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Movilización Neural

conceptos y técnicas neurodinámicas
by

cristian cheuquelaf galaz

on 7 June 2013

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Transcript of Movilización Neural

Movilización Neural Conceptos y Aplicación Clínica Básica Klgo. Cristian Cheuquelaf G Las pruebas neurodinámicas suelen ser (+)
Es necesaria la distinción entre (+) y (-) Técnicas de Evaluación: Tensión Neural N. Isquiático o Ciático N. Sural N. Fibular N. Tibial Automovilizaciones Técnicas de tratamiento: Deslizamiento Consideraciones de Tratamiento Siempre se realiza de una forma rítmica
Si los síntomas lo permiten, siempre comience por distal
Cuando movilice el nervio distalmente, todos los puntos proximales al atrapamiento deben estar relajados
Dosis: cada rep 2 seg, 30-40 reps, hasta 120 reps (2 v/dia)
Deben evitarse movimientos conocidos que contribuyan con la causa del atrapamiento
Movilizar, NO ELONGAR ni TENSIONAR
Sin DOLOR - Shacklock M. 2007. Neurodinámica Clínica. Edit Elsevier
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- Differential Diagnosis and Manual Therapy of the Cervicothoracic Junction & Thoracic Outlet Syndrome. International Academy of Orthopedic Medicine. 2005
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- Valdes K, P LaStayo. 2013. The value of provocative tests for the wrist and elbow: A literature review. Journal of Hand Therapy 26: 32-43. Referencias Dolor Neuropático Periférico Estimulo mecánico repetitivo
-congestión venosa
-altera flujo axoplásmico
Respuesta Inflamatoria de tronco nervioso y raices nerviosas
-sensitización nociceptores tej conectivo
-formación de Sitios de Generación de Impulsos Anormales (AIGS)
Aumenta input nociceptivo en respuesta a estimulos mecánicos y químicos

SENSITIZACIÓN SNC UNAB Concepción 2013 Y en Neurodinámica?

Sensibilidad: 82%
Especificidad: 75% es la probabilidad de que una prueba sea (+) en presencia de enfermedad es la probabilidad de que una prueba sea (-) en ausencia de enfermedad Esquema Diagnóstico Tracción Lumbar Inespecífica Troa Piriforme Manejo Manual Isquiotibiales N. Femoral N. Cutaneo Femoral Lateral N. Obturador N. Safeno Sensibilidad ? Especificidad ?
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