Introduction to Nerve Mobilization
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In a similar vein, deompressing interfaces that compress nerves as well as gliding the sheat of the nerve relative to an interface can give the clinical experience of increased length and elasticity during neural tension testing.
massageceu 3 years ago
Actually nerves DO have elasticity. Rabbit tibial nerves have been found to have an strain of 38 - 55% (depending on the rate of elongation). They have the characteristic stress strain pattern seen in all connective tissues.
"Nerve stiffness is greater in long sections and in nerve sections with numerous branches. Severing nerve branches or vessels but leaving the nerve in situ results in increased compliance and decreased stiffness." Topp & Boyd: Physical Therapy 2006;86(1):92-108.
massageceu 3 years ago
I grant that a single nerve has very limited elasticity. However, the clinical experience of performing a neural tension test gives rise to a kinesthetic perception of neural "shortness" which is likely a result of interfaces that are compressing the nerve and/or nerve sheath adhesions to interfaces. A nerve that is intraneurally scarred will also test short.
It is useful to treat relevant interfaces and get a "longer" and less irritatble result when retesting with neural tension testing.
massageceu 3 years ago
Hi Dragonballjules:
Thanks for your feedback. In Ontario, Massage Therapists are required to identify the pattern of impairments that seem to be adding up to a client's difficulties. It is not a medical diagnosis that we offer. But we are trained to assess the nervous system and identify when myofascial and other tissues seem to be mechanically affecting its function.
This may be a larger role than massage therapy may play in other jurisdictions.
massageceu 3 years ago
Nerves do not have elasticity. They do have mobility by sliding through their "canals" and can be " compressed in many areas of the body through various mechanisms. sure.
Neurodynamics, instead of neural elasticity or mobility, is, last I heard, NOT a muscle, ligament or tendon, and so, as a PT, I am wondering why massage therapists are venturing into this these types of conditions differential diagnosis is not an RMT'role.
Ienjoyed most 'your vids so far but overstepping bounderies here.
dragonballjules 3 years ago