presented by Guido Van Ryssegem
In this course, Guido Van Ryssegem will provide the clinician with knowledge and skills in neurodynamic techniques. Clinicians will understand the science and concepts, principles of examination, evaluation and intervention related to injuries or symptoms related to neurodynamics. Clinicians will be able to perform neurodynamic assessment and manual therapy techniques. Clinicians will learn to make appropriate decisions for the implementation of the proposed manual therapy techniques. Clinicians will appreciate the need for re-evaluation in order to monitor progress and make appropriate treatment adjustments when implementing the proposed manual therapies. Case presentations and demonstrations will be used to further allow the clinician to successfully apply this material into their daily practice.
Guido Van Ryssegem has been in clinical practice for 29 years and has been working in the strength and conditioning arena for 34 years. He is co-owner and co-founder of Safe Recovery, LLC. Guido is a practitioner and faculty at Oregon State University, and has published in the Asian Journal of Martial Arts. Guido is also invited faculty for the University of Oregon, Western University, Willamette University, local Community Colleges, and private schools. He has practiced for the Kansas City Royals, Texas Rangers and the Baltimore Orioles. His expertise extends to his own Kinetic Integrations Exercise Specialist Certification. He is a board certified Athletic Trainer (ATC), Registered Nurse (RN) and Strength and Conditioning Coach (CSCS) while also certified by the National Board of Fitness Examiners (NBFE). Guido serves as Northwest regional coordinator of the NSCA and is an NATA COR and Occupational Task Force Member. He is on the AQX Sports Incorporated and the Elevation Fitness advisory board. Additionally, he is an Athletes Performance Institute mentorship program presenter. Guido developed the Kinetic Integrations Exercise certification program that includes a corrective exercise approach to resolve movement dysfunctions after injury, a sedentary lifestyle, repetitive movements and incorrect movement. He presents nationally and internationally on this methodology. Guido has also published in the International Journal Of Sports Rehabilitation.
In this chapter, gain a basic understanding of the different terminologies used in literature when describing symptoms related to neurodynamic techniques(NDT). Explain what neural tension feels like, and recognize that symptoms related to common orthopedic injuries can be related to adverse neural tension (ANT). From there, discuss how ANT symptoms can occur beyond the chronic pain populations, and how athletic performance limitations can be related to ANT.
In this second chapter, discuss how Maitland, Elvey and Butler identified and described NDT in the literature, while also gaining an understanding of the theory of neurodynamics. Explain the goal of the neurodynamic assessment techniques. Also, explain that nerves that are not brought under tension are crimped and should be able to move. This chapter provides a discussion on how athletes are specifically at risk to develop ANT symptoms, and how populations that engage in work related repetitive movements are as well.
In this chapter, discuss how nerves adapt to mechanical loads through elongation, sliding, cross-sectional changes, angulation and compression. Also, further discuss how the failure of nerves to adapt to mechanical loads will most likely develop edema, ischemia, fibrosis and hypoxia. In addition, learn to identify the different stresses neural tissues can be exposed to, including immobilization, lengthening, compression, and repetitive low level stresses.Lastly, explain the concept “tension points” and "double crush syndrome" and their relationship to ANT symptoms.
In Testing, discuss what happens during neurodynamic or also called neural tension tests (NTT). Identify what the purpose is behind neural mobilization techniques, and explain the hypothesis and rational underlying these techniques. Gain an understanding of the clinical presentation and the author’s personal findings and observations of patients with ANT.
In this chapter, discuss the relationship between throwers medial elbow pain and ANT. Gain an understanding of the dynamics of the ulnar nerve at the elbow, its risk for ANT and throwing mechanics. Identify the relationship between chronic medial elbow pain, the surrounding tissues, pathologic, compressive and anatomical factors and forces upon the tissues. Also, identify the relationship between the selections of surgical techniques and ANT when the ulnar collateral ligament is repaired in baseball players. Finally, discuss the clinical presentation related to medial elbow pain and ANT in the throwing athlete.
Perform and discuss the upper extremity NTT techniques, upper extremity neural tension manual therapy techniques, and upper extremity neural tension self-treatment/home exercises. Perform and discuss the lower extremity, sciatic and femoral nerve NTT techniques, the lower extremity, sciatic and femoral nerve neural tension manual therapy techniques, and the teaching techniques for the lower extremity, sciatic and femoral nerve neural tension self-treatment/home exercises.
In this final chapter, discuss how sedentary lifestyles can contribute to ANT of the median, ulnar or radial nerves, how weightlifters are prone to radial nerve symptoms at the elbow, and how compression type of injuries through trauma can contribute to ANT symptoms. Identify how a patient with a high level sensitivity of ANT can find relief of their symptoms by treating their opposite extremity first.