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Master Thesis

Évaluation de la pertinence des techniques neuro-méningées dans la lutte contre les Douleurs du membre supérieur dues aux Névralgies Cervico-Brachiales

Abstract : Introduction: Cervical radiculopathy (CR) is a common upper limb condition. It may have several origins such as herniated discs, cervical arthritis, traumas or hypertonia of cervical muscles. However the compression and mechanical factors are the most clinically found. It is defined by sensitive, motor and reflex troubles that usually cause pain. Conservative treatment is often the chosen one. In this way, neural mobilization seems to be efective on symptoms linked to the CR. It is a movement based intervention used to restore homeostasis by the impact on the nerve related structures. Objectives: The purpose of this review is to assess the effect of neural moblization on pain in cervical radiculopathies. Many others points have also been investigate such as their effect on the range of motion, the disabilities and the quality of life. Method: Research was conducted through 3 database : PubMed, Pedro and Cochrane to investigate the effects of neuro-dynamics on pain. Restrictions based on language was applied English, French and Italian were the three languages included. No restrictions concerning the publication year was applied. Meta analysis were conducted when possible. Results: 10 clinical randomized trials were identified and included in this review. Pain relief and favorable effects on disabilities have been observed. No statistically significant results were observed concerning the cervical range of motion, patient specific functionnal scale and the quick DASH. No significant differences were observed when comparing neuro-dynamics to first line medication designed to relieve pain. Conclusion: Neural mobilizations allow a pain and disability to decrease but appear to be more efficient when associated with cervical traction or cervical mobilization. They don’t seem to be the best recovrey way, comparing them to drug therapy. Nevertheless, method, samples and results heterogeneity don’t allow us to formulate a high confidance global conclusion. More studies are needed to determine the real efficiency of these techniques.
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Master Thesis
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Submitted on : Tuesday, September 28, 2021 - 3:13:47 PM
Last modification on : Tuesday, October 19, 2021 - 10:35:24 PM
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Nicolas Jacquemin. Évaluation de la pertinence des techniques neuro-méningées dans la lutte contre les Douleurs du membre supérieur dues aux Névralgies Cervico-Brachiales. Médecine humaine et pathologie. 2021. ⟨dumas-03356931⟩



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