Effects of neural mobilization on individuals with chronic low back pain

Ramos, Marina; Cruz, Caio A. H.; Laurentino, Moises F.; Ashmawi, Hazem Adel; Santos, F. M. dos; Chacur, Marucia

doi:10.5935/2595-0118.20200041

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…The study highlighted that both techniques effectively reduced leg, lower back, and sciatica pain (p = 0.001). However, when compared alone, SMWLM was more effective in pain reduction than PINS (p < 0.005) [24].…”

Section: Discussionmentioning

confidence: 92%

Outcomes of the butler neural mobilization technique and manual therapy for chronic low back pain in patients with lumbar radiculopathy: A cross-sectional comparative study

Malik¹,

Ramsha

Samad

2022

JBCMS

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Surgeries were considered the only effective treatment method for patients suffering from chronic low back pain with lumbar radiculopathy for a while. However, in the contemporary world, it is not regarded as the primary treatment method until other conventional pharmacological and physical therapy interventions have not proven effective. Therefore, this study compares the outcomes in terms of pain relief and perceived level of mobility in patients with chronic low back pain with lumbar radiculopathy, regardless of whether the butler neural mobilization technique or manual therapy is used. This comparative cross-sectional study was conducted in Lahore, recruiting 100 patients by rendering a purposive sampling technique undergoing any treatment method mentioned above. Observations were recorded pre- and postintervention with a follow-up of 7 days to assess the response to both techniques using a questionnaire. Face-to-face interviews were conducted to assess pain levels using the Numeric Pain Rating Scale (NPRS) and Modified Oswestry Disability Questionnaire (MODQ). Descriptive statistics, chi-square test, Mann‒Whitney U test, independent t test, and the Wilcoxon signed-rank test were used to analyze the data. The medical characteristics of patients who had opted for manual therapy and butler neural mobilization were not different (p > 0.05), except for the quality of pain (p < 0.05). However, pre- and postintervention NPRS scores, pain intensity during the last 24 hours using NPRS scores, and MODQ scores were significantly different among the groups, indicating postintervention pain reduction for both groups comprising patients who had opted for manual therapy (p = 0.001) and butler neural mobilization technique (p = 0.001). Moreover, patients who had opted for either technique had improved their disability levels compared with the preintervention disability levels (p = 0.001). The study concluded that both techniques significantly reduce pain and disability levels, including butler neural mobilization and manual therapy, among patients suffering from chronic low back pain with lumbar radiculopathy.

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Section: Discussionmentioning

confidence: 92%

Outcomes of the butler neural mobilization technique and manual therapy for chronic low back pain in patients with lumbar radiculopathy: A cross-sectional comparative study

Malik¹,

Ramsha

Samad

2022

JBCMS

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“…This physical capacity can be evaluated using the maximum range of motion (ROM max ) achieved by one or more joints and it is usually trained in stretching exercises 22 . Such exercises can be performed with different possible organizations regarding the stretching techniques used, mainly passive-static 22 , passive-dynamic 23 , active-dynamic 24 , and proprioceptive neuromuscular facilitation (PNF) 25 . Thus, as there seems to be no superiority of the effects of one stretching technique over another 26,27 , the mechanisms addressed in the present study will be those that are widely used to explain the effects of stretching exercises on ROM max and are related to biomechanical and/or sensory changes 4,22 .…”

Section: Flexibility Stretching and Low Back Painmentioning

confidence: 99%

Mechanisms of muscle stretching exercises for reduction of low back pain: narrative review

Câmara-Gomes¹,

Filho²,

Diniz³

et al. 2022

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES:Stretching exercises are present in physical training and muscle rehabilitation programs. Within the context of rehabilitation of patients with low back pain (lombalgy), there is still a gap about the mechanisms that these exercises should reduce pain and disability in these patients. The aim of this study was to investigate what are the possible mechanisms through which muscle stretching exercise could reduce pain in individuals with chronic low back pain. CONTENTS: Pain in the lumbar region is one of the most disabling pains when it comes to limitations for daily functions, so it's necessary to investigate alternatives that provide relief for these patients. As the cause of non-specific chronic low back pain is multifactorial, the treatment of the pathology occurs mainly to reduce the sensation of pain. As an alternative, the flexibility training through stretching exercises can be efficient because they generate biomechanical and sensory changes, which would result in an analgesic effect. Additionally, it's still possible that these two effects occur together to explain the reduction in low back pain after performing stretching exercises. CONCLUSION: There is theoretical basis in the literature to support the performance of stretching exercises as a non-pharmacological strategy for the treatment of chronic low back pain.

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Effects of neural mobilization on individuals with chronic low back pain

Cited by 2 publications

References 23 publications

Outcomes of the butler neural mobilization technique and manual therapy for chronic low back pain in patients with lumbar radiculopathy: A cross-sectional comparative study

Outcomes of the butler neural mobilization technique and manual therapy for chronic low back pain in patients with lumbar radiculopathy: A cross-sectional comparative study

Mechanisms of muscle stretching exercises for reduction of low back pain: narrative review

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