AI Article Synopsis
- The study reviews the effectiveness of neural mobilisation techniques compared to other treatments for improving pain, function, and physical performance in individuals with musculoskeletal pain.
- A comprehensive search across multiple databases identified 39 relevant trials, revealing significant benefits for neural mobilisation in reducing pain and improving function specifically in low back pain cases.
- While results showed some positive effects for neck pain, the impact on flexibility and other musculoskeletal conditions remains unclear, and the overall confidence in the findings is very low.
Article Abstract
Objective: To investigate up-to-date evidence of the effectiveness of neural mobilisation techniques compared with any type of comparator in improving pain, function, and physical performance in people with musculoskeletal pain.
Data Sources: The following sources were consulted: PubMed, Web of Science, CENTRAL, CINAHL, Scopus, and PEDro databases; scientific repositories; and clinical trial registers. The last search was performed on 01/06/2023.
Methods: Two reviewers independently assessed the studies for inclusion. We included randomised, quasi-randomised, and crossover trials on musculoskeletal pain in which at least one group received neural mobilisation (alone or as part of multimodal interventions). Meta-analyses were performed where possible. The RoB 2 and the Grading of Recommendations Assessment, Development and Evaluation tools were used to assess risk of bias and to rate the certainty of evidence, respectively.
Results: Thirty-nine trials were identified. There was a significant effect favouring neural mobilisation for pain and function in people with low back pain, but not for flexibility. For neck pain, there was a significant effect favouring neural mobilisation as part of multimodal interventions for pain, but not for function and range of motion. Regarding other musculoskeletal conditions, it was not possible to conclude whether neural mobilisation is effective in improving pain and function. There was very low confidence for all effect estimates.
Conclusions: Neural mobilisation as part of multimodal interventions appears to have a positive effect on pain for patients with low back pain and neck pain and on function in people with low back pain. For the other musculoskeletal conditions, results are inconclusive.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10725147 | PMC |
| http://dx.doi.org/10.1177/02692155231215216 | DOI Listing |
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Article Synopsis
- The study aimed to evaluate the effectiveness of adding cervical spine manual therapy (CMT) to conventional physical therapy (PT) for improving outcomes in patients with carpal tunnel syndrome (CTS).
- Forty-eight patients were split into two groups: one received PT alone, while the other received PT plus CMT, with various assessments conducted at baseline, after treatment, and six months later.
- Results indicated that the CMT group experienced significantly better improvements in pain levels and nerve function compared to the PT-only group, suggesting that combining CMT with PT could be a more effective treatment for CTS.
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