More on NDT's

My blog compadre Juan Luis Tagle (www.backtofunction.blogspot.com) is a big fan of neurodynamic, aka "nerve flossing" techniques. The evidence is building to back him up.

"A Randomized Sham Controlled Trial of a Neurodynamic Technique in the Treatment of Carpal Tunnel Syndrome", Bialosky et al JOSPT 20-09.

NDT reduced temporal summation in this population. I believe these techniques have a place in the recovery/restoration phase of conditioning. It should be noted that the sham NDT also provided a therapeutic effect. This drives the point home that as A.T.'s we shouldn't be afraid to use our hands. Have the technique manual nearby so the athlete understands what you're doing.

I've used NDT in American football brachial plexus (aka "stinger") injuries, hamstring strains, shoulder dislocations, and other injuries that create neural stretching. Any comments Juan?

New Blog

You will enjoy Will Stewart's soft tissue twist on function. Great functional anatomy tutorials-
www.3doptimalperformance.blogspot.com

CRB's, left scapula

Clarification

Ron expressed concerns about A.T.'s reducing shoulders. It all depends on your school M.D.'s standing treatment orders & your state's A.T. practice act & the need to weigh long term damage (axonotmesis etc) caused by delay in treatment. I'm not instructing here, just giving some advice based on my experience (as in all of my posts). I've heard the screams of athletes needlessly suffering from a practitioner trying to reduce a shoulder with levering/traction/thrust techniques on the field, and in the E.R. The Milch technique is the safest, gentleist of all shoulder reduction techniques. No external force by the practitioner is required. If anyone else out there is familiar with it, your comments please.

football glenohumeral anterior dislocation tips

1. NEVER attempt to reduce the shoulder on the field.

2. NEVER attempt to reduce the shoulder with shoulder pads on.

3. A hospital gurney or other mushy surface makes reduction more difficult. A typical A.T. table is perfect.

4. Avoid reducing the shoulder in the seated position, fainting is possible & would complicate the matter.

5. Use the Mich technique. It is gentle, painless & effective. No thrusting or torquing is involved.

Plinth? We don't need no stinking plinth!

Back in the early 80's there was a song by George Thorogood called, 1 bourbon, 1 scotch, 1 beer. I'm not really a drinker so my woos version is 1 squat, 1 step up, 1 lunge.

This athlete is day 3 of a grade 2+ left knee MCL tear. Walking non-weight bearing with crutches, yet full weight bearing in rehab with proper use of chain reaction biomechanics. I am convinced if you want range of motion back/edema reduction as quickly/safely as possible, this is the way to go.

Give me a triple shot of that juice.

Where/how does the exercise fit?

Good to have JH back into the discussion. Asked in what context the core exercise I described was being used.
It is part of the rehab circuit for an athlete with a complete ACL tear. In this athlete's sport the ground is a dangerous place to be and needs to get up and back onto his feet quickly after a fall.