Učinki mobilizacije živčevja na bolečino v vratu : pregled literature

Rossone, Alex (author), Hlebš, Sonja (mentor)

Uvod: Bolečina v vratu je po bolečini v hrbtu drugi najpogostejši vzrok zdravljenja za mišično-kostne bolezni. Najpogostejši vzroki nastanka bolečine v vratu so nepravilne obremenitve vratne hrbtenice v vsakodnevnih opravilih in posledične degenerativne spremembe ter nihajne poškodbe vratu. Akutna bolečina v vratu pogosto preide v kronično. Za zdravljenje bolečine v vratu se ponavadi uporablja pristop, ki kombinira kinezioterapijo in manualno terapijo. Mobilizacija živčevja vpliva na živčne strukture in okolno tkivo z manualnimi tehnikami ali vajami. Namen: Namen diplomskega dela je na podlagi pregleda literature predstaviti učinke mobilizacije živčevja na bolečino v vratu. Metode dela: Pregled literature je potekal po splošnih medicinskih in zdravstvenih podatkovnih zbirkah CINAHL, PubMed in ScienceDirect. Pri iskanju smo se omejili na časovni okvir, in sicer raziskave objavljene po letu 2000. Raziskave so bile napisane v angleškem jeziku. Pri iskanju smo uporabili naslednje ključne besede v angleškem jeziku: neural mobilization [Title/Abstract] AND neck pain, neurodynamics [Title/Abstract] AND cervicobrachial pain, cervical radiculopathy. Rezultati: V pregled literature smo vključili deset raziskav. V vseh raziskavah so avtorji primerjali učinek mobilizacije živčevja z drugimi konzervativnimi metodami zdravljenja ali s preiskovanci, ki niso imeli fizioterapije. Udeleženci so imeli težave zaradi vratne radikulopatije in cervikobrahialne bolečine. Rezultati pregledanih raziskav kažejo, da nevrodinamične tehnike zmanjšajo bolečino in stopnjo nezmožnosti ter povečajo gibljivost in izboljšajo mobilizacijo živčevja. Samo ena raziskava je ocenila vpliv mobilizacije živčevja na kakovost življenja. Rezultati niso pokazali statistično pomembnega izboljšanja. Iz pregledanih raziskav ni jasen dolgoročni učinek mobilizacije živčevja na bolečino v vratu. Razprava in zaključek: Mobilizacija živčevja predstavlja dobro izbiro pri zdravljenju pacientov z bolečino v vratu. Pri takih pacientih je primerno kombinirati mobilizacijo živčevja s sklepno mobilizacijo in kinezioterapijo. Nadaljne raziskave bi morale preučevati dolgoročne učinke mobilizacije živčevja ter razliko v učinkih med sklepno mobilizacijo in mobilizacijo živčevja.

• Language: Slovenian
• Keywords: mobilizacija živčevja, bolečina v vratu, fizioterapija, manualna terapija
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2018
• PID: 20.500.12556/RUL-101931
• COBISS.SI-ID: 5462123
• Publication date in RUL: 13.07.2018

Secondary language

• Language: English
• Title: Effects of neural mobilization on neck pain : literature review

Abstract

Introduction: Neck pain is second only to back pain in frequency of musculo-skeletal consultation in primary care. The most common causes of neck pain include incorrect loading of the neck spine during daily activities and consequent degenerative changes and whiplash injuries. Acute neck pain often becomes chronic. Neck pain is usually treated using an approach that combines therapeutic exercise and manual therapy. Neural mobilization affects neural structures and surrounding tissue through manual techniques or exercises. Purpose: The purpose of this thesis is to determine the effects of neural mobilization on neck pain, based on the research of given literature. Methods: Databases such as CINAHL, PubMed and ScienceDirect were used for literature research. In the analysis, researches conducted after the year 2000 were studied. All researches were written in English. They were found using the key words in English: neural mobilization [Title/Abstract] AND neck pain, neurodynamics [Title/Abstract] AND cervicobrachial pain, cervical radiculopathy. Results: Ten researches were included in the analysis. In the researches the authors compared the effect of neural mobilization with other conservative treatment methods or with patients that didn't receive physiotherapy. Subjects had problems because of cervical radiculopathy and cervicobrachial pain. The results of the analyzed researches suggest that neural mobilization decreases pain and disability, while increasing flexibility and neurodynamics. Only one research studied the effect of neural mobilization on quality of life. Results didn't show a statistically significant improvement. From the examined researches, the long term effect of neural mobilization on neck pain is not clear. Discussion and conclusion: Neural mobilization represents a good choice in the treatment of patients with neck pain. In such patients, it is appropriate to combine neural mobilization with other manual therapy techniques and therapeutic exercise. Further studies should focus on the long-term effects of neural mobilization and on the difference in effects between articular mobilization and mobilization of the nervous system.

• Keywords: neural mobilization, neck pain, physiotherapy, manual therapy