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The Effectiveness of Neural Mobilization for Neuromusculoskeletal Conditions: A Systematic Review and Meta-analysis.

Authors: Annalie Basson, Benita Olivier, Richard Ellis, Michel Coppieters, Aimee Stewart, Witness MudziJournal: The Journal of orthopaedic and sports physical therapyPublished: February 20, 2018DOI: 10.2519/jospt.2017.7117
Q1 JournalSJR: 1h-index: 72SCImago
Moderate EvidenceMeta Analysis

In Plain Language: carpal tunnel, explained

This study investigated the effectiveness of neural mobilization for treating musculoskeletal conditions with nerve involvement. The findings suggest that neural mobilization can significantly reduce pain and disability in chronic low back and neck-arm pain, making it a potentially beneficial treatment option. However, the impact on other conditions, like carpal tunnel syndrome, is less clear, indicating the need for further research.

Key Findings: what this meta-analysis found about carpal tunnel

  • ✓Meta-analysis included 40 studies on neural mobilization.
  • ✓Chronic low back pain showed a mean difference of -9.26 in disability scores.
  • ✓Chronic neck-arm pain reported a mean difference of -1.89 in pain intensity scores.
  • ✓17 out of 40 studies had a low risk of bias.
  • ✓NM shows uncertain effects on carpal tunnel syndrome.

What This Means for You

For individuals considering reflexology treatment for chronic low back or neck pain, this study indicates that neural mobilization may provide relief and improve function. However, its effectiveness for other conditions remains uncertain.

What This Means for Practitioners

Practitioners should consider incorporating neural mobilization techniques for patients suffering from chronic low back or neck pain, as this study shows it can effectively reduce pain and disability.

Study Design: how this meta-analysis was run

Blinding
open label
Control
none
Duration
not specified

Limitations: what it cannot tell you about carpal tunnel

The study faced limitations due to the scarcity of high-quality studies and some conflicting results regarding the effectiveness of neural mobilization on certain conditions.

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Carpal tunnel: common questions

What does this study say about carpal tunnel?

For individuals considering reflexology treatment for chronic low back or neck pain, this study indicates that neural mobilization may provide relief and improve function. However, its effectiveness for other conditions remains uncertain.

What did this study find?

Meta-analysis included 40 studies on neural mobilization. Chronic low back pain showed a mean difference of -9.26 in disability scores. Chronic neck-arm pain reported a mean difference of -1.89 in pain intensity scores.

How strong is this evidence?

This is a meta-analysis and we rate its evidence moderate. It was published in The Journal of orthopaedic and sports physical therapy, a Q1 journal. This study is indexed here for context; it did not test reflexology itself.

What are the limitations of this study?

The study faced limitations due to the scarcity of high-quality studies and some conflicting results regarding the effectiveness of neural mobilization on certain conditions.

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