Acta Mechanica Slovaca 2021, 25(3):20-27 | DOI: 10.21496/ams.2021.029

Observation of the Effect of the Application of Neurodynamic Principles in Lumbar Nerve Entrapment Syndrome Therapy

Peter Hermel¹, Jozef Živčák ORCID...², Gabriela Ižaríková³

¹ Non-State Rehabilitation Health Facility Werferova 3, Košice, Slovak Republic

² Department of Biomedical Engineering and Measurement, Faculty of Mechanical Engineering, Technical University of Košice, Letná 1/9, Košice

³ Department of Applied Mathematics and Informatics, Faculty of Mechanical Engineering, Technical University of Košice, Letná 1/9, Košice, Slovak Republic

The article focuses on the evaluation of special therapy with neural mobilization aimed at observation of the effect of neural mobilization on a subjective parameter - pain of patients who have been diagnosed with lumbar nerve entrapment syndrome. Neurodynamic disruption is an inseparable part of clinical manifestation connected with pathological processes and changes in strain in periradicular and perineural area manifested in symptomatology of nerve roots. For the purposes of clinical practice, it is necessary to define the meaning of changes in neural mobility and differentiate between individual natures of symptoms. The differentiation of these damages lies in the specification of the share of micro sensitivity of nervous tissue in the whole image of neuropathic pain.. For purposes of the analysis results of a research realised in a rehabilitation facility were used. Standardized tests modified for the aim and tasks of the research according to specific set of rules to get real data were used. The key points of the research were pain intensity, the scale of painless motion immediately after neural mobilization in Laségue's test and SLUMP test, and the phenomena of pain centralization assessed according to classification for spinal disorders according to Quebec Task Force of Spinal Disorders. Nerve mobilization techniques with standard rehabilitation were applied to patients. Pain intensity was evaluated by a ten-point Visual Analogue Scale. The results achieved point out the increase in efficiency of medical rehabilitation via additional application of neural mobilization which, thanks to its comprehensive method, enables to make the process of medical rehabilitation more efficient, better, and faster.

Keywords: Lumbar Nerve Entrapment Syndrome; neuropathic pain; mechanosensitivity of the nervous system; neurodynamic tests; Quebec Task Force of Spinal Disorders; neural mobilization.

Received: June 4, 2021; Accepted: June 23, 2021; Published: September 29, 2021  Show citation