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Master Thesis

L'intérêt de l'utilisation des techniques de neurodynamiques et de la mobilisation neurale dans l'amélioration de la douleur et la capacité fonctionnelle chez les patients souffrant de NCB

Abstract : Study design: This purpose is a systematic review. Objective: Study the value of using neurodynamic and neural mobilization techniques in the pain treatment and functional capacity improvement in patients with cervicobrachial pain. Background: Cervicobrachial neuralgia is defined as cervical pain associated with neurogenic pain starting at the cervical spine and describing a precise algesic path along the upper limb and ending in one or more fingers. The origin is a suffering nerve root of the brachial plexus. Neural mobilization or neurodynamic is a movement-based intervention designed to restore nervous system homeostasis. The level of evidence for this technique is not determined yet. Method: the databases used were Pub Med, PEDro, Cochrane Register of Controlled Trials, and Google Scholar. The research was conducted from April to October 2020. Only randomized controlled trials were selected. Methodological quality was assessed using the PEDro scale. Results: six randomized controlled trials were included. In the short and medium term, contralateral cervical glide was found to be successful in treating pain and reducing disability in patients with cervicobrachial pain. Soft tissue mobilizations surrounding the nerves appear to be effective in improving function. Opening the intervertebral foramen with specific mobilizations do not seem to provide greater benefits than classical and general mobilizations which were not applied at the affected cervical level. Finally, regarding neural mobilizations of the median nerve, no significant statistical results could be obtained. Conclusion: CLG can be used in clinical practice, they are effective in treating cervicobrachial neuralgia and this result is associated with a low risk level and a high quality of evidence. In regard to other techniques the literature data were not relevant enough
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03357045
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Submitted on : Tuesday, September 28, 2021 - 4:09:28 PM
Last modification on : Tuesday, October 19, 2021 - 10:35:20 PM

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Célia Maleval. L'intérêt de l'utilisation des techniques de neurodynamiques et de la mobilisation neurale dans l'amélioration de la douleur et la capacité fonctionnelle chez les patients souffrant de NCB. Médecine humaine et pathologie. 2021. ⟨dumas-03357045⟩

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