recherche article

[seb73]

Bonjour je recherche un article concernant le SLR dont j'ai trouvé le résumé ici :www.chiroweb.com/archives/15/24/22.html (http://www.chiroweb.com/archives/15/24/22.html) .Quelqu'un aurait l'article en entier?
Merci
seb

[bernard]

Je ne suis pas sur que cela soit un résumé.
Tous les concepts évoqués dans cet article sont décrits dans le livre de Shacklock ou/et Butler.

[bernard]

J Orthop Res. (javascript:AL_get(this, 'jour', 'J Orthop Res.');) 2006 Sep;24(9):1883-9. Related Articles, (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=pubmed_Abstract&db=pubmed&cmd=Display&dopt=pubmed_pubmed&from_uid=16838375) Links (javascript:PopUpMenu2_Set(Menu16838375);) http://www.ncbi.nlm.nih.gov/entrez/query/egifs/http:--www3.interscience.wiley.com-images-wiley_interscience_134x30.gif (http://www.ncbi.nlm.nih.gov/entrez/utils/fref.fcgi?itool=Abstract-def&PrId=3058&uid=16838375&db=pubmed&url=http://dx.doi.org/10.1002/jor.20210)
Strain and excursion of the sciatic, tibial, and plantar nerves during a modified straight leg raising test.

Coppieters MW (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Coppieters+MW%22%5BAuthor%5D), Alshami AM (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Alshami+AM%22%5BAuthor%5D), Babri AS (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Babri+AS%22%5BAuthor%5D), Souvlis T (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Souvlis+T%22%5BAuthor%5D), Kippers V (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Kippers+V%22%5BAuthor%5D), Hodges PW (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Hodges+PW%22%5BAuthor%5D).

Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, QLD 4072 St. Lucia, Australia. m.coppieters@uq.edu.au

A modified straight leg raising (SLR) in which ankle dorsiflexion is performed before hip flexion has been suggested to diagnose distal neuropathies such as tarsal tunnel syndrome. This study evaluates the clinical hypothesis that strain in the nerves around the ankle and foot caused by ankle dorsiflexion can be further increased with hip flexion. Linear displacement transducers were inserted into the sciatic, tibial, and plantar nerves and plantar fascia of eight embalmed cadavers to measure strain during the modified SLR. Nerve excursion was measured with a digital calliper. Ankle dorsiflexion resulted in a significant strain and distal excursion of the tibial nerve. With the ankle in dorsiflexion, the proximal excursion and tension increase in the sciatic nerve associated with hip flexion were transmitted distally along the nerve from the hip to beyond the ankle. As hip flexion had an impact on the nerves around the ankle and foot but not on the plantar fascia, the modified SLR may be a useful test to differentially diagnose plantar heel pain. Although the modified SLR caused the greatest increase in nerve strain nearest the moving joint, mechanical forces acting on peripheral nerves are transmitted well beyond the moving joint.

PMID: 16838375 [PubMed - indexed for MEDLINE]

[seb73]

Je pense que c'est un résumé des résultats obtenus.Voir la partie que j'ai mis en gras .Je n'ai pas le bouquin de Butler et vu mon niveau en anglais....



Use of the Straight-Leg Test for Upper Extremity Involvement

by Warren Hammer, MS, DC, DABCO

The nervous system has to adapt mechanically during movement. For example, the spinal canal is 5cm-9cm longer in flexion than extension.1 And because the nervous system is a continuous tract, any limb movement must have mechanical consequences for nerve trunks and the neuraxis (the term used when the CNS is considered along its length irrespective of its bends and folds).2
According to Breig,1 a straight-leg raise test (SLR) moves and tensions the nervous system from the foot and along the neuraxis to the brain. Cyriax3 mentioned that referred pain does not follow a dermatomal pathway and may originate with the dura. Lew and Puentedura4 found that it was not the length of the hamstrings but the neural tissue that limited the SLR, and Hall5 found patients with the same SLR had different hamstring lengths.
Gaynor Jarvis6 recently wrote a most interesting paper which found that patients with upper limb pain expressed a limited SLR which reproduced the upper limb symptoms in 60% of the subjects studied. The upper limb disorder patients complained of diffuse pain which was burning, stabbing or cramping; muscle tenderness with possible paraesthesia extending from the wrist, hand and forearm, proximally to the upper arm, shoulder, scapula and neck. There were no objective signs of any particular tissue disease. We often see these patients diagnosed as cervicobrachial disorder, overuse syndrome, cumulative trauma disorder, fibromyalgia, etc. The patients studied did not have any connective tissue, neurological or psychiatric disease, nor did they have any lower extremity or back problems.
In a normal person, the SLR pulls the neuraxis caudally, stretching the lumbar intervertebral roots in the lumbosacral foramen all the way to the cervical nerve roots.7 It is proposed that in these types of upper extremity cases that if there are adhesions in the cervical area, the movement or extensibility of the neuraxis would be limited during either cephalad or caudal traction. "The widespread symptoms of the patient group could be produced by the mechanical effects of neural fibrosis causing unequal tensioning and 'double' or 'multiple crush' of the nerve. This will in turn impede microcirculation of blood, nerve growth factor and axoplasm and could evoke ectopic impulse generation from excitable pacemaker sites and alteration in function of the dorsal root ganglion."1 The lack of local pathology to tendons or joints (in these types of upper extremity problems) and the widespread symptoms points to a "central sensory processing abnormality maintained by abnormal neural pathophysiology."1 The controls (no upper body symptoms) in this study during the SLR test tended to show either an increase or maintained the same range of SLR after repeated testing. The patients tended toward a decrease of SLR during repeated testing. In this study, the patients without paraesthesia had a significantly higher mean SLR when compared to the mean of the entire patient group. The production of upper limb symptoms by movement of the lower extremity on SLR testing was most probably due to altered neurodynamics of the neuraxis. The authors mentioned that 32 volunteers were used, 16 controls and 16 who met the criteria for the upper limb symptoms mentioned above. They recommended further study with larger groups of chronic diffuse upper extremity patients

[seb73]

J Orthop Res. (http://javascript<b></b>:AL_get(this, 'jour', 'J Orthop Res.');) 2006 Sep;24(9):1883-9. Related Articles, (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=pubmed_Abstract&db=pubmed&cmd=Display&dopt=pubmed_pubmed&from_uid=16838375) Links (http://javascript<b></b>:PopUpMenu2_Set(Menu16838375);) http://www.ncbi.nlm.nih.gov/entrez/query/egifs/http:--www3.interscience.wiley.com-images-wiley_interscience_134x30.gif (http://www.ncbi.nlm.nih.gov/entrez/utils/fref.fcgi?itool=Abstract-def&PrId=3058&uid=16838375&db=pubmed&url=http://dx.doi.org/10.1002/jor.20210)
Strain and excursion of the sciatic, tibial, and plantar nerves during a modified straight leg raising test.

Coppieters MW (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Coppieters+MW%22%5BAuthor%5D), Alshami AM (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Alshami+AM%22%5BAuthor%5D), Babri AS (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Babri+AS%22%5BAuthor%5D), Souvlis T (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Souvlis+T%22%5BAuthor%5D), Kippers V (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Kippers+V%22%5BAuthor%5D), Hodges PW (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Hodges+PW%22%5BAuthor%5D).

Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, QLD 4072 St. Lucia, Australia. m.coppieters@uq.edu.au

A modified straight leg raising (SLR) in which ankle dorsiflexion is performed before hip flexion has been suggested to diagnose distal neuropathies such as tarsal tunnel syndrome. This study evaluates the clinical hypothesis that strain in the nerves around the ankle and foot caused by ankle dorsiflexion can be further increased with hip flexion. Linear displacement transducers were inserted into the sciatic, tibial, and plantar nerves and plantar fascia of eight embalmed cadavers to measure strain during the modified SLR. Nerve excursion was measured with a digital calliper. Ankle dorsiflexion resulted in a significant strain and distal excursion of the tibial nerve. With the ankle in dorsiflexion, the proximal excursion and tension increase in the sciatic nerve associated with hip flexion were transmitted distally along the nerve from the hip to beyond the ankle. As hip flexion had an impact on the nerves around the ankle and foot but not on the plantar fascia, the modified SLR may be a useful test to differentially diagnose plantar heel pain. Although the modified SLR caused the greatest increase in nerve strain nearest the moving joint, mechanical forces acting on peripheral nerves are transmitted well beyond the moving joint.

PMID: 16838375 [PubMed - indexed for MEDLINE]

Ce qui m'intéressait dans l'article que je citait c'était la possible action d'un exercice de membre inf sur le rachis cervical ou le mb sup.C'est à dire un effet à distance sur un symptome!Si tu as des réferences ou des articles sur la répercution d'un mouvement,d'une posture d'une partie du corps sur une autre je suis preneur .
Merci
seb

[bernard]

Ce qui m'intéressait dans l'article que je citait c'était la possible action d'un exercice de membre inf sur le rachis cervical ou le mb sup.C'est à dire un effet à distance sur un symptome!Si tu as des réferences ou des articles sur la répercution d'un mouvement,d'une posture d'une partie du corps sur une autre je suis preneur .

Seb,

J'utilise beaucoup le travail à distance, en première intention : J'utilise par exemple les MI pour approcher les problèmes d'épaule/cervicaux. L'inverse n'est pas toujours possible (tu peux difficilement agir sur un MI avec un MS).

Si tu essayes de faire les mouvements de ce livre de Feldenkrais (http://www.amazon.fr/Energie-bien-%C3%AAtre-mouvement-Moshe-Feldenkrais/dp/2703303955/ref=pd_bbs_2/171-7738248-5129014?ie=UTF8&s=books&qid=1177305006&sr=8-2) tu sentiras que le corps est un tout et qu'il est plus interessant de le faire travailler dans sa globalité. Une fois que tu comprends, les principes de neuromobilisation, Feldenkrais devient limpide.