In vivo effects of limb movement on nerve stretch, strain, and tension: A systematic review

© 2017 - IOS Press and the authors. All rights reserved. BACKROUND: The mechanical behavior of the peripheral nervous system under elongation and tension has not been adequately established in vivo. OBJECTIVE: The purpose of this review is to investigate the mechanical behavior of the peripheral ner...

Full description

Bibliographic Details
Main Authors: Szikszay, T., Hall, Toby, Von Piekartz, H.
Format: Journal Article
Published: IOS Press 2017
Online Access:http://hdl.handle.net/20.500.11937/63538
_version_ 1848761114559512576
author Szikszay, T.
Hall, Toby
Von Piekartz, H.
author_facet Szikszay, T.
Hall, Toby
Von Piekartz, H.
author_sort Szikszay, T.
building Curtin Institutional Repository
collection Online Access
description © 2017 - IOS Press and the authors. All rights reserved. BACKROUND: The mechanical behavior of the peripheral nervous system under elongation and tension has not been adequately established in vivo. OBJECTIVE: The purpose of this review is to investigate the mechanical behavior of the peripheral nervous system in vivo. METHODS: In vivo studies which evaluated the effects of limb movement and neurodynamic tests on peripheral nerve biomechanics were systematically searched in PubMed (Medline), the Cochrane Database, CINAHL, PEDro, Embase and Web of Science. Studies fulfilling the search criteria were assessed for methodological quality with a modified version of the Down & Blacks scale by two reviewers. RESULTS: This review includes the results of 22 studies, of which 15 examined limb movement influencing the median nerve, four the sciatic nerve, two the tibial nerve; and one each the ulnar and pero neal nerves respectively. Substantial nerve longitudinal and transverse excursion and changes in diameter were reported. Despite this, increased nerve strain was not a major finding. CONCLUSION: The heterogeneity of included studies, including wide variety of nerves tested, measurement location and joint position prevented comparisons between studies and also amalgamation of data. Limb movement induces complex biomechanical effects of which nerve elongation plays only a minor role.
first_indexed 2025-11-14T10:26:32Z
format Journal Article
id curtin-20.500.11937-63538
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T10:26:32Z
publishDate 2017
publisher IOS Press
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-635382018-02-06T07:41:15Z In vivo effects of limb movement on nerve stretch, strain, and tension: A systematic review Szikszay, T. Hall, Toby Von Piekartz, H. © 2017 - IOS Press and the authors. All rights reserved. BACKROUND: The mechanical behavior of the peripheral nervous system under elongation and tension has not been adequately established in vivo. OBJECTIVE: The purpose of this review is to investigate the mechanical behavior of the peripheral nervous system in vivo. METHODS: In vivo studies which evaluated the effects of limb movement and neurodynamic tests on peripheral nerve biomechanics were systematically searched in PubMed (Medline), the Cochrane Database, CINAHL, PEDro, Embase and Web of Science. Studies fulfilling the search criteria were assessed for methodological quality with a modified version of the Down & Blacks scale by two reviewers. RESULTS: This review includes the results of 22 studies, of which 15 examined limb movement influencing the median nerve, four the sciatic nerve, two the tibial nerve; and one each the ulnar and pero neal nerves respectively. Substantial nerve longitudinal and transverse excursion and changes in diameter were reported. Despite this, increased nerve strain was not a major finding. CONCLUSION: The heterogeneity of included studies, including wide variety of nerves tested, measurement location and joint position prevented comparisons between studies and also amalgamation of data. Limb movement induces complex biomechanical effects of which nerve elongation plays only a minor role. 2017 Journal Article http://hdl.handle.net/20.500.11937/63538 10.3233/BMR-169720 IOS Press restricted
spellingShingle Szikszay, T.
Hall, Toby
Von Piekartz, H.
In vivo effects of limb movement on nerve stretch, strain, and tension: A systematic review
title In vivo effects of limb movement on nerve stretch, strain, and tension: A systematic review
title_full In vivo effects of limb movement on nerve stretch, strain, and tension: A systematic review
title_fullStr In vivo effects of limb movement on nerve stretch, strain, and tension: A systematic review
title_full_unstemmed In vivo effects of limb movement on nerve stretch, strain, and tension: A systematic review
title_short In vivo effects of limb movement on nerve stretch, strain, and tension: A systematic review
title_sort in vivo effects of limb movement on nerve stretch, strain, and tension: a systematic review
url http://hdl.handle.net/20.500.11937/63538