M4 Class Notes 1 Flashcards
How aggressively do you go about Neurodynamic treatment?
- if it’s a chronic issue, you will be more aggressive
- Start slowly, gradually progress due to how easily inflamed nerves are
SINSS: pts with neurodynamic pain (pattern)
- typically have on/off pattern
- may have sensitization that makes it more constant
How do you determine aggressiveness of neurodynamic tx?
- Go by how much it reproduces their pain
- symptom driven
Aggressiveness: tensioners/sliders
tensioners are more aggressive
When should sliders be performed?
if they have hard neuro signs (nerve root compression)
Guidelines for sliders
- often kept in asymptomatic range
- could make them more aggressive by creating more tension throughout the slider
- keep head in neutral
How do you know you are providing input to the tissue with for a pt with a neurodynamic problem?
- symptom reproduction
- kiss the symptoms so you’re giving enough input to affect change
Using neurodynamics for prophylaxis
probably own’t reproduce symptoms
What do you give neurodynamic pts for tx?
- essentially versions of neurodynamic tests (i.e. slump or SLR)
- neurodynamics won’t be a lengthy part of tx
- give exercise, make sure they do it right
- monitor sx, call if they have problems
- come back in a few days and reassess
neurodynamic tx: using slump or SLR
- add sliding component for tx
- hold position for tensioner
neurodynamic tx: if they’re better
- keep doing it, teach them to use their symptoms as a guide
- should become less symptomatic over time and increase range if they pay attention to their sx
Last thing we do for treatment for ALL classifications
address other limitations/impairments as needed
- muscle/joint flexibility
- strength
**Do this stuff after you fix the neurodynamic problems or start seeing improvement
