Details

Autor(en) / Beteiligte

• Chiaramonte, Rita
• Pavone, Piero
• Musumeci, Giuseppe
• Rosa, Michelino Di
• Vecchio, Michele

Titel

Preventive strategies, exercises and rehabilitation of hand neuropathy in cyclists: A systematic review

Ist Teil von

• Journal of hand therapy, 2022-04, Vol.35 (2), p.164-173

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2022

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• •Cyclists experience direct and indirect osteoarticular traumas and compression neuropathies from extreme repetitive and sustained compressive force on the volar wrist.•Despite the range of treatment available for peripheral neuropathies, a unique and common protocol is lacking on this specific topic•The first strategies to avoid peripheral neuropathies or reduce the initial symptoms are preventive strategies, period of rest since the beginning of the symptomatology, rehabilitation training with muscle strengthening, orthoses especially at night.•Symptoms refractory to conservative treatment (preventive strategies and rehabilitation) should be treated with pharmacological or surgical approach. Recreation, transportation and sport are the most common uses of bicycles. Unfortunately, repetitive bicycle use can also cause injuries, such as osteoarticular direct and undirect traumatisms and sometimes compression nerve entrapment caused by an extrinsic compressive force. The aim of the study is to define diagnostic process, preventive strategies, and treatment of ulnar and median neuropathies in cyclists. Systematic review. A search was conducted on PubMed, EMBASE, the Cochrane Library, and Web of Science. Two reviewers independently reviewed articles and came to a consensus about which ones to include. The authors excluded all duplicates, articles involving individuals with other sport-related injuries than cycling, and articles unrelated to peripheral neuropathies. Articles were included if hand palsy was due to peripheral compression of ulnar or median nerve in cyclists. The search identified 15,371 articles with the keywords “Peripheral Nervous System Diseases” OR “neuropathy” OR “ulnar palsy” OR “median palsy” AND “bicycling” OR “bike” OR “bicycle” OR “cyclist”. The reviewers analyzed 48 full texts. There were 20 publications that met the criteria and were included in the systematic review. These articles were used to describe the main methods used for diagnosis, prevention and treatment of hand neuropathy of cyclists. Despite the range of treatment available for peripheral neuropathies, a unique and common protocol is lacking on this specific topic. For this reason, we delineate a definitive recovery protocol to show the best therapeutic methodologies present in the current literature. Preventive strategies, period of rest since the beginning of the symptomatology, rehabilitation training with muscle strengthening, orthoses at night are the first strategies, but if the symptoms persist, pharmacologic treatment and eventual surgical decompression are sometimes the unique solution.