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Does hot pack application change the morphology of the median and ulnar nerves?

OBJECTIVES: This study aims to investigate the effect of the hot pack application on the morphology of healthy median and ulnar nerves. PATIENTS AND METHODS: 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 year...

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Autores principales: Yaman, Fatima, Akdeniz Leblebicier, Merve, Özlü, Aysun, Cihan, Emine, Bulut Özkaya, Dilan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bayçınar Medical Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478542/
https://www.ncbi.nlm.nih.gov/pubmed/37674791
http://dx.doi.org/10.5606/tftrd.2023.11812
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author Yaman, Fatima
Akdeniz Leblebicier, Merve
Özlü, Aysun
Cihan, Emine
Bulut Özkaya, Dilan
author_facet Yaman, Fatima
Akdeniz Leblebicier, Merve
Özlü, Aysun
Cihan, Emine
Bulut Özkaya, Dilan
author_sort Yaman, Fatima
collection PubMed
description OBJECTIVES: This study aims to investigate the effect of the hot pack application on the morphology of healthy median and ulnar nerves. PATIENTS AND METHODS: 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. RESULTS: 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(2) ) and forearm (from 0.06±0.02 to 0.09±0.02 cm(2) ) 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(2) ) and forearm (0.05±0.01 to 0.08±0.02 cm(2) ) levels (p<0.001). No statistically significant difference was observed between the pre- and post-application depth measurements (p>0.05). CONCLUSION: 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.
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spelling pubmed-104785422023-09-06 Does hot pack application change the morphology of the median and ulnar nerves? Yaman, Fatima Akdeniz Leblebicier, Merve Özlü, Aysun Cihan, Emine Bulut Özkaya, Dilan Turk J Phys Med Rehabil Original Article OBJECTIVES: This study aims to investigate the effect of the hot pack application on the morphology of healthy median and ulnar nerves. PATIENTS AND METHODS: 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. RESULTS: 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(2) ) and forearm (from 0.06±0.02 to 0.09±0.02 cm(2) ) 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(2) ) and forearm (0.05±0.01 to 0.08±0.02 cm(2) ) levels (p<0.001). No statistically significant difference was observed between the pre- and post-application depth measurements (p>0.05). CONCLUSION: 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. Bayçınar Medical Publishing 2023-06-05 /pmc/articles/PMC10478542/ /pubmed/37674791 http://dx.doi.org/10.5606/tftrd.2023.11812 Text en Copyright © 2023, Turkish Society of Physical Medicine and Rehabilitation https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Article
Yaman, Fatima
Akdeniz Leblebicier, Merve
Özlü, Aysun
Cihan, Emine
Bulut Özkaya, Dilan
Does hot pack application change the morphology of the median and ulnar nerves?
title Does hot pack application change the morphology of the median and ulnar nerves?
title_full Does hot pack application change the morphology of the median and ulnar nerves?
title_fullStr Does hot pack application change the morphology of the median and ulnar nerves?
title_full_unstemmed Does hot pack application change the morphology of the median and ulnar nerves?
title_short Does hot pack application change the morphology of the median and ulnar nerves?
title_sort does hot pack application change the morphology of the median and ulnar nerves?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478542/
https://www.ncbi.nlm.nih.gov/pubmed/37674791
http://dx.doi.org/10.5606/tftrd.2023.11812
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