Intro to Neurodynamics and Mobilization of the Nervous System (2) Flashcards
tension on structure that could only be neural
distal movments
tension creates a comparable sign
clinically relevant sign
neurodynamic problem
are you convinced that what your patient feels is b/c of tension or compression of the neural system
is what they’re feeling a comparable or clinically relevant sign
must have a yes for both
movement with and without tension
sliding
tension
sliding –> movement
isometric –> no tension
flossing
less aggressive
tension
oscillate = tension on - tension off
sustained = tension on
more aggressive
whos doing the moving
active pt controlled
passive PT controlled
active pt controlled
less aggressive
fxnal or in task
passive PT controlled
more aggressive
hamstring stretch
pt controls force
generally hold 30 sec
mild to moderate pull
what is the tension was on the tibial-sciatic nerve complex
only movement is knee ext
this is a sustained stretch
fairly aggressive nn stretch
to make an intervention less aggressive
sustained –> oscillate
tension –> slider
documentation
baseline sxs
then through every stage of the slump test
note where the sxs change
stages of the slump test
slump
knee extension
PF
inversion
cervical extension
neural mobilization techniques
trunk
UE
LE
trunk –> techniques
slump test
UE –> techniques
like the SLR of the LE’s
ULTT 1
ULTT 2
ULTT 3
ULTT 4
ULTT 1
median N dominant
ULTT 2
median N dominant
ULTT 3
radial N dominant
ULTT 4
ulnar N dominant
LE –> techniques
SLR –> general sciatic nerve stretch
prone knee ned (PKB or PKF) –> general test for femoral N
SLR –> general sciatic nerve stretch
w/ bias for tibial N
w/ bias for sural N
w/ bias for common peroneal nerve
the position of the test is the same as
position for tx
how could tx be done
using a combination of maintained stretch and flossing
maintained stretch
aka tensioner
most aggressive
flossing
aka slider
less aggressive
most comfortable
flossing can still be
aggressive
be conservative in # of reps
2-4 at most, then asses results next tx
tensioner
stretch proximal and distal components simultaneously
puts nerve on a maximum stretch
slider
release one end while maintaining tension on other end and follow by reversing the tensioned and free ends
allows the nerve to slide w/in soft tissue surrounding tissue