Neurodynamic Responses to the Femoral Slump Test in Patients With Anterior Knee Pain Syndrome

Lin, Pei Ling; Shih, Yi Fen; Chen, Wen Yin; Li, Hsiao

doi:10.2519/jospt.2014.4781

Cited by 7 publications

(10 citation statements)

References 20 publications

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“…Algunos estudios han demostrado que la técnica de movilización neural podría ser beneficiosa en el tratamiento del dolor en sujetos con STC (31)(32)(33). Esta intervención es ampliamente utilizada en otras patologías de carácter músculo-esquelético, como cervicobraquialgias y atrapamientos nerviosos en la extremidad inferior (34,35). Actualmente, el uso de la neurodinamia se está llevando a cabo principalmente para mejorar la evolución del paciente durante las intervenciones y disminuir la sintomatología clínica.…”

Section: Descripción De La Intervenciónunclassified

Efectividad de la movilización neurodinámica en el dolor y funcionalidad en sujetos con el síndrome del túnel carpiano: revisión sistemática

Cornejo¹,

Quintanilla²,

Cassis³

et al. 2017

Rev. Soc. Esp. Dolor.

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Este es un archivo PDF de un manuscrito inédito que ha sido aceptado para su publicación en la Revista de la Sociedad Española del Dolor. Como un servicio a nuestros clientes estamos proporcionando esta primera versión del manuscrito en estado de prepublicación. El manuscrito será sometido a la corrección de estilo final, composición y revisión de la prueba resultante antes de que se publique en su forma final. Tenga en cuenta que durante el proceso de producción se pueden dar errores lo que podría afectar el contenido final. El copyright y todos los derechos legales que se aplican al artículo pertenecen a la

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Section: Descripción De La Intervenciónunclassified

Efectividad de la movilización neurodinámica en el dolor y funcionalidad en sujetos con el síndrome del túnel carpiano: revisión sistemática

Cornejo¹,

Quintanilla²,

Cassis³

et al. 2017

Rev. Soc. Esp. Dolor.

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“…According to literature the NPT reproduce neuorogenic pain patterns derived from the presence of a neuromechanical dysfunction. The NPT allows the practitioner to indentify a differential diagnosis and where the neural tissue dysfunction is topographically located; this rationale subsequently facilitates the proper selection of the LLNM technique to perform, as well as the tensile strength needed in order to achieve the desired effect 15,16,17 LLNM is heavily based on the LL NPT procedures with a marked distinction that lies within the fact that NPT are intended to diagnose neural dysfunction through pain reproduction resulting from the application of movement similar to the LLNM but with a high enough level of mechanical tensile strength. NPT are applied normally in a onetime occasion during initial assessment for diagnostic purposes' only, mean while the LLNM is done repetitively without symptom provocation as a treatment for longer periods of time, there for, both NPT and LLNM should not be confused 18,19 (Table 3).…”

Section: Clinical Implementation Of Llnmmentioning

confidence: 99%

Literature review and update of lower limb neural mobilization

2016

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Objectives: summarize the available literature descriptions of neural mobilization (NM) techniques and neural provocation tests (NPT) for the Lower Limb (LL). Material and Methods: compilation of data was performed in May 2016 using MEDLINE data base, Google Scholar and the library of the European University of Madrid. After application of inclusion/exclusion criterions 5 books and 14 journal publications where found to be of interest and used during data extraction. Results: a list of 8 different LLNM techniques are applied in a rhythmic alternating oscillatory cycle fashion, starting in the initial position from where the therapist proceeds to move the limb in order to achieve a final position. LL NPTs are useful tools for differential diagnose and selecting the proper LLNM procedure. There is no consensus about the time frame of repetition intervals or amount of tensile strength during NPT never the less it is found to normally be performed at a rate of 2-4 seconds per complete cycle of movement, during 1-5 minutes, 3-5 times a week. Conclusions: LLNM treatment techniques all thou increasingly popular in clinical practice are found to be frugally described and lack proper standardization in regards to therapeutic dosification. ResumenObjetivos: Revisar la bibliografía disponible sobre la movilización neural (MN) y respectivas pruebas de provocación neurales (PPN) en los miembros inferiores (MI). Métodos: la recopilación de datos se realizó en el mes de mayo del año 2016 usando la base de datos MEDLINE, Google Scholar y la biblioteca de la Universidad Europea de Madrid. Posterior a la aplicación de criterios de inclusión y exclusión se seleccionaron 5 libros y 14 publicaciones de revistas para la extracción de datos. Resultados: se obtuvo una lista de 8 tecnicas de MN que se aplican de una manera cíclica y oscilatoria, a partir de una posición inicial desde la que el terapeuta procede a mover el MI con el fin de alcanzar una posición final. Las PPN del MI constituyen herramientas útiles para el diagnóstico diferencial y la selección del procedimiento adecuado de MN del MI. No fue posible encontrar consenso literario sobre el marco de tiempo de los intervalos de repetición o la cantidad de fuerza tensil que se debe aplicar durante la MN y los PPN. Normalmente se estilan aplicaciones de 2-4 segundos por ciclo completo de movimiento, durante 1-5 minutos, 3 -5 veces a la semana. Conclusiones: las técnicas de MN son cada vez más popular en la práctica clínica, sin embargo se encuentran descritas con frugalidad y carecen de estandarización adecuada en relacion a su dosificación terapéutica.Palabras Clave: tejido neural, terapia física, terapia manual.

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“…This tension is supposed to arouse a normal positive response that evokes neurogenic symptoms [10]. If the neural structures have altered mechanosensitivity the following abnormal responses have been described: reduced range of movement, stronger pain respons, reproduction of the patients current symptoms when comparing the response in the painful extremity with the asymptomatic extremity [9, 10, 19, 20]. The neurodynamic tests are well known among clinicians but are most often used in patients in which nerve root compressions are suspected.…”

Section: Introductionmentioning

confidence: 99%

“…Various studies have explored the association between conditions in the lower extremities and dysfunctions of the femoral nerve [20, 23, 24]. Lai et al explored mechanosensitivity of the femoral nerve, using the FST in patients with anterior knee pain and found the specificity to be above 0.75 [24].…”

Section: Introductionmentioning

confidence: 99%

“…Lin et al examined neurodynamic responses to the FST in patients with anterior knee pain syndrome. They found increased mechanosensitivity of the femoral nerve in patients with anterior knee pain presenting with a positive FST [20]. Huang et al found that involving mobilization of the femoral nerve could be beneficial in treatments for PFPS patients with a positive FST [13].…”

Section: Introductionmentioning

confidence: 99%

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Neurodynamic tests for patellofemoral pain syndrome: a pilot study

2019

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Background Patellofemoral pain syndrome (PFPS) is a common musculoskeletal disorder. There is little consensus on the etiology, but one explanatory model suggests that PFPS can be caused by referred pain. Neurodynamic tests are used to explore the mechanosensitivity of peripheral nerves, and previous studies have shown a relationship between increased mechanosensitivity and anterior knee pain by using the femoral slump test (FST). Previously the prone knee bend test (PKB) does not appear to have been included. The main purpose of this pilot study was to examine whether there was an identifiable difference in mechanosensitivity between left and right sides that could be identified using both the PKB and FST tests for the femoral nerve in patients with unilateral PFPS. Methods This cross-sectional pilot study tested 12 patients with unilateral PFPS for altered mechanosensitivity using both PKB and FST. The pain-free knee was used as a control. The selected test procedures were similar to those clinicians use in everyday practice. Results 8 and 4 of the 12 patients were found to have increased levels of mechanosensitivity in the PFPS leg using the PKB and FST, respectively. Both tests provoked stronger pain in the leg with PFPS compared with the asymptomatic leg ( p < 0.05 Wilcoxon Signed Rank Test). The symptoms were more often located in the anterior knee, with structural differentiation by neck flexion appearing to increase the symptoms more when testing the leg with PFPS. Conclusions Although the reliability of the tests is unknown and the study sample size was small, the PKB and FST test procedures used in clinical practice appear capable of revealing altered mechanosensitivity in unilateral PFPS patients. The PKB test appears to detect mechanosensitivity in more patients than the FST. We recommend including both tests in future larger blinded controlled studies which should also assess reliability of the tests. Trial registration ISRCTN 12473526 . Registered 20 May 2015, retrospectively registered.

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Neurodynamic Responses to the Femoral Slump Test in Patients With Anterior Knee Pain Syndrome

Cited by 7 publications

References 20 publications

Efectividad de la movilización neurodinámica en el dolor y funcionalidad en sujetos con el síndrome del túnel carpiano: revisión sistemática

Efectividad de la movilización neurodinámica en el dolor y funcionalidad en sujetos con el síndrome del túnel carpiano: revisión sistemática

Literature review and update of lower limb neural mobilization

Neurodynamic tests for patellofemoral pain syndrome: a pilot study

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