL / 1986 / Treatment of arm pain associated with abnormal brachial plexus tension / Austr J Physiother 32(4) : 225~230

[journal] Herrington L / 2008 / What is the normal response to structural differentiation within the slump and straight leg raise test / Man Ther 13 : 289~294

[journal] Jensen MC / 1994 / Magnetic resonance imaging of the lumbar spine in people without back pain / N Engl J Med 331(2) : 69~73

[book] Kaltenborn FM / 1993 / The spine: Basic evaluation and mobilization technique. 2th ed / OPTP : 140~

[journal] Kostopoulos D / 2004 / Treatment of carpal tunnel syndrome: a review of the non-surgical approaches with empasis in neural mobilization / J Bodywork Movement Ther 8 : 2~8

[journal] Kwan MK / 1992 / Strain, stress and stretch of peripheral nerve / Acta Orthop Scand 63(3) : 267~272

[journal] Lew PC / 1997 / Relationship between the cervical component of the slump test and change in hamstring muscle tension / Man Ther 2(2) : 98~105

[journal] Maitland GD / 1979 / Negative disc exploration: Positive canal sign / Austr J Physiother 25(3) : 129~134

[journal] Majlesi J / 2008 / The sensitivity and specificity of the slump and the straight leg raising tests in patients with lumbar disc herniation / J Clin Rheumatol 14(2) : 87~91

[journal] Nee RJ / 2006 / Management of peripheral neuropathic pain: Integrating neurobiology, neurodynamics, and clinical evidence / Physical Therapy in Sport 7 : 36~49

[journal] Rabin A / 2007 / The sensitivity of the seated straight-leg raise test compared with the supine straight-leg raise test in patients presenting with magnetic resonance imaging evidence of lumbar nerve root compression / Arch Phys Med Rehabil 88 : 840~843

[journal] Shacklock M / 1995 / Neurodynamics / Physiotherapy 81(1) : 9~16

[journal] Shacklock M / 2005 / Improving application of neurodynamic (neural tension) testing and treatment: A message to researchers and clinicians / Man Ther 10 : 175~179

[journal] Stankovic R / 1999 / Use of lumbar extension, slump test, physical neurological examination in the evaluation of patients with suspected herniated nucleus pulposus: A prospective clinical study / Man Ther 4(1) : 25~32

[journal] Trainor K / 2011 / Reliability and diagnostic validity of the slump knee bend neurodynamic test for upper/mid lumbar nerve root compression: A pilot study / Physiotherapy 97 : 59~64

[journal] Vleeming A / 1995 / The posterior layer of the thoracolumbar fascia. Its function in load transfer from spine to legs / Spine 20(7) : 753~758

[journal] Vroomen P / 2002 / Diagnostic value of history and physical examination in patients suspected of lumbosacral nerve root compression / J Neurol Neurosurg Psychiatry 72 : 630~634

[journal] Walsh J / 2009 / Reliability, validity and diagnostic accuracy of palpation of the sciatic, tibial and common peroneal nerves in the examination of low back related leg pain / Man Ther 14 : 623~629

[journal] Walsh J / 2009 / Agreement and correlation between the straight leg raise and slump tests in subjects with leg pain / J Manipulative Physiol Ther 32(3) : 184~192

[journal] Walsh MT / 2005 / Upper limb neural tension testing and mobilization fact, fiction, and a practical approach / J HAND Ther 18 : 241~258

[journal] Werner CO / 1983 / Pressure and nerve lesion in the carpal tunnel / Acta Orthop scand 54 : 312~316

[journal] Werner CO / 1985 / pressures recorded in ulnar neuropathy / Acta Orthop Scand 56 : 404~406

[journal] Winkel D / 1996 / Diagnosis and treatment of the spine: Nonoperative orthopaedic medicine and manual therapy / Gaithersburg. Aspen 167

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