悟理治療部落

  Neurodynamics之技術主要就是normalize 不正常的neural tension (adverse neural tension)

以降低其neural tissue之mechanosensitivity為主（即降低疼痛增加functional ROM）

一般分為兩種手法: 一種為Tensioner,一種為Slider

Tensioner: 利用解剖位置將神經之張力繃緊之手法，主要產生intraneural changes,增加intraneural circulation

Sciatic Neural Tension Technique: hip flexion+knee extension

Tibial Nerve Tension Technique: SLR+ankle dorsiflexion+eversion (此手法對Lumbosacral plexus之Ｌ４５S12有較大之tension) 

Common Peroneal Nerve Tension Technique: SLR+ankle plantaflexion+inversion

Femoral Nerve Tension Technique: Knee flexion+ hip extension+SI anterior rotation(此手法為lumbar plexus，Ｌ２３４５之最佳處理與診斷手法) 

Median Nerve Tension Technique: Shoulder depression & abduction & external rotation+ elbow extnsion + forearm supination+ wrsit extension & ulnar deviation+ finger extension (此為上肢之SLR)

Radial Nerve Tension Technique: Shoulder depression & abduction & internal rotation+ elbow extension+ forearm pronation+ wrist flexion & ulnar deviation+ finger flexion (此為上肢最強手法）

另一個手法是Slider以產生Extraneural excursion為主, 適用於acute之患者。如下列手法就是將sciatic nerve在post thigh產生nerve sliding.