Efficacy of neuromobilization in the treatment of low back pain: Systematic review and meta-analysis.

BACKGROUND: Low back pain (LBP) is a leading cause of disability. Neuromobilization (NM) as a physical therapy technique, offers some degree of symptom improvement. However, some studies have shown that NM can significantly reduce the symptoms of LBP, while others have failed to find similar positive effects. OBJECTIVE: This study aims to investigate the effectiveness of NM for LBP. DATA SOURCES: A literature search was conducted across five databases (MEDLINE, Embase, Cochrane Library, PubMed, and Web of Science) from their inception to December 2023. Study main measures assessed pain, disability, and straight leg raise angle to determine the degree of improvement in patients. RESULTS: Seven randomized controlled trials were included in the analysis. The findings indicated that NM interventions in patients with LBP were more effective than control groups in improving Visual Analog Scale scores (mean difference = 0.62, 95% CI (0.03, 1.21)) and Oswestry Disability Index scores (mean difference = 7.54, 95% CI (4.98, 10.10)). There was no significant difference in straight leg raise results (mean difference = 0.18, 95% CI (-0.08, 0.44)). CONCLUSIONS: NM demonstrated effectiveness in improving Visual Analog Scale and Oswestry Disability Index outcomes in patients with LBP, but straight leg raise outcomes are still uncertain and until more high-quality studies are included, the effectiveness of NM for SLR remains unknown.

Mechanism, application and effect evaluation of nerve mobilization in the treatment of low back pain: A narrative review.

Lower back pain is a prevalent condition affecting people across all age groups and causing significant personal and societal burdens. While numerous treatments exist, nerve mobilization has emerged as a promising approach for managing lower back pain. Nerve mobilization involves applying gentle and rhythmic movements to the affected nerves, promoting normal nerve function and releasing tension. It has been well documented that nerve mobilization can be effective in reducing pain and improving function in patients with lower back pain, but the underlying mechanisms have not been clarified. This study aims to review the mechanisms of nerve mobilization in the management of lower back pain, its application, and effectiveness evaluation, and provide a potential solution for managing lower back pain.

Exploring the latest advancements in physical therapy techniques for treating cervical spondylosis patients: A narrative review.

Cervical spondylosis is a widespread medical condition that significantly impacts patients' quality of life. Treatment options include surgical and conservative approaches, with conservative treatment often being the preferred choice. Rehabilitation therapy is an essential component of conservative treatment, and advancements in technology have the way to the development of new physiotherapy techniques. The effectiveness of treatment largely hinges on the patient's ability to improve their dysfunction. This study aims to provide valuable insights into the use of new physical therapy techniques, such as Sling Exercises Training (SET), fascia manipulation, muscle energy technique (MET), and proprioceptive neuromuscular facilitation (PNF), that aid the rehabilitation of cervical spondylosis. By scrutinizing the current research status of these techniques, this study aims to present innovative ideas enhancing the rehabilitation process and outcomes for patients suffering from cervical spondylosis.

Efficient fabrication method for non-periodic microstructures using one-step two-photon lithography and a metal lift-off process.

This paper presents a mask-less, flexible, efficient, and high-resolution fabrication method for non-periodic microstructures. Sub-wavelength micro-polarizer arrays, (MPAs) which are the most essential part of the focal plane polarimeters, are typical non-periodic structures. The grating ridges of each polarizer were oriented in four different directions offset by 45°, corresponding to different polarization directions. The finite element method was introduced to optimize the structural parameters of the MPA in the far-infrared region. The numerical results demonstrated that the designed MPA had a TM transmittance of more than 55% and an extinction ratio no less than 7 dB. An aluminum MPA that operates in the 8-14 µm infrared region was prepared by one-step two-photon lithography (TPL) and the metal lift-off process. The femtosecond laser exposed the photoresist with only a single scan, making TPL very efficient. The fabricated single-layer sub-wavelength MPAs with a period of 3 µm, a duty cycle of 0.35-0.5, and a height of 150 nm, were analyzed by an optical microscope and an atomic force microscope. The successful fabrication of the MPA indicated that one-step TPL could be a viable and efficient method for pattern preparation in the fabrication of non-periodic microstructures.