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this situation. Altered neurodynamics may also be involved in situations such as where there is an ankle sprain etc with no lumbar spine involvement.Some of our clinicians argued that they were taught to always carry out a neurological examination prior to neurodynamic Nike Sportswear Jogger Pants Pink testing to ensure the integrity of the nervous system. However, i would argue that where this is not necessarily indicated, that the nervous system is being put under more stress through a full range of active lumbar flexion than we would be putting it under by testing for example an SLR or slump. I would also argue that our neurological examination is quite gross, and that a nerve may exhibit mechanosensitivity and changes in it's chemical environment, but on testing may still produce normal neurological findings. I feel it is important to establish what the baseline is first to avoid a situation of potentially flaring something up and not knowing whether you caused a deficit or whether it was already there. It is also important to know how compromised the neurological system is prior to stressing it further Nike Sweater No Hood

´╗┐Should neurological examination be performed prior to neurodynamic testing

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it wrong with the latent type nerve pains that can be difficult to clearly establish irritability. I agree with Mark that Michael Shacklock's work is excellent on this topic, the suggested article is good and also his book Clinical Neurodynamics (2005) Elsevier Butterworth Heinemann, Edinburgh. I aim to categorize the objective assessment into Must, Should, Could type factors to be assessed to help me priortise within the limited time I have available for first assessments. I would then include it subsequently if indicated/ not progressing. This is my approach v. interested to hear others views. I suggest you look at Shacklock M Manual Therapy 2005, 10:3:75 179, this article gives good reasoning for neurological testing prior to neurodynamic testing and I have yet to see a counter argument published. Since working in an A and E department, where it is a requirement of practice to perform sensory testing and pulse palpation for all patients who present with MSK injuries/problems, I have carried this over to patients I see in the physio department. It is interesting to see some of the subtle nerve injuries which occur with soft tissue injuries like ankle sprains. I would try to get hold of the Shacklock article it provides some food for thought and may change your mind/practice!

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Should neurological examination be performed prior to neurodynamic testing?I read this on iCSP which I found quite interesting, I do always do a standard Neuro Ax before neurodynamics for any gross neuro pathology.We were having a discussion in our department the other day regarding this. For example if a patient has low back and buttock pain with no referred symptoms into the leg and no neurological signs or symptoms that there may be a degree of neurodynamic involvement which would mean that you may want to look at an SLR or slump test but that we would not necessarily carry out a full neurological examination as standard in Nike Sleeveless Training Hoodie

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with neurodynamic testing to avoid the possibility of a "double crush" or as I prefer to think of it a "double irritation" situation. I have found that this approach really helps to avoid getting Nike Leggings For Boys

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