The effect of neurodynamic technique of tibial nerve on range of motion, pain, and mechanosensitivity of the lower extremity in healthy individuals: A preliminary study
Keywords:Manual therapy, Pain reduction, Surface electromyography
The aim of this study was to determine the effects of neurodynamic technique of tibial nerve on range of motion, pain, and mechanosensitivity of the lower extremity in healthy individuals. The study was a non-equivalent, one-group, and pre-post test design. Nineteen healthy adults participated in the study and conducted neurodynamic techniques of the tibial nerve. The outcome measures included range of motion, pain, and mechanosensitivity measured by electromyography during a straight leg raise test. Surface electromyography data were collected from the biceps femoris, medial gastrocnemius, lateral gastrocnemius, and tibialis anterior. There was a significant difference in range of motion and pain between the pre-test and the post-test. There was a non-significant difference in mechanosensitivity between the pre-test and the post-test. Therefore, we concluded that a neurodynamic technique of the tibial nerve reduced pain and increased range of motion in healthy adults. This neurodynamic technique is an effective intervention for improvement of lower limb pain and range of motion.
FundingThe Ministry of Education of the Republic of Korea and the National Research Foundation of Korea
Balster, S. M., & Jull, G. A. (1997). Upper trapezius muscle activity during the brachial plexus tension test in asymptomatic subjects. Man Ther, 2(3), 144-149. https://doi.org/10.1054/math.1997.0294
Basson, A., Olivier, B., Ellis, R., Coppieters, M., Stewart, A., & Mudzi, W. (2017). The effectiveness of neural mobilization for neuromusculoskeletal conditions: a systematic review and meta-analysis. J Orthop Sports Phys Ther, 47(9), 593-615. https://doi.org/10.2519/jospt.2017.7117
Beneciuk, J. M., Bishop, M. D., & George, S. Z. (2009). Effects of upper extremity neural mobilization on thermal pain sensitivity: a sham-controlled study in asymptomatic participants. J Orthop Sports Phys Ther, 39(6), 428-438. https://doi.org/10.2519/jospt.2009.2954
Boyd, B. S., Wanek, L., Gray, A. T., & Topp, K. S. (2009). Mechanosensitivity of the lower extremity nervous system during straight-leg raise neurodynamic testing in healthy individuals. J Orthop Sports Phys Ther, 39(11), 780-790. https://doi.org/10.2519/jospt.2009.3002
Butler, D. S., & Matheson, J. (2000). The Sensitive Nervous System: Noigroup Publications.
Butler, D. S., & Moseley, G. L. (2013). Explain Pain: (Revised and Updated 2nd Edition): Doctorzed Publishing.
Coppieters, M. W., & Butler, D. S. (2008). Do ‘sliders’ slide and ‘tensioners’ tension? An analysis of neurodynamic techniques and considerations regarding their application. Man Ther, 13(3), 213-221. https://doi.org/10.1016/j.math.2006.12.008
Coppieters, M., Stappaerts, K., Janssens, K., & Jull, G. (2002). Reliability of detecting ‘onset of pain’and ‘submaximal pain’during neural provocation testing of the upper quadrant. Physiother Res Int, 7(3), 146-156. https://doi.org/10.1002/pri.251
Cowell, I. M., & Phillips, D. R. (2002). Effectiveness of manipulative physiotherapy for the treatment of a neurogenic cervicobrachial pain syndrome: a single case study–experimental design. Man Ther, 7(1), 31-38. https://doi.org/10.1054/math.2001.0429
Criswell, E. (2010). Cram's introduction to surface electromyography. Jones & Bartlett Publishers.
Ellis, R. F., & Hing, W. A. (2008). Neural mobilization: a systematic review of randomized controlled trials with an analysis of therapeutic efficacy. J Man Manip Ther, 16(1), 8-22.
Herrington, L. (2006). Effect of different neurodynamic mobilization techniques on knee extension range of motion in the slump position. J Man Manip Ther, 14(2), 101-107. https://doi.org/10.1179/106698106790820737
Kendall, F. P., McCreary, E. K., Provance, P. G., Rodgers, M., & Romani, W. A. (1993). Muscles, testing and function: with posture and pain (Vol. 103). Baltimore, MD: Williams & Wilkins.
Maitland, G. D. (1985). The slump test: examination and treatment. Aust J Physiother, 31(6), 215-9.
Nee, R. J., & Butler, D. (2006). Management of peripheral neuropathic pain: integrating neurobiology, neurodynamics, and clinical evidence. Phys Ther Sport, 7(1), 36-49. https://doi.org/10.1016/j.ptsp.2005.10.002
Rozmaryn, L. M., Dovelle, S., Rothman, E. R., Gorman, K., Olvey, K. M., & Bartko, J. J. (1998). Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. J Hand Ther, 11(3), 171-179. https://doi.org/10.1016/s0894-1130(98)80035-5
Saban, B., Deutscher, D., & Ziv, T. (2014). Deep massage to posterior calf muscles in combination with neural mobilization exercises as a treatment for heel pain: a pilot randomized clinical trial. Man Ther, 19(2), 102-108. https://doi.org/10.1016/j.math.2013.08.001
Santana, H. H. S., Fernandes de Oliveira, I. A. V., Medrado, A. P., & Nunes, S. K. (2015). Neurodynamic mobilization and peripheral nerve regeneration: A narrative review. Int J Neurorehabilitation, 2(2). https://doi.org/10.4172/2376-0281.1000163
Shacklock, M. (2005). Clinical neurodynamics: a new system of neuromusculoskeletal treatment. Elsevier Health Sciences.
Talebi, G. A., Taghipour-Darzi, M., & Norouzi-Fashkhami, A. (2010). Treatment of chronic radiculopathy of the first sacral nerve root using neuromobilization techniques: A case study. J Back Musculoskelet Rehabil, 23(3), 151-159. https://doi.org/10.3233/bmr-2010-0260
Tampin, B., Slater, H., Hall, T., Lee, G., & Briffa, N. K. (2012). Quantitative sensory testing somatosensory profiles in patients with cervical radiculopathy are distinct from those in patients with nonspecific neck–arm pain. Pain, 153(12), 2403-2414. https://doi.org/10.1016/j.pain.2012.08.007
Treede, R. D., Jensen, T. S., Campbell, J. N., Cruccu, G., Dostrovsky, J. O., Griffin, J. W., ... & Serra, J. (2008). Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology, 70(18), 1630-1635. https://doi.org/10.1212/01.wnl.0000282763.29778.59
Van der Heide, B., Allison, G. T., & Zusman, M. (2001). Pain and muscular responses to a neural tissue provocation test in the upper limb. Man Ther, 6(3), 154-162. https://doi.org/10.1054/math.2001.0406
Villafañe, J. H., Pillastrini, P., & Borboni, A. (2013). Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis: a case report. J Chiropr Med, 12(3), 176-181. https://doi.org/10.1016/j.jcm.2013.10.007
Woldendorp, K. H., van de Werk, P., Boonstra, A. M., Stewart, R. E., & Otten, E. (2013). Relation between muscle activation pattern and pain: an explorative study in a bassists population. Arch Phys Medicine Rehabil, 94(6), 1095-1106. https://doi.org/10.1016/j.apmr.2012.11.036
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