원문정보
Changes in Nerve Excitability During Neural Stretching
초록
영어
Purpose: The neurodynamic test used to implicate symptoms arising from the nerve is proposed to selectively increase the strain of the nerve without increasing the strain of adjacent tissue, although this has not yet been established in the time of nerve tension application. This study aimed to investigate the acute effects of nerve stretching time on nerve excitability using compound nerve action potential (CNAP) analysis. Methods: Thirty healthy young adults (mean age=23.10 years) with no medical history of neurological or musculoskeletal disorder voluntarily participated in this study. Nerve excitability was assessed using the median nerve conduction velocity test. The amplitude of the CNAP was measured under three conditions: resting phase (supra-maximal stimulus, without nerve stretching), baseline phase (two-thirds of the supra-maximal stimulus, without nerve stretching), and stretch phase (two-thirds of the supra-maximal stimulus, with 1–5 minutes nerve stretching). One-way repeated measures ANOVA was conducted to compare the latency and amplitude of CNAP. A post-hoc test was analyzed using the contrast test. Results: The latency was significantly delayed after 1 min. of nerve stretching in comparison with the baseline test. However, no significant difference was found during the nerve stretching (1–5 min.). The amplitude was significantly increased by nerve stretching. Conclusion: Nerve stretching can induce nerve excitability without any nerve injury. Based on the results, more than 1 min. of nerve stretching as a neurodynamic test can be a useful method in the clinical setting.
목차
Ⅰ. 서론
Ⅱ. 연구 방법
1. 연구 대상
2. 측정도구 및 방법
3. 실험 절차
4. 자료 분석
Ⅲ. 연구결과
1. 연구 대상자의 일반적인 특성
2. 신경 신장에 따른 잠복시의 비교
3. 신경 신장 적용 시간 경과에 따른 잠복시 대비검정
4. 신경 신장에 따른 최대 진폭의 비교
5. 신경 신장 적용 시간 경과에 따른 진폭 대비검정
Ⅳ. 고찰
Ⅴ. 결론
References