Neurodynamics

Shacklock, Michael

doi:10.1016/s0031-9406(05)67024-1

Cited by 212 publications

(111 citation statements)

References 58 publications

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“…Nervos saudáveis têm a capacidade de estiramento e deslizamento, para permitir aumento do comprimento necessário para o movimento fisiológico dos membros 3,4 . Para que ocorra função normal, é preciso que esses movimentos estejam em harmonia.…”

Section: Introductionunclassified

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Efeitos da aplicação do laser de baixa potência na regeneração do nervo isquiático de ratos

et al. 2010

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RESUMO: Os nervos periféricos sofrem constantes lesões de origem traumática, o que resulta em perdas funcionais. A terapia com laser de baixa potência vem sendo utilizada para minimizar os efeitos maléficos da inflamação e acelerar o processo de cicatrização dos tecidos lesados. Este estudo teve como objetivo verificar o efeito da irradiação do laser 830 nm no comportamento do nervo isquiático de ratos submetido a esmagamento. Foram utilizados 20 ratos, todos tendo tido o nervo isquiático esmagado, divididos em 4 grupos (n=5): P7 e P14, tratamento placebo por 7 e 14 dias; L7 e L14, tratamento por laser (dosagem de 4 J/cm²) por 7 e 14 dias. Os animais dos grupos P7 e P14 foram submetidos aos mesmos procedimentos, mas com o laser desligado. Os parâmetros analisados foram presença de infiltrado inflamatório e fibroblastos, destruição da bainha de mielina e degeneração axonal. Na análise estatística foi observada diferença estatística com relação a três parâmetros: os animais do grupo L14 apresentaram maior quantidade de fibroblastos (p=0,0001), menor degeneração da bainha de mielina (p=0,007) e menor quantidade de infiltrado inflamatório (p=0,001). A aplicação do laser de baixa potência contribuiu para a redução do processo inflamatório decorrente da lesão do nervo isquiático de ratos. DESCRITORES: Nervo ciático; Regeneração nervosa; Síndromes de compressão nervosa/reabilitação; Terapia a laser de baixa intensidade ABSTRACT: Peripheral nerves are commonly subject to traumatic injuries, leading to functional loss. Low-power laser therapy has been used in order to minimize harmful effects of inflammation and to accelerate healing of injured tissues. The purpose of this study was to assess the effect of 830 nm-laser irradiation on rat sciatic nerves submitted to crush. Twenty male Wistar rats had their sciatic nerve crushed and were divided into 4 groups (n=5): Sham7 and Sham14, placebo-treated for 7 and 14 days; L7 and L14, laser-treated (at 4 J/cm²) for 7 and 14 days. Sham group animals were submitted to the same procedures, but with the laser turned off. Assessed parameters were inflammatory infiltrates, fibroblasts, myelin sheath destruction, and axonal degeneration. The statistical analysis showed significant differences in three parameters: L14 animals showed more fibroblasts (p=0.0001), lesser myelin sheath degeneration (p=0.007), and lesser inflammatory infiltrates (p=0.001). Low-power laser therapy hence contributed to reduce the inflammatory process due to rat sciatic nerve injury.

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Section: Introductionunclassified

“…Esse achado está de acordo com os de outros autores sobre a ação antiinflamatória do laser 3,13,17,22 . Os resultados de Albertini et al 13 mostraram que a resposta inflamatória pode ser normalizada ou reduzida pelo efeito fotoquímico da irradiação laser.…”

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Efeitos da aplicação do laser de baixa potência na regeneração do nervo isquiático de ratos

et al. 2010

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“…Examples of specific physiotherapy techniques were correction of sitting posture, isolated and low-intensity recruitment of the deep abdominal and back muscles (Tsao and Hodges, 2008), active and passive neurodynamic sliders of the sciatic nerve (Shacklock, 1995), and segmental mobilization of the thoracolumbar spine. The emphasis on the early and active component of physiotherapy was based on previous evidence (McGregor et al, 2006).…”

Section: Physiotherapymentioning

confidence: 99%

Proprioceptive use and sit-to-stand-to-sit after lumbar microdiscectomy: The effect of surgical approach and early physiotherapy

Janssens

Brumagne

Claeys

et al. 2016

Clinical Biomechanics

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Background: Individuals with non-specific low back pain show decreased reliance on lumbosacral proprioceptive signals and slower sit-to-stand-to-sit performance. However, little is known in patients after lumbar microdiscectomy. Methods: Patients were randomly assigned into transmuscular (n = 12) or paramedian lumbar surgery (n = 13). After surgery, the same patients were randomly assigned into individualized active physiotherapy starting 2 weeks after surgery (n = 12) or usual care (n = 13). Primary outcomes were center of pressure displacement during ankle and back muscles vibration (to evaluate proprioceptive use), and the duration of five sit-to-stand-to-sit movements, evaluated at 2 (baseline), 8 and 24 weeks after surgery. Findings: Two weeks after surgery, all patients showed smaller responses to back compared to ankle muscles vibration (P b 0.05). Patients that underwent a transmuscular surgical procedure and patients that received physiotherapy switched to larger responses to back muscles vibration at 24 weeks, compared to 2 weeks after surgery (P b 0.005), although not seen in the paramedian group and usual care group (P N 0.05). Already 8 weeks after surgery, the physiotherapy group needed significantly less time to perform five sit-to-stand-to-sit movements compared to the usual care group (P b 0.05). Interpretation: Shortly after lumbar microdiscectomy, patients favor reliance on ankle proprioceptive signals over lumbosacral proprioceptive reliance to maintain posture, which resembles the behavior of patients with non-specific low back pain. However, early active physiotherapy after lumbar microdiscectomy facilitated higher reliance on lumbosacral proprioceptive signals and early improvement of sit-to-stand-to-sit performance. Transmuscular lumbar surgery favoured recovery of lumbosacral proprioception 6 months after surgery. Clinical Trial Number: NCT01505595

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“…Manual physical therapy was shown to be useful for treating chronic musculoskeletal pain conditions [120,121], ranging from low back and neck pain to fibromyalgia and chronic fatigue syndrome, with documented mechanism-based efficacy [122].…”

Section: Manual Therapymentioning

confidence: 99%

Assessment and Treatment of Chemotherapy-induced Peripheral Neuropathy- a Physical Therapy Perspective

Kumar

Jamwal

2015

GJCT

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Chemotherapy is recognized as a mainline treatment for all types of cancer, and its most debilitating and dose-limiting complication is Chemotherapy-induced peripheral neuropathy (CIPN), the mechanisms of nerve damage of which depends upon the specific chemotherapeutic agent used. Use of non-invasive treatment methods such as physical therapy may provide a valuable therapeutic adjunctive option in patients with CIPN. Physical therapy treatment methods had been shown to produce effective symptom control and enhance quality of life in palliative care. A detailed evidence-based update of literature is provided under evaluation and management of CIPN with a special perspective of physical therapy management using a proposed clinical reasoning-based treatment decision making algorithm so that an Ã¢â‚¬Ëœout of the boxÃ¢â‚¬â„¢ self-reflective evidence-informed critical thinking process is applied along a collaborative multidisciplinary biopsychosocial approach.Ã‚Â Keywords: Chemotherapy-induced neurotoxicity; Chemotherapy-induced neuropathy; Physical therapy; Palliative rehabilitation

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Neurodynamics

Cited by 212 publications

References 58 publications

Efeitos da aplicação do laser de baixa potência na regeneração do nervo isquiático de ratos

Efeitos da aplicação do laser de baixa potência na regeneração do nervo isquiático de ratos

Proprioceptive use and sit-to-stand-to-sit after lumbar microdiscectomy: The effect of surgical approach and early physiotherapy

Assessment and Treatment of Chemotherapy-induced Peripheral Neuropathy- a Physical Therapy Perspective

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