The Effect of Spinal Position on Sciatic Nerve Excursion During Seated Neural Mobilisation Exercises: An in Vivo Study Using Ultrasound Imaging

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aut.relation.journalJournal of Manual & Manipulative Therapyen_NZ
aut.researcherParmar, Priyakumari
dc.contributor.authorEllis, Ren_NZ
dc.contributor.authorOsborne, Sen_NZ
dc.contributor.authorWhitefield, Jen_NZ
dc.contributor.authorParmar, Pen_NZ
dc.contributor.authorHing, Wen_NZ
dc.date.accessioned2016-10-07T00:06:43Z
dc.date.available2016-10-07T00:06:43Z
dc.date.copyright2016en_NZ
dc.date.issued2016en_NZ
dc.description.abstractObjectives: Research has established that the amount of inherent tension a peripheral nerve tract is exposed to influences nerve excursion and joint range of movement (ROM). The effect that spinal posture has on sciatic nerve excursion during neural mobilisation exercises has yet to be determined. The purpose of this research was to examine the influence of different sitting positions (slump-sitting versus upright-sitting) on the amount of longitudinal sciatic nerve movement during different neural mobilisation exercises commonly used in clinical practice. Methods:High-resolution ultrasound imaging followed by frame-by-frame cross-correlation analysis was used to assess sciatic nerve excursion. Thirty-four healthy participants each performed three different neural mobilisation exercises in slump-sitting and upright-sitting. Means comparisons were used to examine the influence of sitting position on sciatic nerve excursion for the three mobilisation exercises. Linear regression analysis was used to determine whether any of the demographic data represented predictive variables for longitudinal sciatic nerve excursion. Results: There was no significant difference in sciatic nerve excursion (across all neural mobilisation exercises) observed between upright-sitting and slump-sitting positions (P50.26). Although greater body mass index, greater knee ROM and younger age were associated with higher levels of sciatic nerve excursion, this model of variables offered weak predictability (R 2 50.22). Discussion: Following this study, there is no evidence that, in healthy people, longitudinal sciatic nerve excursion differs significantly with regards to the spinal posture (slump-sitting and upright-sitting). Furthermore, although some demographic variables are weak predictors, the high variance suggests that there are other unknown variables that may predict sciatic nerve excursion. It can be inferred from this research that clinicians can individualise the design of seated neural mobilisation exercises, using different seated positions, based upon patient comfort and minimisation of neural mechanosensitivity with the knowledge that sciatic nerve excursion will not be significantly influenced.
dc.identifier.citationJournal of Manual & Manipulative Therapy, DOI: 10.1179/2042618615Y.0000000020
dc.identifier.doi10.1179/2042618615Y.0000000020en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/10067
dc.publisherTaylor & Francis
dc.relation.urihttp://dx.doi.org/10.1179/2042618615Y.0000000020
dc.rights© 2016 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-ncnd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectNeural mobilisation; Neurodynamics; Sciatic nerve; Ultrasound imaging; Ultrasonography; Peripheral nervous system; Physiotherapy; Physical therapy
dc.titleThe Effect of Spinal Position on Sciatic Nerve Excursion During Seated Neural Mobilisation Exercises: An in Vivo Study Using Ultrasound Imagingen_NZ
dc.typeJournal Article
pubs.elements-id206544
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/Public Health & Psych Studies
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