Stroke is the commonest and most severe neurological disorder, causing reduced functional level, decreased quality of life and even loss of life. Researches with inconsistent outcomes and several procedural restrictions have been directed to evaluate the effectiveness of neurodynamic interventions for patients with stroke.
Clinical neurodynamics is essentially the clinical application of mechanics and physiology of the nervous system as they relate to each other and are integrated with musculoskeletal function.
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STUDY OVERVIEW #
The following study ” The Effectiveness Of Neurodynamic Techniques On Spasticity In Patients With Stroke -A Systematic Review ” Published in Journal of Positive School Psychology at 11 November 2022 and conducted by Bashayer M. Alharbi, Mohand A. Altemani, Adel S. Aldhuwaila, Hessah A. Aldosari, Areej B. Alotaibim.
Five databases (PubMed, Cinhal, Cochrane, Web of Science, Google scholar) were searched to identify eligible studies. Pooled standardized mean differences were calculated using a random effects model. The PRISMA statement was followed to increase clarity of reporting
Five studies, including 136 patients, reporting on the subject of neurodynamic intervention and conventional physiotherapy were analyzed. These interventions showed a statistically significant effect on gain of range of motion, reduction of spasticity, improvement of myoelectric activity, increase of muscle flexibility and improvement in distribution of body weight and postural balance.
Outcome measures #
The main outcome measures are Modified Ashworth Scale (MAS), Fugl Meyer Upper Extremity Scale (FMUE), goniometry, Action Research Arm Test, Balancia software, Mintosys Korea, Goniometer, foot pressure test was used to measure the pressure distribution of the soles of the feet and disturbance in a standing position, two-dimensional imaging, Standardized Passive straight leg raising (SLR) test
In short, the research included in the present study indicate beneficial effects of neurodynamic technique in the gain of range of motion, reduction of spasticity, improvement of myoelectric activity, increase of muscle flexibility and improvement in distribution of body weight and in the postural balance.
Neurodynamic intervention seemed to be the most effective treatment to reduced spasticity. When it is appropriately targeted, it significantly improves flexibility and postural balance.
Key word: Stroke, Spasticity, Exercise, Neurodynamic
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