what is neurodynamics
neurodynamics allow us to stress the entire length of a nerve to se if there is a resistance along the nerve
what do Neurodynamics assess
they evaluate the legnth and mobility of various components of the nervous system . the tests are paim/symptom provoking
precautions and contra-indications
Acute nerve root presentation with high severity and high irritability
Acute conditions with high irritability
Diabetes & RA
UMN conditions
Known neural compromise -spinal cord injury
radial nerve bias test
control shoulder elevation
shoulder abduction 30
forearm pronation
shoulder internal rotation
elbow extension
wrist and fingers flexion
ulnar nerve bias test
Wrist/finger extension
Forearm pronation
Elbow flexion
Shoulder external rotation
Shoulder abduction 90-110
SLR sensitising manoeuvres
SLR/DF/Ev=Tibial nerve
SLR/DF/Inv=Sural nerve
SLR/PF/Inv=Common Peroneal nerve
SLR/Hip Add +/- hip IR =Sciatic nerve
neural palpation landmarks
Radial nerve – radial groove
Ulnar nerve – “funny bone”
Radial nerve – forearm
Ulnar nerve – hook of hamate
Sciatic nerve – deep in glute
Tibia nerve – Popliteal fossa
Common Peroneal nerve – head of fibula
Tibial nerve – tarsal tunnel
sliders and tensioners
sliders
Manoeuvres aimed at sliding the nerve.Not much tension is generated.
Longitudinal force is applied at one end of the nerve whilst tension is released at the other end
tensioners
Techniques aimed at producing tension in the nerve.
Longitudinal traction is applied at both ends to increase the length