Neural Mobilization: The Impossible. Richard F! Di al and David Butler, MAppSc, PT in this issue of the Journal provides the readers with a fasci- nating look at. Mark W Butler, PT, DPT, OCS, Cert. MDT. Objectives Quantify restricted neural mobility. ▫ Understand How Effective is Neural Mobilization?. Interestingly, neural mobilisation as a treatment doesn’t actually on the research by physiotherapists, Michael Shacklock and David Butler.

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Physical Therapist,

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Wednesday, October 16, These two factors constitute normal function of nervous system. Over all function of nervous system is to provide communication while adapting to movements. Collectively butlsr components of communication are referred to as the Physiology or Function of Nervous system.


Common form of communication moiblisation Nervous system is by Action potential. Second component of communication is identified as a chemical process which involves axoplasmic transport. There are two main Biomechanical concepts related to the nervous system.

The Mechanical interface may be defined as the tissues or material adjacent to the nervous system that can move independently to the system. Supinator muscle for Radial nerve. Carpal tunnel syndrome for Median nerve. Interfacing tissues may be regarded as extradural or extra neural. During nueral the length of spinal cord increased 5—9 cm larger than the normal.

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During this the neuraxias and meninges elongate and more anteriorly in the spinal cord. During extension they more posteriorly allow relaxation of the neuraxis and create transverse folds in the duramater and tip of theca moves caudally.

With lateral flexion movements the nervous system mobilisztion the convex side elongates whereas concave side shortens. In rotation nerve root gets stretched on the same side.

Tension points are those where no movement of nervous system takes place in relation to the interface. Anterior aspect of Elbow. Anatomy of Tension points: Nervous jeural depends on adequate blood supply. In general extra neural vessels enter the nervous system in areas of little movement in relation to interface.

NOI | Neuro Orthopaedic Institute

These areas are tension points. The normal function of the nervous system can be defined as Neurodynamics. Pathomechanics identifies as an abnormal component of physiology pathophysiology or an abnormal component of mechanics pathomechanics or combination Two. Explained in the figure 1. Evaluation of the musculoskeletal system includes an appreciation of the interconnection between the physiology and mechanics of the neural elements.


Physiology of nerves are find bytler by conduction system of nerves. Neruodynamics testing also addresses the physical capabilities of the nervous system through manual positioning and loading.

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This type of examination identifies the load characteristic of the neural elements. There are multiple techniques that use positioning and movement to focus tensile load through the neural elements or unload the neural structures.

The nerve bed can increase in length from 12—20 percent during limb.

The neurla system has the ability to move, and this capacity to move has been described in tension tests.

There are many test used to find out nervous system mechanics. These tests are designed to Bias the neural elements to a greater degree than the surrounding interface.

These tests attempt to load specific nerve roots, nerve trunks, and localized regions of the central canal or even component of sympathetic nervous system. Posted by Arun Balasubramaniyam at 7: