Off-Weight NeuroDynamics

[emad]

Hi all ;

I do NOt know from where i can begin to explain my idea ,but it is good the idea of this thread has come to my thinking during my practice with neurodynamics ,i have not read it within in txets of neural mobilisations , may be it is there but i do not know .
I noticed in neural mobilization the factor of the Weight of the limb both upper and lower and whole body could be a more tension /load/stress factor add to the already excited tension ,of course i am speaking of sensitive case ,Why NOt i modify the wight and gravity factor to avoid over-stress ,yes, i do neural glide in manner to release stress over the nerve ,but the manner of application considering weight factor could help me more .

Weight is an important mechanical factor can Not be skiped over ,reasoned by in pain cases espicially around shoulder when i ask my patient to avoid lying over the affected side ,this really affect the whole outcome ,at least making the neural blood supply easy not hindered .

Performing the nerual dynamic movement in an off-weight manner /procedure could help much in very sensitive cases ,just an idea in my mind ,no evidence of course !

Cory ,please i will take some of your pictures as examples they are the only free available :

I choose something designed to be a glider /slider to support my view would be attached below Ulnar glider ,when we look at it we find it performed from standing on-weight upper limb ,for me this position could be a load over the whole nervous system in sensitive patients ,better to perform it from supine with the limb supported above a pillow ,then performing the glider .But in case of sciatica Cory performed it from sidelying ,it is good off-weight .

Cheers
Emad

[nari]

I know exactly what you are saying, emad.
It makes sense; and I often begin in supine with acute sensitivity. However! Sometimes lying supine will increase sensitivity for reasons I have not worked out yet; so it depends on your patient.
There are some patients who would not be at all concerned about the standing or sitting position.

If you ask them what the least uncomfortable position is (if there is one) then start with that one. For instance, if the (L) arm is painful and the (R) sidelying position is chosen, remember that the drag on the brachial plexus of the (L) arm is considerable, so keep the shoulder slightly elevated if you can and avoid moving the (L) arm across the body.

Being aware of gravity and lengthening of the plexus is a good start.

Nari

[emad]

Correct nari;

Seems extremely complex ,needs highly imagination from ourside as therapists ,concerning what release tension/sensitivitiy and what puts load /stress .I think my practical handling has improved significantly after considering Nervous System dynamics with all patients type from orethopedic to neurology .

yes, there are some of them express no postion is good at all ,those who are really sensitive and has severe pain .

Cheers
Emad