Effects of Nerve Mobilization Exercise as an Adjunct to the Conservative Treatment for Patients with Tarsal Tunnel Syndrome

Kavlak, Yasemin; Uygur, Fatma

doi:10.1016/j.jmpt.2011.05.017

Cited by 28 publications

(26 citation statements)

References 30 publications

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“…This result is consistent with the results of a study by Cleland et al 11 ) on chronic low back pain patients, in which the subjects were divided into a lumbar spine mobilization and exercise group and a lumbar spine mobilization, exercise, and slump stretching group and there were positive outcomes in numeric pain rating scale (NPRS), Oswestry Disability Index (ODI), and centralization of symptoms. It is also consistent with the results of a study by Kavlak & Uyaur 15 ) , who applied a nerve mobilization technique to carpal tunnel syndrome patients and obtained positive outcomes in pain, range of motion, and a sensory test.…”

Section: Discussionsupporting

confidence: 90%

The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain

et al. 2016

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[Purpose] This study aimed to examine the effects of self-mobilization techniques for the sciatic nerves on the quality of life in patients with chronic low back pain in the lower limbs accompanied by radiating pain. [Subjects and Methods] The subjects were divided into two groups: a group receiving of lumbar segmental stabilization exercise training including sciatic nerve mobilization techniques, which included 8 males and 7 females, and a group receiving lumbar segmental stabilization exercise training, which included 8 males and 7 females. [Results] There were statistically significant differences in comparison of measurement results between the groups before and after the intervention. [Conclusion] Application of mobilization techniques for the sciatic nerves may promote healing of the soft tissues by stimulating the functions of the nervous system to improve nervous system adaptability and decrease sensitivity, helping to alleviate the symptoms.

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Section: Discussionsupporting

confidence: 90%

The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain

et al. 2016

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“…Neurodynamics is a manual method of applying force to nerve structures through posture and multi-joint movement [14]. Based on the principle that the nervous system should be also stretched and contracted properly to maintain normal muscle tension and ensure range of motion [15], this technique is used for the recovery of soft tissue mobility [16]. Movement of the body both increases the strain on nerves and moves nerves associated with the surrounding tissue [17].…”

Section: Introductionmentioning

confidence: 99%

Immediate effects of a neurodynamic sciatic nerve sliding technique on hamstring flexibility and postural balance in healthy adults

Park

Yun

Kim

et al. 2014

PTRS

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In this study, we applied a neurodynamic sciatic nerve sliding technique to healthy adults to elucidate its effects on hamstring flexibility and postural balance. Design: Cross-sectional study. Methods: This study targeted twenty four healthy adults (16 men, 8 women). A neurodynamic sciatic nerve sliding technique was applied 5 times to all subjects' dominant leg. The subjects were asked to sit on the bed while performing cervical and thoracic flexion, as well as knee flexion with ankle plantar flexion. Then, they were asked to perform cervical and thoracic extension and knee extension with their ankle in dorsiflexion and maintain the position for 60 s. For postural balance, we measured postural sway while the subjects maintained a one-legged standing posture using the Good Balance System and measured the hip joint flexion range of motion using a standardized passive straight leg raise (SLR) test. Results: SLR test increased significantly from 79 o before the intervention to 91.67 o after the intervention (p<0.05). Regarding the participants' balance evaluated using the one-legged standing test, the X-speed decreased significantly from 18.61 mm/s to 17.17 mm/s (p<0.05), the Y-speed decreased from 22.28 mm/s to 20.52 mm/s (p<0.05), and the velocity moment was significantly decreased from 89.33 mm 2 /s to 74.99 mm 2 /s after the intervention (p<0.05). Conclusions: Application of the neurodynamic sciatic nerve sliding technique exhibited improved hamstring flexibility and postural balance of healthy adults.

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“…Conservative management includes activity modification, pain relief drugs, physical and rehabilitation medicine, and corticosteroid injections into the tarsal tunnel (to reduce oedema). 9 , 14 , 27 , 55 …”

Section: Treatment Of Tarsal Tunnel Syndrome (Tts)mentioning

confidence: 99%

Tarsal tunnel syndrome: current rationale, indications and results

Rodríguez-Merchán

Moracia-Ochagavía

2021

EFORT Open Reviews

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Tarsal tunnel syndrome (TTS) is a neuropathy due to compression of the posterior tibial nerve and its branches. It is usually underdiagnosed and its aetiology is very diverse. In 20% of cases it is idiopathic. There is no test that diagnoses it with certainty. The diagnosis is usually made by correlating clinical history, imaging tests, nerve conduction studies (NCSs) and electromyography (EMG). A differential diagnosis should be made with plantar fasciitis, lumbosacral radiculopathy (especially S1 radiculopathy), rheumatologic diseases, metatarsal stress fractures and Morton’s neuroma. Conservative management usually gives good results. It includes activity modification, administration of pain relief drugs, physical and rehabilitation medicine, and corticosteroid injections into the tarsal tunnel (to reduce oedema). Abnormally slow nerve conduction through the posterior tibial nerve usually predicts failure of conservative treatment. Indications for surgical treatment are failure of conservative treatment and clear identification of the cause of the entrapment. In these circumstances, the results are usually satisfactory. Surgical success rates vary from 44% to 96%. Surgical treatment involves releasing the flexor retinaculum from its proximal attachment near the medial malleolus down to the sustentaculum tali. Ultrasound-guided tarsal tunnel release is possible. A positive Tinel’s sign before surgery is a strong predictor of surgical relief after decompression. Surgical treatment achieves the best results in young patients, those with a clear aetiology, a positive Tinel’s sign prior to surgery, a short history of symptoms, an early diagnosis and no previous ankle pathology. Cite this article: EFORT Open Rev 2021;6:1140-1147. DOI: 10.1302/2058-5241.6.210031

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Effects of Nerve Mobilization Exercise as an Adjunct to the Conservative Treatment for Patients with Tarsal Tunnel Syndrome

Cited by 28 publications

References 30 publications

The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain

The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain

Immediate effects of a neurodynamic sciatic nerve sliding technique on hamstring flexibility and postural balance in healthy adults

Tarsal tunnel syndrome: current rationale, indications and results

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