Evidence map›Paper›PMID 39514600›Full record

SynthesisPloS one2024

Neural mobilisation effects in nerve function and nerve structure of patients with peripheral neuropathic pain: A systematic review with meta-analysis.

Juliana Valentim Bittencourt, Leticia Amaral Corrêa, Maria Alice Mainenti Pagnez, Jéssica Pinto Martins do Rio, Gustavo Felicio Telles, Stephanie Mathieson, Leandro Alberto Calazans Nogueira

Registry-linked trialAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07515144 (Effect of Lower Limb Neural Mobilization on Selective Neuromuscular Variables and Calf Muscle Thickness in Elderly Population With Sarcopenia), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07515144 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Effect of Lower Limb Neural Mobilization on Selective Neuromuscular Variables and Calf Muscle Thickness in Elderly Population With Sarcopenia

TypeinterventionalSponsorINTI International UniversityRan2025 to 2026Enrolled52ConditionsSarcopneia in Elderly IndividualsArmsNeural Mobilization, Otago Exercise
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Juliana Valentim BittencourtRehabilitation Science Postgraduate Program at Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil.ORCID 0000-0001-9522-8523
Leticia Amaral CorrêaRehabilitation Science Postgraduate Program at Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil.
Maria Alice Mainenti PagnezRehabilitation Science Postgraduate Program at Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil.
Jéssica Pinto Martins do RioRehabilitation Science Postgraduate Program at Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil.ORCID 0000-0003-1608-3325
Gustavo Felicio TellesRehabilitation Science Postgraduate Program at Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil.ORCID 0000-0001-9643-9429
Stephanie MathiesonSydney Musculoskeletal Health, Faculty of Medicine and Health, Sydney School of Health Sciences, The Kolling Institute, The University of Sydney, Sydney, Australia.
Leandro Alberto Calazans NogueiraRehabilitation Science Postgraduate Program at Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effects of neural mobilisation on nerve function and nerve structure of patients with peripheral neuropathic pain.

methodsA systematic review with meta-analysis was conducted. Medline, Embase, CINAHL, Cochrane Library, and World Health Organization International Clinical Trials Registry Platform were searched without restrictions. Eligibility criteria included controlled trials or quasi-experimental studies comparing neural mobilisation versus sham, active or inactive control in adults with peripheral neuropathic pain. Primary outcomes were the change in peripheral nerve cross-sectional area. Secondary outcomes included nerve echogenicity, nerve excursion and nerve conduction. Random effects meta-analysis was conducted. Risk of bias was assessed with the Cochrane Collaboration tool, and certainty of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation framework.

resultsEleven randomised controlled trials and four quasi-experimental studies (total sample = 722 participants) were included. Thirteen studies included participants with carpal tunnel syndrome. Two studies examined the cross-sectional area, revealing improvements (i.e., a reduction) in the cross-sectional area after the neural mobilisation. Neural mobilisation improved motor [mean difference = 2.95 (95%CI 1.67 to 4.22)] and sensory conduction velocity in short-term [mean difference = 11.74 (95%CI 7.06 to 16.43)], compared to control. Neural mobilisation did not alter distal motor or sensory latency.

conclusionNeural mobilisation seems to improve (i.e., a reduced) the cross-sectional area (very low-quality evidence) and sensory conduction velocity (very low-quality evidence). Neural mobilisation was superior to control in improving motor conduction velocity in patients with peripheral neuropathic pain with moderate quality evidence. Distal motor or sensory latency presented similar results compared to other interventions. Our findings should be interpreted cautiously since most studies included patients with carpal tunnel syndrome.

Indexed as

NeuralgiaCarpal Tunnel SyndromeHumansNeural ConductionPeripheral NervesRandomized Controlled Trials as Topic

Identifiers

PMID39514600
PMCPMC11548838

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.