Effect of Neural Mobilization on Monosynaptic Reflex – a Pre Test Post Test Experimental Design

Background: Neural mobilization techniques leads to facilitation of nerve gliding, reduction of nerve adherence, dispersion of noxious fluids, increased neural vascularity and improvement of axoplasmic flow. It has pronounced effects on monosynaptic H-reflex, which is an electrically induced reflex analogous to mechanically induced spinal stretch reflex. Thus, it is a reliable tool for the assessment of muscle tone through the excitability of AMNs. Materials and Methods: The study was carried out with 30 male and female subjects from MMIPR, MM University Mullana. H-reflex was taken before and after neural mobilization. Results: Significant effects on monosynaptic H-reflex were shown after neural mobilization with a mean difference of decrease in H-reflex latency (28.43±2.13 ms to 26.91±1.99 ms; t-value 13.24) and increase in H-reflex amplitude (4.27±2.18 mv to 5.25±2.50 mv; t-value -5.13) and increase in H/M ratio (0.42±0.21 to 0.52±0.25; t-value -5.22). Conclusion: Neural mobilization has direct effect on nerve conduction as measured by electrophysiological testing, thereby providing evidence to include neural mobilizations as an intervention in altered neurodynamics of the peripheral nerves.