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Comparative effects of tensioning and sliding neural mobilization on static postural control and lower limb hop testing in football players
Ferreira J, Bebiano A, Raro D, Martins J, Silva AG
Journal of Sport Rehabilitation 2019 Nov;28(8):840-846
clinical trial
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

CONTEXT: Sliding and tensioning neural mobilization are used to restore normal function of the nervous system, but they impose different stresses on it. Particularly, sliding induces greater nerve excursion than tensioning. Conceivably, they might impact nervous system function differently. OBJECTIVE: To compare the effects of tensioning neural mobilization versus sliding neural mobilization of the dominant lower limb on static postural control and hop testing. DESIGN: Randomized, parallel and double blinded trial. SETTING/PARTICIPANTS: Thirty-seven football players. INTERVENTION(S): Participants were randomized into 2 groups: sliding neural mobilization (n = 18) or tensioning neural mobilization (n = 19) targeting the tibial nerve. MAIN OUTCOME MEASURES: Static postural sway was assessed with a force plate and functional performance with hop tests. Measurements were taken at baseline, after the intervention, and at 30-minute follow-up. RESULTS: There was a significant effect of time for the center of pressure total displacement and velocity (p < 0.05), for the single-leg hop test (p < 0.05), the 6-m timed hop test (p < 0.05), and the cross-over hop test (p < 0.05), but no significant effect of the intervention. CONCLUSIONS: Sliding and tensioning neural mobilization improved postural control and hop testing in football players, and improvements remained 30 minutes after the intervention. Additional research examining the influence of neural mobilization on sensory motor impairments, postural control, and functional performance is needed.
Copyright Human Kinetics. Reprinted with permission from Human Kinetics (Champaign, IL).

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