General neurodynamics

Shacklock, Michael

doi:10.1016/b978-0-7506-5456-2.50006-8

Cited by 56 publications

(65 citation statements)

References 80 publications

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“…Subsequently, the temporal mean cumulative strain (MCS) (Eq [4]) and the standard deviation of the cumulative strain (SDCS) (Eq [5]) of the spatially averaged cumulative strains within the entire cycle were also computed as follows: …”

Section: Discussionmentioning

confidence: 99%

“…However, there are cases of subclinical CTS or early stage CTS in which electrodiagnostic testing cannot reveal median nerve dysfunction (6). Mechanical effects, including tension, sliding, elongation, and pressure alterations, have been documented to affect neural tissues (4). The mechanism of the nerve kinematics during limb motion is thus a key to understanding entrapment neuropathy.…”

Section: Implication For Patient Carementioning

confidence: 98%

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Carpal Tunnel Syndrome: US Strain Imaging for Diagnosis

Liao¹,

Lee²,

Lee

et al. 2015

Radiology

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Section: Discussionmentioning

confidence: 99%

Section: Implication For Patient Carementioning

confidence: 98%

Carpal Tunnel Syndrome: US Strain Imaging for Diagnosis

Liao¹,

Lee²,

Lee

et al. 2015

Radiology

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“…Mechanosensitivity is the chief mechanism by which the nervous system becomes a source of pain with movements and postures. According to shacklok, Damaged or inflamed nerves leads to increase in mechanosensitivity which is a direct response to mechanical loading of the neural structures [11]. Our hypothesis is supported by the studies done by Roberto Mendez-Sanchez et al in 2010 ,in which they have attributed improved lower quadrant mobility post neurodynamic intervention to the decrease in neural mechano-sensitivity, and states that the subgroup of patients with hamstring strain that have neural tissue involvement , benefit from adding neural mobilization techniques to their rehabilitation and/ or prevention program [21].…”

Section: Results and Tablesmentioning

confidence: 99%

“…The physiological functions are intra neural blood flow, impulse conduction, axonal transport and mechano-sensitivity. Extraneural and intraneural fibrosis due to abnormal neurodynamics can limits the nervous system's ability to move within its nerve bed which may ultimately lead to the onset of pain and adaptive shortening of the nervous system [11,12,13 ]. Measurement of Knee Flexion Angle: It was determined by measuring the angle between the intersecting lines of the thigh( tape marks 5 cm distal to greater trochanter and 5 cm proximal to the lateral femoral epicondyle)and leg (tape marks 5 cm proximal to fibular head and 5 cm proximal to the inferior to the lateral malleolus).…”

mentioning

confidence: 99%

Comparison of Immediate Effect on Hamstring Flexibility Using Non Ballistic Active Knee Extension in Neural Slump Position and Static Stretch Technique

Pratiksha¹,

Bharati²

2017

IJPR

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Background: Amongst all of the biarticular muscles of the human body hamstring have a greater tendency to shorten. Increased tension in the neural structures has also been shown to be one of the most important causative factor for the hamstring tightness for which mobilisation of the nervous system has emerged as a significant adjunct apart from routine stretching techniques. There are lots of studies available which has proven the effect of stretching on the hamstring flexibility, but only after giving the multiple sessions. Thus the aim of this study was to determine whether a single session of hamstring stretching by neural slump and static stretch technique improves hamstring flexibility or not.Materials and Methods: 60 healthy individuals between the age groups of 18-30 as per the inclusion and exclusion criterion were enrolled for the study. Hamstring tightness was measured using knee flexion angle. Subjects were asked to actively extend their knee from 90-90 hip knee flexion in supine position, individuals having knee flexion angle more than 15 degrees were assumed to have hamstring tightness and were randomly allocated and divided into 2 groups, group A was given static stretch in modified Hurdler's position and group B was given neural slump stretch, having 30 subjects in each group.Result: Data was collected and statistically analyzed using the appropriate statistical tests. Results showed significant reduction in hamstring tightness in both the groups and on comparison, group B (Neural slump stretch) was found to be more effective than group A (Static stretch).Conclusion: Neural slump stretch was found to be more effective in immediately improving the hamstring flexibility as compared to static stretch.

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“…In our study, the examination techniques of concern were based on provocation and alleviation techniques 28 , sacroiliac joint provocation [29][30][31][32] , and neurodynamic tests 33,34 .…”

Section: Clinical Assessment Findingmentioning

confidence: 99%

Inter-tester Reliability in Classifying Acute and Subacute Low Back Pain Patients into Clinical Subgroups: A Comparison of Specialists and Non-Specialists. A Pilot Study

Paatelma¹,

Karvqnen²,

Heinqnen³

2009

Journal of Manual & Manipulative Therapy

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Many systems have been suggested for classifying low back pain (LBP); the most commonly used among physiotherapists involves a pathoanatomical/pathophysiological tissue classification system. Few studies have examined whether this form of classification of LBP disorders can be performed in a reliable manner between specialists with advanced training, or between specialists with advanced training and non-specialists who lack advanced training. The purpose of this paper was to examine the inter-tester reliability of two specialists, and the ability of a specialist and non-specialist to independently classify patients with LBP, utilizing clinical tests and history-based classification methods after a short educational course on the classification system. Subjects were acute or sub-acute patients with LBP who visited their occupational healthcare or municipal healthcare center. Inter-tester reliability between the specialist and non-specialists was at almost the same level: overall Kappa 0.60 (95%CI; 0.40 to 0.85), overall agreement 70%, as between the two specialists: overall Kappa 0.65 (95%CI; 0.33-0.86), overall agreement 77%. The findings suggest that a short educational course can provide rather reliable examination tools to allow non-specialized physiotherapists to classify patients according to tissue origination.

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General neurodynamics

Cited by 56 publications

References 80 publications

Carpal Tunnel Syndrome: US Strain Imaging for Diagnosis

Carpal Tunnel Syndrome: US Strain Imaging for Diagnosis

Comparison of Immediate Effect on Hamstring Flexibility Using Non Ballistic Active Knee Extension in Neural Slump Position and Static Stretch Technique

Inter-tester Reliability in Classifying Acute and Subacute Low Back Pain Patients into Clinical Subgroups: A Comparison of Specialists and Non-Specialists. A Pilot Study

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