Neurodynamics

Question 1

what is the protective tissue around peripheral nerves that is often the first thing damaged?

Answer 1

mesoneurium

Question 2

median N distribution in hand

Answer 2

palmer surface of palm and thumb, pointer, middle and half of ring finger. Dorsal finger tips of thumb, pointer, middle and half of ring finger also

Question 3

how do u test median N?

Answer 3

ULNT1 , ULNT 2, (1 is general UE N test, 2 is specific for med. N)

Question 4

what is the ULNT1?

Answer 4

sonic waitress, depress shoulder and press fingers down into hyperextension with palm up

Question 5

what is ULNT 2, Mb

Answer 5

arm straight down at side, full ER, then extend wrist and fingers in as much as possible to touch thigh

Question 6

what is the largest unprotected N in body?

Answer 6

Radial N.

Question 7

radial N distribution

Answer 7

dorsal side of UE all the way to hand, does the dorsal surface of hand from thumb to half of ring finger, but not the tips (thats med.)

Question 8

how do u test radial N?

Answer 8

ULNT 2 for median branch

Question 9

what is ULNT 2, Rb?

Answer 9

arm straight down at side, full IR, flex fingers into fist and then flex wrist away form thigh

Question 10

ulnar N. distribution

Answer 10

dorsal and volar aspects of medial half of ring finger to pinky, from finger tips to break in wrist.

Question 11

how do u test ulnar nerve?

Answer 11

ULNT 3

Question 12

what is ULNT 3?

Answer 12

like u are going to do the ok eyeglasses with that hand, then the person flattens out the hand and pushes it back into further wrist ext.

Question 13

sciatic N distribution?

Answer 13

back of thigh to pop. fossa

Question 14

test for sciatic?

Answer 14

basic SLR

Question 15

test for tibial N?

Answer 15

SLR with DF,

pain in lateral ankle, heel, calf, foot

Question 16

test for surral N?

Answer 16

SLR with DF and Inversion!

Question 17

Test for common peroneal N?

Answer 17

SLR with PF and inversion

Question 18

femoral N distribution?

Answer 18

ant and inner thigh, medial half of lower leg to medial malleolus

Question 19

test for femoral N?

Answer 19

prone knee bending (looks like ely’s test)

Question 20

what is the opposite of the autonomic NS and what does it do?

Answer 20

somatic NS

• voluntary movement
• all senses
• reflexes

Question 21

how long does it take in immobilization for degenerative changes to begin occuring in the myelin sheath around NN?

Answer 21

3 weeks, after 16 weeks, decrease in fiber diameter= Nerves less flexible, more resistant to tensile forces= less ROM!

Question 22

key words to listen for when pts describe nerve pain

Answer 22

dry
woody
ants
crawling
pulling
tight
catching
clumps of pain
dragging
swelling
burning
shooting
electric
traveling

Question 23

neural tension test

Answer 23

slump

Question 24

in a slump, how do u tell if it’s neural tension or neural tethering?

Answer 24

if raising of head or PF of foot eases pain, then its tension, if its the same, it’s tethered, the nerve is stuck somewhere.