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Neurodynamic Exam, Eval, and Int
Neurodynamic Exam, Eval, and Int
48
Medical
Graduate
11/14/2015

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Term
Purpose of neurodynamic mobility testing
Definition
examine the neurological structures for adpative shortening and inflammation fo the neural structures
Term
MOI for neural tension (4)
Definition
adverse posture
direct trauma
extremes of motoins
compression/ischemia
Term
what is a double crush injury
Definition
if axoplasmic flow is partially reduced at a proximal site of injury, further reduction can occur at a distal compression site
distal site may become hypersenstiive with increased predisposition to injury
Term
(+) symptoms for the presence of neuropathic dysfunction include what
Definition
pain, paresthesia, spasm
Term
SLR test places a tensile stress on which nerve
Definition
sciatic nerve
Term
SLR test: exerts a caudal traction on the lumbosacral nerve roots from where to where
Definition
L4 to S2
Term
SLR test: other structures involved after 70 degrees
Definition
hamstrings
gluteus maximus
hip, lumbar, sacroiliac jts
Term
SLR test: sensitizers
Definition
cervical flexion, internal rotaiton/adduction of the hip
Term
SLR test: how to bias teh sural nerve
Definition
dorsiflexion with inversion
Term
SLR test: saphenous nerve
Definition
dorsiflexion with eversion
Term
SLR test: how to bias peroneal nerve
Definition
plantarflexion with inversion
Term
SLR test: how to bias tibial nerve
Definition
dorsiflexion
Term
Crossed Straight Leg Sign: what are the 3 types
Definition
SLR that produces pain in the contralateral leg but not when the contralateral leg is raised
SLR that produces pain in both legs
SLR of either leg that produces pain in the contralateral limb
Term
Crossed Straight Leg Sign: is thought to be mroe significant than the SLR test in terms of its diagnostic powers to indicate the presence of what
Definition
large disc protrusion
Term
Bilateral straight leg raise and incorporating both neck flexion and dorsiflexion what may be detected
Definition
central protrusion
Term
Bowstrings do no impart a sufficient stretch of the dura to detect what
Definition
chronic adhesions
Term
bowstring tests can be used to make a prognosis about what acute injury
Definition
disc herniations
Term
a positive bow string test is a strong indicator for what
Definition
surgery
Term
a bow string test need only be performed if what
Definition
straight leg raise is positive with the addition of dorsiflexion
Term
slump test enables the tester to detect adverse nerve root tension caused by what (5)
Definition
spinal stenosis
extraforaminal lateral disc herniatoin
disc sequestration
nerve root adhesions
vertebral impingement
Term
what nerve does the prone knee bend test stretch
Definition
femoral nerve
Term
how does the prone knee bend test stretch the femoral nerve
Definition
using hip extension and knee flexin to stretch the nerve termination in teh quadriceps mm
Term
what is the prone knee bend test used to indciate
Definition
presence of an upper lumbar disc herniation, particularly when hip extension is added
Term
how can you differentiate the prone knee bending test from a quad stretch
Definition
add cervical flexion in sidelying to add neural tension
Term
Elvey's test application
Definition
shoulder depression
shoulder abduction to 110
shoulder ER with elbow flexed to 90
Forearm supination
Elbow extension
Wrist extension
Finger extension with thumb
Cervical ipsi/contralateral flexion
Term
(+) elvey's test
Definition
antecubital fossa, thumb, first 2 fingers
Term
ULTT 1 Median nerve test componetns
Definition
shoulder girdle depression
forearm supination
elbow wrist and finger extension
humeral abduction
Term
ULTT 2 Radial nerve test componetns
Definition
shoulder girdle depression
forearm pronation
elbow extension
wrist and finger/thumb flexion
humeral abduction
Term
ultt 2 radial nerve test will have symptoms where
Definition
dorsum of forearm, dorsum of hand
Term
ultt 3 ulnar nerve test components
Definition
shoulder girdle depressoin
forearm pronation ( or supination)
elbow flexion
wrist extension
humeral abduction
Term
symptoms for ultt 3 ulnar nerve test
Definition
4th and 5th digits
Term
ANT tx effects (3)
Definition
vascularization of nervous system and surrounding structures
improvement of axoplasmic flow
improvement of mechanical properites of nervous system
Term
Documentation criteria for ULTT: P1
Definition
when symptoms start
Term
Documentation criteria for ULTT: P2
Definition
when symptoms occur at limit of range
Term
Documentation criteria for ULTT: R1
Definition
when resistance is first encountered
Term
Documentation criteria for ULTT: R2
Definition
when resistance stops further movement
Term
where should oscillation or techniques short of end range be used
Definition
R1
Term
when should oscillation or techniques short of end range be used
Definition
irritable disorder
Term
when should a grade III or IV be used for neural tension
Definition
less irritable disorder
Term
Neural Tension Testing Indications/Precautions (4)
Definition
pt's with symptoms in arm, back, head, lumbar, thoracic
whiplash, colle's fracture, Carpal Tunnel Syndrome, TOS
Post surgical
Careful with irritable disorders or unstable pathology
Term
neural tension testing contraindicaiton
Definition
spinal cord involvement
Term
ANR vs Disc pathology: standing and supine flexion peripheralizaiotn and worse
Definition
disc
Term
ANR vs Disc pathology: standing pereipheralizaiton no worse, supine no effect
Definition
ANR
Term
ANR vs Disc pathology: comparison of resposne to repeated retraction extension with arma t side vs with invovled arm supported and shoulder shrugged: retraction extension both positiosn peripheralize and wrose
Definition
disc
Term
ANR vs Disc pathology: comparison of resposne to repeated retraction extension with arma t side vs with invovled arm supported and shoulder shrugged: retraction extension peripheralize no worse arm at side and no effect with arm supproted
Definition
ANR
Term
if the pt is in consnt pain would it indicate an disc or ANR
Definition
disc before ANR
Term
ANR vs Disc: flexion in lying with no sypmtoms
Definition
ANR
Term
ANR vs Disc: flexion in lying with symptoms
Definition
disc
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