Clincial Neurodynamics Solutions

LEVEL TWO

VANCOUVER

October 28-29, 2023

$1,295.00

Are you ready for Level 2?

This advanced course is a combo of Upper Quarter and Lower Quarter Level 2 courses, taught by Mr. Shacklock himself. In order to participate, you must have completed UQ1 and LQ1, most often previously offered as a single course through Somatic Senses Education.

This course will be 20 hours of CEU time, of which approximately 4 will be online and 16 will be in-person.

Welcome to Level 2: Advanced Neurodynamic Solutions

This course takes neurodynamics further into less recognized neural problems and more advanced concepts related to nerve movement and exercises in relation to the musculoskeletal system.

Course Highlights 

More clinical syndromes.

More diagnostic categories and advanced clinical reasoning illustrations of Shacklock's Clinical Neurodynamics system.

Patient demonstrations of neurodynamic problem solving. Detailed hands-on and discussional elements.

Many new techniques for manual diagnosis and integration of the nervous with musculoskeletal practice. 

Course Objectives

Advance manual diagnosis and treatment skills to new and more complex areas of neurodynamics.

Learn diagnosis and treatment for more complex neurodynamic dysfunctions.

Expand the clinician's skills in diagnosis and treatment of neurodynamics in relation to the musculoskeletal system, including various dyskinesias.

Update the research literature (evidence) in relation to neurodynamics: systematic, physical mechanisms, clinical trials, and systematic reviews.

The Specifics: What You'll Learn

How to diagnose and treat more complex movement dysfunctions and neurodynamic disorders.

Neurodynamic aspect to cervicogenic headache and suboccipital myodural connections; diagnosis and treatment:

suprascapular neuropathy
axillary nerve
medial elbow pain (median and ulnar nerves at the elbow).
radial sensory nerve:
- neural aspect to cervicogenic headache: myodural band, upper cervical muscles and slump test and treatments.

Treatment of multifunctional problems including: 

scapular dyskinaesia with neurodynamics for brachialgia, brachial plexus and thoracic outlet syndrome
scalenes, first rib and brachial plexus
neural treatments for pronator and cubital tunnel syndrome
neural aspect to cervicogenic headache
neural aspects to thoracic spine pain: central dura and nerve roots
mid-lumbar disorders with nerve root element.
neural role in hamstring disorders
neuromyofascial thigh pain
gastrocnemius and Achiles tendon pain - sural nerve.
digital nerves and Morton's neuroma.

How to integrate neurodynamic exercises with scapular dyskinesia and the brachial plexus. 

The Daily Outline

Online Component

Advances in Neurodynamics - 4 hours

UPPER QUARTER 

Neurodynamics in perspective:

‣ layers of analysis and what is important
‣ review cornerstones in neurodynamics
‣ cummulative effects of compression and tension
‣ contralateral mechanisms
‣ refined understanding of neurodynamc sequencing
‣ can we be specific with nerve movement?
‣ fascia and the nervous system
‣ inclusion/exclusion for neurodynamics.

Neuropathodynamics:

‣ movement diagrams - movement and response analysis
‣ new dysfunctions - excessive opening and closing as movement disorders
‣ neurodynamics models: A. Cooperative, B. Competitive
‣ relationships to movement and dyskinaesia.

Neural aspect to cervicogenic headache:

‣ specific neurodynamics
‣ anatomy - myodural band at O-C1
‣ role of myodural band in neural aspect to cervicogenic headache.
‣ brain movements during neurodynamic testing
‣ differentiation of neurodynamic aspect to cervicogenic headache from migraine and tension
headache in children - research report.

LOWER QUARTER

Advances in neurodynamics:

‣ history - Imhotep, Lasègue, Lazaravic, Breig, Maitland etc.
‣ relationships between nerve health, force and pathophysiology
‣ effect of neurodynamic testing on muscle function - EMG study
‣ diagnostic and therapeutic efficacy studies
‣ what neurodynamic tests evaluate
‣ relationships between physical disorders of the nervous system and symptomatology
‣ nerve responses to movement - viscoelasticity, sliding, impairments.

Neuropathodynamics:

‣ innervated tissue dysfunctions - neurogenic inflammation ‣ how nerves regulate inflammation
‣ how neuropathy may change tissue healing
‣ implications for distal pain and tissue inflammation.

Day 1: In-person

Session 1 - 9:00-10:30

Neurodynamics - review and update (30 mins) Key points from online theory:

‣ neurodynamics in perspective
‣ dyskinaesia in relation to nerve
‣ neurodynamic models: cooperative and competitive
‣ advances in neuropathodynamics
‣ neuromyofascial dynamics.

Hand and elbow:

‣ radial sensory neuropathy: thumb pain related to appearance of de Quervain's disease
‣ ulnar nerve for cubital tunnel syndrome
‣ medial elbow pain from the median nerve (pronator tunnel syndrome.

Session 2 - 10:50-12:30

Suprascapular and axillary nerves:

‣ palpation
‣ neurodynamic testing
‣ treatment.

Thoracic outlet syndrome and shoulder dyskinaesia:

‣ level 1 (pain relief) to level/type 3c (high performance)
‣ costoclavicular space opener to closers
‣ pectoralis minor, brachial plexus and shoulder dynamics.

Session 3 - 1:30-3:00

Cervicobrachalgia - complex diagnoses:

‣ opening and nerve
‣ closing and nerve
‣ muscle hyperactivity and neural relationships

Treatment - nerve in conjunction with:

‣ levator scapulae
‣ upper trapezius
‣ anterior and middle scalenes.

Practise:

‣ observation and hypothesis generation
‣ physical testing of hypotheses
‣ detection of neurodynamic aspect to dyskinaesia
‣ planning treatment.

Session 4 - 3:20-5:30

New neurodynamic tests:

‣ contralateral and bilateral neurodynamic tests - 30 min
‣ bilateral MNT
‣ bilateral SLR for neck pain.

Neural aspect to cervicogenic headache:

‣ dural and myofascial aspects:
‣ theory, specific anatomy and neurodynamics.

Physical examination and treatment

‣ palpation occipital nerves
‣ neurodynamic testing
‣ treatment of neurodynamics
‣ progressions - levels 1-3.

Cases discussions and clinical reasoning.

Close - 5:30 

Day 2: In-person

Session 1 - 09:00-10:30

Advanced concepts in neurodynamics:

‣ neuromyofascial dynamics
‣ contralateral and bilateral neurodynamics.

Thoracic spine:

‣ neural aspect to thoracic, lumbar and lower limb pain:
‣ opening and closing with neural tissues
‣ central dura and spinal cord techniques
‣ costovertebral and neural techniques.

Session 2 - 10:50-12:30

Mid-lumbar disorders (L2-4):

‣ prone knee bend, detection of neurodynamic aspect
‣ femoral slump test
‣ opening and closing with femoral neurodynamic movements.

Hamstrings disorders - neural aspect:

‣ theory, specific anatomy and neurodynamics
‣ contralateral mechanisms
‣ neural aspect to hamstring tightness and its treatment
‣ ballistic hamstring training and neurodynamics.

Session 3 - 1:30-3:00

Thigh and knee - neurodynamic tests and nerve palpation:

‣ femoral nerve
‣ lateral femoral cutaneous
‣ saphenous
‣ genicular branches
‣ digital nerves for Morton's neuroma

Treatment progressions:

‣ opening closing, sliders, tensioners
‣ neuromyofascial techniques.

Session 4 - 3:20-5:30

Leg and foot:

‣ fibular nerve influences on lateral knee pain.
‣ gastrocnemius and tibial nerve
‣ sural nerve and Achilles tendon
‣ digital nerves and Morton's neuroma.

Discussion and case examples

Close - 5:30

Michael Shacklock

DipPhysio, MAppSc, FACP NDS Instructor, founding director, principal

Michael received his graduate qualification at the Auckland School of Physiotherapy, New Zealand, in 1980. He worked in public hospitals in the medical, surgical, paediatrics, orthopaedics, geriatrics, intensive care and burns areas around New Zealand before being employed in private practices, treating spinal and sports injuries in Nelson with Michael Monaghan and Auckland with Margaret Franklin. In 1985 he moved to Adelaide, Australia, working at the Royal Adelaide Hospital and private practices around Adelaide. He completed a Graduate Diploma in Advanced Manipulative Therapy in 1989 and converted this to a Masters degree at the University of South Australia in 1993. He was awarded a Fellow of the Australian College of Physiotherapists (Australian Physiotherapy Association) for his monograph and international best-seller text book, Clinical Neurodynamics, Elsevier, Oxford, 2005. In addition to his neurodynamics book, he has published two other books, Moving in on Pain (Elsevier) and Biomechanics of the Nervous System: Breig Revisited. He also authored, co-authored and mentored numerous research studies, editorials, commentaries and clinical papers in international peer reviewed journals articles which have garnered many international awards, including Visiting Professor of the Faculty of Medicine, Barcelo University, Buenos Aires (see academic activities on ResearchGate). He was a member of the International Advisory Board of the journal Musculoskeletal Theory and Practice (formerly Manual Therapy), United Kingdom and is an Associate Editor of the Journal of Manual and Manipulative Therapy, USA. Michael presents keynote addresses and invited conference lectures, trains staff at elite sports medicine facilities and sports clubs, universities, hospitals and private seminars around the world. His special interests are neurodynamics, measurement of mechanical function of the nervous system, pain and the nervous system and musculoskeletal function. His most valued interest is how to synthesise science and clinical practice using evidence and reasoning. Michael is an active clinician, has 35 years of experience in treating patients and is recognised as an international leader in the diagnosis and treatment of musculoskeletal disorders with a neural aspect.

Clincial Neurodynamics Solutions

LEVEL TWO

VANCOUVER

OCT 28-29, 2023

$1,295.00

9:00- 5:30 (subject to change)

Location: Bodhi Tree Teaching Centre, Surrey, BC