The Effect of Neurodynamic Techniques on the Dispersion of Intraneural Edema: A Systematic Review with Meta-Analysis

Sergio Nuñez de Arenas-Arroyo, Vicente Martínez-Vizcaíno (), Iván Cavero-Redondo, Celia Álvarez-Bueno, Sara Reina-Gutierrez and Ana Torres-Costoso
Additional contact information
Sergio Nuñez de Arenas-Arroyo: Health and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain
Vicente Martínez-Vizcaíno: Health and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain
Iván Cavero-Redondo: Health and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain
Celia Álvarez-Bueno: Health and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain
Sara Reina-Gutierrez: Health and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain
Ana Torres-Costoso: Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, 45071 Toledo, Spain

IJERPH, 2022, vol. 19, issue 21, 1-9

Abstract: Background: There is evidence for the positive effects of neurodynamic techniques in some peripheral entrapment neuropathies, but the rationale for these effects has not been validated. We aimed to estimate the direct effect of neurodynamic techniques on the dispersion of artificially induced intraneural edema measured by dye spread in cadavers. Methods: We systematically searched the MEDLINE, WOS, Scopus, and the Cochrane databases from inception to February 2020 for experimental studies addressing the efficacy of neurodynamic techniques on the dispersion of artificially induced intraneural edema. The DerSimonian and Laird method was used to compute pooled estimates of the mean differences (MDs) and its respective 95% confidence intervals (CIs). Subgroup analyses were conducted according to the type of neurodynamic technique. In addition, a 95% prediction interval was calculated to reflect the variation in true treatment effects in different settings, including the effect to be expected in future patients. Results: Pooled results showed a significant increase in fluid dispersion (MD = 2.57 mm; 95%CI: 1.13 to 4.01). Subgroup analysis showed increased dye spread in the tensioning techniques group (MD = 2.22 mm; 95%CI: 0.86 to 3.57). Conclusion: Neurodynamic techniques improved the intraneural edema dispersion and should be considered for the management of peripheral compression neuropathies. Furthermore, tensioning techniques appear to be effective in helping to disperse intraneural edema.

Keywords: entrapment neuropathy; nerve compression syndromes; rehabilitation; neurodynamics; neural mobilization; meta-analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/21/14472/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/21/14472/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:21:p:14472-:d:963473

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().