M4 Class Notes 1

Question 1

How aggressively do you go about Neurodynamic treatment?

Answer 1

• if it’s a chronic issue, you will be more aggressive

- Start slowly, gradually progress due to how easily inflamed nerves are

Question 2

SINSS: pts with neurodynamic pain (pattern)

Answer 2

• typically have on/off pattern

- may have sensitization that makes it more constant

Question 3

How do you determine aggressiveness of neurodynamic tx?

Answer 3

• Go by how much it reproduces their pain

- symptom driven

Question 4

Aggressiveness: tensioners/sliders

Answer 4

tensioners are more aggressive

Question 5

When should sliders be performed?

Answer 5

if they have hard neuro signs (nerve root compression)

Question 6

Guidelines for sliders

Answer 6

• often kept in asymptomatic range
• could make them more aggressive by creating more tension throughout the slider
• keep head in neutral

Question 7

How do you know you are providing input to the tissue with for a pt with a neurodynamic problem?

Answer 7

• symptom reproduction

- kiss the symptoms so you’re giving enough input to affect change

Question 8

Using neurodynamics for prophylaxis

Answer 8

probably own’t reproduce symptoms

Question 9

What do you give neurodynamic pts for tx?

Answer 9

• 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

Question 10

neurodynamic tx: using slump or SLR

Answer 10

• add sliding component for tx

- hold position for tensioner

Question 11

neurodynamic tx: if they’re better

Answer 11

• 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

Question 12

Last thing we do for treatment for ALL classifications

Answer 12

address other limitations/impairments as needed

• muscle/joint flexibility
• strength

**Do this stuff after you fix the neurodynamic problems or start seeing improvement