Effects Of Neural Mobilization Research Articles

The effect of Neural Mobilization on sciatica pain: A systematic review

The effect of Neural Mobilization on sciatica pain: A systematic review

Effectiveness of Neural Mobilization on Functional Activity in Patients with Cervical Radiculopathy: Review Article

Effectiveness of Neural Mobilization on Functional Activity in Patients with Cervical Radiculopathy: Review Article

Manual Therapy with Neural Mobilization: Immediate Effect on the Vocal Quality of Women with Dysphonia.

To evaluate the immediate effect of neural mobilization on the voice quality, self-perceived phonatory effort, and laryngeal muscles of women with behavioral dysphonia. This is an intrasubject comparative study. The research included 21 women aged 18 to 59 years with vocal complaints. Therefore, the selection of this sample excluded the lower limit of the voice change period and the upper limit of presbyphonia. The participants were assessed by voice acoustic and auditory-perceptual analysis, self-reported vocal effort, and laryngeal palpation performed at three moments: at baseline, after 10 minutes of vocal resting, and after manual therapy. The participants were divided into two groups: the group with 10 minutes of vocal resting (G1) and the group with intervention (G2). The patients in the intervention group underwent manual therapy using neural mobilization in the laryngeal region. For the statistical analysis, a descriptive analysis of the data was performed first with measures of central tendency and dispersion. Subsequently, the Anderson-Darling test was used to verify sample normality. To analyze the difference between three groups were used the parametric One-Way ANOVA or the non-parametric Friedman's test. The McNemar's or chi-squared tests were used to compare categorical variables and to compare an ordinal variable a non-parametric Wilcoxon test was used. The Gwet's AC1 test was used to assess intra-rater agreement in the auditory-perceptual analysis response. Neural mobilization in the laryngeal region showed no positive effects on the acoustic voice parameters and voice quality of women with dysphonia. Phonatory effort improved after neural mobilization in the laryngeal region (p=0.004). There was no significant change in supralaryngeal resistance, lateral laryngeal resistance, and laryngeal position after neural mobilization in the laryngeal region. Neural mobilization improved phonatory comfort but did have any effect on the voice quality and laryngeal musculature of women with dysphonia.

The effect of neural mobilization against sensorineural symptom reduction among hand-arm vibration syndrome survivor

Background: Hand-arm vibration syndrome (HAVS) is an occupational disease caused by exposure to vibration from work tools. Complaints often arise from sensorineural disorders that cause the arms and hands to tingle, numb, and experience decreased sensitivity. Neurodynamic mobilization is a manual therapy technique that utilizes tension and sliding movements that can reduce symptoms of sensorineural disorders. This study aims to determine the effect of neurodynamic mobilization on reducing sensorineural symptoms in patients with HAVS in welding workshop workers in Malang city.
 Methods: The design of this study used a pre-experimental approach with a one-group pretest-posttest design approach. There were 15 samples of welding workshop workers with symptoms of sensorineural disorders. The sample was given intervention for one month at a dose of 3x/week with one exercise consisting of 20x/set (10 slidings and ten tension) with three repetitions and a rest interval of 15 seconds/set. The assessment and evaluation instrument uses the Stockholm workshop scale. Data analysis was using the Wilcoxon test.
 Result: A significant decrease (p<0.000) in sensorineural symptoms among welding workshop workers in Malang city after a neurodynamic mobilization intervention was given.
 Conclusion: It can be concluded that providing neurodynamic mobilization decreases sensorineural symptoms of HAVS sufferers in welding workshop workers in Malang city.

On "Effects of Neural Mobilization on Pain Intensity, Disability, and Mechanosensitivity: An Umbrella Review With Meta-Meta-Analysis." Cuenca-Martínez F, La Touche R, Varangot-Reille C, et al. Phys Ther. 2022;102:pzac040. https://doi.org/10.1093/ptj/pzac040.

Journal Article Accepted manuscript On “Effects of Neural Mobilization on Pain Intensity, Disability, and Mechanosensitivity: An Umbrella Review With Meta–Meta-Analysis.” Cuenca-Martínez F, La Touche R, Varangot-Reille C, et al. Phys Ther. 2022;102:pzac040. https://doi.org/10.1093/ptj/pzac040 Get access Ruvistay Gutierrez-Arias, Ruvistay Gutierrez-Arias Servicio de Medicina Física y Rehabilitación, Instituto Nacional del Tórax, Santiago, ChileExercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, Chile Address all correspondence to Ruvistay Gutierrez-Arias: ruvistay.gutierrez@gmail.com https://orcid.org/0000-0003-1881-9316 Search for other works by this author on: Oxford Academic Google Scholar Dawid Pieper, Dawid Pieper Faculty of Health Sciences Brandenburg, Brandenburg Medical School (Theodor Fontane), Institute for Health Services and Health Systems Research, Rüdersdorf, GermanyCenter for Health Services Research, Brandenburg Medical School (Theodor Fontane), Rüdersdorf, Germany Search for other works by this author on: Oxford Academic Google Scholar Rodrigo Torres-Castro, Rodrigo Torres-Castro Department of Physical Therapy, University of Chile, Santiago, Chile Search for other works by this author on: Oxford Academic Google Scholar Raúl Aguilera-Eguía, Raúl Aguilera-Eguía Departamento de Salud Pública, Facultad de Medicina. Universidad Católica de la Santísima Concepción, Concepción, Chile Search for other works by this author on: Oxford Academic Google Scholar Carlos Zaror, Carlos Zaror Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, ChileDepartment of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile Search for other works by this author on: Oxford Academic Google Scholar Pamela Seron Pamela Seron Internal Medicine Department and CIGES, Faculty of Medicine, Universidad de La Frontera, Temuco, Chile https://orcid.org/0000-0003-0190-8988 Search for other works by this author on: Oxford Academic Google Scholar Physical Therapy, pzac161, https://doi.org/10.1093/ptj/pzac161 Published: 28 November 2022 Article history Received: 18 June 2022 Published: 28 November 2022

Effectiveness of neural mobilization on pain intensity, disability, and physical performance in adults with musculoskeletal pain-A protocol for a systematic review of randomized and quasi-randomized controlled trials and planned meta-analysis.

Recent studies show that musculoskeletal conditions contribute significantly to years lived with disability considering the entire global population. Pain and functional disability are the main problems that people with these conditions suffer. Neural mobilization has been shown to be an effective intervention in the treatment of musculoskeletal pain within individual trials, also contributing to improved functionality. Some systematic reviews have been carried out during the last years with the aim of synthesizing the scientific evidence on the use of neural mobilization techniques in the treatment of musculoskeletal disorders. However, they varied a lot in the methodological approaches and, consequently, in the findings and conclusions. Thus, this document is a planned protocol of a comprehensive systematic review with meta-analysis that we intend to carry out to review the scientific literature regarding up-to-date evidence on the use of neural mobilization in the management of people suffering from musculoskeletal pain disorders. The study designs that we will consider as inclusion criteria will be randomized and quasi-randomized clinical trials. The target population will be adults and older adults with musculoskeletal pain. Any controlled trial using any neural mobilization technique as an intervention in one of the trial groups will be included. The main outcomes of interest will be pain, functional status, and physical performance tests (muscle strength, flexibility, and balance). There will be no restrictions on follow-up time or type of setting. The risk of bias of the included studies will be assessed by the RoB 2 tool and the certainty of the evidence will be evaluated using the comprehensive Assessment, Development and Assessment of Assessment Recommendation (GRADE) approach. We intend to present the findings through narrative descriptions and, if possible, through meta-analytic statistics.Trial registration: PROSPERO registration number. CRD42021288387.

Chronic Low Back Pain and its Sustainable Management by Using Core Strengthening Exercise and Mechanical Traction

This experimental study was conducted to determine the effectiveness of neural mobilization and conventional physiotherapy technique in patients with chronic low back pain with a sample of 100. The study reveals that the mean age of the core muscle strengthening group was 33.88+(or)-10.77 years whereas mechanical traction group was 42.46+(or)-9.51 years of age. Study shows that mean BMI of core muscle strengthening group and mechanical traction group was 24.05+(or)-4.329 and 25.28+(or)-4.562. Study found that the mean severity of pain before treatment was 6.380+0.725 and after treatment was 2.74+(or)-0.921 of core muscle strengthening and the mean severity of pain before treatment was 7.100+(or)-0.839 and after treatment was 3.64+(or)-1.173. Study shows that mean score Oswestry low back pain disability index of core muscle strengthening before treatment was 20.54+3.7 and after treatment was 7.94+(or)-3.419, compare to mechanical traction before treatment was 22.88+(or)-3.127 and after treatment was 11.92+(or)-4.004. There was statistically highly significant findings of core muscle strengthening and mechanical traction where t-value was 35.665 and 26.938 which was measured by Universal pain Assessment Tool, another statistically highly significant finding of core muscle strengthening and mechanical traction where t-value were 21.995 and 19.039 which was measured by Oswestry low back pain disability index.

IMMEDIATE EFFECT OF NEURAL MOBILIZATION ON HAMSTRING FLEXIBILITY AND FUNCTIONAL PERFORMANCE AMONG FOOTBALL PLAYERS IN VADODARA

Background: Hamstring muscle injuries are a common occurrence in a wide range of sprint-based sports which accounts about 13-15% of injuries in football players. The predisposing factors for it are poor hamstring flexibility & neural tension. Epidemiological research has cited reduced flexibility as an etiological factor in acute muscle strain injury and can influence functional performance. To prevent hamstring muscle injury, routine traditional intervention is used. Neural mobilization has been an emerging technique but its research on sports field is very limited. Thus, the need of the study was to examine the immediate effect of neural mobilization on hamstring flexibility and Functional performance using this new technique and also to prevent/decrease the risk of hamstring muscle injury. To Aim: evaluate the immediate effect of Sciatic Neural Mobilization technique on Hamstring Flexibility and Functional Performance among Football Players in Vadodara. Methodology: 48 Male Football Players who met the Inclusion Criteria were recruited from Baroda Football Academy (BFA) and Swarnim Gujarat Sports University (SGSU). There was a short session of 3 minutes warm up. The Baseline and post-intervention data collection was done in a sequential order (Bilateral Hamstring Flexibility, Vertical jump test, Four-Line Sprint Test) in which in between Vertical jump & Four-Line Sprint Test 5 minutes break was provided to avoid fatigue. Following 5 minutes break, Sciatic neural sliding mobilization was given for bilateral lower limb to participants by physiotherapist. The Data were analyzed using Result: Paired t- Test, and there was statistically significant improvement in all the three outcome measures (P = < 0.001) Conclusion: The present study showed that sciatic neural mobilization had a Positive effect on hamstring flexibility and functional performance among Football Players in Vadodara.

Comparison between Immediate Effect of Neural Mobilization and Myofascial Release of Suboccipital Muscle on Hamstring Length in Younger Adults - An Interventional Study

Background and objectives: Shortening of hamstring has a negative impact on the posture of the pelvic region. The increase in stiffness of the hamstring may serve as a cause of low back pain and is also thought to predispose athletes to injury. The objective of this study was to compare the immediate effect of neural mobilization and myofascial release of suboccipital muscle on hamstring length in younger adults. Methodology: This was a Comparative study conducted in a tertiary care hospital. A total 40 individuals between age group of 18-25 years having reduced hamstring length were included in this study. They were randomly divided into two groups by lottery method. Group 1 received neural mobilization and group 2 received myofascial release of suboccipital muscle. Ranges were recorded post treatment. Straight Leg Raise (SLR), Sit and Reach Test (SR) and Finger to Foot Test (FFT) were used to record pre treatment ranges Results: The result revealed that hamstring length significantly improved in both the groups further between the groups comparison demonstrated that non-significant difference existed in improvement scores of SLR, where as statistically not significant but clinically significant difference was existed in improvement of FFT. Furthermore between groups comparison demonstrated that statically and clinically significant difference existed in improvement scores of sit and reach, indicating that neural mobilization was more effective in improving hamstring length then myofascial release of suboccipital muscle in improving hamstring length. Conclusion: This study concluded that both neural mobilization and myofascial release of suboccipital muscle is effective in increasing length of hamstring muscle, where as neural mobilization was better when assessed with sit and reach test. Keywords: Hamstring length, neural mobilization, myofascial release, suboccipital muscle, sit and reach test, Straight leg raise, finger to foot test.

Effects of neural mobilizations through movement representation techniques for the improvement of neural mechanosensitivity of the median nerve region: a randomized controlled trial

Purpose The main objective was to compare the effects of neural mobilization (NM), NM performed through mirror therapy (MT), NM performed through action observation (AO) training and finally classic rehabilitation program (mobility and strength) exercises on neural mechanosensitivity, widespread of proximal and distal pain and pressure pain thresholds (PPT). The second objective was to assess the effects of these interventions on handgrip strength, conditioned pain modulation, motor imagery ability and temporal summation. Materials and methods Single-blinded randomized controlled trial. Fifty-four healthy subjects were randomly assigned to each group. Neural mechanosensitivity, widespread pain and PPT were the main variables. The secondary variables included handgrip strength, conditioned pain modulation, motor imagery ability and temporal summation. Results All groups showed significant differences in time*factor for neural mechanosensitivity (p = 0.001), PPT in the dermatome of the median nerve (p = 0.007), PPT at carpal tunnel (p < 0.05) and proximal widespread (p = 0.01). No differences were found for distal widespread, conditioned pain modulation, handgrip strength motor imagery ability or temporal summation (p > 0.05). There is an absence of statistically significant differences between groups. Conclusions NM through movement representation techniques can reduce mechanosensitivity and mechanical hyperalgesia in the median nerve dermatome and forearm, although no differences were found between groups.

The effectiveness of neural mobilization in addition to conservative physiotherapy on cervical posture, pain and functionality in patients with cervical disc herniation

ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Kayiran T, Turhan B. The effectiveness of neural mobilization in addition to conservative physiotherapy on cervical posture, pain and functionality in patients with cervical disc herniation. Advances in Rehabilitation. 2021;35(3):8-16. doi:10.5114/areh.2021.107788. APA Kayiran, T., & Turhan, B. (2021). The effectiveness of neural mobilization in addition to conservative physiotherapy on cervical posture, pain and functionality in patients with cervical disc herniation. Advances in Rehabilitation, 35(3), 8-16. https://doi.org/10.5114/areh.2021.107788 Chicago Kayiran, Tecelli, and Begumhan Turhan. 2021. "The effectiveness of neural mobilization in addition to conservative physiotherapy on cervical posture, pain and functionality in patients with cervical disc herniation". Advances in Rehabilitation 35 (3): 8-16. doi:10.5114/areh.2021.107788. Harvard Kayiran, T., and Turhan, B. (2021). The effectiveness of neural mobilization in addition to conservative physiotherapy on cervical posture, pain and functionality in patients with cervical disc herniation. Advances in Rehabilitation, 35(3), pp.8-16. https://doi.org/10.5114/areh.2021.107788 MLA Kayiran, Tecelli et al. "The effectiveness of neural mobilization in addition to conservative physiotherapy on cervical posture, pain and functionality in patients with cervical disc herniation." Advances in Rehabilitation, vol. 35, no. 3, 2021, pp. 8-16. doi:10.5114/areh.2021.107788. Vancouver Kayiran T, Turhan B. The effectiveness of neural mobilization in addition to conservative physiotherapy on cervical posture, pain and functionality in patients with cervical disc herniation. Advances in Rehabilitation. 2021;35(3):8-16. doi:10.5114/areh.2021.107788.

Effects of neural mobilization in patients after lumbar microdiscectomy due to intervertebral disc lesion

BackgroundNeural mobilization (NM) techniques have been shown to improve the neural tissue's viscoelastic properties that may lead to recover of the function of the nerve after lumbar spine surgery. This study aimed to determine the effects of NM in addition to standard rehabilitation on lumbar and sciatic pain intensity, disability level, and quality of life in patients after receiving a microdiscectomy of the intervertebral lumbar disc (IVD). MethodsTwenty-four participants (age 41.3 ± 8.3 years old) within 3–4 weeks of a microdiscectomy of an IVD were randomly allocated to control (CTRL; n = 12) or NM group (n = 12). The CTRL group received ten standard rehabilitation sessions. The NM group received the same rehabilitation sessions with the addition of NM techniques. The intensity of lumbar and sciatic pain (visual analogue scale), disability level (Oswestry disability index), and health-related quality of life (SF-36 questionnaire) were measured before and after the intervention. ResultsWithin-group analysis revealed a significant reduction in lumbar (p < 0.05) and sciatic pain intensity (p < 0.001), disability level (p < 0.001), and improvement in the physical function and problems, vitality, emotional well-being, and pain SF-36 items (p < 0.05) in both groups. There were no statistical differences between groups in all outcomes. ConclusionA standard rehabilitation protocol alone or in combination with NM techniques are equally effective in reducing pain and disability level, as well as improving quality of life in patients after a microdiscectomy due to intervertebral lumbar disc lesion.

Effect of Neural Mobilization on Nerve-Related Neck and Arm Pain: A Randomized Controlled Trial.

Purpose: Neural mobilization (NM) is often used to treat nerve-related conditions, and its use is reasonable with nerve-related neck and arm pain (NNAP). The aims of this study were to establish the effect of NM on the pain, function, and quality of life (QOL) of patients with NNAP and to establish whether high catastrophizing and neuropathic pain influence treatment outcomes. Method: A randomized controlled trial compared a usual-care (UC; n=26) group, who received cervical and thoracic mobilization, exercises, and advice, with an intervention (UCNM; n=60) group, who received the same treatment but with the addition of NM. Soft tissue mobilization along the tract of the nerve was used as the NM technique. The primary outcomes were pain intensity (rated on the Numerical Pain Rating Scale), function (Patient-Specific Functional Scale), and QOL (EuroQol-5D) at 3 weeks, 6 weeks, 6 months, and 12 months. The secondary outcomes were the presence of neuropathic pain (using the Neuropathic Diagnostic Questionnaire) and catastrophizing (Pain Catastrophising Scale). Results: Both groups improved in terms of pain, function, and QOL over the 12-month period (p<0.05). No between-groups differences were found at 12 months, but the UCNM group had significantly less pain at 6 months (p=0.03). Patients who still presented with neuropathic pain (p<0.001) and high pain catastrophizing (p=0.02) at 6- and 12-mo follow-ups had more pain. Conclusions: Both groups had similar improvements in function and QOL at 12-month follow-up. The UCNM group had significantly less pain at 6-month follow-up and a lower mean pain rating at 12-month follow-up, although the difference between groups was not significant. Neuropathic pain is common among this population and, where it persisted, patients had more pain and functional limitations at 12-mo follow-up.

Effects of Neural Mobilization on Electrophysiological Measures-A Quasi Experimental Design

The objective of the study was to identify effects of neural mobilization on electrophysiological measures of nerve (latency, velocity and amplitude) during and after neural mobilization in normal healthy individuals having normal neurodynamics and in patients diagnosed with median nerve entrapment neuropathy around the wrist joint (in altered neurodynamics of peripheral nerves). 30 normal healthy individuals and 30 patients with entrapment neuropathy of median nerve around the wrist joint were taken in the study. Pre neural mobilization, Motor and sensory nerve conduction studies of median nerve were performed and electrophysiological measures like distal latency, amplitude and velocity were taken. Median nerve mobilization-ULTT 2 was performed on participants. During neural mobilization and after neural mobilization (immediate after neural mobilization, after 10 minutes and 30 minutes) electrophysiological measures of median nerve were taken again. The results of the study shows that neural mobilization has no significant effects on all electrophysiological measures of nerve during and after neural mobilization in normal healthy individuals having normal neurodynamics and in patients diagnosed with median entrapment neuropathy around the wrist joint. Hypothesized effects of neural mobilization, in promoting physiological functions of nerve, have no effects in promoting electrophysiological measures of nerve.

The effects of neural mobilization on cervical radiculopathy patients' pain, disability, ROM, and deep flexor endurance.

Cervical radiculopathy (CR) is a disease of the cervical spine and a space-occupying lesion that occurs because of pathological problems with cervical nerve roots. Nerve root injury to produce functional disability. The purpose of this study was to examine the effects of neural mobilization with manual cervical traction (NMCT) compared with manual cervical traction (MCT) on pain, functional disability, muscle endurance, and range of motion (ROM) in individuals with CR patients. A blinded randomized clinical trial was conducted. Thirty CR patients were divided into two groups- those who received NMCT and those who received MCT. The intervention was applied three times per week for eight weeks. It was measured in order to determine the pain and functional disability in patients with CR. The numeric pain rating scale (NPRS), neck disability index (NDI), ROM, and deep flexor endurance of patients were measured prior to the experiment, four weeks, and eight weeks after the experiment to compare the time points. A repeated-measures analysis of variance was used to compare differences within each group prior to the experiment. And Bonferroni test was performed to examine the significance of each time point. There were significant differences within each group prior to the intervention, four weeks after the intervention, and eight weeks after the intervention in NPRS, NDI, ROM, and deep flexor endurance (P< 0.05). NPRS and NDI more decreased, and, ROM and deep flexor endurance increased in the NMCT group than the MCT group (P< 0.05). These results suggest that the NMCT can pain relief, recovery from neck disability, ROM, and deep flexor endurance for patients with CR.

The Effect of Neural Mobilization with Cervical Traction in Cervical Radiculopathy Patients

The Effect of Neural Mobilization with Cervical Traction in Cervical Radiculopathy Patients

Effect of Upper Limb Neural Mobilization on Vibration Threshold and Hand Grip Strength in Asymptomatic Individuals: A Randomized Controlled Trial

Introduction: Neural Tissue Mobilization (NTM) is a common technique used in clinical presentation with increased neural mechanosensitivity and was found to improve signs and symptoms. However, there is dearth in the literature indicating the physiological effects of NTM on asymptomatic subjects with reduced neural extensibility. Aim: To determine the immediate and short-term effect of upper limb neural tissue mobilization on hand grip strength, vibration threshold (VT) and neural extensibility in asymptomatic individuals. Materials and Methods: A prospective, parallel group, single-blinded randomized controlled trial was conducted on 40 participants. The subjects in the experimental group were administered five sessions (on alternate days) of median and ulnar nerve mobilization techniques, whereas the subjects in the control group received no intervention. Outcomes were assessed at three time-points i.e., at baseline, immediately after the first session and two days following the fifth session. Means for outcomes were compared. Results: Statistically significant improvement was observed in VT in the experimental group. Both groups demonstrated an improvement in neural extensibility measured as Elbow Extension Range of Motion (EEROM) while performing neural provocative testing. No within group or between group significance was noted in grip strength. Conclusion: There is no immediate or short-term effect of neural mobilization on grip strength in asymptomatic subjects but, it is seen to improve neural tissue extensibility and VT.

Mobilização neural aplicada em diferentes locais sobre a compressão do nervo isquiático de ratos Wistar

Introdução: a mobilização neural é uma técnica que visa restituir a função do sistema nervoso, contudo há ainda desconhecimento sobre o local mais apropriado. Objetivos: avaliar os efeitos da mobilização neural no tratamento da compressão do nervo isquiático de ratos Wistar, e comparar os diferentes locais de aplicação. Métodos: 24 ratos Wistar foram submetidos à compressão do nervo isquiático direito, e separados em quatro grupos: lesão (GL), mobilização neural no lesionado (GPD), mobilização neural no membro contralateral (GPE) e mobilização neural no membro ipsilateral a lesão (GEP). Foram realizadas avaliações funcionais pelo tempo de elevação da pata (TEP) e dolorímetro digital de Von Frey, após a última avaliação, o nervo isquiático foi seccionado para análise histológica. Resultados: houve diferença entre o GL (23,54) e GPE (23,98) na avaliação do TEP (p=0,028), na avaliação nociceptiva e histológica não houve diferenças significativas (p&gt;0,05). Conclusão: a mobilização neural no membro contralateral foi prejudicial, enquanto o tratamento no membro acometido e no membro ipsilateral não apresentou diferença significativa.

EFFECTS OF NEURAL MOBILIZATION IN POSTERIOR MYOFASCIAL CHAIN FLEXIBILITY IN NORMAL SUBJECTS

Aims and objectives: The aim of this research is to see the effectiveness of neural mobilization on posterior myofascial chain flexibility. Methodology: Samples of 70 subjects were recruited for the study. Pre mobilization readings for finger floor distance, tibiotarsal angle and finger floor grades were taken for each individual, after whom slump mobilization was given and post mobilization readings were again taken in the same sequence after mobilization. Results: Both finger floor distance and grades were significantly changed, while tibiotarsal angle showed no significant difference. Discussion: Neural mobilization tries to restore the nervous system’s movement and elasticity, rehabilitating its normal functions by relieving the tensions in the muscular chains thereby increasing its flexibility.

Effect of Neural Mobilization on Wrist Joint Proprioception in Normal Individuals

Effect of Neural Mobilization on Wrist Joint Proprioception in Normal Individuals