SLIDING OR TENSIONING NEURODYNAMIC TECHNIQUES: WHAT MOST IMPROVES LOW BACK PAIN? A mini review

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Data

2024-06

Tipo de documento

Artigo Científico

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Área do conhecimento

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Acesso embargado

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Autores

MOREIRA, MOREIRA, Francinne
MARTINS, MARTINS, Sophia Ribeiro
CARDOSO, CARDOSO, Alice Saviatto
SILVANO, SILVANO, Fabielle de Aguiar

Orientador

SALM, SALM, Daiana Cristina Salm, Dra.

Coorientador

MARTINS, MARTINS, Daniel Fernandes Martins, Dr.

Resumo

Lower back pain is the most frequent type of work-related pain. However, the quality of noninvasive clinical practice guidelines is poorly presented. Because of this fact, the aim of this study is to compare the effectiveness of neurodynamic techniques (tension techniques versus sliding techniques) in lower back pain while also analyzing advances related to anatomy, physiology, and biomechanics concerning neuro-musculoskeletal interference. Only randomized clinical trials published in Portuguese and English were selected, evaluating the effects of neurodynamic techniques in individuals with lower back pain. Studies conducted in animals or with healthy participants, case reports, case-control studies, and cohort studies were excluded. The methods to be evaluated were sliding and neural tension techniques, totaling nine studies, with only two of them focusing on neurodynamic sliding practice, mostly presenting neural tension practices. This mini review reveals the variability in the applicability of neurodynamic techniques in lower back pain effects. However, it is evident that there are many studies on tension, and even better results when combined with other practices such as kinesiotherapy. As a result, it was observed that both techniques lead to improvements in the effects of lower back pain. However, the lack of studies and their limitations regarding neurodynamics still remain inclusive, highlighting that conclusions may change over time.

Palavras-chave

Neurodynamic technique, Nerve tension, Neural tension, Nerve gliding, Neural gliding, Neuralmobility

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