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Effects of dynamic neural mobilization on cerebral cortical activity in patients with stroke
Kang J-I, Moon Y-J, Jeong D-K, Choi H, Park J-S, Choi H-H, Song Y-K
Journal of Physical Therapy Science 2018 Jul;30(7):906-909
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: The current study aimed to identify the effects of dynamic neural mobilization on cerebral cortical activity in patients with stroke, and to present efficient intervention methods for stroke management. SUBJECTS AND METHODS: A total of 20 hemiplegic patients diagnosed with stroke over the past 6 months were sampled, and randomly divided into groups I (n = 10) and II (n = 10). Groups I and II underwent neural mobilization and dynamic neural mobilization, respectively, on the paralyzed arm. Both interventions were administered for 30 min, once a day, for 4 days a week, over a course of 4 weeks. Beta-waves and micro-rhythms in the C3 and C4 areas of the cerebral cortex were measured using electroencephalography, both before and after the intervention. RESULTS: After the intervention, both groups showed significant changes in the beta-waves and micro-rhythms in the C3 area alone. Further, significant inter-group differences in the beta-waves and micro-rhythms were only present in the C3 area. CONCLUSION: Dynamic neural mobilization is an efficient intervention because it increases beta-waves and micro-rhythms in the cerebral cortex. Therefore, the effects of continuous intervention programs involving dynamic neural mobilization in patients with stroke should be investigated in the future.

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