Literature review and update of lower limb neural mobilization

  1. Unda Solano, Francisco 1
  2. Calvo Lobo, Cesar 2
  3. Rodriguez Sanz, David 2
  1. 1 Universidad Europea de Madrid
    info

    Universidad Europea de Madrid

    Madrid, España

    ROR https://ror.org/04dp46240

  2. 2 Universidad europea
Journal:
EJPOD: European Journal of Podiatry = Revista europea de podología

ISSN: 2445-1835

Year of publication: 2016

Volume: 2

Issue: 2

Pages: 50-56

Type: Article

DOI: 10.17979/EJPOD.2016.2.2.1599 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: EJPOD: European Journal of Podiatry = Revista europea de podología

Abstract

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. 

Bibliographic References

  • REFERENCES
  • Zamorano E. Capitulo 1, de Zamorano E: Movilizacion Neuromeningea . Ed Panamericana; Madrid 2013 pag. 1-11
  • Nordin M, Frankel VH. Biomecanica básica del sistema musculo esquelético. 3ra ed; Madrid 2004 S.A. MCGRAW-HILL / INTERAMERICANA DE ESPAÑA. ISBN: 9788448606350
  • Topp KS, Boyd BS. Structure and biomechanics of peripheral nerves: nerve responses to physical stresses and implications for physical therapist practice. Phys Ther. 2006 Jan;86(1):92-109. PMID: 16386065
  • Millesi H, Zöch G, Reihsner R. Mechanical properties of peripheral nerves. Clin Orthop Relat Res. 1995 May;(314):76-83. PMID: 7634654
  • Courtney CA1, Clark JD, Duncombe AM, O'Hearn MA. Clinical presentation and manual therapy for lower quadrant musculoskeletal conditions. J Man Manip Ther. 2011 Nov;19(4):212-22. doi: 10.1179/106698111X13129729552029. PMID: 23115474
  • Ellis RF, Hing WA. Neural mobilization: a systematic review of randomized controlled trials with an analysis of therapeutic efficacy. J Man Manip Ther. 2008;16(1):8-22. PMID: 19119380
  • Butler DS. The Sensitive Nervous System; Adelaide, Australia 2000. Noigroup Publications; pag:98; ISBN: 0-9750910-2-6
  • Villafañe JH1. Botulinum toxin type A combined with neurodynamic mobilization for lower limb spasticity: a case report. J Chiropr Med. 2013 Mar;12(1):39-44. doi: 10.1016/j.jcm.2013.01.001. PMID: 23997723
  • Zamorano E. Capitulo 4, de Zamorano E: Movilizacion Neuromeningea . Ed Panamericana; Madrid 2013 pag. 75-81
  • Savva C1, Giakas G. The effect of cervical traction combined with neural mobilization on pain and disability in cervical radiculopathy. A case report. Man Ther. 2013 Oct;18(5):443-6. doi: 10.1016/j.math.2012.06.012. Epub 2012 Jul 18. PMID: 22818658
  • Cowell IM1, Phillips DR. Effectiveness of manipulative physiotherapy for the treatment of a neurogenic cervicobrachial pain syndrome: a single case study -- experimental design:
  • Man Ther. 2002 Feb;7(1):31-8. PMID: 11884154
  • Véras LS1, Vale RG, Mello DB, Castro JA, Lima V, Trott A, Dantas EH. Electromyography function, disability degree, and pain in leprosy patients undergoing neural mobilization treatment. Rev Soc Bras Med Trop. 2012 Feb;45(1):83-8. PMID: 22370834
  • Villafañe JH1, Pillastrini P2, Borboni A3. Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis: J Chiropr Med. 2013 Sep;12(3):176-81. doi: 10.1016/j.jcm.2013.10.007 PMID: 24396318.
  • Hall TM1, Elvey RL. Nerve trunk pain: physical diagnosis and treatment. Man Ther. 1999 May;4(2):63-73. PMID: 10509060
  • Childress MA1, Becker BA2. Nonoperative Management of Cervical Radiculopathy Am Fam Physician. 2016 May 1;93(9):746-54. PMID: 27175952
  • Lin PL1, Shih YF, Chen WY, Ma HL. Neurodynamic responses to the femoral slump test in patients with anterior knee pain syndrome J Orthop Sports Phys Ther. 2014 May;44(5):350-7. doi: 10.2519/jospt.2014.4781. Epub 2014 Apr 14. PMID: 24730437
  • Butler DS. Mobilization of the nervous system. Australia 1994; Curchill-Livingstone Publications; pag:127-139. ISBN: 0443044007.
  • Butler DS. Neurodynamic Techniques. Australia 2005; NOI group publications ISBN-10: 0975091018.
  • Zamorano E. Movilizacion Neuromeningea . Ed Panamericana; Madrid 2013 ISBN: 978-84-7903-970-7
  • Vigotsky AD1, Bruhns RP2. The Role of Descending Modulation in Manual Therapy and Its Analgesic Implications: A Narrative Review. Pain Res Treat. 2015;2015:292805. doi: 10.1155/2015/292805. Epub 2015 Dec 16. PMID: 26788367