Table 3 List of conclusions
Findings | Cautions |
|---|---|
• It is here hypothesized that the radial nerve and its posterior interosseus branch are stretched during the execution of a Standard Mills manipulation, and that the muscles are being selectively activated in order to protect the peripheral nerves in the most logical way; by shortening the neural pathway and opposing the manipulation movement. | • Further investigations should be conducted in tennis elbow patients before generalizing the presented results to a symptomatic population. |
• All the Test muscles showed a statistically significant decrease in myoelectric activity (P ≤ .001) in response to forward flexion of the shoulder to 65° during Mills manipulation (condition of reduced nerve tension), showing a correlation between likely neural tension and myoelectric activity in protective muscles. | • The currently hypothesized mechanisms linking muscle activation and the raise of mechanical tension in the peripheral nerves is the nociceptive flexor mediated reflex (NFR). However, more research may be needed to fully understand this phenomenon. |