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Related Experiment Videos

Shoulder girdle elevation during neurodynamic testing: an assessable sign?

M W Coppieters1, K H Stappaerts, F F Staes

  • 1Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, Heverlee, Belgium. michel.coppieters@flok.kuleuven.ac.be

Manual Therapy
|June 21, 2001
PubMed
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Shoulder girdle elevation during neurodynamic testing is not necessarily an abnormal sign in asymptomatic individuals. This study found a gradual increase in shoulder girdle elevation force is common, even in healthy subjects, when range of motion is limited.

Area of Science:

  • Orthopedics
  • Neurology
  • Biomechanics

Background:

  • Shoulder girdle elevation is often monitored during neurodynamic testing for upper quadrant disorders.
  • It is traditionally believed that shoulder elevation indicates neurogenic disorders and is absent in asymptomatic individuals.

Purpose of the Study:

  • To investigate shoulder girdle elevation force during neural provocation tests for the median nerve in asymptomatic subjects.
  • To determine if shoulder girdle elevation is a reliable indicator of pathology in neurodynamic testing.

Main Methods:

  • Thirty-five asymptomatic male subjects participated.
  • Shoulder girdle elevation force was measured using a load cell.
  • Elbow and wrist range of motion were measured using electrogoniometers.

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Main Results:

  • A gradual increase in shoulder girdle elevation force was observed when range of motion was restricted.
  • All tested variants showed a significant increase in shoulder girdle elevation force compared to baseline.
  • This increase occurred even in the absence of neurogenic symptoms.

Conclusions:

  • A gradual increase in shoulder girdle elevation force during neurodynamic testing should not be considered an abnormal sign in asymptomatic individuals.
  • The findings challenge the traditional interpretation of shoulder girdle elevation as solely indicative of pathology.