Effects of Median Nerve Neural Mobilization in Treating Cervicobrachial Pain: A Randomized Waiting List–Controlled Clinical Trial

Abstract

MNNM may be superior to no treatment in reducing pain and increasing function in the affected upper limbs of subjects with CP.

Median Nerve Neural Mobilization Adds No Additional Benefit When Combined with Cervical Lateral Glide in the Treatment of Neck Pain: A Randomized Clinical Trial

“…In relation to the NP intensity, although no differences were found between the groups, these presented an improvement of 27.67% (1.2 points) in the CLG + MNNM group and 31.49% (1.3 points) in the CLG group. These results are lower than those obtained by Rodríguez et al [ 19 ] in which they applied neural mobilization of the median nerve to patients with cervicobrachial neuralgia and obtained a 52.76% improvement (3.08 points], which is much more clinically relevant than the improvements obtained in our study. Although the changes obtained reached the minimally detectable threshold (1.15 points) [ 67 ].…”

“…The improvement in rotation in the CLG group only reached improvements of 8.57% (4.96 degrees) and 5.57% (3.32 degrees) in the contralateral rotation. These data are contradictory to those found in several previous studies [ 19 , 20 , 22 ], achieving a 12.1% improvement in the cervical range of motion in patients with cervicobrachial neuralgia after application of median nerve neural mobilization [ 19 ], and an 18% (10 degrees) improvement when lateral cervical slippage was applied [ 20 , 22 ]. This difference could be explained by the fact that, in those three previous studies, 30 sessions were applied as opposed to the two sessions we have applied in our study.…”

“…Neural mobilization approaches have been demonstrated to be effective for improving cervicobrachial pain conditions [ 17 , 18 , 19 , 20 ]. However, to our knowledge, this is the first study to assess the effectiveness of the combination of two neural mobilization techniques for improving neural mechanosensitivity, pain, and function in patients with NP.…”

“…Regarding neural mobilization approaches for musculoskeletal conditions in patients with CBP [ 15 , 16 ], median nerve neural mobilization (MNNM) and cervical lateral glide (CLG) were shown to be more effective in short-term for improving pain intensity, range of motion (ROM) during upper limb neurodynamic test (ULNT1), and functionality than therapeutic ultrasound [ 17 ], manual cervical traction [ 18 ] or no treatment [ 19 , 20 ]. Although pharmacologic treatment, such as oral ibuprofen, can decrease pain intensity and disability more than MNNM or CLG, the non-existence of ROM differences between these interventions, as well as adverse effects associated with the pharmacological agents, suggest neural mobilization as a possible treatment option in patients with CBP [ 21 , 22 ].…”

Efficacy of Neural Mobilization and Cervical Stabilization in Cervicobrachial Pain: A Randomized Controlled Trial

“…8 Rodríguez-Sanz D reports that The median nerve neural mobilization (MNNM) and relieve CP, but through different mechanism and with a different onset of side effects MNNM is a specific physical therapy technique for the treatment of CP described by Butler, Coppieters, and Elvery -hall that achieves pain relief through mechanical stimulation of the median nerve and the brachial plexus. 9 Jinyeol Jeon et al argues The recent therapeutic exercise there is increasing interest in, understanding the effect of cervical stabilizing exercise, not only to prevent neck disorder, but also reduce chronic cervical pain. These exercises induced cervical vertebra to maintain a neutral position by strengthening the deep muscles play a major role in maintaining spinal stability.…”