Median Nerve Neural Mobilization Adds No Additional Benefit When Combined with Cervical Lateral Glide in the Treatment of Neck Pain: A Randomized Clinical Trial

Background: This study aimed to compare the effectiveness of cervical lateral glide (CLG) added to median nerve neural mobilization (MNNM) in patients with neck pain (NP). Methods: A single-blinded randomized controlled clinical trial was carried out in a Pain Management Unit from a Hospital. A tota...

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Autores principales:	Daniel Martin-Vera, Josué Fernández-Carnero, David Rodríguez-Sanz, Cesar Calvo-Lobo, Ibai López-de-Uralde-Villanueva, Alberto Arribas-Romano, Pedro Martínez-Lozano, Daniel Pecos-Martín
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	brachial plexus neuritis chronic neck pain musculoskeletal manipulations rehabilitation upper extremity Medicine R
Acceso en línea:	https://doaj.org/article/bbc4d261f4294db39affdfc03bbbcdb3
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spelling	oai:doaj.org-article:bbc4d261f4294db39affdfc03bbbcdb32021-11-11T17:47:16ZMedian Nerve Neural Mobilization Adds No Additional Benefit When Combined with Cervical Lateral Glide in the Treatment of Neck Pain: A Randomized Clinical Trial10.3390/jcm102151782077-0383https://doaj.org/article/bbc4d261f4294db39affdfc03bbbcdb32021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5178https://doaj.org/toc/2077-0383Background: This study aimed to compare the effectiveness of cervical lateral glide (CLG) added to median nerve neural mobilization (MNNM) in patients with neck pain (NP). Methods: A single-blinded randomized controlled clinical trial was carried out in a Pain Management Unit from a Hospital. A total sample of 72 patients with NP was recruited from a hospital. Patients were randomized to receive isolated CLG (<i>n</i> = 36) or CLG + MNNM (<i>n</i> = 36). Bilateral elbow extension range of motion (ROM) on upper limb neurodynamic test 1 (ULNT1), bilateral pressure pain thresholds (PPT) on the median nerve at elbow joint, C<sub>6</sub> zygapophyseal joint and tibialis anterior, Visual analogue scale (VAS), body chart distribution of pain, active cervical ROM (CROM), Neck Disability Index (NDI), and Tampa Scale of Kinesiophobia (TSK-11) were measured at baseline as well as immediately, 15 days, and 1 month after treatment. Results: There were no statistically significant interactions (<i>p</i> > 0.05) between treatment and time for median nerve mechanosensitivity outcomes, pain intensity, symptom distribution, and PPT of the widespread pain assessment, as well as cervical function, and kinesiophobia. Conclusions: MNNM gave no additional benefit to CLG in patients with NP regarding pain intensity, symptom distribution, mechanosensitivity, functionality, and kinesiophobia. Only two treatment sessions and the short follow-up are important issues, therefore, justifying further studies to answer the research question with better methodology.Daniel Martin-VeraJosué Fernández-CarneroDavid Rodríguez-SanzCesar Calvo-LoboIbai López-de-Uralde-VillanuevaAlberto Arribas-RomanoPedro Martínez-LozanoDaniel Pecos-MartínMDPI AGarticlebrachial plexus neuritischronic neck painmusculoskeletal manipulationsrehabilitationupper extremityMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5178, p 5178 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	brachial plexus neuritis chronic neck pain musculoskeletal manipulations rehabilitation upper extremity Medicine R
spellingShingle	brachial plexus neuritis chronic neck pain musculoskeletal manipulations rehabilitation upper extremity Medicine R Daniel Martin-Vera Josué Fernández-Carnero David Rodríguez-Sanz Cesar Calvo-Lobo Ibai López-de-Uralde-Villanueva Alberto Arribas-Romano Pedro Martínez-Lozano Daniel Pecos-Martín Median Nerve Neural Mobilization Adds No Additional Benefit When Combined with Cervical Lateral Glide in the Treatment of Neck Pain: A Randomized Clinical Trial
description	Background: This study aimed to compare the effectiveness of cervical lateral glide (CLG) added to median nerve neural mobilization (MNNM) in patients with neck pain (NP). Methods: A single-blinded randomized controlled clinical trial was carried out in a Pain Management Unit from a Hospital. A total sample of 72 patients with NP was recruited from a hospital. Patients were randomized to receive isolated CLG (<i>n</i> = 36) or CLG + MNNM (<i>n</i> = 36). Bilateral elbow extension range of motion (ROM) on upper limb neurodynamic test 1 (ULNT1), bilateral pressure pain thresholds (PPT) on the median nerve at elbow joint, C<sub>6</sub> zygapophyseal joint and tibialis anterior, Visual analogue scale (VAS), body chart distribution of pain, active cervical ROM (CROM), Neck Disability Index (NDI), and Tampa Scale of Kinesiophobia (TSK-11) were measured at baseline as well as immediately, 15 days, and 1 month after treatment. Results: There were no statistically significant interactions (<i>p</i> > 0.05) between treatment and time for median nerve mechanosensitivity outcomes, pain intensity, symptom distribution, and PPT of the widespread pain assessment, as well as cervical function, and kinesiophobia. Conclusions: MNNM gave no additional benefit to CLG in patients with NP regarding pain intensity, symptom distribution, mechanosensitivity, functionality, and kinesiophobia. Only two treatment sessions and the short follow-up are important issues, therefore, justifying further studies to answer the research question with better methodology.
format	article
author	Daniel Martin-Vera Josué Fernández-Carnero David Rodríguez-Sanz Cesar Calvo-Lobo Ibai López-de-Uralde-Villanueva Alberto Arribas-Romano Pedro Martínez-Lozano Daniel Pecos-Martín
author_facet	Daniel Martin-Vera Josué Fernández-Carnero David Rodríguez-Sanz Cesar Calvo-Lobo Ibai López-de-Uralde-Villanueva Alberto Arribas-Romano Pedro Martínez-Lozano Daniel Pecos-Martín
author_sort	Daniel Martin-Vera
title	Median Nerve Neural Mobilization Adds No Additional Benefit When Combined with Cervical Lateral Glide in the Treatment of Neck Pain: A Randomized Clinical Trial
title_short	Median Nerve Neural Mobilization Adds No Additional Benefit When Combined with Cervical Lateral Glide in the Treatment of Neck Pain: A Randomized Clinical Trial
title_full	Median Nerve Neural Mobilization Adds No Additional Benefit When Combined with Cervical Lateral Glide in the Treatment of Neck Pain: A Randomized Clinical Trial
title_fullStr	Median Nerve Neural Mobilization Adds No Additional Benefit When Combined with Cervical Lateral Glide in the Treatment of Neck Pain: A Randomized Clinical Trial
title_full_unstemmed	Median Nerve Neural Mobilization Adds No Additional Benefit When Combined with Cervical Lateral Glide in the Treatment of Neck Pain: A Randomized Clinical Trial
title_sort	median nerve neural mobilization adds no additional benefit when combined with cervical lateral glide in the treatment of neck pain: a randomized clinical trial
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/bbc4d261f4294db39affdfc03bbbcdb3
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Median Nerve Neural Mobilization Adds No Additional Benefit When Combined with Cervical Lateral Glide in the Treatment of Neck Pain: A Randomized Clinical Trial

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