Neurodynamics: Difference between revisions

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Revision as of 07:30, 16 April 2019

Neurodynamics[edit | edit source]

Neurodynamics refers to the communication between different parts of the nervous system and to the nervous systems relationship to the musculoskeletal system. It has been shown that the nerves move independently from other tissues.[1] The term Neurodynamics first made an appearance in 1989 and has since been further developed over the last 30 years. Neurodynamics is now seen as an important part of injury assessment and treatment.[1]

Neurodynamics in the sense implied here is the mobilisation of the nervous system as an approach to physical treatment of pain. The treatment and or assessment relies on influencing pain physiology via the mechanical treatment of neural tissues and non-neural structures surrounding the nervous system. This mobilisation activates a range of mechanical and physiological responses in nervous tissues. eg neural sliding, pressurisation, elongation, tension and changes in intraneural microcirculation, axonal transport and nervous impulse movements.[2]

The video below gives a good full description of the principles of neurodynamics

[3]

Neural Basics[edit | edit source]

  • Neuroanatomy
  • Neurophysiology
  • Neurobiomechanics
  • Neuropathology

Neural Examination[edit | edit source]

  • Neural Subjective
  • Dermatomes
  • Myotomes
  • Reflexes
  • Neural Palpation
  • Romberg’s Test
  • Babinski’s Reflex

Neural Provocation Tests[edit | edit source]

  • ULTT1 (median nerve bias)
  • ULTT2a (median nerve bias, alternate positioning)
  • ULTT2b (radial nerve bias)
  • ULTT3 (ulnar nerve bias)
  • PNF (Lhermitte’s Test)
  • SLR (sciatic, tibial, and peroneal nerve biases)
  • PKB (femoral nerve bias)
  • Slump (dura)
  • Saphenous
  • Musculocutaneous
  • Axillary
  • Suprascapular

Conditions with neurodynamic involvement[edit | edit source]

Presentations[edit | edit source]

http://www.eimqa.com/Fellowship/FellowPresent/KargelaUENeurodynamics.movUpper-Limb-Neurodynamics.png
Upper Limb Neurodynamics

This presentation, created by Mark Kargela as part of the Evidence In Motion OMPT Fellowship, discusses the upper limb neurodynamics.

View the presentation

https://vimeo.com/65773894Cervicothoracic disorders ppt.PNG
Adverse Neural Dynamics Related to Cervicothoracic Disorders and Symptoms

This presentation, created by Damian Rodriguez, Allison Rose, David Self, Blake Spoon; Texas State DPT Class.

View the presentation

http://www.eimqa.com/Fellowship/FellowPresent/KargelaUENeurodynamics.movAdverse neural dynamics presentation title.png
Adverse Neural Dynamics: Treatment Considerations for Neck and Arm Pain

This presentation, created by Jason Grandeo, as part of the Evidence In Motion OMPT Fellowship, discusses the adverse neurodynamics in the upper quadrant.

View the presentation

https://youtu.be/QuPVnj7XPjYAdverse neural dynamics upper ex exam presentation title.png
Adverse Neural Dynamics - Upper Extremity Examination

This presentation, created by Jason Grandeo, as part of the Evidence In Motion OMPT Fellowship, reviews indications for using upper-limb neurodynamic tests, describes normal sensory responses for each of the upper limb neurodynamic tests, reviews the validity of the upper limb neurodynamic tests, and describes positive findings with upper limb neurodynamic tests.

View the presentation

  1. 1.0 1.1 Lohkamp M., Herrington L. Small K. Tidy's physiotherapy. London Elsevier 2013
  2. Shacklock M. Neurodynamics. Physiotherapy. 1995 Jan 1;81(1):9-16. Available from: https://www.physiotherapyjournal.com/article/S0031-9406(05)67024-1/pdf (last accessed 16.4.2019)
  3. Ed Mulligan. CORE principles of neurodynamics. Available from: https://www.youtube.com/watch?v=ct5pOXyO5oc&feature=youtu.be (last accessed 16.4.2019)