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

dc.creatorNuñez de Arenas-Arroyo, Sergio
dc.creatorMartínez-Vizcaíno, Vicente
dc.creatorCavero-Redondo, Iván
dc.creatorÁlvarez-Bueno, Celia
dc.creatorReina-Gutierrez, Sara
dc.creatorTorres-Costoso, Ana
dc.date2024-04-10T06:16:42Z
dc.date2024-04-10T06:16:42Z
dc.date2022
dc.date.accessioned2024-07-17T21:13:47Z
dc.date.available2024-07-17T21:13:47Z
dc.identifier10.3390/ijerph192114472
dc.identifier16617827
dc.identifierhttps://hdl.handle.net/20.500.12728/10942
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/9509561
dc.descriptionBackground: 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. © 2022 by the authors.
dc.descriptionFederación Española de Enfermedades Raras, FEDER, (2020-PREDUCLM-15596, 2020-PREDUCLM-16704); Universidad de Castilla-La Mancha, UCLM
dc.formatapplication/pdf
dc.formatapplication/octet-stream
dc.languageen
dc.publisherMDPI
dc.subjectentrapment neuropathy
dc.subjectmeta-analysis
dc.subjectnerve compression syndromes
dc.subjectneural mobilization
dc.subjectneurodynamics
dc.subjectrehabilitation
dc.titleThe Effect of Neurodynamic Techniques on the Dispersion of Intraneural Edema: A Systematic Review with Meta-Analysis
dc.typeArticle


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