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

Lower Quarter 1

Highlights:

general neurodynamic principles applied to the entire body and specifically  the lower quarter, including the lumbar spine, hip and piriformis syndrome, hamstring injury and heel pain due to tibial and medial calcaneal nerve disorders

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 lower quarter, including the lumbopelvic region, hip pain and piriformis syndrome, hamstring strain and neurodynamic aspect to heel pain

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

lower limb neurodynamic tests for lumbar nerve root and acute dural pain

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

acute care model for the lumbar nerve root

how to take tension off the lumbar nerve root

Neuropathodynamics

expands the boundaries and classifications of neurodynamic dysfunctions

lumbar interface, opening and closing dysfunctions

lumbar neural tension and sliding dysfunctions

Neurodynamic testing

 straight leg raise, slump test, prone knee bend

peroneal/fibular, tibial and sural neurodynamic tests

 sensitisation techniques for the neural tissues (level/type 3a)

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 and 3d 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

neurodynamics applied to lumbar disc and intervertebral foramen biomechanics

Treatment progressions

lumbar nerve root foraminal opening and closing dysfunctions

lumbar neural tension dysfunction

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

sciatic aspect to piriformis syndrome treatment combinations

hamstring/posterior thigh pain

tarsal tunnel syndrome and foot pain