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肌内效贴管理浅表桡神经卡压:病例报告。

Kinesio tape management for superficial radial nerve entrapment: a case report.

机构信息

International School of Physiotherapy, Coventry University, Gokula Education Foundation, Bangalore, Karnataka, India.

出版信息

Physiother Theory Pract. 2013 Apr;29(3):232-41. doi: 10.3109/09593985.2012.717589. Epub 2012 Aug 27.

Abstract

This case report describes a 41-year-old female who presented with complaints of pain in the lower lateral one-third of the right radius extending into the first web space. Tinel's sign reproducing the patient's symptoms was elicited 8.2 cm above the radial styloid process. Physical diagnosis for superficial radial nerve entrapment was made based on a positive upper limb neural tension test 2a along with symptom reproduction during resisted isometrics to brachioradialis and wrist extensors. A potential first time successful conservative Kinesio tape (KT) management for entrapment of the superficial radial nerve is described in this report. An immediate improvement in grip strength and functional activities along with a reduction in pain and swelling was noted in this patient after the first treatment session, which was maintained at a 6 month follow-up. A model is proposed describing the mechanism by which KT application could be used to intervene for nerve entrapment interfaces.

摘要

本病例报告描述了一位 41 岁女性,她主诉右桡骨中下三分之一处疼痛,延伸至第一掌间区。在桡骨茎突上方 8.2 厘米处引出 Tinel 征,重现患者的症状。根据上肢神经张力试验 2a 阳性,以及对抗肱桡肌和腕伸肌的等长收缩时出现症状再现,作出了浅桡神经卡压的体格诊断。本报告描述了一种潜在的首次成功的浅桡神经卡压的运动贴扎(KT)保守治疗管理。在第一次治疗后,患者的握力和功能活动立即得到改善,疼痛和肿胀减轻,在 6 个月的随访中得到维持。提出了一个模型,描述了 KT 应用如何用于干预神经卡压界面的机制。

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