Neurodinámica Clínica
Neural mobilisation is a non-invasive technique that physiotherapists have been using for years. Publications on neural conditions can often be complex, something which makes it difficult to apply neurodynamic techniques safely and efficiently and has led to a void in many practitioners’ clinical experience. Due to the lack of professionals with advanced knowledge of neurodynamics, the novelty of these techniques and the growing demand for instruction among physiotherapists, the need for training in the field has become apparent. As a result, Michael Shacklock has developed a practical and systematic method for the clinical application of neurodynamics, which, thanks to new concepts such as structural differentiation or neurodynamic sequencing, helps physiotherapists treat musculoskeletal problems with a neural component.
This course simplifies neurodynamics and neural mobilisation, while also examining the interconnectedness of the musculoskeletal and neural systems. By relating the physiological and mechanical concepts of nerve structure with the musculoskeletal system, Michael Shacklock’s Clinical Neurodynamics provides an innovative means of treating neuromusculoskeletal disorders.
Objectives
- To acquire the skills and abilities necessary to palpate the main neural structures and perform neurodynamic tests on both the upper and lower quarters.
- To identify potential contraindications to neurodynamic testing or its application as a treatment technique.
- To interpret the findings of such tests and make a neurodynamic diagnosis.
- To properly select and perform specific treatment techniques for each neurodynamic diagnosis on both the upper and lower quarters.
- To understand the causes and clinical patterns of upper quarter neurodynamic problems, such as cervical radiculopathy, thoracic outlet syndrome and carpal tunnel syndrome.
- To understand the causes and clinical patterns of lower quarter neurodynamic problems, such as pyramidalis muscle syndrome, hamstring strain and tarsal tunnel syndrome.
Directed by
Xavier Oliver Casanova
Coordinated by
Dr. Pere Rodríguez Rubio
This on-site course will consist of 40 hours of class, 20 of which will focus on the upper quarter, and 20 on the lower quarter.
Upper quarter content
- Palpation: introduction to the technique and palpation of the hand (median, ulnar and sensitive branch of the radial nerve)
- Palpation: ulnar, median and radial nerve at elbow
- Palpation: brachial plexus in shoulder and neck
- Experience neurodynamics (median and radial palpation on inner arm through neurodynamic testing)
- Theory behind neurodynamic testing
- Median neurodynamic test 1
- Ulnar neurodynamic test
- Radial and median neurodynamic test 2
- Diagnosis in neurodynamics
- Classification of neurodynamic responses
- Planning assessment and treatment with neurodynamics
- Diagnostic categories
- Treatment method
Cervical radiculopathy
- Treatment interface: static and dynamic openers
- Treatment interface: dynamic closer
- Treatment of neural tension dysfunction: progression (theory and practice)
- Neural treatment: level 3 techniques (3a, 3b and 3c)
Lateral elbow pain
- Treatment interface: static and dynamic opener and manual release of supinator. Contract/relax technique
- Neural treatment: proximal sliding, proximal and distal sliding and tensioning movements. Level 3C technique
Carpel tunnel syndrome
- Treatment interface: static and dynamic openers and dynamic closer
- Neural treatment: sliding on one limb, sliding on both limbs, tensioning movements + interface component
Lower quarter content
- Palpation of sciatic nerve at pelvis and thigh, palpation of tibial and peroneal nerves on leg, palpation of nerves on feet (superficial and deep peroneal, sural and tibial nerves)
- Theory behind neurodynamic testing.
- Neurodynamic testing with straight leg raised; peroneal, tibial and sural neurodynamic tests; neurodynamic slump test and prone knee bend
- Diagnosis in neurodynamics
- Classification of neurodynamic responses
- Planning assessment and treatment with neurodynamics
- Diagnostic categories and treatment method
Lumbar radiculopathy
- Treatment interface: static and dynamic openers
- Treatment interface: dynamic closer
- Treatment of neural tension dysfunction: progression (theory and practice)
- Neural treatment: level 3 techniques (3a, 3b and 3c)
- CAUDAD SLIDING DYSFUNCTION
Pyramidalis muscle syndrome
- Treatment interface: static and dynamic openers and special techniques
- Neural treatment: progression of neural techniques
- Special level 3 techniques: Pyramidal slump
Hamstring strain
- Neural treatment: proximal sliding, proximal and distal sliding and tensioning movements
- Interface treatment: manual therapies on nerve
Tarsal Tunnel Syndrome
- Treatment interface: static and dynamic openers and dynamic closer
- Neural treatment: sliding on one limb, sliding on both limbs, tensioning movements + interface component
