{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:11:29Z","timestamp":1756339889944,"version":"3.44.0"},"reference-count":15,"publisher":"Human Kinetics","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Clinical Scenario<\/jats:bold>:<\/jats:italic> Pain is a common complaint following an orthopedic injury; however, the exact cause of nociception can be complex. Multiple tissues can generate a patient\u2019s complaint of pain, such as the skin, muscle, ligaments, tendon, nerves, and bones. Regarding the somatosensory system, inflammation around the nerve can create pain and alter movement coordination; this information has resulted in increased awareness of neurodynamic assessments and exercises. Neurodynamic assessments and exercises provide a unique paradigm to effectively assess and treat neural tissue, which may not commonly be considered within the traditional orthopedic examination. <jats:italic><jats:bold>Clinical Question<\/jats:bold>:<\/jats:italic> In college athletes with musculoskeletal pain and activity impairments, does the use of neurodynamic exercises improve pain or function? <jats:italic><jats:bold>Summary of Key Findings<\/jats:bold>:<\/jats:italic> Of the 5 studies, all consisted of chronic injuries with 3 involving upper-extremity pathologies and 2 focusing on lower-extremity pathologies. All 5 studies noted short- and long-term improvement following the incorporation of neurodynamic sliders or tensioners into the treatment plan. Four of the studies had follow-up periods greater than 30\u00a0days with sustained improvement on patient outcomes. Only 2 studies described a progression of neurodynamic exercises through sliders and tensioners. Three studies utilized a set\/repetition format for exercise prescription, whereas a fourth used a time-based format, and a fifth article utilized both. Finally, 4 studies utilized neurodynamic assessments to identify whether there was a neural component to the patient\u2019s presentation (eg,\u00a0peripheral nerve mechanosensitivity). <jats:italic><jats:bold>Clinical Bottom Line<\/jats:bold>:<\/jats:italic> In individuals with musculoskeletal impairments, evidence exists to support the use of neurodynamic exercises, such as sliders and tensioners, to improve pain and pain-related disability when neural sensitivity exists. <jats:italic><jats:bold>Strength of Recommendation<\/jats:bold>:<\/jats:italic> Grade C evidence exists to support the use of neurodynamic exercises in college athletes with a musculoskeletal impairment.<\/jats:p>","DOI":"10.1123\/jsr.2021-0268","type":"journal-article","created":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T08:07:56Z","timestamp":1662019676000},"page":"1105-1110","source":"Crossref","is-referenced-by-count":0,"title":["Neurodynamic Exercises in College Athletes With Musculoskeletal Pain: A Critically Appraised Topic"],"prefix":"10.1123","volume":"31","author":[{"given":"Nicholas","family":"Hattrup","sequence":"first","affiliation":[{"name":"Athletic Training Services, Boston University, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kacey","family":"Ohlemeyer","sequence":"additional","affiliation":[{"name":"Primary Care Sports Medicine, Ochsner Andrews Sports Medicine Institute, Baton Rouge, LA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Athletic Training Services, Boston University, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Gibb","sequence":"additional","affiliation":[{"name":"Athletic Training Services, Boston University, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Pfeifer","sequence":"additional","affiliation":[{"name":"Athletic Training Services, Boston University, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"issue":"17","key":"r1","series-title":"Br J Sports Med","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.1136\/bjsports-2017-097890","article-title":"Pain in elite athletes\u2014neurophysiological, biomechanical and psychosocial considerations: a narrative review","volume":"51","author":"Hainline B","year":"2017","unstructured":"Hainline B, Turner JA, Caneiro JP, Stewart M, Lorimer Moseley G. Pain in elite athletes\u2014neurophysiological, biomechanical and psychosocial considerations: a narrative review. Br J Sports Med. 2017;51(17):1259\u20131264. PubMed ID: 28827315 doi:10.1136\/bjsports-2017-09789010.1136\/bjsports-2017-097890"},{"issue":"2","key":"r2","series-title":"J Athl Train","doi-asserted-by":"publisher","first-page":"198","DOI":"10.4085\/1062-6050-47.2.198","article-title":"Epidemiology of overuse and acute injuries among competitive collegiate athletes","volume":"47","author":"Yang J","year":"2012","unstructured":"Yang J, Tibbetts AS, Covassin T, Cheng G, Nayar S, Heiden E. Epidemiology of overuse and acute injuries among competitive collegiate athletes. J Athl Train. 2012;47(2):198\u2013204. PubMed ID: 22488286 doi:10.4085\/1062-6050-47.2.19810.4085\/1062-6050-47.2.198"},{"issue":"3","key":"r3","series-title":"Man Ther","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1016\/j.math.2014.01.010","article-title":"The pain and movement reasoning model: introduction to a simple tool for integrated pain assessment","volume":"19","author":"Jones LE","year":"2014","unstructured":"Jones LE, O\u2019Shaughnessy DFP. The pain and movement reasoning model: introduction to a simple tool for integrated pain assessment. Man Ther. 2014;19(3):270\u2013276. PubMed ID: 24582733 doi:10.1016\/j.math.2014.01.01010.1016\/j.math.2014.01.010"},{"issue":"9","key":"r4","series-title":"J Orthop Sports Phys Ther","doi-asserted-by":"publisher","first-page":"593","DOI":"10.2519\/jospt.2017.7117","article-title":"The effectiveness of neural mobilization for neuromusculoskeletal conditions: a systematic review and meta-analysis","volume":"47","author":"Basson A","year":"2017","unstructured":"Basson A, Olivier B, Ellis R, Coppieters M, Stewart A, Mudzi W. The effectiveness of neural mobilization for neuromusculoskeletal conditions: a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2017;47(9):593\u2013615. PubMed ID: 28704626 doi:10.2519\/jospt.2017.711710.2519\/jospt.2017.7117"},{"issue":"1","key":"r5","series-title":"Physiotherapy","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/S0031-9406(05)67024-1","article-title":"Neurodynamics","volume":"81","author":"Shacklock M","year":"1995","unstructured":"Shacklock M. Neurodynamics. Physiotherapy. 1995;81(1):9\u201316.10.1016\/S0031-9406(05)67024-1"},{"issue":"1","key":"r6","series-title":"Phys Ther Sport","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.ptsp.2005.10.002","article-title":"Management of peripheral neuropathic pain: integrating neurobiology, neurodynamics, and clinical evidence","volume":"7","author":"Nee RJ","year":"2006","unstructured":"Nee RJ, Butler D. Management of peripheral neuropathic pain: integrating neurobiology, neurodynamics, and clinical evidence. Phys Ther Sport. 2006;7(1):36\u201349. doi:10.1016\/j.ptsp.2005.10.00210.1016\/j.ptsp.2005.10.002"},{"issue":"3","key":"r7","series-title":"Man Ther","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.math.2006.12.008","article-title":"Do \u201csliders\u201d slide and \u201ctensioners\u201d tension? An analysis of neurodynamic techniques and considerations regarding their application","volume":"13","author":"Coppieters MW","year":"2008","unstructured":"Coppieters MW, Butler DS. Do \u201csliders\u201d slide and \u201ctensioners\u201d tension? An analysis of neurodynamic techniques and considerations regarding their application. Man Ther. 2008;13(3):213\u2013221. doi:10.1016\/j.math.2006.12.00810.1016\/j.math.2006.12.008"},{"series-title":"The Oxford 2011 Levels of Evidence","key":"r8","unstructured":"OCEBM Levels of Evidence Working Group*. The Oxford 2011 Levels of Evidence. Oxford Centre for Evidence-Based Medicine. http:\/\/www.cebm.net\/index.aspx?o=5653."},{"issue":"6","key":"r9","series-title":"J Epidemiol Community Health","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1136\/jech.52.6.377","article-title":"The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions","volume":"52","author":"Downs SH","year":"1998","unstructured":"Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998;52(6):377\u2013384. PubMed ID: 9764259 doi:10.1136\/jech.52.6.37710.1136\/jech.52.6.377"},{"issue":"3","key":"r10","series-title":"Athl Train Sport Health Care","first-page":"241","article-title":"Neurodynamic mobilization in a collegiate long jumper with exercise-induced lateral leg and ankle pain: a case report","volume":"34","author":"Cox T","year":"2018","unstructured":"Cox T, Sneed T, Hamann H. Neurodynamic mobilization in a collegiate long jumper with exercise-induced lateral leg and ankle pain: a case report. Athl Train Sport Health Care. 2018;34(3):241\u2013249. PubMed ID: 28937849 doi:10.1080\/09593985.2017.1377793"},{"issue":"1","key":"r11","series-title":"Athl Train Sport Health Care","doi-asserted-by":"publisher","first-page":"36","DOI":"10.3928\/19425864-20151207-01","article-title":"Incorporating neurodynamics in the treatment of lower leg pain: a case review","volume":"8","author":"Hansberger BL","year":"2015","unstructured":"Hansberger BL, Nasypany A, Baker RT, May J. Incorporating neurodynamics in the treatment of lower leg pain: a case review. Athl Train Sport Health Care. 2015;8(1):36\u201339. doi:10.3928\/19425864-20151207-0110.3928\/19425864-20151207-01"},{"issue":"1","key":"r12","series-title":"Athl Train Sport Health Care","doi-asserted-by":"publisher","first-page":"44","DOI":"10.3928\/19425864-20180802-04","article-title":"Neurodynamics: a case review of shoulder pain and loss of range of motion","volume":"11","author":"Miley EN","year":"2018","unstructured":"Miley EN, May J. Neurodynamics: a case review of shoulder pain and loss of range of motion. Athl Train Sport Health Care. 2018;11(1):44\u201347. doi:10.3928\/19425864-20180802-0410.3928\/19425864-20180802-04"},{"issue":"2","key":"r13","series-title":"Athl Train Sport Health Care","doi-asserted-by":"publisher","first-page":"90","DOI":"10.3928\/19425864-20190520-02","article-title":"Neurodynamic treatment for medial elbow pain in a collegiate pitcher","volume":"12","author":"La Beau NP","year":"2019","unstructured":"La Beau NP, Baker RT, May J, MacDonald N, Cheatham SW. Neurodynamic treatment for medial elbow pain in a collegiate pitcher. Athl Train Sport Health Care. 2019;12(2):90\u201393. doi:10.3928\/19425864-20190520-0210.3928\/19425864-20190520-02"},{"issue":"2","key":"r14","series-title":"Int J Athl Ther Train","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1123\/ijatt.2014-0097","article-title":"Effects of neuromobilization on tendinopathy: part II","volume":"20","author":"Matocha MA","year":"2015","unstructured":"Matocha MA, Baker RT, Nasypany AM, Seegmiller JG. Effects of neuromobilization on tendinopathy: part II. Int J Athl Ther Train. 2015;20(2):41\u201347. doi:10.1123\/ijatt.2014-009710.1123\/ijatt.2014-0097"},{"issue":"1","key":"r15","series-title":"J Am Board Fam Pract","doi-asserted-by":"publisher","first-page":"59","DOI":"10.3122\/jabfm.17.1.59","article-title":"Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature","volume":"17","author":"Ebell MH","year":"2004","unstructured":"Ebell MH, Siwek J, Weiss BD, et\u00a0al. Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. J Am Board Fam Pract. 2004;17(1):59\u201367. PubMed ID: 15014055 doi:10.3122\/jabfm.17.1.5910.3122\/jabfm.17.1.59"}],"container-title":["Journal of Sport Rehabilitation"],"original-title":[],"link":[{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jsr\/31\/8\/article-p1105.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jsr\/31\/8\/article-p1105.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jsr\/31\/8\/article-p1105.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T23:31:25Z","timestamp":1756337485000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jsr\/31\/8\/article-p1105.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,1]]},"references-count":15,"journal-issue":{"issue":"8"},"URL":"https:\/\/doi.org\/10.1123\/jsr.2021-0268","relation":{},"ISSN":["1056-6716","1543-3072"],"issn-type":[{"type":"print","value":"1056-6716"},{"type":"electronic","value":"1543-3072"}],"subject":[],"published":{"date-parts":[[2022,11,1]]}}}