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

Jung, Ju Hyeon; Moon, Dong Chul

doi:10.14198/jhse.2021.164.17

Cited by 4 publications

(5 citation statements)

References 19 publications

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“…Therefore, both neurodynamic mobilisation (NDM) and core stability (CS) exercises are rational approaches to manage this problem. Some previous studies conclude that both approaches have shown initial promising results for pain reduction and optimising m NCV values [15,16]. However, the combined effect of both on athletic population is yet to be ascertained.…”

Section: Introductionmentioning

confidence: 99%

Effect of Neurodynamic Mobilisation Plus Core Stability on Pain and Motor Nerve Conduction Velocity in Athletes with Lumbar Radiculopathy

Gupta

Sharma²,

Sharma

et al. 2021

Polish Journal of Sport and Tourism

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Introduction. Lumbar radiculopathy (LR) is a common debilitating disorder of neuromuscular origin that affects athletes. Material and Methods. This study was a parallel group design and a total of 24 clinically diagnosed athletes with LR were recruited for the study and randomly assigned to one of the two groups, i.e. neurodynamic mobilisation plus core stability group (NDS plus CS) and core stability group only (CS). NDS plus CS underwent neural mobilisation of the tibial nerve and core stability exercises, while CS group performed core stability for a total of 14 sessions on alternate days. The outcome measures of motor nerve conduction velocity (m NCV) of the tibial nerve and pain intensity were recorded before the start of the intervention, at midpoint (7th session) and at the end of the intervention (14th session). Results. Baseline scores of pain and m NCV (NDS plus CS: 6.75 ± 0.62, 38.10 ± 7.21 and CS: 6.58 ± 0.79, 38.92 ± 6.37) were non-significant. The outcome measures improved significantly during treatment in NDS plus CS group (baseline to 7th session, 7th to 14th session and overall mean change for pain and m NCV was found to be 4.74 ± 0.37 and -6.43 ± 3.08, respectively. Non-significant improvement was reported for CS group. Two-way repeated measures (2 x 3) ANOVA was used to analyse the change in the outcome measures and revealed that NDS plus CS group showed statistically significant main effects for group on pain level (F (2, 5.34) = 0.89, p < 0.001 and m NCV (F (2, 5.21) = 0.40, p < 0.03. Significant time and group x time interaction effects were also found. Conclusions. The findings of the study revealed that neurodynamic mobilisation plus core stability were found effective in improving pain level and motor nerve conduction velocity of the tibial nerve in athletes with lumbar radiculopathy.

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Section: Introductionmentioning

confidence: 99%

Effect of Neurodynamic Mobilisation Plus Core Stability on Pain and Motor Nerve Conduction Velocity in Athletes with Lumbar Radiculopathy

Gupta

Sharma²,

Sharma

et al. 2021

Polish Journal of Sport and Tourism

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“…ND produce elongation and stretch that have an impact on the recovery and movement of nerves and the structures that protect them through sliding movements, subsequently decreasing the intrinsic pressure on the nervous tissue which has an impact on improving nerve function (Ellis et al, 2022;Jung & Moon, 2020). Bilateral ND technique applied to cervical radiculopathy assist sliding movement on both sides thereby reducing tension on the provocation side.…”

Section: Discussionmentioning

confidence: 99%

The Addition Of Bilateral Neurodynamics In Ultrasound Therapy And Manual Traction Intervention In Cervical Radiculopathy

Nugraha

Kinandana

2022

j.keterapian.fis.

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Background: Cervical radiculopathy is a condition that characterized by pain and/or sensorimotor deficits caused by compression of one or more cervical nerve roots. The aim of this case series is to serve as a preliminary study to determine the effectiveness of adding bilateral neurodynamics to the intervention of ultrasound therapy and manual traction in cervical radiculopathy. Methods: The research writing method used CARE (CAseREport) guidelines, which consisted of: introduction, patient information, clinical findings, timeline, diagnostic assessment, therapeutic intervention, follow-up and outcome, and discussion. The measuring instrument used in this study was the Visual Analogue Scale (VAS) in assessing tension pain when given neurodynamics and neck disabilities using the Indonesian version of the Neck Disability Index (NDI). The intervention was carried out 12 times (3 times a week for 4 weeks) and a follow-up was done at week 5. Results: The results showed that there was an improvement in the score of neck pain and disability in the 2 patients both at post-test and at follow-up. Conclusion: Based on these findings, it can be concluded that the application of additional bilateral neurodynamics in the intervention of ultrasound therapy and manual traction can help reduce pain and improve neck disability.

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“…In the ASLR test, the point at which the patient first sensed pain was set as P1, and the point at which he sensed the maximum pain to be unable to produce further changes in the ROM was set as P2. The intensity of pain at P1 and P2 was expressed by the patient to the rater as a VAS score, and the mean of triplicate measurements was used for the analysis [ 23 , 24 , 25 ].…”

Section: Methodsmentioning

confidence: 99%

“…Based on the initial ROM values at P1 and P2, the differences in the mechanical sensitivity of the biceps femoris, semimembranosus, and lateral gastrocnemius were measured each week. To normalize the measured values, the values of maximum voluntary isometric contraction (MVIC) for each muscle before the intervention were used to calculate the %MVIC [ 25 ] ( Figure 3 ).…”

Section: Methodsmentioning

confidence: 99%

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Effects of Complex Pain Control Programs on Taekwondo Athletes with Recurrent Low Back Pain: A Case Study

2023

Self Cite

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Background and Objectives: Practitioners of martial arts such as Taekwondo are likelier to experience back pain during training or competition. As the back pain of taekwondo athletes shows various symptoms depending on the athlete’s characteristics, such as technique and movement, a case study was conducted to verify the intervention effect suitable for individual traits. We examined the effects of a complex pain control program on pain, mechanosensitivity, and physical function in a Taekwondo athlete with recurrent low back pain (LBP). Materials and Methods: A Taekwondo athlete with LBP was recruited from D University, Busan. The intervention program was performed for 45 min twice a week for 3 weeks, and the patient was followed up with after 2 weeks. The numerical rating pain scale (NRPS), pain pressure threshold, mechanosensitivity, and Oswestry Disability Index (ODI) scores were measured before and after the intervention. Therapeutic massage and nerve stimulation therapy were performed. Lumbar flexion, extension, and rotation were performed in the movement control exercise group, whereas the sliding technique, a neurodynamic technique of the tibial nerve, was applied in the neurodynamic technique group. This effect was verified by comparing the average measured values before and after the intervention. Results: Pain (NRPS) and mechanosensitivity reduced, range of motion and tactile discrimination abilities improved, and physical function (ODI) improved. The effect of the improved intervention lasted 2 weeks. Conclusions: These results indicate that application of complex pain control programs considering the four aspects of pain mechanisms for 3 weeks can be an effective intervention in Taekwondo athletes with recurrent LBP.

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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

Cited by 4 publications

References 19 publications

Effect of Neurodynamic Mobilisation Plus Core Stability on Pain and Motor Nerve Conduction Velocity in Athletes with Lumbar Radiculopathy

Effect of Neurodynamic Mobilisation Plus Core Stability on Pain and Motor Nerve Conduction Velocity in Athletes with Lumbar Radiculopathy

The Addition Of Bilateral Neurodynamics In Ultrasound Therapy And Manual Traction Intervention In Cervical Radiculopathy

Effects of Complex Pain Control Programs on Taekwondo Athletes with Recurrent Low Back Pain: A Case Study

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