Description

Michael Shacklock proposed the concept of neurodynamics in 1995 with his paper in the British journal Physiotherapy in which various scientific cornerstones formed a key aspect of clinical practice in physiotherapy and physical therapy neurodynamics practice.

This has been developed on in his book Clinical Neurodynamics, 2005, Elsevier, Oxford in which the whole body is dealt with in diagnosis and treatment of many musculoskeletal syndromes with a neural component.

The courses by Neurodynamic Solutions are based on the philosophy of helping therapists develop their clinical skills and applying them to their patients.  This course therefore contains approximately 65% practical and 35%  theory.

Course Highlights

- 65:35 practical-theory

- strong hands-on and discussional elements

- many new manual techniques for the most significant neural problems seen in musculoskeletal practice

- systematic treatment progressions for radiculopathy (cervical and lumbar), shoulder, elbow and wrist, hip/piriformis, hamstrings and ankle and foot pain.

What You Learn

- understand how nerves move

- painless nerve root mobilisations

- how to exclude neurodynamic disorders

- differentiate between musculoskeletal and neurodynamic components

- make a neurodynamic diagnosis

- technique progressions from low to high functional levels

- how to create, select and perform the best techniques for your patients

- manual precision of neurodynamic technique

- how to detect contraindications for neurodynamic treatment

Course Objectives
Improve and develop:

- manual skills, specifically the ability to feel abnormalities in movement related to the nervous system in the upper quarter

- abilities in diagnosis and interpretation of neurodynamic testing and musculoskeletal relationships

- clinician’s repertoire of diagnosis and treatment of techniques

- safety in relation to neurodynamics

Upper Quarter 1

Highlights

general neurodynamic principles applied to the entire body and specifically  the upper quarter, including the cervical spine, shoulder/brachial plexus and other upper limb nerves at the elbow and wrist

classifications of structures and mechanisms for diagnosis and treatment

neurodynamic sequencing – a mechanism that can be used to make neurodynamic technique more specific than in the past

how to differentiate nerve from other tissues with mechanical testing

how to make diagnosis and treatment more specific than before.

Concept of neurodynamics

general neurodynamic principles applied to the entire body and specifically  the upper quarter, including the cervical spine, shoulder/brachial plexus, and other upper limb nerves at the elbow and wrist

neurodynamic sequencing – a mechanism that can be used to make neurodynamic technique more specifically than in the past

how to differentiate nerve from other tissues with mechanical testing

Neurodynamic sequencing

a method used to select and create progressions for patients

appropriate for patients with severe neural pain progressed to the  athlete, performing artist and sports person

Bilateral and contralateral neurodynamic testing

upper limb neurodynamic tests for cervical nerve root and acute dural pain

progressional system to reduce force on nerve roots and progressively load them for more advanced patients

acute care model for the cervical nerve root

Neuropathodynamics

expands the boundaries and classifications of neurodynamic dysfunctions

interface, opening and closing dysfunctions

neural tension and sliding dysfunctions

Neurodynamic testing

 MNT1, MNT2, RNT, UNT, RSNT and sensitisation techniques

Planning the physical examination

how not to provoke pain but still treat the neurodynamic component

how to sensitize the examination and treatment for hidden neurodynamic problems, level 1, 2 and type 3a, 3b, 3c examinations

Diagnosis with neurodynamic tests

differentiating neural tissue from neuromusculoskeletal tissues

establishing what is normal and abnormal

what to do next

Method of treatment

system of technique progression

hypersensitivity problems

subtle and hidden neural component and sensitised treatments

directing treatment at pathophysiology

progression from pathophysiology to pathomechanics

Treatment progressions

cervical nerve root foraminal opening and closing dysfunctions

neural tension dysfunction

combined neural tension and reduced closing dysfunctions (level/type 3c)

?lateral elbow pain, carpal tunnel syndrome.