Avaliação da força de preensão palmar frente à terapia com mobilização neural

Abstract

Introduction: Neural mobilization is a technique that seeks the restoration of motion and elasticity of the nervous system; however, there are few studies evaluating its effectiveness on clinical variables. Objective: To assess handgrip strength among individuals undergoing intervention with neural mobilization. Methodology: a crossover study in which 20 subjects were sampled, mean age 19.5 ± 0.92 years, divided in two groups (G1 and G2) that received each week a single intervention session so that G1 received neural mobilization and G2 was submitted to conventional stretching exercises for the supraspinal in the first week. The opposite happened on the second week, in which G1 was submitted to conventional stretching exercises for the supraspinal and G2 received neural mobilization. Stretching for the supraspinal served only as placebo and did not impose tension to the nerves under study. The neural mobilization was applied in the radial, median and ulnar nerves. The hand grip strength was assessed using a grip dynamometer at various times: before and immediately after, 20 minutes and one hour after each intervention. Results: no significant results were found for the neural mobilization or the stretch. Conclusion: Neural mobilization was not effective to produce increase in handgrip strength in healthy subjects.

Electromyography activity and muscle strength after treatment with neural mobilization: a systematic review

“…Regarding these articles mentioned above, 02 were excluded, the first, because it was a case study involving more than one type of intervention and the second, because it did not evaluate the outcome of interest in the present study. Finally, 05 manuscripts (11)(12)(13)(14)(15) were included in this review (Figure 1).…”

“…(15) Regarding the other features, three longitudinal manuscripts, in which, one of them it was characterized as experimental study (15) , which evaluated rats subjected to sciatic neuropathy, neuropathy simulation and intact animals. The other two studies were clinical research, one randomized clinical trial (14) and the other (12) quasi-experimental study involving patients with leprosy. Regarding the two cross-sectional studies, (11,13) one of them is designed as randomized clinical trial.…”

“…(13) All studies were controlled, however, only two obtained sufficient sample. (12.15) The size of samples from clinical studies ranged between 10 and 56 participants, in which two studies (13,14) evaluated young To test the hypothesis if the NM technique reverses neuropathic pain, improving pain modulation systems mediated by endogenous opioids.…”

Efeito da mobilização neural na funcionalidade temporomandibular e cervical de pacientes em tratamento ortodôntico

“…O teste confirmou a presença de diferença estatisticamente significante com p < 0,0001 para todos os movimentos da ATM (Figura 1). Autores não relatam diretamente sobre o efeito causador da técnica de mobilização neural do nervo radial na articulação temporomandibular e na articulação cervical [24]. De acordo com os dados apresentados foi possível observar o efeito significante que a técnica causou para a amplitude de movimento (AM) da ATM, para os movimentos de abertura da boca, lateralização à direita e à esquerda, protusão e retrusão.…”

“…A técnica de mobilização neural na sua eficácia contribui para restauração dos movimentos, manutenção da elasticidade, da extensibilidade nervosa e ainda contribui na intensidade da nocicepção. Essa técnica causa um alongamento na musculatura envolvida repercutindo na AM [24].…”