Effects of nerve mobilization exercises in homogenous individuals with Tarsal Tunnel Syndrome: a randomized controlled trial

Iram Iqbal Shamsi; Basit Ansari; Shaikh Nabi Bux Nazir; Aftab Ahmed Mirza Baig; Sadaf Subhi; Noman Arshad Lari

2025, Vol: 50, Issue: 2

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Original Research

RMJ. 2025; 50(2): 325-328

Effects of nerve mobilization exercises in homogenous individuals with Tarsal Tunnel Syndrome: a randomized controlled trial

Iram Iqbal Shamsi, Basit Ansari, Shaikh Nabi Bux Nazir, Aftab Ahmed Mirza Baig, Sadaf Subhi, Noman Arshad Lari.

Abstract
Objective: To determine efficacy of neural flossing exercises integrated with conventional treatment for Tarsal Tunnel Syndrome (TTS).
Methodology: This Randomized controlled trial was conducted at different physical therapy clinics of Karachi from October 2020 to November 2021. It included 60 patients with TTS with age 18 to 55 years, Participants were assigned into two groups through computer generated sampling: Group 1, received neural flossing exercises along with conventional treatment and group 2 received conventional treatment only. We used Numerical Pain Rating Scale (NPRS), Range of Motion (ROM), and Two-Point Discrimination (2-PD) to assess outcome.
Results: Out of 60 participants, 32 (53.33%) were male and 28 (46.67%) were female. Significant differences (p<0.05) were observed within and between groups in NPRS, ROM, and 2-PD for the medial calcaneal nerve, as well as the lateral and medial plantar nerves. Additionally, the frequency of positive Tinel signs and positive Tibial Nerve Stretch Tests significantly decreased in Group 1.
Conclusion: Neural flossing exercises combined with conventional treatment significantly improved pain, range of motion, and nerve function in TTS patients, making them more effective than conventional treatment alone.

Key words: Entrapment Neuropathy, posterior tibial nerve neuralgia, tibial nerve dysfunction, nerve compression.

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How to Cite this Article

Pubmed Style

Shamsi II, Ansari B, Nazir SNB, Baig AAM, Subhi S, Lari NA. Effects of nerve mobilization exercises in homogenous individuals with Tarsal Tunnel Syndrome: a randomized controlled trial. RMJ. 2025; 50(2): 325-328.

Web Style

Shamsi II, Ansari B, Nazir SNB, Baig AAM, Subhi S, Lari NA. Effects of nerve mobilization exercises in homogenous individuals with Tarsal Tunnel Syndrome: a randomized controlled trial. https://www.rmj.org.pk/?mno=190835 [Access: May 12, 2025].

AMA (American Medical Association) Style

Shamsi II, Ansari B, Nazir SNB, Baig AAM, Subhi S, Lari NA. Effects of nerve mobilization exercises in homogenous individuals with Tarsal Tunnel Syndrome: a randomized controlled trial. RMJ. 2025; 50(2): 325-328.

Vancouver/ICMJE Style

Harvard Style

Shamsi, I. I., Ansari, . B., Nazir, . S. N. B., Baig, . A. A. M., Subhi, . S. & Lari, . N. A. (2025) Effects of nerve mobilization exercises in homogenous individuals with Tarsal Tunnel Syndrome: a randomized controlled trial. RMJ, 50 (2), 325-328.

Turabian Style

Shamsi, Iram Iqbal, Basit Ansari, Shaikh Nabi Bux Nazir, Aftab Ahmed Mirza Baig, Sadaf Subhi, and Noman Arshad Lari. 2025. Effects of nerve mobilization exercises in homogenous individuals with Tarsal Tunnel Syndrome: a randomized controlled trial. Rawal Medical Journal, 50 (2), 325-328.

Chicago Style

Shamsi, Iram Iqbal, Basit Ansari, Shaikh Nabi Bux Nazir, Aftab Ahmed Mirza Baig, Sadaf Subhi, and Noman Arshad Lari. "Effects of nerve mobilization exercises in homogenous individuals with Tarsal Tunnel Syndrome: a randomized controlled trial." Rawal Medical Journal 50 (2025), 325-328.

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