Effect of neurodynamic mobilization on fluid dispersion in median nerve at the level of the carpal tunnel: A cadaveric study  M. Boudier-Revéret, KK. Gilbert, DR. Allégue, M. Moussadyk, JM. Brismée, PS. Sizer, V. Feipel, PM. Dugailly, S. Sobczak  Musculoskeletal Science & Practice  Volume 31, Pages 45-51 (October 2017) DOI: 10.1016/j.msksp.2017.07.004 Copyright © 2017 Elsevier Ltd Terms and Conditions

Fig. 1 Representation of experimental protocol steps-A: skin incision; B–C: detection of the palmar aponeurosis and the transverse carpal ligament; D: incision of the palmar aponeurosis and transverse carpal ligament; E–F: access to the median nerve; G: median nerve after dye injection under the epineurium; H: suture of the transverse carpal ligament and the palmar aponeurosis by an approach allowing opening and closing of incised anatomical structures; and I: closed transverse carpal ligament and palmar aponeurosis. After the first mobilization, suture was reopened (H) to measure the dye diffusion. After the first measurement, suture was closed again (I) and the second mobilization was applied and re-measurement of the dye spread was performed. Musculoskeletal Science & Practice 2017 31, 45-51DOI: (10.1016/j.msksp.2017.07.004) Copyright © 2017 Elsevier Ltd Terms and Conditions

Fig. 2 Representation of tensioning and sliding techniques. A: tensioning technique - head and neck in maximal contralateral side bending with shoulder girdle depression, arm abduction at 90° and external rotation with the elbow, wrist, and thumb in full extension. B–C: sliding technique: B- head and neck in maximal ipsilateral side bending with shoulder depression, arm abduction at 90° and external rotation with the elbow, wrist, and thumb in full extension; C- head and neck in maximal homolateral side bending with shoulder girdle depression, arm abduction at 90° and external rotation with the elbow flexed at 100° and both, the wrist and thumb in neutral position. Musculoskeletal Science & Practice 2017 31, 45-51DOI: (10.1016/j.msksp.2017.07.004) Copyright © 2017 Elsevier Ltd Terms and Conditions

Fig. 3 Representation of the dye spread (mm) following the different steps of the experimental protocol. TT: tensioning techniques, SLT: sliding techniques. Musculoskeletal Science & Practice 2017 31, 45-51DOI: (10.1016/j.msksp.2017.07.004) Copyright © 2017 Elsevier Ltd Terms and Conditions