Volume : 5, Issue : 8, AUG 2019

EFFECTS OF NEURAL MOBILIZATION ON MEDIAN AND ULNAR NEURAL FLEXIBILITY AND PINCH STRENGTH IN COMPUTER OPERATOR INDIVIDUALS

DR.M.L.RAMYAKRISHNA, DR.K.SENTHIL KUMAR

Abstract

Intensive computer work can increase the risk of developing neuromusculoskeletal symptoms and disorders in the upper extremities. Repetitive microtrauma or overuse injuries may often affect upper extremities of the long term computer users. Upper limb neural tissue tension tests (ULLT) is a good tool for assessment of early affection of the neural tissue. Many studies done on neural mobilization for peripheral nerve entrapment syndrome, because presence of abnormal neural tension in computer operators may be an early marker of impending radiculopathy during degenerative changes of spine in the later stages of life. Identification of these symptoms and correction of the adverse tension in the early stages may serve as prophylaxis for the later stage of life. AIM OF THE STUDY:- To find out the effects of neural mobilization in median and ulnar neural flexibility and pinch strength for the computer operators. OBJECTIVES OF THE STUDY:-  To evaluate the effects of neural mobilization on median neural flexibility by upper limb tension test 1.  To evaluate the effects of neural mobilization on ulnar neural flexibility by upper limb tension test 4.  To evaluate the pinch strength using pinch metre METHODOLOGY:- A total 51 subjects were included in the study with the age group of 25 to 45 years they are evaluated and diagnosed as loss of neural flexibility by doing ULLT for both dominant and non dominant hand. And pinch strength is evaluated by using pinch metre. All the subjects were screened for inclusion and exclusion criteria after finding their susceptibility informed consent was taken. Initially baseline values of demographic details like age, ULLT, pinch grip strength were taken and given neural mobilization for 3 weeks and then post values of ULLT, Pinch strength were taken. RESULT:- The pre, and 3rd week experimental mean values, t-test and p values of all the outcomes that is ULLT, and pinch strength shows significance (0.05) in pre and 3rd week. CONCLUSION:- Hence, the study concludes that neural mobilization for median and ulnar nerve to be more effective on neural flexibility and improving the pinch grip strength in computer operators individual.

Keywords

COMPUTER OPERATORS, PINCH STRENGTH, PINCH METER, UPPER LIMB TENSION TEST, NEURAL MOBILIZATION, FLEXIBILITY FOR MEDIAN AND ULNAR NERVE.

Article : Download PDF

Cite This Article

Article No : 10

Number of Downloads : 44

References

1. Maja Petrič et al ;The Impact of Hatha Yoga Practice on Flexibility: A Pilot Study; altern integ med;2014;3:2 2. Ergonomics for therapists/[edited by] Karen Jacobs.—2nd ed. Pg.No.240 3. David Rempel, MD, MPH, Consensus Criteria for the Classification of Carpal Tunnel Syndrome in Epidemiologic Studies; American Journal of Public Health; 1998, Vol. 88, No. 10 4. Andrea Julius;Shoulder posture and median nerve slidingBMC Musculoskeletal Disorders 2004, 5:23;1-7 5. Shahanawaz SD; Upper Limb Neural Tissue Extensibility in Apparently Asymptomatic Professional Computer users ARC Journal of Neuroscience ;2016; Volume 1, Issue 2, PP 19-25 6. www.yoga international.com/article nerve-stretching for yogis 7. Nuttanun Khemamuttanak B.Sc; Effects of Thai dance on median neural tension, chronaxy, and nerve functions in the people associated with WMSDs;Vol.53, Supplement ('17) 8. Jorgen riis jepsen et al; upperlimb neuropathy in computer operators? A clinical case study of 21 patients; 2004; 5:26;1-8 9. Merita Tiric-Campara1 Occupational Overuse Syndrome (Technological Diseases): Carpal Tunnel Syndrome, a Mouse Shoulder, Cervical Pain Syndrome; acta inform med. 2014 ;22(5);333-340 10. clinical sports medicine /[edited by] peter brunker and karim khan-3rd ed.pg.No.29 11. Richard F. Ellis;Neural Mobilization: A Systematic Review of Randomized Controlled Trials with an Analysis of Therapeutic Effi cacy ;The Journal of Manual & Manipulative Therapy;2008; Vol. 16 No. , 8–22 12. Michel w. coppieters, PT, PhD; Different Nerve-Gliding Exercises Induce Different Magnitudes of Median Nerve Longitudinal Excursion: An In Vivo Study Using Dynamic Ultrasound Imaging; journal of orthopaedic &sports physical therapy; march 2009 ;volume 39 ; No. 3 13. Roopa Nair;Effect of Neural Tissue Mobilization on Grip Strength in Patients with Cervical Radiculopathy; Journal of Society of Indian Physiotherapists;2017;ISSN (Print): 2456-7787 Volume 1 ; Issue 2 ;No.47 14. ApoorvaSunil Likhite; Effect of Upper Limb Neural Mobilization on Vibration Threshold and Hand Grip Strength in Asymptomatic Individuals: A Randomized Controlled Trial; Journal of Clinical and Diagnostic Research. 2017 , Vol-11(11): YC05-YC08 15. Ton A. R. Schreuders; long-term outcome of muscle strength in ulnar and median nerve injury: comparing manual musclestrength testing, grip and pinch strength dynamometersand a new intrinsic muscle strength dynamometer; J Rehabil Med 2004; 36: 273–278 16. Rachel Boerema; Impact of Finger Position on Pinch Strength; Occupational Therapy Graduate Research; (2013) 17. Vincent Wai-Shing Lau;comparison of power grip and lateralpinch strengths between the dominant and non-dominant hands for normal chinese male subjects of different occupational demand ;Hong Kong Physiotherapy Journal ;2006; Volume 24 18. Derran Oskay;Neurodynamic mobilization in the conservative 24treatment of cubital tunnel syndrome:long term follow up of 7 cases;journal of manipulative and physiological therapeutics;2010;vol 33;issue2;156-63 19. Priscila de souza Valente;The effect of neural mobilization of the brachial plexus on the flexibility of the lower limb: a double-blind trial;MTP&RehabJournal 2014, 12:175-179 20. Dabholkar Tejashree;The Effect of Nervous Tissue Mobilization on Pinch & Grip Strength;International journal of science and research;2014;vol.3;Issue-7;No.751-753 21. Janusz Kocjan; Efficacy of neural mobilization and mid carpal mobilization in the treatment of carpal syndrome;Journal of education,health and sport;2016;6(6) ISSN 2391-8306;31-38 22. Patrícia Fátima de Oliveira Martins; Stretch breaks in the work setting improve flexibility and grip strength and reduce musculoskeletal complaints; Motriz: rev. educ. fis. 2015;vol.21 no.3