IPHREHAB: APPROACH FOR NEUROGENIC DISORDER TREATMENT

IPHREHAB

APPROACH FOR NEUROGENIC DISORDER TREATMENT

Approach for neurogenic disorder treatment 

With the above in mind, I felt the need to produce an approach that is in some ways uniquely useful to the clinician. 

The approach is therefore characterized by the following:

1. links between mechanics and physiology of the nervous system

2. integration of neurodynamics with musculoskeletal functions

3. a new movement diagram that enables the clinician integrate musculoskeletal and neural mechanisms

4. a new system for determining the kind and extensiveness of examination and treatment based on

neurodynamics and neuropathodynamics

5. the concept of neurodynamic sequencing and various options in assessment and treatment

6. new diagnostic categories of specific dysfunctions based on neuropathodynamics

7. treatment progressions derived from the above.

Nevertheless, it is common for therapists to diagnose more frequently the problems they have recently learned about, which raises the possibility of false diagnosis due to raw enthusiasm. At all times, the reader will realize that clinical neurodynamics is only one aspect of management of the person in pain and all other relevant information should be included in clinical decision making. For instance, the existence of a neural problem does not necessarily mean that a treatment with a neurodynamic technique is warranted. This could be because other treatments may attack the causative mechanisms more effectively or neurodynamic application may be contraindicated. Clearly, the biopsychosocial approach to neural problems will place this

book in its rightful place as just a modality of treatment that will be effective in some patients and not in

others.

Clinical neurodynamics is for clinicians dealingwith musculoskeletal disorders with peripheral neurogenic pain mechanisms, including those of the nerve root and peripheral nerve. There is no assumption that all problems are as such, or that the treatments presented in this book act only on peripheral mechanisms. The clinician will naturally and responsibly establish that it is appropriate to treat patients with clinical neurodynamics before doing so.