Yaman Fatima, Akdeniz Leblebicier Merve, Özlü Aysun, Cihan Emine, Bulut Özkaya Dilan
Department of Physical Medicine and Rehabilitation, Kütahya Health Sciences University, Faculty of Medicine, Kütahya, Türkiye.
Department of Therapy and Rehabilitation, Selçuk University, Physiotherapy Program, Vocational School of Health Sciences, Konya, Türkiye.
Turk J Phys Med Rehabil. 2023 Jun 5;69(3):344-349. doi: 10.5606/tftrd.2023.11812. eCollection 2023 Sep.
This study aims to investigate the effect of the hot pack application on the morphology of healthy median and ulnar nerves.
Between August 2021 and September 2022, a total of 54 healthy volunteers (17 males, 37 females; mean age: 31.9±9.4 years; range, 21 to 63 years) were included in the study. The cross-sectional area (CSA) and depth of the right median and ulnar nerve were measured using ultrasonography before and after 20-min hot pack application. The right median nerve CSA and depth from the level of the scaphoid bone (at the level of the carpal tunnel) and from the mid-forearm were also measured. The right ulnar nerve CSA and depth from the level of the hook of hamate and the mid-forearm were evaluated. The depth measurements between the skin and the outer hyperechoic border of the nerve were performed.
After the hot pack application, there was an increase in both the median nerve CSA at the carpal tunnel (from 0.06±0.01 to 0.09±0.02 cm ) and forearm (from 0.06±0.02 to 0.09±0.02 cm ) levels (p<0.001) and the ulnar nerve CSA at the hook of hamate (from 0.04±0.03 to 0.06±0.01 cm ) and forearm (0.05±0.01 to 0.08±0.02 cm ) levels (p<0.001). No statistically significant difference was observed between the pre- and post-application depth measurements (p>0.05).
Our study results show that the hot pack application leads to acute swelling of the median and ulnar nerves. In future studies, the relationship between morphological changes in healthy and pathological nerves and electrodiagnostic findings should be investigated.
本研究旨在探讨热敷对健康正中神经和尺神经形态的影响。
2021年8月至2022年9月期间，共有54名健康志愿者（17名男性，37名女性；平均年龄：31.9±9.4岁；范围，21至63岁）纳入本研究。在热敷20分钟前后，使用超声测量右侧正中神经和尺神经的横截面积（CSA）和深度。还测量了右侧正中神经从舟骨水平（腕管水平）和前臂中部的CSA和深度。评估了右侧尺神经从钩骨水平和前臂中部的CSA和深度。进行了皮肤与神经外高回声边界之间的深度测量。
热敷后，腕管处正中神经CSA（从0.06±0.01增加至0.09±0.02 cm²）和前臂处（从0.06±0.02增加至0.09±0.02 cm²）以及钩骨处尺神经CSA（从0.
