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  • Neural tissue management provides immediate clinically relevant benefits without harmful effects for patients with nerve-related neck and arm pain: A randomised trial

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    Author(s)
    Nee, Robert J
    Vicenzino, Bill
    Jull, Gwendolen A
    Cleland, Joshua A
    Coppieters, Michel W
    Griffith University Author(s)
    Coppieters, Michel
    Year published
    2012
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    Abstract
    Question: What are the benefits and harms of neural tissue management in the short term for treating nerve-related neck and arm pain? Design: Randomised controlled trial. Participants: Sixty participants with non-traumatic nerve-related neck and unilateral arm pain were randomised to experimental (n = 40) or control (n = 20) groups. Intervention: Both groups were advised to continue usual activities. The experimental group also received education, manual therapy, and nerve gliding exercises in 4 treatments over 2 weeks. Outcome measures: Primary outcomes were participant-reported improvement and worsening on a Global Rating ...
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    Question: What are the benefits and harms of neural tissue management in the short term for treating nerve-related neck and arm pain? Design: Randomised controlled trial. Participants: Sixty participants with non-traumatic nerve-related neck and unilateral arm pain were randomised to experimental (n = 40) or control (n = 20) groups. Intervention: Both groups were advised to continue usual activities. The experimental group also received education, manual therapy, and nerve gliding exercises in 4 treatments over 2 weeks. Outcome measures: Primary outcomes were participant-reported improvement and worsening on a Global Rating of Change scale. Secondary outcomes were neck pain, arm pain, the Neck Disability Index, the Patient-Specific Functional Scale, and adverse events related to treatment. Follow-up occurred 3–4 weeks after baseline. Results: Numbers needed to treat favoured the experimental intervention for participant-reported improvement (2.7, 95% CI 1.7 to 6.5), neck pain (3.6, 95% CI 2.1 to 10), arm pain (3.6, 95% CI 2.1 to 10), Neck Disability Index (4.3, 95% CI 2.4 to 18.2), and Patient-Specific Functional Scale (3.0, 95% CI 1.9 to 6.7). The prevalence of worsening in the experimental (13%) and control (20%) groups were not different (RD –7%, 95% CI –28 to 13). Adverse events had minimal impact on daily activities and did not reduce the chance of improving with the experimental intervention (RR = 1.03, 95% CI 0.58 to 1.84). Conclusion: These results enable physiotherapists to inform patients that neural tissue management provides immediate clinically relevant benefits beyond advice to remain active with no evidence of harmful effects
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    Journal Title
    Journal of Physiotherapy
    Volume
    58
    Issue
    1
    DOI
    https://doi.org/10.1016/S1836-9553(12)70069-3
    Copyright Statement
    © Australian Physiotherapy Association 2012. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND 3.0) License (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Subject
    Clinical sciences
    Clinical sciences not elsewhere classified
    Sports science and exercise
    Publication URI
    http://hdl.handle.net/10072/339878
    Collection
    • Journal articles

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