Short term effectiveness of neural sliders and neural tensioners as an adjunct to static stretching of hamstrings on knee extension angle in healthy individuals: A randomized controlled trial

Sharma, Saurab; Balthillaya, Ganesh M; Rao, Roopa S; Mani, Ramakrishnan

doi:10.1016/j.ptsp.2015.03.003

Cited by 42 publications

(45 citation statements)

References 40 publications

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“…This suggests that static stretching of the hamstring muscle contributed to the viscoelasticity of the muscle and increased the tolerance to stretching; thus, flexibility was improved 33 ) . Also, applying the nerve slip and tension methods of nerve mobilization, the same effect of improvements to the knee extension angle was observed 34 ) . Both Bulter’s nerve mobilization and Mulligan’s bent leg raise methods for lower back pain show significant improvement in the range of leg lifts, as this research showed.…”

Section: Discussionmentioning

confidence: 63%

The treatment effect of hamstring stretching and nerve mobilization for patients with radicular lower back pain

Lee

Kim

2017

J Phys Ther Sci

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[Purpose] In this paper, hamstring stretching and nerve mobilization are conducted on patients with radicular lower back pain, and changes to pain levels, pressure thresholds, angles of knee joint extension, and disorder levels of lower back pain were studied. [Subjects and Methods] The subjects were divided into two groups: one group conducted hamstring stretches and was comprised of 6 male and 5 female subjects, and the other group received nerve mobilization treatment and was comprised of 5 male and 6 female subjects. [Results] Pain level and the disorder index of lower back pain were significantly alleviated after the intervention in both groups. Pressure threshold and angles of knee extension were significantly increased after the intervention in both groups. Comparing the two groups, the alleviation of pain was more significant in the nerve mobilization group. [Conclusion] Patients with radicular lower back pain showed significant differences in pain level, pressure threshold, knee extension angle, and disorder index of lower back pain for both the hamstring stretching group and nerve mobilization group after the treatment. Hamstring stretching and nerve mobilization can be usefully applied for the therapy of patients with radicular lower back pain.

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Section: Discussionmentioning

confidence: 63%

The treatment effect of hamstring stretching and nerve mobilization for patients with radicular lower back pain

Lee

Kim

2017

J Phys Ther Sci

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“…Although NM is used to gain flexibility, 13 , 14 muscle strength, 15 reduce pain, 16 , 17 , 18 , 19 and accelerate tissue repair, 11 there are controversies regarding the efficacy of this technique in experimental studies in individuals with nerve compression; this might be due to the diversity of protocols used, with different intensities and positioning. 4 The present study also presented a different protocol, which sought to adapt, in an animal model, the positioning of median nerve stretching done in clinical practice with humans.…”

Section: Discussionmentioning

confidence: 99%

Neurotrophin expression and histomorphometric evaluation in Wistar rats subjected to neural mobilization after compression of the median nerve

Marcioli

Silva

Ribeiro

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the neurotrophin mRNA expression and axon count in the median nerve of Wistar rats submitted to neural mobilization (NM) after nerve compression.MethodsEighteen animals were randomly divided into G1 (nerve compression only), G2 (NM for 1 min), and G3 (NM for 3 min). For NM, the animals were anesthetized and the right scapula received the mobilization, adapted as indicated for humans, on alternate days, from the third to the 13th postoperative (PO) day, totaling six days of therapy. On the 14th PO day, animals were anesthetized and euthanized. Fragments of the median nerve, distal to the compression procedure, were removed for histomorphometric analysis and expression of neurotrophins, nerve growth factor (NGF), and brain-derived neurotrophic factor (BDNF) by RT-PCR.ResultsHistomorphometric analysis revealed differences in the number of axons in the injured side, which was significantly lower in the injured limb nerve compared to the control limb, whereas the RT-PCR analysis showed no significant differences in the expression of NGF or BDNF.ConclusionNM treatment did not affect median nerve regeneration, which maintained normal recovery rates.

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“…Furthermore, the isolated application of NM in asymptomatic individuals might not be enough to provide benefits. The association of NM and other techniques could be an option, as Sharma et al [32] have reported. In their study, NM associated with SS turned out more effective than SS alone to increase hamstring flexibility of healthy individuals [32].…”

Section: Disclosure Statementmentioning

confidence: 99%

“…The association of NM and other techniques could be an option, as Sharma et al [32] have reported. In their study, NM associated with SS turned out more effective than SS alone to increase hamstring flexibility of healthy individuals [32]. Nevertheless, there is still no evidence that NM has any effect on motor control in asymptomatic individuals, mostly because there are very few studies investigating such possibility.…”

Section: Disclosure Statementmentioning

confidence: 99%

Influence of neural mobilization of lower limbs on the functional performance and dynamic balance in asymptomatic individuals: a cross-over randomized controlled trial

Nunes¹,

Uhlig²,

Ribas³

et al. 2018

Hum Mov.

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Purpose. To verify the influence of neural mobilization (NM) applied to the lower limbs on functional performance and dynamic balance in asymptomatic individuals. Methods. The total of 30 asymptomatic participants (15 women and 15 men; age, 30.1 ± 6.7 years; height, 1.70 ± 0.1 m; body mass, 73.1 ± 13.4 kg) were enrolled in this cross-over randomized controlled trial. The participants received NM of the femoral, sciatic, and tibial nerves, as well as static stretching (SS) of the following muscles: hamstring, lumbar, piriformis, hip adductors, hip flexors, quadriceps, and triceps surae. The order of applying NM and SS was randomly decided and the interventions were performed at least 48 hours apart. Conclusions. NM did not exert any influence on functional performance or dynamic balance. Thereby, having no positive or negative impact on performance, NM can be used at any time of treatment.

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Short term effectiveness of neural sliders and neural tensioners as an adjunct to static stretching of hamstrings on knee extension angle in healthy individuals: A randomized controlled trial

Cited by 42 publications

References 40 publications

The treatment effect of hamstring stretching and nerve mobilization for patients with radicular lower back pain

The treatment effect of hamstring stretching and nerve mobilization for patients with radicular lower back pain

Neurotrophin expression and histomorphometric evaluation in Wistar rats subjected to neural mobilization after compression of the median nerve

Influence of neural mobilization of lower limbs on the functional performance and dynamic balance in asymptomatic individuals: a cross-over randomized controlled trial

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