Effect of Upper Limb Neural Mobilization on Vibration Threshold and Hand Grip Strength in Asymptomatic Individuals: A Randomized Controlled Trial
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 11
Abstract
Introduction: Neural Tissue Mobilization (NTM) is a common technique used in clinical presentation with increased neural mechanosensitivity and was found to improve signs and symptoms. However, there is dearth in the literature indicating the physiological effects of NTM on asymptomatic subjects with reduced neural extensibility. Aim: To determine the immediate and short-term effect of upper limb neural tissue mobilization on hand grip strength, vibration threshold (VT) and neural extensibility in asymptomatic individuals. Materials and Methods: A prospective, parallel group, singleblinded randomized controlled trial was conducted on 40 participants. The subjects in the experimental group were administered five sessions (on alternate days) of median and ulnar nerve mobilization techniques, whereas the subjects in the control group received no intervention. Outcomes were assessed at three time-points i.e., at baseline, immediately after the first session and two days following the fifth session. Means for outcomes were compared. Results: Statistically significant improvement was observed in VT in the experimental group. Both groups demonstrated an improvement in neural extensibility measured as Elbow Extension Range of Motion (EEROM) while performing neural provocative testing. No within group or between group significance was noted in grip strength. Conclusion: There is no immediate or short-term effect of neural mobilization on grip strength in asymptomatic subjects but, it is seen to improve neural tissue extensibility and VT.
Authors and Affiliations
Apoorva Sunil Likhite, Ganesh Miyaru Balthillaya, Anupama Prabhu, Ranganath Gangavelli
Keywords
Related Articles
- EP ID EP367024
- DOI 10.7860/JCDR/2017/28789.10860
- Views 33
- Downloads 0
Correspondence: Correlation of Salivary pH, Incidence of Dental Caries and Periodontal Status in Diabetes Mellitus Patients: A Cross-Sectional Study
Letter to Editor
A Humorously Serious Take on Plight of Postgraduate Medical Entrance Examinees in India
Following is a satire on the plight of postgraduate medical entrance examinees in India. It highlights the questions they have to face during their entrance examination preparations and the annoying explanations they hav...
Delayed Post-Surgical Hypoparathyroidism: The Forgotten Chameleon!
Delayed hypoparathyroidism, due to accidental gland removal or ischemia of parathyroids can present many years after thyroidectomy and symptoms may be non-specific. This condition, if not diagnosed timely, may prove fata...
Clinicopathological correlation in Chronic Suppurative Otitis Media
Introduction: Chronic Suppurative Otitis Media (CSOM) is one of the main causes for preventable hearing loss and is characterised by permanent perforation of tympanic membrane and ear discharge. Observing histopathologic...
Aortic Knob Width as an Indicator of Cardiovascular Risk in Chronic Kidney Disease Patients
ABSTRACT Introduction: The most common cause of mortality in Chronic Kidney Disease (CKD) patients is due to cardiovascular events. The Aortic Knob Width (AKW) has been found to positively correlate with the severity of...