Open AccessJournal Article
Electromyographic and clinical evaluation of the efficacy of neuromobilization in patients with low back pain
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TLDR
In this article, the results of the examinations appear to suggest that evaluation of resting muscle tone can be used to provide an objective assessment of the analgesic efficacy of physiotherapy, including neuromobilization.Abstract:
Background Evidence for the efficacy of therapeutic methods and procedures is being sought in accordance with the principles of Evidence Based Medicine. The choice of a physiotherapy method should be based on its documented efficacy. The purpose of the investigation was to analyse changes in functional disorders of resting muscle tone following neuromobilization treatment in patients with chronic low back pain. Material and methods The study involved 108 outpatients treated due to low back pain and neurogenic functional pain referred to the lower extremity. The treated group was subjected to two weeks of neuromobilization-based physiotherapy. The control group received standard physiotherapy, also over two weeks. Results The treated group demonstrated a statistically significant decrease in muscle tone in all muscles examined, clinical improvements (Laseque test and Bragard test results), decreased pain threshold estimated with a Visual Analogue Scale (VAS). In the control group, the only statistically significant change was a decrease in gastrocnemius muscle tone. Conclusions 1. The results of the examinations appear to suggest that evaluation of resting muscle tone can be used to provide an objective assessment of the analgesic efficacy of physiotherapy, including neuromobilization. 2. In the treated group, neuromobilization therapy was superior to standard physiotherapy as regards eliminating or decreasing elevated resting muscle tone in response to pain in patients with low back pain. 3. Neuromobilization produced a significant improvement in clinical test results and clinical symptoms in the treated group as opposed to the control group, which demonstrates the efficacy of this therapy. 4. The results of the examinations show that tibialis anterior sEMG had the biggest diagnostic value for detecting changes in pain severity.read more
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Effects of lower body quadrant neural mobilization in healthy and low back pain populations: A systematic review and meta-analysis.
Tiago Neto,Sandro R. Freitas,Sandro R. Freitas,Marta M. Marques,Luis Gomes,Ricardo J. Andrade,Raul Oliveira +6 more
TL;DR: Evidence suggests that there are positive effects from the application of NM to the lower body quadrant, and NM shows moderate effects on flexibility in healthy participants, and large effects on pain and disability in people with LBP.
Journal ArticleDOI
Neural Mobilization Treatment Decreases Glial Cells and Brain-Derived Neurotrophic Factor Expression in the Central Nervous System in Rats with Neuropathic Pain Induced by CCI in Rats
Aline Carolina Giardini,Fabio Martinez dos Santos,Joyce T. Da Silva,Mara Evany de Oliveira,Daniel Oliveira Martins,Marucia Chacur +5 more
TL;DR: Findings may improve the knowledge about the involvement of astrocytes, microglia, and BDNF in the chronic pain and show that NM treatment, which alleviates neuropathic pain, affects glial cells andBDNF expression.
Journal ArticleDOI
The effect of neural mobilisation on cervico-brachial pain: design of a randomised controlled trial
TL;DR: A randomised controlled trial will be used to establish the effect of neural mobilisation on the pain, function and quality of life of patients with cervico-brachial pain.
Journal ArticleDOI
Treatment of chronic radiculopathy of the first sacral nerve root using neuromobilization techniques: A case study
TL;DR: Abnormal neurodynamic responses and consequently symptoms in patients with chronic radiculopathy may be due to a pathomechanic problem and deficiency in neural adjustment for movement and tension transfer.
Journal ArticleDOI
Comparative Effectiveness of Straight Leg Raise and Slump Stretching in Subjects with Low Back Pain with Adverse Neural Tension
TL;DR: A comparison of the two techniques for straight leg raise and slump stretching will determine if one technique is better than the other and add to the evidence for their effectiveness in managing symptoms in patients with low back pain.
References
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TL;DR: The minimal clinically important difference (MCID) of changes in chronic musculoskeletal pain intensity that is most closely associated with improvement on the commonly used and validated measure of the patient's global impression of change (PGIC) is determined.
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