Department of Physical Medicine and Rehabilitation, Zonguldak Devrek State Hospital, Zonguldak, Turkey.
Department of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, Ankara, Turkey.
Acta Neurol Belg. 2020 Jun;120(3):621-628. doi: 10.1007/s13760-018-0941-9. Epub 2018 May 19.
Forward head posture (FHP) is one of the most frequently seen problems. The aim of this study was to evaluate the neurodynamic tests and peripheral nerve conductions of upper extremity in patients with FHP. The study population included 100 patients with upper extremity and neck problems and 34 healthy individuals as a control group. Craniovertebral angle measurement was used to determine forward head posture. Stretch tests for radial, ulnar and median nerves were performed. Nerve conductions of bilateral median, radial, ulnar and medial antebrachial cutaneous (MAC) nerves were examined in all patients included in the study. The most significant nerve conduction differences in moderate-to-severe FHP patients were a decrease in the sensory nerve action potential (SNAP) and compound muscle action potential (CMAP) amplitudes of median nerves, a decrease in the SNAP amplitude of ulnar nerves, a delay in the F response latency of ulnar nerves and prolongation in the SNAP latency of the MAC nerve. FHP makes patients more prone to peripheral entrapments.
前伸头姿势（FHP）是最常见的问题之一。本研究旨在评估 FHP 患者的上肢神经动力学测试和周围神经传导。研究人群包括 100 例上肢和颈部问题患者和 34 名健康个体作为对照组。颅椎角测量用于确定前伸头姿势。对桡神经、尺神经和正中神经进行拉伸测试。对所有纳入研究的患者进行双侧正中神经、桡神经、尺神经和前臂内侧皮神经（MAC）的神经传导检查。中重度 FHP 患者最显著的神经传导差异是正中神经感觉神经动作电位（SNAP）和复合肌肉动作电位（CMAP）幅度降低，尺神经 SNAP 幅度降低，尺神经 F 反应潜伏期延迟和 MAC 神经 SNAP 潜伏期延长。FHP 使患者更容易发生周围神经嵌压。
