Effect of ankle dorsiflexion on displacement and strain in the tibial nerve and biceps femoris muscle at the posterior knee during the straight leg raise: Investigation of specificity of nerve movement
A structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise test. However, to date, the mechanical specificity of this maneuver for the tibial nerve at the posterior knee has not been tested. The aim of this study was to...
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| Published in | Clinical biomechanics (Bristol) Vol. 75; no. NA; p. 105003 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
01.05.2020
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0268-0033 1879-1271 1879-1271 |
| DOI | 10.1016/j.clinbiomech.2020.105003 |
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| Abstract | A structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise test. However, to date, the mechanical specificity of this maneuver for the tibial nerve at the posterior knee has not been tested. The aim of this study was to investigate the specificity of ankle dorsiflexion as a differentiation maneuver between the tibial nerve and the biceps femoris muscle at the posterior knee during the straight leg raise in cadavers.
A cross-sectional study was carried out. In fresh frozen cadavers, with microstrain devices and Vernier calipers, strain and excursion in the tibial nerve and distal biceps femoris muscle were measured during ankle dorsiflexion at 0°, 30°, 60° and 90° of hip flexion of the straight leg raise.
Ankle dorsiflexion resulted in significant distal excursion and increased strain in the tibial nerve (p < 0.05) whilst the muscle was not affected by the dorsiflexion (p > 0.05) at all hip flexion angles.
Ankle dorsiflexion was mechanically specific between the tibial nerve and biceps femoris during the straight leg raise. This study adds to evidence that, in certain circumstances, dorsiflexion may be used in differentiation of nerve and muscle disorders in the posterior knee.
•Ankle dorsiflexion increases the strain in the tibial nerve.•Ankle dorsiflexion produces distal sliding of the tibial nerve.•Ankle dorsiflexion does not affect the biceps femoris. |
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| AbstractList | A structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise test. However, to date, the mechanical specificity of this maneuver for the tibial nerve at the posterior knee has not been tested. The aim of this study was to investigate the specificity of ankle dorsiflexion as a differentiation maneuver between the tibial nerve and the biceps femoris muscle at the posterior knee during the straight leg raise in cadavers.
A cross-sectional study was carried out. In fresh frozen cadavers, with microstrain devices and Vernier calipers, strain and excursion in the tibial nerve and distal biceps femoris muscle were measured during ankle dorsiflexion at 0°, 30°, 60° and 90° of hip flexion of the straight leg raise.
Ankle dorsiflexion resulted in significant distal excursion and increased strain in the tibial nerve (p < 0.05) whilst the muscle was not affected by the dorsiflexion (p > 0.05) at all hip flexion angles.
Ankle dorsiflexion was mechanically specific between the tibial nerve and biceps femoris during the straight leg raise. This study adds to evidence that, in certain circumstances, dorsiflexion may be used in differentiation of nerve and muscle disorders in the posterior knee.
•Ankle dorsiflexion increases the strain in the tibial nerve.•Ankle dorsiflexion produces distal sliding of the tibial nerve.•Ankle dorsiflexion does not affect the biceps femoris. A structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise test. However, to date, the mechanical specificity of this maneuver for the tibial nerve at the posterior knee has not been tested. The aim of this study was to investigate the specificity of ankle dorsiflexion as a differentiation maneuver between the tibial nerve and the biceps femoris muscle at the posterior knee during the straight leg raise in cadavers. A cross-sectional study was carried out. In fresh frozen cadavers, with microstrain devices and Vernier calipers, strain and excursion in the tibial nerve and distal biceps femoris muscle were measured during ankle dorsiflexion at 0°, 30°, 60° and 90° of hip flexion of the straight leg raise. Ankle dorsiflexion resulted in significant distal excursion and increased strain in the tibial nerve (p < 0.05) whilst the muscle was not affected by the dorsiflexion (p > 0.05) at all hip flexion angles. Ankle dorsiflexion was mechanically specific between the tibial nerve and biceps femoris during the straight leg raise. This study adds to evidence that, in certain circumstances, dorsiflexion may be used in differentiation of nerve and muscle disorders in the posterior knee. AbstractBackgroundA structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise test. However, to date, the mechanical specificity of this maneuver for the tibial nerve at the posterior knee has not been tested. The aim of this study was to investigate the specificity of ankle dorsiflexion as a differentiation maneuver between the tibial nerve and the biceps femoris muscle at the posterior knee during the straight leg raise in cadavers. MethodsA cross-sectional study was carried out. In fresh frozen cadavers, with microstrain devices and Vernier calipers, strain and excursion in the tibial nerve and distal biceps femoris muscle were measured during ankle dorsiflexion at 0°, 30°, 60° and 90° of hip flexion of the straight leg raise. FindingsAnkle dorsiflexion resulted in significant distal excursion and increased strain in the tibial nerve ( p < 0.05) whilst the muscle was not affected by the dorsiflexion ( p > 0.05) at all hip flexion angles. InterpretationAnkle dorsiflexion was mechanically specific between the tibial nerve and biceps femoris during the straight leg raise. This study adds to evidence that, in certain circumstances, dorsiflexion may be used in differentiation of nerve and muscle disorders in the posterior knee. A structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise test. However, to date, the mechanical specificity of this maneuver for the tibial nerve at the posterior knee has not been tested. The aim of this study was to investigate the specificity of ankle dorsiflexion as a differentiation maneuver between the tibial nerve and the biceps femoris muscle at the posterior knee during the straight leg raise in cadavers.BACKGROUNDA structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise test. However, to date, the mechanical specificity of this maneuver for the tibial nerve at the posterior knee has not been tested. The aim of this study was to investigate the specificity of ankle dorsiflexion as a differentiation maneuver between the tibial nerve and the biceps femoris muscle at the posterior knee during the straight leg raise in cadavers.A cross-sectional study was carried out. In fresh frozen cadavers, with microstrain devices and Vernier calipers, strain and excursion in the tibial nerve and distal biceps femoris muscle were measured during ankle dorsiflexion at 0°, 30°, 60° and 90° of hip flexion of the straight leg raise.METHODSA cross-sectional study was carried out. In fresh frozen cadavers, with microstrain devices and Vernier calipers, strain and excursion in the tibial nerve and distal biceps femoris muscle were measured during ankle dorsiflexion at 0°, 30°, 60° and 90° of hip flexion of the straight leg raise.Ankle dorsiflexion resulted in significant distal excursion and increased strain in the tibial nerve (p < 0.05) whilst the muscle was not affected by the dorsiflexion (p > 0.05) at all hip flexion angles.FINDINGSAnkle dorsiflexion resulted in significant distal excursion and increased strain in the tibial nerve (p < 0.05) whilst the muscle was not affected by the dorsiflexion (p > 0.05) at all hip flexion angles.Ankle dorsiflexion was mechanically specific between the tibial nerve and biceps femoris during the straight leg raise. This study adds to evidence that, in certain circumstances, dorsiflexion may be used in differentiation of nerve and muscle disorders in the posterior knee.INTERPRETATIONAnkle dorsiflexion was mechanically specific between the tibial nerve and biceps femoris during the straight leg raise. This study adds to evidence that, in certain circumstances, dorsiflexion may be used in differentiation of nerve and muscle disorders in the posterior knee. Background. A structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise test. However, to date, the mechanical specificity of this maneuver for the tibial nerve at the posterior knee has not been tested. The aim of this study was to investigate the specificity of ankle dorsiflexion as a differentiation maneuver between the tibial nerve and the biceps femoris muscle at the posterior knee during the straight leg raise in cadavers. Methods. A cross-sectional study was carried out. In fresh frozen cadavers, with microstrain devices and Vernier calipers, strain and excursion in the tibial nerve and distal biceps femoris muscle were measured during ankle dorsiflexion at 0°, 30°, 60° and 90° of hip flexion of the straight leg raise. Findings. Ankle dorsiflexion resulted in significant distal excursion and increased strain in the tibial nerve (p < 0.05) whilst the muscle was not affected by the dorsiflexion (p > 0.05) at all hip flexion angles. Interpretation. Ankle dorsiflexion was mechanically specific between the tibial nerve and biceps femoris during the straight leg raise. This study adds to evidence that, in certain circumstances, dorsiflexion may be used in differentiation of nerve and muscle disorders in the posterior knee. |
| ArticleNumber | 105003 |
| Author | González-Rueda, Vanesa Bueno-Gracia, Elena Pérez-Bellmunt, Albert Caudevilla-Polo, Santos Estébanez-de-Miguel, Elena López-de-Celis, Carlos Shacklock, Michael |
| Author_xml | – sequence: 1 givenname: Elena surname: Bueno-Gracia fullname: Bueno-Gracia, Elena email: ebueno@unizar.es organization: Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain – sequence: 2 givenname: Elena surname: Estébanez-de-Miguel fullname: Estébanez-de-Miguel, Elena organization: Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain – sequence: 3 givenname: Carlos surname: López-de-Celis fullname: López-de-Celis, Carlos organization: Faculty of Medicine and Health Sciences, International University of Catalonia, Barcelona, Spain – sequence: 4 givenname: Michael surname: Shacklock fullname: Shacklock, Michael organization: Neurodynamic Solutions, Adelaide, Australia – sequence: 5 givenname: Santos surname: Caudevilla-Polo fullname: Caudevilla-Polo, Santos organization: Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain – sequence: 6 givenname: Vanesa surname: González-Rueda fullname: González-Rueda, Vanesa organization: Faculty of Medicine and Health Sciences, International University of Catalonia, Barcelona, Spain – sequence: 7 givenname: Albert surname: Pérez-Bellmunt fullname: Pérez-Bellmunt, Albert organization: Faculty of Medicine and Health Sciences, International University of Catalonia, Barcelona, Spain |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32335471$$D View this record in MEDLINE/PubMed |
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| Snippet | A structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise test. However, to... AbstractBackgroundA structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise... Background. A structural differentiation maneuver has been proposed to differentiate between muscle and nerve involvement during the straight leg raise test.... |
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| SubjectTerms | Adult Biomechanics Cadaver Cross-Sectional Studies Diagnosis Female Hamstring Muscles - physiology Hamstrings Humans Knee - innervation Knee - physiology Leg - physiology Male Movement - physiology Physical Medicine and Rehabilitation Tibial nerve Tibial Nerve - physiology |
| Title | Effect of ankle dorsiflexion on displacement and strain in the tibial nerve and biceps femoris muscle at the posterior knee during the straight leg raise: Investigation of specificity of nerve movement |
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