Local and Widespread Hypoalgesic Effects of Neurodynamic Mobilization in Healthy Controls
- Conditions
- PainPain, Neuropathic
- Interventions
- Other: Neurodynamic Tensioner MobilizationOther: Sham Neurodynamic MobilizationOther: Neurodynamic Slider Mobilization
- Registration Number
- NCT03674489
- Lead Sponsor
- Brenau University
- Brief Summary
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
- Detailed Description
See protocol uploaded in documents section
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- Age: 18-65
- Ability to speak and comprehend English.
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Neurodynamic Tensioner Mobilization Neurodynamic Tensioner Mobilization - Sham Neurodynamic Mobilization Sham Neurodynamic Mobilization - Neurodynamic Slider Mobilization Neurodynamic Slider Mobilization -
- Primary Outcome Measures
Name Time Method Pressure Pain Threshold (PPT) change from baseline immediately after intervention PPT will be assessed bilaterally over the thenar eminences, over the dorsal aspect of the 1st carpometacarpal (CMC) joint, and over the tibialis anterior using a pressure algometer with an affixed 1cm2 rubber tip.
Thermal Pain Threshold (TPT) change from baseline immediately after intervention TPT will be assessed bilaterally over the thenar eminences, over the dorsal aspect of the 1st carpometacarpal (CMC) joint, and over the tibialis anterior.
Thermal Pain Tolerance (TPTol) change from baseline immediately after intervention TPTol will be assessed bilaterally over the thenar eminences, over the dorsal aspect of the 1st carpometacarpal (CMC) joint, and over the tibialis anterior.
Elbow Extension ROM Obtained on Neurodynamic Testing change from baseline immediately after intervention A neurodynamic test of the median nerve will be performed according to the ULNT1 procedure originally described by David Butler. Degrees of elbow extension will then be recorded using a universal goniometer, and each subject will rate each of the following 5 sensory descriptors on a 10 cm Visual Analog Scale (VAS): "Stinging", "Tingling", "Tightness", "Sharpness", and "Numbness". The average of the 5 sensory descriptor ratings will then be averaged to create a single sensory descriptor VAS score - as outlined in Beneciuk et al 2009.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Brenau University
🇺🇸Gainesville, Georgia, United States