Effectiveness of Neural Mobilization on the control of pain in the Carpal Tunnel Syndrome not intervened. Systematic review and meta-analysis.

• DOI: 10.22533/at.ed.8242214077

• Palavras-chave: Carpal tunnel síndrome; physical therapy modalities; neural mobilization; rehabilitation; pain.

• Keywords: Carpal tunnel síndrome; physical therapy modalities; neural mobilization; rehabilitation; pain.

• Abstract:

  Carpal tunnel syndrome is the most common entrapment neuropathy of the upper extremity. Currently it is considered that this process is more complex, including sensitization at the central and peripheral levels. Of the different manual techniques, neural mobilization yields benefits at the local level and on the activation of descending pain control pathways. However, when analyzing the magnitude of these effects of the technique, the results are contradictory. This project aims to determine the magnitude of the effect size of the neural mobilization technique in the treatment of carpal tunnel syndrome without intervention in pain-related events and to analyze what characteristics could act as moderators of the results. For this, we carried out a systematic search in the PubMed, PEDro, Web of Science, Cochrane Plus Library, Academic Search, Cinahl, Ibecs, Scopus, ENfispo and Dialnet Plus databases. Followed by a meta-analysis under the PRISMA recommendations. The results indicate a practically null effect on the Visual Analogue Scale, the Tinnel and Phalen signs, the Distal Motor Latency and the Distal Sensitive Latency. This effect is under the severity of symptoms and functionality, reaching a higher value on pain measured by the Numerical Scale of Pain. A series of characteristics have been determined that affect the size of the effect, such as the type of control group, the duration of treatment or the use of a protocol. In addition, the experimental design affects the effect size, with lower results in high-quality studies. We suggest carrying out well-controlled trials, systematized data collection and with a standardized assessment and intervention protocol, which allows the comparison of results and avoids bias.

• Número de páginas: 15