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

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dc.authoridyaman, fatima/0000-0002-6137-0166
dc.authoridCihan, Emine/0000-0003-0699-3771
dc.contributor.authorYaman, Fatima
dc.contributor.authorLeblebicier, Merve Akdeniz
dc.contributor.authorOzlu, Aysun
dc.contributor.authorCihan, Emine
dc.contributor.authorOzkaya, Dilan Bulut
dc.date.accessioned2024-10-29T17:59:50Z
dc.date.available2024-10-29T17:59:50Z
dc.date.issued2023
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractObjectives: 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.
dc.identifier.doi10.5606/tftrd.2023.11812
dc.identifier.endpage349
dc.identifier.issn2587-1250
dc.identifier.issue3en_US
dc.identifier.pmid37674791
dc.identifier.startpage344
dc.identifier.urihttps://doi.org/10.5606/tftrd.2023.11812
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14851
dc.identifier.volume69
dc.identifier.wosWOS:001063802200011
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayincilik
dc.relation.ispartofTurkish Journal of Physical Medicine and Rehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCross-sectional area
dc.subjecthot pack
dc.subjectmedian nerve
dc.subjectmorphology
dc.subjectulnar nerve
dc.subjectultrasonography
dc.titleDoes hot pack application change the morphology of the median and ulnar nerves?
dc.typeArticle

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