The Effectiveness Of Neurodynamic Techniques On Spasticity In Patients With Stroke - A Systematic Review

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Adel S. Aldhuwaila, MD , Mohand A. Altemani, MSc , Bashayer M. Alharbi, MSc , Areej B. Alotaibim, BSc , Hessah A. Aldosari, BSc


Introduction: Stroke is the commonest and most severe neurological disorder, causing reduced functional level, decreased quality of life and even loss of life. Researches with inconsistent outcomes and several procedural restrictions have been directed to evaluate the effectiveness of neurodynamic interventions for patients with stroke.                                    

Objective: This systematic review aimed to investigate the effectiveness of different neurodynamic interventions on patients with stroke.                                                               

Method: Five databases (PubMed, Cinhal, Cochrane, Web of Science, Google scholar) were searched to identify eligible studies. Pooled standardized mean differences were calculated using a random effects model. The PRISMA statement was followed to increase clarity of reporting.                                                                                                                                   

Results: Five studies, including 136 patients, reporting on the subject of neurodynamic intervention and conventional physiotherapy were analyzed. These interventions showed a statistically significant effect on gain of range of motion, reduction of spasticity, improvement of myoelectric activity, increase of muscle flexibility and improvement in distribution of body weight and postural balance.                                                                   

Conclusion: Neurodynamic intervention seemed to be the most effective treatment to reduced spasticity. When it is appropriately targeted, it significantly improves flexibility and postural balance.                                                                                                                       

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