Effectiveness of Slump Stretching on Low Back Pain: A Systematic Review and Meta-analysis

Pourahmadi, Mohammadreza; Hesarikia, Hamid; Keshtkar, Abbasali; Zamani, Hamid; Bagheri, Rasool; Ghanjal, Ali; Shamsoddini, Alireza

doi:10.1093/pm/pny208

Cited by 32 publications

(22 citation statements)

References 41 publications

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“…Although this effect was shown in cadavers, similar effects were reported after one week of neurodynamic intervention in patients with carpal tunnel syndrome [ 30 ] consisting of ten repetitions ten times per day of active sliding techniques for the median nerve to maximize the nerve excursion while minimizing an increase in nerve strain. This could explain the effect of the sliding techniques shown in this meta-analysis and could explain the short-term benefits of these techniques in entrapment neuropathies such as neuropathic low back pain [ 12 , 13 ], cervicobrachial pain syndrome [ 12 , 14 ], cubital tunnel syndrome [ 15 ], or carpal tunnel syndrome [ 11 ]. Given that the intervention consisted of sliding techniques, the results of this systematic review on the possible beneficial effects of this type of technique on intraneural edema are reinforced.…”

Section: Discussionmentioning

confidence: 99%

“…There is evidence about the positive effects of neurodynamic techniques on pain and functionality in peripheral entrapment neuropathies related to carpal tunnel syndrome [ 11 ], chronic low back pain [ 12 , 13 ], cervicobrachial pain syndrome [ 12 , 14 ], cubital tunnel syndrome [ 15 ], osteoarthritis pain of the hand [ 16 ], and plantar heel pain [ 12 ]. Although it is hypothesized that these techniques could have positive impacts on entrapment neuropathy symptoms by improving intraneural blood flow, axoplasmic flow, and neural connective tissue viscoelasticity and reducing intraneural edema and mechanosensitivity [ 9 ], they have not been validated.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Neurodynamic Techniques on the Dispersion of Intraneural Edema: A Systematic Review with Meta-Analysis

Arenas‐Arroyo

Vizcaíno

Cavero‐Redondo

et al. 2022

IJERPH

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Background: There is evidence for the positive effects of neurodynamic techniques in some peripheral entrapment neuropathies, but the rationale for these effects has not been validated. We aimed to estimate the direct effect of neurodynamic techniques on the dispersion of artificially induced intraneural edema measured by dye spread in cadavers. Methods: We systematically searched the MEDLINE, WOS, Scopus, and the Cochrane databases from inception to February 2020 for experimental studies addressing the efficacy of neurodynamic techniques on the dispersion of artificially induced intraneural edema. The DerSimonian and Laird method was used to compute pooled estimates of the mean differences (MDs) and its respective 95% confidence intervals (CIs). Subgroup analyses were conducted according to the type of neurodynamic technique. In addition, a 95% prediction interval was calculated to reflect the variation in true treatment effects in different settings, including the effect to be expected in future patients. Results: Pooled results showed a significant increase in fluid dispersion (MD = 2.57 mm; 95%CI: 1.13 to 4.01). Subgroup analysis showed increased dye spread in the tensioning techniques group (MD = 2.22 mm; 95%CI: 0.86 to 3.57). Conclusion: Neurodynamic techniques improved the intraneural edema dispersion and should be considered for the management of peripheral compression neuropathies. Furthermore, tensioning techniques appear to be effective in helping to disperse intraneural edema.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effect of Neurodynamic Techniques on the Dispersion of Intraneural Edema: A Systematic Review with Meta-Analysis

Arenas‐Arroyo

Vizcaíno

Cavero‐Redondo

et al. 2022

IJERPH

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“…SLR ROM is sometimes used as an outcome to assess treatment effects for nerve-related back and leg pain (Basson et al, 2017;Pourahmadi et al, 2019). Several questions may need consideration if this practice is to continue.…”

Section: Discussionmentioning

confidence: 99%

Reliability of the straight leg raise test for suspected lumbar radicular pain: A systematic review with meta-analysis

Nee

Coppieters

Boyd

2022

Musculoskeletal Science and Practice

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“…Although NM has shown some positive effects in treating people with musculoskeletal pain [ 6 – 9 ], previous systematic reviews have shown limited or inconclusive evidence to support the use of this intervention in these population. As stated before, most previous reviews have focused only on specific musculoskeletal conditions or only on limited outcomes of interest, with a narrow approach of the NM application [ 17 , 46 – 51 ], with the exception of three of them [ 14 , 16 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of neural mobilization on pain intensity, disability, and physical performance in adults with musculoskeletal pain—A protocol for a systematic review of randomized and quasi-randomized controlled trials and planned meta-analysis

Baptista

Cruz

Afreixo³

et al. 2022

PLoS ONE

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Recent studies show that musculoskeletal conditions contribute significantly to years lived with disability considering the entire global population. Pain and functional disability are the main problems that people with these conditions suffer. Neural mobilization has been shown to be an effective intervention in the treatment of musculoskeletal pain within individual trials, also contributing to improved functionality. Some systematic reviews have been carried out during the last years with the aim of synthesizing the scientific evidence on the use of neural mobilization techniques in the treatment of musculoskeletal disorders. However, they varied a lot in the methodological approaches and, consequently, in the findings and conclusions. Thus, this document is a planned protocol of a comprehensive systematic review with meta-analysis that we intend to carry out to review the scientific literature regarding up-to-date evidence on the use of neural mobilization in the management of people suffering from musculoskeletal pain disorders. The study designs that we will consider as inclusion criteria will be randomized and quasi-randomized clinical trials. The target population will be adults and older adults with musculoskeletal pain. Any controlled trial using any neural mobilization technique as an intervention in one of the trial groups will be included. The main outcomes of interest will be pain, functional status, and physical performance tests (muscle strength, flexibility, and balance). There will be no restrictions on follow-up time or type of setting. The risk of bias of the included studies will be assessed by the RoB 2 tool and the certainty of the evidence will be evaluated using the comprehensive Assessment, Development and Assessment of Assessment Recommendation (GRADE) approach. We intend to present the findings through narrative descriptions and, if possible, through meta-analytic statistics. Trial registration: PROSPERO registration number. CRD42021288387.

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Effectiveness of Slump Stretching on Low Back Pain: A Systematic Review and Meta-analysis

Cited by 32 publications

References 41 publications

The Effect of Neurodynamic Techniques on the Dispersion of Intraneural Edema: A Systematic Review with Meta-Analysis

The Effect of Neurodynamic Techniques on the Dispersion of Intraneural Edema: A Systematic Review with Meta-Analysis

Reliability of the straight leg raise test for suspected lumbar radicular pain: A systematic review with meta-analysis

Effectiveness of neural mobilization on pain intensity, disability, and physical performance in adults with musculoskeletal pain—A protocol for a systematic review of randomized and quasi-randomized controlled trials and planned meta-analysis

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