Research Article
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An Investigation of the Acute Effect of Self and Physiotherapist-Performed Upper Extremity Neural Mobilization on Reaction Time in Healthy Young Adults

Year 2025, Volume: 3 Issue: 1, 9 - 17, 31.01.2025

Abstract

Purpose: This study was planned to investigate the acute effect of neural mobilization on reaction time in healthy young adults.
Methods: A total of 120 university students with an average age of 21.75±2.2 years were included in the study. Participants were 30 groups, including self-mobilization (Group 1), self-placebo mobilization (Group 2), mobilization by a physiotherapist (Group 3) and placebo mobilization by a physiotherapist (Group 4) group, in which Ulnar, Median and Radial nerve mobilizations were applied. They were divided into 4 groups consisting of 1 person. SWAY mobile application was used to evaluate reaction time. Ulnar, Median and Radial neural mobilizations were applied sequentially to the dominant upper extremities of the participants, whose first measurements were taken with the SWAY mobile application, for 5 repetitions of 5 seconds each. Immediately afterwards, final measurements were taken with the SWAY mobile application.
Results: It was determined that the demographic characteristics and measured reaction time of each group were similar at the beginning and the difference between the groups was not statistically significant (p>0.05). In the measurements made after the applications, it was seen that neural mobilization did not cause a statistically significant change on the reaction time in the self-mobilization, self-placebo mobilization and mobilization by a physiotherapist groups (p>0.05), and there was a statistically significant difference in the placebo mobilization group by a physiotherapist. (p<0.05).
Discussions: it was found that neural mobilization caused a decrease in reaction time in the short term, but this change was statistically significant only in the placebo mobilization group performed by the physiotherapist, and it was thought that further studies were needed for more definitive results regarding the effect of upper extremity neural mobilization on reaction time.

Ethical Statement

Approval from SANKO University Clinical Research Ethics Committee (GO 2022/10-12, 12.10.2022).

Supporting Institution

none

Thanks

We would like to thank all participants for their support. We also thank the SWAY Medical team for allowing us to use their practice in our research.

References

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  • 5. Neto T, Freitas SR, Marques M, Gomes L, Andrade R, Oliveira R. Effects of lower body quadrant neural mobilization in healthy and low back pain populations: a systematic review and meta-analysis. Musculoskeletal Science and Practice. 2017; 27:14-22.
  • 6. Coppieters MW, Andersen LS, Johansen R, Giskegjerde PK, Høivik M, Vestre S, et al. Excursion of the sciatic nerve during nerve mobilization exercises: an in vivo cross-sectional study using dynamic ultrasound imaging. Journal of orthopaedic & sports physical therapy. 2015;45(10):731-7.
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  • 13. Burghart M, Craig J, Radel J, Huisinga J. Reliability and validity of a motion-based reaction time assessment using a mobile device. Appl Neuropsychol Adult. 2019;26(6):558-63.
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  • 16. Khitrov MY, Laxminarayan S, Thorsley D, Ramakrishnan S, Rajaraman S, Wesensten NJ, et al. PC-PVT: A platform for psychomotor vigilance task testing, analysis, and prediction. Behavior Research Methods. 2014; 46:140-7.
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  • 18. Baysal O, Altay Z, Ozcan C, Ertem K, Yologlu S, Kayhan A. Comparison of three conservative treatment protocols in carpal tunnel syndrome. Int J Clin Pract. 2006;60(7):820-8.
  • 19. Rozmaryn LM, Dovelle S, Rothman ER, Gorman K, Olvey KM, Bartko JJ. Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. Journal of Hand Therapy. 1998;11(3):171-9.
  • 20. Ardıç F. Exercise prescription. Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi. 2014; 60:1-8.
  • 21. Van Patten R, Iverson GL, Muzeau MA, VanRavenhorst-Bell HA. Test-Retest Reliability and Reliable Change Estimates for Four Mobile Cognitive Tests Administered Virtually in Community-Dwelling Adults. Front Psychol. 2021; 12:734947.
  • 22. Koç H, Akçakoyun F, Koç M, Çetin K. Total ve lokal klasik masajın reaksiyon zamanına etkisi. Türkiye Kickboks Federasyonu Spor Bilimleri Dergisi. 2011; 4:1309-36.
  • 23. Panneton WM, Gan Q, Sun DW. Persistence of the nasotrigeminal reflex after pontomedullary transection. Respiratory Physiology & Neurobiology. 2012;180(2):230-6.
  • 24. Aslan E, Karaduman A, Yakut Y, Aras B, Simsek IE, Yaglý N. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine. 2008;33(11):E362-5.
  • 25. Aktan AK, Kutlay Ö. 18-25 yaş aralığındaki sedanter bireylerde reaksiyon zamanı ve el beceri düzeyine orta şiddetteki aerobik egzersizin akut etkisi. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2020;5(3):172-86.
  • 26. Jain A, Bansal R, Kumar A, Singh K. A comparative study of visual and auditory reaction times on the basis of gender and physical activity levels of medical first year students. International Journal of Applied and Basic Medical Research. 2015;5(2):124.
  • 27. Dane S, Erzurumluoglu A. Sex and handedness differences in eye-hand visual reaction times in handball players. International Journal of Neuroscience. 2003;113(7):923-9.
  • 28. Sekir U, Arslan G, Ilhan O, Akova B. The effect of static stretching of peroneal and tibialis anterior muscles on reaction time: a randomized controlled study. American journal of physical medicine & rehabilitation. 2019;98(2):136-46.
  • 29. Suluova A. 15 yaş ve üstü voleybolcularda ısınma egzersizlerine eklenen nöral mobilizasyon tekniğinin vertikal sıçrama, çeviklik ve reaksiyon zamanına akut etkileri [Yüksek Lisans]. İzmir: Dokuz Eylül Üniversitesi; 2018.
  • 30. Gün N, Kavlak B, Zubeyir S, Yurdalan U. The Effect of Neural Mobilization on Muscle Strength, Reaction Time and Pain Threshold. Turkish Journal of Science and Health. 2023;4(2):155-62.
  • 31. Zajdel R, Nowak D. Simple and complex reaction time measurement: A preliminary evaluation of new approach and diagnostic tool. Computers in Biology and Medicine. 2007;37(12):1724-30.
Year 2025, Volume: 3 Issue: 1, 9 - 17, 31.01.2025

Abstract

References

  • 1. Ellis RF, Hing WA. Neural mobilization: a systematic review of randomized controlled trials with an analysis of therapeutic efficacy. J Man Manip Ther. 2008;16(1):8-22.
  • 2. Dwornik M, Białoszewski D, Korabiewska I, Wroński Z. Principles of neuro mobilization for treating musculoskeletal disease. Ortopedia, Traumatologia, Rehabilitacja. 2007;9(2):111-21.
  • 3. Coppieters MW, Stappaerts KH, Wouters LL, Janssens K. The immediate effects of a cervical lateral glide treatment technique in patients with neurogenic cervicobrachial pain. Journal of Orthopaedic & Sports Physical Therapy. 2003;33(7):369-78.
  • 4. Herrington L. Effect of different neurodynamic mobilization techniques on knee extension range of motion in the slump position. Journal of Manual & Manipulative Therapy. 2006;14(2):101-7.
  • 5. Neto T, Freitas SR, Marques M, Gomes L, Andrade R, Oliveira R. Effects of lower body quadrant neural mobilization in healthy and low back pain populations: a systematic review and meta-analysis. Musculoskeletal Science and Practice. 2017; 27:14-22.
  • 6. Coppieters MW, Andersen LS, Johansen R, Giskegjerde PK, Høivik M, Vestre S, et al. Excursion of the sciatic nerve during nerve mobilization exercises: an in vivo cross-sectional study using dynamic ultrasound imaging. Journal of orthopaedic & sports physical therapy. 2015;45(10):731-7.
  • 7. Batra A, Vyas S, Gupta J, Gupta K, Hada R. A comparative study between young and elderly indian males on audio-visual reaction time. Indian Journal of Scientific Research and Technology. 2014;2(1):25-9.
  • 8. Lakshminarayanan K, Ramu V, Rajendran J, Chandrasekaran KP, Shah R, Daulat SR, et al. The effect of tactile imagery training on reaction time in healthy participants. Brain Sciences. 2023;13(2):321.
  • 9. Magill R, Anderson D. Reaction Time. Motor Learning and Control: Concepts and Applications. 10 ed. New York: McGraw-Hill Publishing; 2013. p. 28-31.
  • 10. Palermi S, Sacco AM, Belviso I, Marino N, Gambardella F, Loiacono C, et al. Effectiveness of tai chi on balance improvement in type 2 diabetes patients: a systematic review and meta-analysis. Journal of aging and physical activity. 2020;28(5):787-97.
  • 11. Sirico F, Romano V, Sacco AM, Belviso I, Didonna V, Nurzynska D, et al. Effect of Video Observation and Motor Imagery on Simple Reaction Time in Cadet Pilots. J Funct Morphol Kinesiol. 2020;5(4):89.
  • 12. VanRavenhorst-Bell HA, Muzeau MA, Luinstra L, Goering J, Amick RZ. Accuracy of the SWAY Mobile Cognitive Assessment Application. Int J Sports Phys Ther. 2021;16(4):991-1000.
  • 13. Burghart M, Craig J, Radel J, Huisinga J. Reliability and validity of a motion-based reaction time assessment using a mobile device. Appl Neuropsychol Adult. 2019;26(6):558-63.
  • 14. Hashida K, Lee J, Furutani TM, Tsushima W, Tamura K. Test-retest reliability and reliable change index of mobile application neurocognitive test among middle and high school athletes. J Athl Train. 2023;2023(preprint):0.
  • 15. Adın RM. Chalder Yorgunluk Ölçeği’nin Türkçe’ye uyarlanması ve genç yetişkin bireylerde psikometrik özelliklerinin incelenmesi [Yüksek Lisans]. Ankara: Hacettepe Üniversitesi; 2019.
  • 16. Khitrov MY, Laxminarayan S, Thorsley D, Ramakrishnan S, Rajaraman S, Wesensten NJ, et al. PC-PVT: A platform for psychomotor vigilance task testing, analysis, and prediction. Behavior Research Methods. 2014; 46:140-7.
  • 17. Akalin E, El Ö, Peker Ö, Senocak Ö, Tamci S, Gülbahar S, et al. Treatment of carpal tunnel syndrome with nerve and tendon gliding exercises. American journal of physical medicine & rehabilitation. 2002;81(2):108-13.
  • 18. Baysal O, Altay Z, Ozcan C, Ertem K, Yologlu S, Kayhan A. Comparison of three conservative treatment protocols in carpal tunnel syndrome. Int J Clin Pract. 2006;60(7):820-8.
  • 19. Rozmaryn LM, Dovelle S, Rothman ER, Gorman K, Olvey KM, Bartko JJ. Nerve and tendon gliding exercises and the conservative management of carpal tunnel syndrome. Journal of Hand Therapy. 1998;11(3):171-9.
  • 20. Ardıç F. Exercise prescription. Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi. 2014; 60:1-8.
  • 21. Van Patten R, Iverson GL, Muzeau MA, VanRavenhorst-Bell HA. Test-Retest Reliability and Reliable Change Estimates for Four Mobile Cognitive Tests Administered Virtually in Community-Dwelling Adults. Front Psychol. 2021; 12:734947.
  • 22. Koç H, Akçakoyun F, Koç M, Çetin K. Total ve lokal klasik masajın reaksiyon zamanına etkisi. Türkiye Kickboks Federasyonu Spor Bilimleri Dergisi. 2011; 4:1309-36.
  • 23. Panneton WM, Gan Q, Sun DW. Persistence of the nasotrigeminal reflex after pontomedullary transection. Respiratory Physiology & Neurobiology. 2012;180(2):230-6.
  • 24. Aslan E, Karaduman A, Yakut Y, Aras B, Simsek IE, Yaglý N. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine. 2008;33(11):E362-5.
  • 25. Aktan AK, Kutlay Ö. 18-25 yaş aralığındaki sedanter bireylerde reaksiyon zamanı ve el beceri düzeyine orta şiddetteki aerobik egzersizin akut etkisi. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2020;5(3):172-86.
  • 26. Jain A, Bansal R, Kumar A, Singh K. A comparative study of visual and auditory reaction times on the basis of gender and physical activity levels of medical first year students. International Journal of Applied and Basic Medical Research. 2015;5(2):124.
  • 27. Dane S, Erzurumluoglu A. Sex and handedness differences in eye-hand visual reaction times in handball players. International Journal of Neuroscience. 2003;113(7):923-9.
  • 28. Sekir U, Arslan G, Ilhan O, Akova B. The effect of static stretching of peroneal and tibialis anterior muscles on reaction time: a randomized controlled study. American journal of physical medicine & rehabilitation. 2019;98(2):136-46.
  • 29. Suluova A. 15 yaş ve üstü voleybolcularda ısınma egzersizlerine eklenen nöral mobilizasyon tekniğinin vertikal sıçrama, çeviklik ve reaksiyon zamanına akut etkileri [Yüksek Lisans]. İzmir: Dokuz Eylül Üniversitesi; 2018.
  • 30. Gün N, Kavlak B, Zubeyir S, Yurdalan U. The Effect of Neural Mobilization on Muscle Strength, Reaction Time and Pain Threshold. Turkish Journal of Science and Health. 2023;4(2):155-62.
  • 31. Zajdel R, Nowak D. Simple and complex reaction time measurement: A preliminary evaluation of new approach and diagnostic tool. Computers in Biology and Medicine. 2007;37(12):1724-30.
There are 31 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Research Articles
Authors

Seren Sevinçli 0000-0002-9262-4886

Hakan Polat 0000-0002-3704-9081

Nazan Tuğay 0000-0002-5666-2578

Publication Date January 31, 2025
Submission Date December 11, 2024
Acceptance Date January 13, 2025
Published in Issue Year 2025 Volume: 3 Issue: 1

Cite

Vancouver Sevinçli S, Polat H, Tuğay N. An Investigation of the Acute Effect of Self and Physiotherapist-Performed Upper Extremity Neural Mobilization on Reaction Time in Healthy Young Adults. JHUPTR. 2025;3(1):9-17.