Neurodynamics. Dan Foster , PhD, ATC Sports Medicine Conference August 7, 2008. Peripheral Neuropathic Pain. Positive sx Abnormal excitability (pain, paresthesia , dysesthesia , and spasm) Negative sx Reduced impulse production (hypoesthesia or anesthesia and weakness).
Dan Foster, PhD, ATC
Sports Medicine Conference
August 7, 2008
Harden 2005; Woolf 2004; Baron 2000; Hall & Elvey 1999
Burning, tingling, electric, searing, drawing, crawling, shooting
Not produced by A-δ or C fiber stimulus
Harden 2005 - Hyperexcitable nervous system with increased afferent discharge AIGS
AIGS – adverse impulse generating site
Science of the relationships between mechanics and physiology of the nervous system
1 lost time injury following surgery
Muscle activity occurs at the onset of danger, normally it occurs at some level of pain tolerance
Hall & Elvey, 2005
Devor & Seltzer. Textbook of Pain. 1999 – after peripheral nerve injury, many primary afferent neurons start to generate ongoing discharges of ectopic origin
Michaels et al. J Neurscience. 2000 – muscle afferent discharges in DRG
Butler 2000; Hall & Elvy 1999
Coppieters, Butler. Manual Therapy. 2008; 13;213-221
Continuous strain recordings in the median nerve related to angles at the elbow and wrist for two consecutive recordings for each movement technique.
Comparison between embalmed and unembalmed human peripheral nerves (tensile force data)
Kleinrensink et al. Clin Biomech. 1995; 10:235-239.