The effect of neural mobilization of the brachial plexus on the flexibility of the lower limb: a double-blind trial.
Valente, Priscila de Souza; Valente, Priscilane de Souza; Da Silva, Augusta; Arêas, Guilherme Peixoto Tinoco; Freire Junior, Renato Campos; Maciel, Thiago dos Santos; Arêas, Fernando Zanela da Silva
Introduction: The technique of neural mobilization promotes ease in carrying out the movement and they elasticity of the nervous system, creating and perfecting straining their normal functions, with resulting increase in range of motion . Objective: The aim of this study was to evaluate the effects of neural mobilization of the brachial plexus on the gain range of motion in the lower limbs in asymptomatic individuals. Method: The evaluation was conducted in three steps , immediate post-neural pre-mobilization and post - late , by testing the 3rd finger to the ground test and fleximetry. The technique of brachial plexus neural mobilization was applied for ten days, with three weekly sessions to complete ten days (four weeks), performed on alternate days, with a minimum interval of 24 hours between sessions. The sample consisted of 17 sedentary college students, between 18 and30 years, . All statistical analysis was performed with (p<0.05). Results: In assessing the hamstrings and quadriceps with fleximeter there was not a statistically significant gain range of motion after neural mobilization , however, there was a significant increase in overall flexibility evaluated with the test of the 3rd finger soil to reach the left finger. Conclusion: In this study, neural mobilization brachial plexus got no efficacy to gain range of motion of the lower limbs in asymptomatic individuals. However, the overall results showed earned flexibility to reach the left finger.
1. Schaklock MO. Neurodinamica clínica, primeira edição, butterworth heinemann elsevier, 2007.
2. Maciel TS, da Cruz VWC, Jorge FS, Areas FZS, Ribeiro Junior SM. Efeitos da mobilização neural na força, resistência e recrutamento muscular dos flexores de punho. Ter Man. 2012; 10 (50): 411-416.
3. Ekstron RA, Holden K. Examination of and intervention for a patient with chronic lateral elbow pain with signs of nerve entreptament. Phys Ther. 2002; 82: 1077-1082.
4. Coppieters MW, Butler DS. Do ‘sliders’ slide and ‘tensioners’ tension? An analysis of neurodynamic tchniques and considerations regarding their application. Manual therapy. 2008;13: 213-221.
5. Coppieters MW, Kurz K, Mortensen TE, Richards NL, Skaret IA, Mclaughlin LM, et al. The impact of neurodynamic testing on the perception of experimentally induced muscle pain. Manual therapy. 2005; 10: 52-60.
6. Butler DS. Mobilização do sistema nervoso. 1 ed. São Paulo: Manole, 2003.
7. Coppieters MW, Ali MA, Paul WH. An experimental pain model to investigate the specificity of the neurodynamic test for the median nerve in the differential diagnosis of hand symptoms. phys med rehabilitation. 2006; 87: 1412-1418.
8. Balster S, Jull J. Upper trapezius muscles activity during the brachial plexus tension test in asymptomatic subject. Manual Therapy. 1997; 2(3): 144-149.
9. Ellis JR, Hing WA. Neural mobilization: A systematic revei of randomized controlled trials with. The journal of manual & manipulative therapy. 2008; 16(1): 8 – 22.
10. Abreu ACD, Godinho IO, Aquino MS. Efeito da técnica neurodinâmica na mobilidade da coluna lombar. Terapia manual. 2007; 5(22); 322-325.
11. Coppieters MW, Stappaerts K, Janssens K, Jull G. Realiability of detecting ‘onset of pain’ and ‘submaximal pain’ during neural provocation testing of the upper quadrant. Physioterapy research international. 2002; 7(3): 146- 156.
12. Greening J, Leary R. Improving application of neurodynamic (neural tension) and treatments: a message to researchers and clinicians. Manual Therapy. 2007; 122-126.
13. Coppieters MW, Stappaerts KH, Staes FF, Everaert GD. Shoulder girdle elevation during neurodynamic testing: and assessable sign? Manual therapy. 2008; 6(2): 88-96
14. Butler DS, Glifford LS. The concept of adverse mechanical tension in the nervous system. Physiother. Manual Therapy. 1989; 75: 629-636.
15. Godoi J, Keppers II, Rossi LP, Corrêa FI, Costa RV, Corrêa JC, et al. Eletromyographic analysis of bíceps brachii muscle following neural mobilization in patientes with stroke. Eletromiograp clin neurophisiol. 2010; 50(1); 55- 60.
16. Hall TM , Zusman M, Elvey R. Adverse mechanical tension the nervous system? Analysis of straight leg raise. Manual Therapy. 1998; 3(3): 140-146.
17. Hall TM, Elvey RL. Nerve trunk pain: Physical diagnosis and treatment. Manual Therapy. 1999; 15: 132-131.
18. Herrington L, Bendix K, Cornwell C, Fielden N, Hankey K. What is the normal response to structural differentiation within the slump and straigt leg raise tests? Manual Therapy. 2008; 13: 289-294.
19. Brown CL, Gilbert KK, Brismee JM, Sizer PS, James CR, Smith MP. The effects of neurodynamic mobilization on fluid dispersion within the tibial nerve at the ankle: an unembalmed cadaveric study. Journal of manual and manipul therp. 2011; 19(1): 26-34.
20. Schacklock MO. Clinical aplication of neurodynamic ( neuro tension) testing and treatments: A message to researches and clinicians. Manual Therapy. 2005; 10: 175-179.