Benjamin M. Sucher, Richard N. Hinrichs, Robert L. Welcher, Luis-Diego Quiroz, Bryan F. St. Laurent, and Bryan J. Morrison
J Am Osteopath Assoc 2005 105: 135-143.
[Abstract]
[Full Text]
[PDF]
In part 2 of their study, the authors continue to quantify the amount of
transverse carpal ligament (TCL) elongation observed in response to
osteopathic manipulation and sustained load bearing in cadaver limbs. Part 2
makes use of a larger study group than was used in part 1, allowing for
analysis of results by sex and by reversal of sequencing for testing
protocols. Favorable responses to all interventions were more significant
among female cadaver limbs. When dynamic loading (osteopathic manipulation)
was performed first, it led to greater widening of the transverse carpal arch
and lengthening of the TCL during the static loading (weights) that followed.
Both methods hold promise to favorably affect the course of management of
carpal tunnel syndrome, particularly in women.
