Eva Sierra-Silvestre

University of Oxford | OX · Nuffield Department of Clinical Neurosciences

Study design: Cross-sectional study. Objectives: To assess the effect of structural differentiation on sensory responses of asymptomatic individuals to standard neurodynamic tests of straight leg raise (SLR) and to evaluate the relevance of leg dominance, gender, and age. Background: SLR test is a well-known neurodynamic test among physical th...

Resumen Objetivos 1) Comparar la efectividad del estiramiento activo excéntrico según el método Pilates frente al estiramiento pasivo analítico isquiotibial en extensibilidad, discapacidad y dolor en pacientes con dolor lumbar inespecífico subagudo o crónico. Material y métodos Ensayo clínico piloto en centros de atención primaria María Montessor...

Introduction: falls, balance and gait difficulties are common in aged and laid into morbility and mortality. Many studies evaluated the effects of physical therapy but there is not conclusive evidence of which physical intervention is more appropriate. Objectives: a) To compare the effectiveness of a proprioception re-education programme against an...

Background and Goal of Study: The 21‐97% of patients undergoing thoracic surgery suffers ipsilateral shoulder pain in the postoperative1. The objective is to determinate the incidence and characteristics of this pain in the first 24 hours after thoracotomy and videothoracoscopys (VATS). Materials and Methods: Pilot epidemiology descriptive study....

Background Physiotherapeutic management is the first-line intervention for patients with entrapment neuropathies such as carpal tunnel syndrome (CTS). As part of physiotherapy, neurodynamic interventions are often used to treat people with peripheral nerve involvement, but their mechanisms of action are yet to be fully understood. The MONET (mechan...

Background and objectives: People with diabetic peripheral neuropathy (DPN) report fluctuating foot symptoms. This study used ecological momentary assessment to: (1) compare foot symptoms between days, time points and periods with/without preceding physical activity or pain medication; and (2) determine relationships between symptoms and endogenou...

Background and objectives: People with diabetic peripheral neuropathy (DPN) report difficulty exercising. This study tested an innovative intervention to promote physical activity self-management and its impact on foot symptoms. Method: Ten adults with DPN not meeting exercise guidelines consented to four weekly sessions involving exercise taste...

Aims/hypothesis Non-invasive in vivo corneal confocal microscopy is gaining ground as an alternative to skin punch biopsy to evaluate small-diameter nerve fibre characteristics. This study aimed to further explore corneal nerve fibre pathology in diabetic neuropathy. Methods This cross-sectional study quantified and compared corneal nerve morpholo...

This cross-sectional study aimed to quantify the somatosensory dysfunction in the hand in people with diabetes with distal symmetrical polyneuropathy (DSPN) in hands; and explore early signs of nerve dysfunction in people with diabetes without DSPN in hands. The clinical diagnosis of DSPN was confirmed with electrodiagnosis and corneal confocal mic...

Ultrasound shear wave elastography has become a promising method in peripheral neuropathy evaluation. Shear wave velocity, a surrogate measure of stiffness, tends to increase in peripheral neuropathies regardless of etiology. However, little is known about the spatial variation in shear wave velocity of healthy peripheral nerves and how tensile loa...

The first signs of diabetic neuropathy typically result from small-diameter nerve fiber dysfunction. This review synthesized the evidence for small-diameter nerve fiber neuropathy measured via quantitative sensory testing (QST) in patients with diabetes with and without painful and non-painful neuropathies. Electronic databases were searched to ide...

To synthesise the literature on nutrition care for prediabetes from both the perspective of healthcare providers and patients, six databases (CINAHL, MEDLINE, Embase, PsycINFO, Scopus and ProQuest) were searched to identify qualitative or quantitative studies that focussed on nutrition care and prediabetes in primary care practice. Studies examinin...

Background Peripheral neuropathies are a common complication in patients with diabetes. Changes in nerve function and central pain processing can be quantified by assessing pain thresholds and pain modulation mechanisms. Aim To summarise the literature which compares pain thresholds and pain modulation mechanisms in people with diabetes without ne...

Objective: To determine the immediate effect of neural tension technique (NTT) on conditioned pain modulation in patients with chronic neck pain. A secondary objective was to determine the immediate effect of neural tensioner technique on pain intensity and cervical range of movement. Design: Randomized clinical trial. Setting: University medi...

Background: Neurodynamic assessment and management are advocated for femoral nerve pathology. Contrary to neurodynamic techniques for other nerves, there is limited research that quantifies femoral nerve biomechanics. Objectives: To quantify longitudinal and transverse excursion of the femoral nerve during knee and neck movements. Design: Sing...