What is it about?
Neural mobilisation is effective for back and leg pain, neck and arm pain and foot pain. It is not effective for carpal tunnel syndrome with the techniques used in studies. The studies have conflicting results for tennis elbow and there is limited evidence for cubital tunnel syndrome and post lumbar surgery.
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Why is it important?
The fact that we could do a meta-analysis on a number of outcomes made it easier to establish the effectiveness of neural mobilisation on pain and disability in some nerve-related disorders such as low back pain, neck pain and carpal tunnel syndrome. The review also highlights the fact that neural mobilisation has positive neurophysiological effects
Perspectives
The study included 40 articles. There was a lot of differences in inclusion criteria and outcomes measures used. The techniques used were also often poorly described without motivation for the use of a specific technique. Terminology should be standardised and clinical reasoning should guide choice of technique.
Dr Cato Annalie Basson
University of the Witwatersrand
Read the Original
This page is a summary of: The Effectiveness of Neural Mobilization for Neuromusculoskeletal Conditions: A Systematic Review and Meta-analysis, Journal of Orthopaedic and Sports Physical Therapy, September 2017, Journal of Orthopaedic & Sports Physical Therapy (JOSPT),
DOI: 10.2519/jospt.2017.7117.
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