Specific neurodynamic exercises on pain and disability in old women with chronic mechanical neck pain: a randomized controlled trial

Neurodynamic exercise is a specific type of exercise used as a neural treatment that focuses on restoring altered homeostasis in the neuroimmune system by mobilising the nervous system and other structures. A prospective, randomized clinical trial was performed to evaluate the effect of neurodynamic...

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Detalles Bibliográficos
Autores: Polo Ferrero, Luis, Canchal Crespo, David, Sáez González, Susana, Dávila Marcos, Arturo, Puente González, Ana Silvia, Méndez Sánchez, Roberto
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/154750
Acceso en línea:http://hdl.handle.net/10366/154750
Access Level:acceso abierto
Palabra clave:neck pain
exercise
immune system
aging
women
physical therapy
Women, Working
Neck Pain
Immune System
Aging
Physical Therapy Modalities
Exercise
mujeres trabajadoras
dolor de cuello
sistema inmunológico
envejecimiento
ejercicio físico
modalidades de fisioterapia
Descripción
Sumario:Neurodynamic exercise is a specific type of exercise used as a neural treatment that focuses on restoring altered homeostasis in the neuroimmune system by mobilising the nervous system and other structures. A prospective, randomized clinical trial was performed to evaluate the effect of neurodynamic exercises on disability and neck pain in elderly women over four weeks. Participants were randomized into two groups: a neurodynamic (NM) group (n = 28) and a non-specific exercise (NSE) group (n = 28). Inclusion criteria were women over 65 years of age who subjectively admitted to having mechanical neck pain for more than six months. Results showed that specific neurodynamic exercises can improve pain and disability in older women with chronic mechanical neck pain. Improvements were observed in all variables (p < 0.05). Significant between-group differences in favour of the NM group were only found for neck pressure pain thresholds and both tibialis anterior muscles. Larger effect sizes were obtained in favour of the NM group, especially for pain, disability, neck extension and inclination and pressure pain thresholds. Neurodynamic exercises have been shown to be more clinically relevant in disability and neck pain in older women.