Unit 3 Week 11 Lab (Neurodynamics)

Question 1

what is the goal of neurodynamic interventions?

Answer 1

restore normal mobility and extensibility to nerve tissue
prevent adhesion formation after acute injury or surgery

Question 2

what are the benefits of neural mobilization?

Answer 2

facilitation of nerve gliding (#1), reduced nerve adherence, dispersion of noxious fluids, increased neural vascularity, improved axoplasmic flow (nerves ability to transmit impulses)

Question 3

what are the two techniques and what is the difference?

Answer 3

neural tensioning and glides: actively or passively moving one joint in the pattern that increases tension hold for 15 seconds or oscillations for 15-30 sec bouts (glide)
nerve flossing: moving two joints actively or passively. one joint into increased tension and the other into slack

Question 4

what are the precautions of neural mobilization?

Answer 4

monitor response
recognize irritability and first do no harm
screen for active disease affecting nervous system
watch for signs of vascular compromise

Question 5

what are the contraindications for neural mobilization?

Answer 5

acute or unstable neurological signs
cauda equina symptoms related to the spine
spinal cord injury or symptoms
neoplasm
infection

Question 6

what nerve is the focus of the SLR assessment?

Answer 6

sciatic nerve can bias branches

Question 7

what is considered a positive finding of the SLR assessment?

Answer 7

<70 degrees reproducing sciatica symptoms, pain radiates below the knee
0-30 degrees may indicate serious pathology or malingering

Question 8

what nerve is the focus of the prone knee bend assessment?

Answer 8

femoral nerve

Question 9

T/F: the nervous system withstands mechanical stress?

Answer 9

True: viscoelasticity, transfers loads through the system

Question 10

what are tension sites?

Answer 10

dura matter is tacked down to bone
tether points, stabilize spinal cord, C6, T6, L4

Question 11

what are peripheral tension sites?

Answer 11

elbow, shoulder, knee

Question 12

what is double crush?

Answer 12

duel neuropathy
2 subclinical compressions will summate to cause symptoms

Question 13

what is the nerve bias for ULTT 1?

Answer 13

median nerve, anterior interosseous nerve, C5, C6, C7 nerve roots

Question 14

what is the nerve bias for ULTT 2?

Answer 14

median nerve, anterior musculocutaneous nerve, axillary nerve

Question 15

what is the nerve bias for ULTT 3?

Answer 15

radial nerve

Question 16

what is the nerve bias for ULTT 4?

Answer 16

ulnar nerve, C8 and T1 nerve roots