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    Neuro Dynamics

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    Rahul Chhatlani
    The document discusses neural mobilization and neurodynamics. It defines key terms like mechanical interface, neural structures, innervated tissues, and their functions. It describes how nerves can move through tension, sliding, compression, and bending during joint movements. Neurodynamic tests like slump, straight leg raise, and prone knee bend are explained to assess neural dysfunction.

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    Neuro Dynamics

    Uploaded by

    Rahul Chhatlani
    149 views26 pages
    The document discusses neural mobilization and neurodynamics. It defines key terms like mechanical interface, neural structures, innervated tissues, and their functions. It describes how nerves can move through tension, sliding, compression, and bending during joint movements. Neurodynamic tests like slump, straight leg raise, and prone knee bend are explained to assess neural dysfunction.

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    The document discusses neural mobilization and neurodynamics. It defines key terms like mechanical interface, neural structures, innervated tissues, and their functions. It describes how nerves can move through tension, sliding, compression, and bending during joint movements. Neurodynamic tests like slump, straight leg raise, and prone knee bend are explained to assess neural dysfunction.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    149 views26 pages

    Neuro Dynamics

    Uploaded by

    Rahul Chhatlani
    The document discusses neural mobilization and neurodynamics. It defines key terms like mechanical interface, neural structures, innervated tissues, and their functions. It describes how nerves can move through tension, sliding, compression, and bending during joint movements. Neurodynamic tests like slump, straight leg raise, and prone knee bend are explained to assess neural dysfunction.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 26

    NEURAL MOBILIZATION

    Neurodynamics
    • Definition : Clinical neurodynamics is essentially the
    clinical application of mechanics and physiology of the
    nervous system as they relate to each other and are
    integrated with musculoskeletal system.
    • General layout of the system :
    Mechanical interface : It is defined as that tissue or
    material adjacent to the nervous system that can move
    independently to the system.
    • Neural structures
    • Innervated tissues
    The first is that they provide the basis for some causal
    mechanisms that therapists should pay particular
    attention.
    The second reason is for making specific reference to
    the innervated tissues is that they provide the therapists
    with the opportunity to move nerves.
    The third reason is for the treatment basis(Laban et al
    1989).
    Mechanical functions
    • Tension :
    The first primary mechanical events in the nervous
    system is generation of tension.
    Since the nervous system is attached to each end of the
    neural container the nerves are lengthened by
    elongation.

    Perineurium : This is the primary guardian against excessive


    tension and is effectively cabling in the peripheral
    nerve(Sunderland 1991).
    • Dense connective tissue and forming
    packed this possess
    fascicle each considerable longitudinal and
    elasticity.
    • It allows peripheral nerve to withstand approx. 18-22 %
    strain before failure(Sunderland 1991).
    Sliding of nerves : The second event is movement of
    nervous system relative to their adjacent tissues.This is
    called excursion or sliding(Wilgis &Murphy 1986).
    It is of longitudinal and transverse .
    • Longitudinal sliding :The sliding of nerves down the
    tension gradient enables them to lend their tissue
    toward the part at which elongation is initiated.
    • This way tension is distributed along the nervous system.
    • For eg. Median nerve at elbow
    • Transverse sliding: It occurs in two ways –
    The first is to enable the nerve to take the shortest
    course between two points when tension is applied.
    The second means by side way pressure by
    neighbouring structures such as muscle and tendons.
    Sliding of peripheral nerve in the nerve bed is
    provided by mesoneurium and internal sliding of the
    fascicles.
    • Compression : Neural structures can change their shape
    when pressure is exerted on them.
    • A clinical example ulnar nerve in elbow flexion .
    • The epineurium is the padding of the nerve and it
    protects the axons from excessive compression.
    • It contains finer and less densely packed connective
    which gives them spongy qualities and enables the nerve
    to spring back when pressure is removed.
    How nerves move
    Movement of joints :
    Convergence –The nerves move in the direction of the joint
    because that is where elongation is initiated. The effects
    of the two ends produce little or no movement of the
    nerves relative to joint roughly at the midpoint.
    convergence ocurs in limbs (Smith&Swash
    1976) and spine at most mobile segments(C5-6,C4-5)
    during sagittal movements(Adams&Logue1982).
    • Nerve bending:
    The bending of the nerural structure around
    the interface is a good example of the combining of
    fundamental events to produce a more complex action.
    Ex: Ulnar nerve at elbow
    • Movement of innervated tissues:
    In addition to longitudinal forces being applied to
    the nervous system from the adjacent to the nerve, the
    innervated tissues can be used to produce such
    events.
    For instance Dorsiflexion of foot and toes used to apply
    tension on sciatic nerve.
    Movement of interface
    • Nervous system responses to movement.
    Neurodynamic sliders
    Neurodynamic tensioners
    General Neuropathodynamics

    Mechanical interface
    dysfunctions

    Neural Dysfunctions

    Innervated tissue
    dysfunctions
    Mechanical interface dysfunctions
    • Reduced closing
    Closing dysfunctions • Excessive closing

    Opening • Reduced opening


    dysfunctions • Excessive opening

    Pathoanatomica • Eg .Spondylolisthesis
    l dysfunctions • Malignancy

    Pathophysiological • Inflammation
    dysfunctions
    Neural dysfunctions

    Neural sliding
    dysfunction

    Neural
    tension
    dysfunction

    Hypermobilit
    y
    Neurodynamis tests
    • What to observe – changes in movement, movement
    diagram.
    • Planning the examination.
    • Levels.
    • General points on technique:
    • Explanation to patient
    • Bilateral comparison
    • Test the unaffected side first
    • Maintain each movement precisely
    • Be gentle and donot hurry
    • Evoke versus Provoke
    • Short duration of testing.
    Standard neurodynamic testing
    • Slump test
    • Straight leg raise
    • Prone knee bend
    Steps in slump

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