Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.53986/ibjm.2022.0028
Iberoamerican Journal of Medicine
Review

Effects of neural mobilization in the treatment of chronic low back pain: a systematic review

Efectos de la movilización neural en el tratamiento del dolor lumbar crónico: una revisión sistemática

Suelen Carla Souza de Faria, Renato Carvalho Vilella, Laiz Helena de Castro Toledo Guimaraes, Luciana Crepaldi Lunkes

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Abstract

Introduction: Low back pain appears in approximately two thirds of the population at some point in life and when it exceeds more than 12 weeks, it evolves to chronic low back pain. Chronic low back pain is considered one of the most common causes of disability and absence from work. A therapeutic technique that can be used as a treatment for chronic low back pain is neural mobilization, capable of restoring compromised neurological structures, restoring movement by improving the elasticity of neural tissue and adjacent tissues.
Objective: To verify the effects of neural mobilization in patients with chronic low back pain.
Material and methods: All articles were carefully evaluated in order to obtain concrete and reliable information. The databases used were Google Scholar, Scielo, Medline and PubMed due to the methodological quality and articles in the area of interest. The keywords “low back pain”, “chronic low back pain”, “neural mobilization” and “physiotherapeutic intervention” were combined in the most diverse possibilities, in English and Spanish translations.
Results: 86 articles were found, nine of which were included in this review. They had a score ≥ 5 on the PEDro Scale, which methodologically qualifies the articles. After analyzing the results obtained through the selected articles, all the data collected, as well as their respective results, were described in a table that contains data from the articles.
Conclusions: Neural mobilization reduces pain and improves the extensibility of tissues, causing a reduction in painful sensation and increased flexibility. Therefore, it is necessary to continue research in order to verify new results obtained through this type of intervention.

Keywords

Backache; Nervous tissue; Physiotherapy; Manual therapy

Resumen

Introducción: La lumbalgia aparece en aproximadamente dos tercios de la población en algún momento de la vida y cuando supera las 12 semanas evoluciona a lumbalgia crónica. El dolor lumbar crónico se considera una de las causas más comunes de incapacidad y ausencia laboral. Una técnica terapéutica que se puede utilizar como tratamiento para el dolor lumbar crónico es la movilización neural, capaz de restaurar las estructuras neurológicas comprometidas, restaurando el movimiento al mejorar la elasticidad del tejido neural y los tejidos adyacentes.
Objetivo: Verificar los efectos de la movilización neural en pacientes con dolor lumbar crónico.
Material y métodos: Todos los artículos fueron cuidadosamente evaluados para obtener información concreta y confiable. Las bases de datos utilizadas fueron Google Scholar, Scielo, Medline y PubMed debido a la calidad metodológica y artículos del área de interés. Las palabras clave “lumbalgia”, “lumbalgia crónica”, “movilización neural” e “intervención fisioterapéutica” se combinaron en las más diversas posibilidades, en las traducciones al inglés y al español.
Resultados: Se encontraron 86 artículos, nueve de los cuales fueron incluidos en esta revisión. Tuvieron puntaje ≥ 5 en la Escala PEDro, que califica metodológicamente los artículos. Luego de analizar los resultados obtenidos a través de los artículos seleccionados, todos los datos recolectados, así como sus respectivos resultados, fueron descritos en una tabla que contiene los datos de los artículos.
Conclusiones: La movilización neural reduce el dolor y mejora la extensibilidad de los tejidos, provocando una reducción de la sensación dolorosa y un aumento de la flexibilidad. Por lo tanto, es necesario continuar con la investigación para verificar nuevos resultados obtenidos a través de este tipo de intervención.

Palabras clave

Dolor de espalda; Tejido nervioso; Fisioterapia; Terapia manual

References

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Submitted date:
04/26/2022

Reviewed date:
06/30/2022

Accepted date:
07/16/2022

Publication date:
07/16/2022

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