Local and Widespread Hypoalgesic Effects of Neurodynamic Mobilization in Healthy Controls

Brenau University

Status

Completed

Conditions

Pain, Neuropathic

Pain

Treatments

Other: Neurodynamic Slider Mobilization

Other: Sham Neurodynamic Mobilization

Other: Neurodynamic Tensioner Mobilization

Study type

Interventional

Funder types

Other

Identifiers

NCT03674489

1208684-5

Details and patient eligibility

About

Background & Significance Pain is the primary reason many patients seek care from healthcare professionals who utilize various manual therapy techniques. Gaining further understanding of the hypoalgesic properties of such techniques can enable practitioners to more skillfully integrate them in managing patients presenting with pain. Previous research has revealed that various manual techniques result in both local and widespread hypoalgesic changes in asymptomatic controls and patients in pain. Much of this previous research has investigated thrust manipulation; however, there is a paucity of similar research investigating these effects in neurodynamic mobilization.

Specific Aims Aim: To assess for immediate local and widespread hypoalgesic effects of neurodynamic mobilization applied to the upper extremity.

Hypotheses:

Subjects who receive neurodynamic mobilizations will exhibit greater positive changes in local and widespread Qualitative Sensory Testing (QST) measures compared to those who receive a sham mobilization.
Subjects who receive neurodynamic mobilizations will exhibit greater positive changes in elbow ROM and reported sensation intensity with upper limb neurodyndamic testing as compared to those who receive a sham mobilization.

Aim: To assess for differences in immediate local and widespread hypoalgesic effects of sliding vs tensioning neurodynamic mobilization techniques applied to the upper extremity

Hypotheses:

Subjects who receive sliding neurodynamic mobilizations will exhibit greater positive changes in local and widespread QST measures compared to those who receive tensioning neurodynamic mobilization
Subjects who receive sliding neurodynamic mobilizations will exhibit greater positive changes in elbow range of motion (ROM) and reported sensation intensity with upper limb neurodynamic testing testing compared to those who receive a tensioning neurodynamic mobilization

Full description

See protocol uploaded in documents section

Enrollment

60 patients

Sex

All

Ages

18 to 65 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Age: 18-65
Ability to speak and comprehend English.

Exclusion criteria

Current neck or upper extremity symptoms
Disorders that could result in impaired sensation - such as diabetes.
Current use of prescription pain medication or other medications that could result in altered pain perception - such as anti-anxiety medications or anti-depressants.
History of any chronic painful condition
Diagnosis of any major psychiatric disorder
Current pregnancy
Any painful condition within the past 3 months for which care was sought