Dural&Mobility&Assessment&
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1 Dural&Mobility&Assessment& Laurie&EdgeAHughes& BScPT,&MAnimSt,&CAFCI,&CCRT& Neural'conduc,on'and'mobility' Segmental&facilitaMon&leads&to&hypertonicity& (inimally)&and&reduced&motor&funcmon&which&causes& atrophy&(secondarily).& Hyperaesthesia&can&be&one&of&the&first&signs&of&a& neurological&interference&and&tend&to&occur&long& before&sensamon&becomes&reduced.& Copyright&2011& &Laurie&EdgeAHughes& 1&
2 Dural%Tension%Tes0ng%of%the%Radial%Nerve,% Median%Nerve,%&%Ulnar%Nerve& Human&techniques&to&detect&neural&mobility& restricmons&or&inflammamon& The&connecMve&Mssue&aTachment&and&conMnuity&of& the&neural&structures,&as&well&as&the&inherent&resmng& tension&means&that&movement&of&one&body&part&will& have&an&effect&on&the&nervous&system&elsewhere&in& the&body&and&can&also&restrict&movement&when&too& Mght.&& Dural%Tension%Tes0ng%of%the%Radial%Nerve,% Median%Nerve,%&%Ulnar%Nerve% PotenMal&IndicaMons&of&Dural&Tension& LMNL&subacute&or&chronic& Chronic&musculoskeletal&injuries&near&or&involving&nerves& in&the&nonaacute&stages& Compulsive&licking&of&chewing&of&an&extremity& Nerve&root&compression&/&signs&/&inflammaMon& Loss&of&Range&of&MoMon&along&the&line&of&a&nerve& Recurrent&spinal&joint&dysfuncMons&&at&dural&tension& points&(c6,&t6&&&l4&in&humans)& Copyright&2011& &Laurie&EdgeAHughes& 2&
3 Dural%tension%tes0ng:&Radial&nerve,&Median& nerve,&ulnar&nerve& NOTE:&&& For&these&test,&we&are&unable&to&ask&when,&if&or&where& they&may&experience&a&deep&stretch&sensamon,&mngling,& or&pain&along&the&line&of&the&nerve.&&& Instead&we&must&watch&for&a&reacMon&of&discomfort& from&the&dog&and&also&pay&close&atenmon&to&the& amount&of&movement&and&end&feel&present&in&the&end& ranges&of&each&movement&in&order&to&determine&if& adverse&neural&tension&is&present&or&to&determine&the& end&range&for&your&mobilizamon&of&the&dura.& Radial%Nerve%Dural%Tension%Test& Depress&/&Retract&the&scapula& Straighten&the&elbow& Flex&the&shoulder& Abduct&the&shoulder& Internally&rotate&the&shoulder& Flex&the&carpus& Copyright&2011& &Laurie&EdgeAHughes& 3&
4 Median%Nerve%Dural%Tension%Test& Depress&/&Retract&the&scapula& Straighten&the&elbow& Flex&the&shoulder& Abduct&the&shoulder& Externally&rotate&the&shoulder& Extend&the&carpus& Ulnar%Nerve%Dural%Tension%Test& Abduct&the&shoulder& Flex&the&elbow& Extend&the&carpus& (i.e.&put&the&paw& behind&the&head)& Copyright&2011& &Laurie&EdgeAHughes& 4&
5 Remember'(from'the'T/S'sec,on)' Neural'conduc,on'and'mobility' Segmental&facilitaMon&leads&to&hypertonicity& (inimally)&and&reduced&motor&funcmon&which&causes& atrophy&(secondarily).& Hyperaesthesia&can&be&one&of&the&first&signs&of&a& neurological&interference&and&tend&to&occur&long& before&sensamon&becomes&reduced.& Dural%slump%test,%Straight%leg%raise,%&%Prone% knee%bend:& Human&techniques&to&detect&neural&mobility& restricmons&or&inflammamon& The&connecMve&Mssue&aTachment&and&conMnuity&of& the&neural&structures,&as&well&as&the&inherent&resmng& tension&means&that&movement&of&one&body&part&will& have&an&effect&on&the&nervous&system&elsewhere&in& the&body&and&can&also&restrict&movement&when&too& Mght.&& Copyright&2011& &Laurie&EdgeAHughes& 5&
6 Dural%Tension%Tes0ng% PotenMal&IndicaMons&of&Dural&Tension& LMNL&subacute&or&chronic& Chronic&musculoskeletal&injuries&near&or&involving&nerves& in&the&nonaacute&stages& Compulsive&licking&of&chewing&of&an&extremity& Nerve&root&compression&/&signs&/&inflammaMon& Loss&of&Range&of&MoMon&along&the&line&of&a&nerve& Recurrent&spinal&joint&dysfuncMons&&at&dural&tension& points&(c6,&t6&&&l4&in&humans)& Dural%slump%test,%Straight%leg%raise,%&%Prone% knee%bend:& NOTE:&&& For&these&test,&we&are&unable&to&ask&when,&if&or&where& they&may&experience&a&deep&stretch&sensamon,&mngling,& or&pain&along&the&line&of&the&nerve.&&& Instead&we&must&watch&for&a&reacMon&of&discomfort& from&the&dog&and&also&pay&close&atenmon&to&the& amount&of&movement&and&end&feel&present&in&the&end& ranges&of&each&movement&in&order&to&determine&if& adverse&neural&tension&is&present&or&to&determine&the& end&range&for&your&mobilizamon&of&the&dura.& Copyright&2011& &Laurie&EdgeAHughes& 6&
7 Dural%slump%test% SciaMc&Nerve& stretch %& In sitting, round the spine, straighten the stifle, and flex from the hip as far as tolerated. Movements to incorporate with this test include: Hock flexion + inversion will stress the sciatic nerve, tibial nerve and sural nerve Hock extension + inversion stresses the sciatic nerve and common peroneal nerve Hip Adduction stresses the lumbosacral plexus Medial rotation of the hip stresses the sacral plexus and common peroneal nerve Cervical flexion may increase the symptoms and extension may decrease the symptoms Straight%leg%raise% SciaMc&Nerve& stretch & Lateral recumbency, round the spine, straighten the stifle, and flex from the hip as far as tolerated. Movements to incorporate with this test include: Hock flexion + inversion will stress the sciatic nerve, tibial nerve and sural nerve Hock extension + inversion stresses the sciatic nerve and common peroneal nerve Hip Adduction stresses the lumbosacral plexus Medial rotation of the hip stresses the sacral plexus and common peroneal nerve Cervical flexion may increase the symptoms and extension may decrease the symptoms Copyright&2011& &Laurie&EdgeAHughes& 7&
8 Prone%Knee%Bend% Femoral&Nerve& stretch & In Lateral Recumbency: Straighten or Round the spine (try one and if you don t get the tension you expect, then try the other) and First bend the stifle holding this position, then extend the hip (keeping a bent knee). Adding cervical flexion or extension may increase the symptoms (tension) Copyright&2011& &Laurie&EdgeAHughes& 8&
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