This course is intended to assist the therapist in musculoskeletal tissue differential diagnosis as it relates to nerve pathology. We will utilize the standard procedural flow with emphasis on concordant signs specific to nerve tissue pathology. We will discuss the biomechanics of normal nerve function followed by the pathophysiology and pathomechanics of nerve dysfunction. We will cover diagnostic and medical considerations as well as precautions and contraindications during evaluation and treatment. The therapist will be able to understand and differentiate between peripheral and central sensitization. Spinal, upper extremity, and lower extremity entrapment sites will be discussed as it relates to clinical pathology. Case studies will be discussed to help the therapist differentially diagnose and initiate treatment on these spinal and extremity pathologies. He/she will also be able to educate the patient and develop a home treatment protocol. Significant lab time will be devoted to special testing of nerves, neurologic differentiation of nerve dysfunction, and palpation.
Course Objectives
The therapist with demonstrate understanding of basic normal and abnormal pathphysiology of nerves.
The therapist will demonstrate understanding the basic normal and abnormal pathomechanics of nerves.
The therapist will be able to evaluate at least 4 differences between nerve compression and irritation.
The therapist will be able to perform a functional special test on each nerve covered from the cervical and lumbar plexus into the periphery.
The therapist will be able to evaluate degrees of impairment in the nerves of the upper and lower extremity.
The therapist will be able to evaluate at least 5 functional movement impairments of the nerves of the brachial and lumbar plexus.
The therapist will be able to develop and perform at least 4 treatment plans for cervical, lumbar, upper extremity, and lower extremity dysfunctions.
General Schedule
Day 1
8-8:15 Introduction and contents
8:15-9:15
Diagnostic/Medical Considerations
Precautions/Contraindications
Definitions
Mechanical Interface
Neural Structure
Innervated Tissue
Normal Physiology
9:15-10
Pathophysiology: Dysfunctions
Mechanical Interface
Neural
Innervated
Stages of nerve sensitivity
Peripheral sensitization
Central sensitization
Nerve damage and Recovery
10-10:15 Break
10:15- 12
Lab: Differential Dx: UQ/LQ Entrapments Sites
Palpation
Lunch 12-1
1-2:15
Lab: Functional motion testing of the Lumbar spine and lower quarter
2:15-3:00
Lab: Special tests of the cervical spine and upper quarter
3-3:15 Break
3:15-5:30
Lab: Special tests of the lumbar spine and lower quarter
Day 2
8-9:45
Summary of Findings
Case Study 1: Cervical
Interventions
Therapist
Patient treatment
Home programs
9:45-10 Break
10-12
Case Study 2: Upper Quarter
Interventions
Therapist
Patient treatment
Home programs
Lunch 12-1
1-3
Case Study 3: Lumbar
Interventions
Therapist
Patient treatment
Home programs
3-3:15 Break
3:15-5:30
Case Study 4: Lower Quarter
Interventions
Therapist
Patient treatment
Home programs
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Available Courses
Currently, there are no NDET: Neurodynamics Examination and Treatment courses available. Please contact us for more information or to request a course.