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Butler Neurodynamic Techniques Pdf Download

limitations of this study include the small sample size, the inclusion of only one group of people with t2dm, and the lack of a healthy control group. future investigations should include a larger sample size with stratification of study participants based on age, sex, peripheral neuropathy, and the presence of symptoms. it is important to consider the differing results in people with t2dm compared to healthy controls. the impact of neurodynamic testing on underlying nerve health in people with t2dm, such as nerve conduction velocities, should be investigated further. a second limitation is the limited number of slr movements. there is a need for further investigation into the effects of neurodynamic techniques on slr neurodynamic testing. the differential effects of slr testing between the pf and df mode should be further investigated. it is important to consider the impact of sex differences on slr testing in healthy controls and people with t2dm [ 43 ]. finally, the use of manual knee extension with the hip flexed in the start position was not investigated in our study. however, this should be considered when implementing slr testing in clinical settings. manual knee extension prior to hip flexion is commonly used in slr neurodynamic testing [ 12, 29 ]. it is possible that this differs between people with t2dm and healthy individuals and may contribute to the differences observed between the groups in this study. however, the use of this position allows for hip flexion to be assessed while minimizing the variability in slr response between individuals [ 53 ].

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