Therapeutic techniques to enhance nerve gliding in thoracic outlet syndrome and carpal tunnel syndrome.
By studying capabilities inherent in the nerve proper and carefully considering patient complaints and limitations, the surgeon-therapist team may be able to guide patients through a restorative phase via nerve gliding techniques. Nerve symptoms must be heeded when employing rehabilitation techniques. Rather than encouraging the patient to push beyond nerve pain either proximally or distally, the patient is instructed to perform exercises in positions that enhance nerve gliding in a slow, controlled manner. "Tincture of time" is prescribed as the patient advances to a less symptomatic level of function.
Totten
P A
PA
Hand Rehabilitation Center, Philadelphia, Pennsylvania.
Hunter
J M
JM
D001917:Brachial Plexus / Q000503:physiopathology; D002349:Carpal Tunnel Syndrome / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D008475:Median Nerve / Q000503:physiopathology; D026741:Physical Therapy Modalities; D013901:Thoracic Outlet Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000534:rehabilitation*