Effect of Upper Limb Neural Mobilization on Vibration Threshold and Hand Grip Strength in Asymptomatic Individuals: A Randomized Controlled Trial

Likhite, Apoorva; Balthillaya, Ganesh M; Prabhu, Anupama; Gangavelli, Ranganath

doi:10.7860/jcdr/2017/28789.10860

Cited by 5 publications

(4 citation statements)

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“…Regarding muscle strength, the results are conflicting in the literature. 13 , 97 – 99 In this systematic review, we could only assess grip strength in a few studies.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Neural Mobilisation on Pain Intensity, Functional Status, and Physical Performance in Adults with Musculoskeletal Pain – A Systematic Review with Meta-Analysis

Baptista,

Nery,

Cruz

et al. 2023

Clin Rehabil

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Objective To investigate up-to-date evidence of the effectiveness of neural mobilisation techniques compared with any type of comparator in improving pain, function, and physical performance in people with musculoskeletal pain. Data sources The following sources were consulted: PubMed, Web of Science, CENTRAL, CINAHL, Scopus, and PEDro databases; scientific repositories; and clinical trial registers. The last search was performed on 01/06/2023. Methods Two reviewers independently assessed the studies for inclusion. We included randomised, quasi-randomised, and crossover trials on musculoskeletal pain in which at least one group received neural mobilisation (alone or as part of multimodal interventions). Meta-analyses were performed where possible. The RoB 2 and the Grading of Recommendations Assessment, Development and Evaluation tools were used to assess risk of bias and to rate the certainty of evidence, respectively. Results Thirty-nine trials were identified. There was a significant effect favouring neural mobilisation for pain and function in people with low back pain, but not for flexibility. For neck pain, there was a significant effect favouring neural mobilisation as part of multimodal interventions for pain, but not for function and range of motion. Regarding other musculoskeletal conditions, it was not possible to conclude whether neural mobilisation is effective in improving pain and function. There was very low confidence for all effect estimates. Conclusions Neural mobilisation as part of multimodal interventions appears to have a positive effect on pain for patients with low back pain and neck pain and on function in people with low back pain. For the other musculoskeletal conditions, results are inconclusive.

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“…Regarding muscle strength, the results are conflicting in the literature. 13 , 97 – 99 In this systematic review, we could only assess grip strength in a few studies.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Neural Mobilisation on Pain Intensity, Functional Status, and Physical Performance in Adults with Musculoskeletal Pain – A Systematic Review with Meta-Analysis

Baptista,

Nery,

Cruz

et al. 2023

Clin Rehabil

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“…While performing ULNTPT-1 with shoulder ER fulcrum of the goniometer was placed at humerus medial epicondyle, stationary arm parallel to the long axis of the shaft of humerus, while stationary arm pointing to the ulnar styloid. When ULNTPT-1 was performed without the shoulder external rotation component from the sequence, the lateral epicondyle was used as a fulcrum with a stationary arm parallel to the shaft of the humerus and a moving arm pointing towards the radial styloid (50). Participants were blinded from reading while recording.…”

Section: Set-up Familiarization and Proceduresmentioning

confidence: 99%

Influence of Shoulder External Rotation Component on Median Nerve Neurodynamics in Neurogenic Cervicobrachial Pain Syndrome: A Cross-Sectional Study

Kumar¹,

Prabhu²,

Gangavelli³

2023

Muscle Ligaments and Tendons J

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Background. The upper limb neural tissue provocation test-1 (ULNTPT-1) is used for determining the neurogenic etiology of neck and arm pain. Biomechanical studies have primarily investigated in vitro, whereas in vivo examination is lacking. Objective. The objective was to determine the effect of the shoulder external rotation (ER) component of ULNTPT-1 on the deficit in elbow extension range of motion (EEROM) and vibration threshold (VT) in participants with neurogenic cervicobrachial pain syndrome (CBPS). Methods. Thirty-two patients were included in the study as per the inclusion criteria. ULNTPT-1 with/without shoulder external rotation was performed on symptomatic and asymptomatic side. Deficit in EEROM at the onset of muscle activation of biceps brachii (R1) and initial onset of pain (P1) along with VT in median nerve territory was recorded. One-way ANOVA was used to compare the difference and level of significance was p < 0.05. Results. The effect of ULNTPT-1 with/without shoulder ER component on the deficit in EEROM at P1 & R1 was significant on symptomatic as well as on the asymptomatic side (p < 0.001). The difference was not significant on symptomatic (p = 0.15) and asymptomatic sides (p = 0.31) for the VT. The difference in value of responses obtained on each side with/without shoulder ER compared, showed no significant difference in all three outcomes P1, R1, and VT (p = 0.219; p = 0.273; p = 0.145). Conclusions. There was greater deficit in EEROM with shoulder ER, which suggest that there is a heightened nerve mechanosensitivity with shoulder ER component of ULNTPT-1. Study registration. Clinical Trial Registry India received a prospective registration for the trial with the number CTRI/2018/04/013383.

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“…The study aimed at VT for median nerve was reduced for the intervention group and for ulnar nerve it was reduced in both the groups with the mobilization of the neural tissue, there could be a better reception and faster conduction of these impulses and hence, increase in sensitivity of the nerve and reduction in pressure. 8 Kikukawa et al (2003) reported that microtubules were depolymerized by stretching, which can affect axonal transport. When nerve fascicles are stretched, its cross-sectional area is reduced interfascicular pressure increase, nerve fibers are compressed and microcirculation is compromised and pressure received by nerve will affect the edema and demyelination.…”

Section: Anupama Prabhu Et Al (2017)mentioning

confidence: 99%

“…7 Apoorva Sunil Likhite et al states the neurodynamic provocative tests used for the upper quadrant disorders, Upper Limb Neurodynamic Test 1 (ULNT-1) is reported to be evaluating most roots of brachial plexus and nerves of upper limb, with more emphasis on the median nerve. 8 Rodríguez-Sanz D reports that The median nerve neural mobilization (MNNM) and relieve CP, but through different mechanism and with a different onset of side effects MNNM is a specific physical therapy technique for the treatment of CP described by Butler, Coppieters, and Elvery -hall that achieves pain relief through mechanical stimulation of the median nerve and the brachial plexus. 9 Jinyeol Jeon et al argues The recent therapeutic exercise there is increasing interest in, understanding the effect of cervical stabilizing exercise, not only to prevent neck disorder, but also reduce chronic cervical pain.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Neural Mobilization and Cervical Stabilization in Cervicobrachial Pain: A Randomized Controlled Trial

2020

MLU

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Objective: To analyze the efficacy of neural mobilization technique in cervicobrachial pain. To analyze the efficacy of cervical stabilization exercise in cervicobrachial pain Background of the Study: Cervical radiculopathy is a pathological process of involving the cervical nerve root as a result of compression and inflammation of the nerve root near the cervical neural foramen. Cervicobrachial pain syndrome is term that describes pain and stiffness of the cervical spine with symptoms in the shoulder girdle and upper extremity. Methodology: This was conducted in the Outpatients Physiotherapy department in ACS medical college and hospitals. Group A Received Neural mobilization technique and Group B Cervical stabilization exercise for 12 weeks. Pre and post-test taken by using primary outcome measure such as Pain DETECT Questionnaire, Disability of arm shoulder and hand DASH Questionnaire, Fear avoidance beliefs Questionnaire and cervical ROM. Results:The comparison revealed that neural mobilization group A had a great increase in cervical range of motion flexion and extension (P ≤ 0.001), Decreasing pain intensity (P ≤ 0.001) and also shows significant decrease in the neural mobilization (P ≤ 0.001) than the cervical stabilization exercise. The significant difference between Group A seems to be more effective than Group B.

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Effect of Upper Limb Neural Mobilization on Vibration Threshold and Hand Grip Strength in Asymptomatic Individuals: A Randomized Controlled Trial

Cited by 5 publications

References 0 publications

Effectiveness of Neural Mobilisation on Pain Intensity, Functional Status, and Physical Performance in Adults with Musculoskeletal Pain – A Systematic Review with Meta-Analysis

Effectiveness of Neural Mobilisation on Pain Intensity, Functional Status, and Physical Performance in Adults with Musculoskeletal Pain – A Systematic Review with Meta-Analysis

Influence of Shoulder External Rotation Component on Median Nerve Neurodynamics in Neurogenic Cervicobrachial Pain Syndrome: A Cross-Sectional Study

Efficacy of Neural Mobilization and Cervical Stabilization in Cervicobrachial Pain: A Randomized Controlled Trial

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