Lowe Whitney
Orthopedic Massage Education & Research Institute, Sisters, OR 97759, USA.
J Bodyw Mov Ther. 2008 Apr;12(2):151-7. doi: 10.1016/j.jbmt.2007.04.001. Epub 2007 May 24.
Carpal tunnel syndrome is a highly prevalent peripheral neuropathy and manual therapy practitioners are likely to have clients presenting with this condition. There are no definitive diagnostic procedures that have shown a high degree of accuracy in identifying carpal tunnel syndrome. In addition, manual therapy practitioners do not have access to high-tech diagnostic procedures and therefore rely on physical examination methods to identify peripheral neuropathies like carpal tunnel syndrome. Several special orthopedic testing procedures have shown value in predicting the presence of carpal tunnel syndrome. Combining these standard testing procedures with neurodynamic principles allows for modifications to these tests making them more sensitive in identifying median nerve compression neuropathy in the carpal tunnel.
腕管综合征是一种非常常见的周围神经病变，手法治疗从业者很可能会遇到患有这种疾病的客户。目前尚无在识别腕管综合征方面具有高度准确性的确定性诊断程序。此外，手法治疗从业者无法使用高科技诊断程序，因此依靠体格检查方法来识别像腕管综合征这样的周围神经病变。几种特殊的骨科测试程序已显示出在预测腕管综合征存在方面的价值。将这些标准测试程序与神经动力学原理相结合，可以对这些测试进行改进，使其在识别腕管内正中神经卡压性神经病变时更加敏感。
