Neurodynamic Functions and Their Correlations with Postural Parameters in Adolescents with Idiopathic Scoliosis

Abstract

Knowledge about neurodynamic functions of the nervous system (NS) in patients with idiopathic scoliosis (IS) is limited. This study aimed to assess the mechanosensitivity of the NS structures (MNS) in adolescents with IS. The study included 69 adolescents with IS and 57 healthy peers aged 10–15 years. The Upper Limb Neurodynamic Test 1 (ULNT1), straight leg raise (SLR) test, and slump test (SLUMP) were used to assess MNS. The spinal curvatures in the sagittal plane and selected ranges of motion were measured. The data were analysed using the Mann–Whitney U test and Spearman’s rank correlation. Increased MNS assessed by ULNT1 and SLUMP tests was observed in participants with IS. Values of the neurodynamic tests correlated significantly with the sagittal profile of the spine and the mobility of the spine and lower limbs in both groups. In conclusion, increased MNS occurs in adolescents with IS. Therefore, the examination of adolescents with IS should include an assessment of MNS with the neurodynamic tests. Future studies should investigate this issue to better understand the mechanisms that coexist with IS.

Efficacy of neuromobilization in the treatment of low back pain: Systematic review and meta-analysis

“…Therefore, the effect of NM on SLR cannot be determined in this study, which needs to be further explored in prospective trials, although there are a few studies that suggest that NM is helpful in improving SLR. The SLR test is commonly utilized to evaluate the flexibility of the nerve structures in the lower limb [ 39 ]. The coordination and cooperation between the nervous system and the musculofemoral system play a crucial role in movement.…”