EFFECT OF NEURAL MOBILIZATION ON MONOSYNAPTIC REFLEX – A PRE TEST POST TEST EXPERIMENTAL DESIGN

Background:Neural mobilization techniques leads tofacilitation of nerve gliding, reduction of nerve adher-ence, dispersion of noxious fluids, increased neural vascularity and improvement of axoplasmic flow.It haspronounced effects on monosynaptic H-reflex, which is an electrically induced reflex analogous to mechani-cally induced spinal stretch reflex. Thus, it is a reliable tool for the assessment of muscle tone through theexcitability of AMNs.Materials and Methods:The study was carried out with30 male and female subjects fromMMIPR, MM University Mullana. H-reflex was taken before and after neural mobilization.Results:Significanteffects on monosynaptic H-reflex were shown after neural mobilization with a mean difference of decrease inH-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±2.18mv 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 electrophysiologicaltesting, thereby providing evidence to include neural mobilizations as an intervention in altered neurodynamicsof the peripheral nerves.