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

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...

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Bibliographic Details
Published in:Somatosensory & motor research 2021-10, Vol.38 (4), p.267-276
Main Authors: Matesanz-García, Luis, Cáceres-Pajuelo, Julio Eduardo, Cuenca-Martínez, Ferran, La Touche, Roy, Goicoechea-García, Carlos, Fernández-Carnero, Josué
Format: Article
Language:English
Subjects:
Exercise Therapy
Hand Strength
Humans
mechanosensitivity
Median Nerve
Movement representation techniques
neurodynamic mobilization
Pain Threshold
pressure pain threshold
therapeutic exercise
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Summary: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. 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. 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). There is an absence of statistically significant differences between groups. 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.
ISSN:0899-0220
1369-1651
DOI:10.1080/08990220.2021.1964463