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.

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


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