1. Neuro Anatomy and Neurodynamics Cervical Spine

2. Neuro Anatomy Important for neurological assessment Helps with tension testing and neurodynamic treatments Knowing anatomy will help identify potential courses of radicular pain or radiculopathy E.G paraesthesia in the hand- is this in a dermatome pattern or a peripheral nerve pattern

3. Spinal Nerves

5. Cervical Nerve Roots

6. Brachial Plexus

8. Axillary Nerve

9. Musculocutaneous Nerve

10. Ulnar Nerve

11. Radial Nerve

12. Median Nerve

13. Dermatomes and Myotomes Vs Peripheral Nerve Remember the cutaneous and motor distribution of a peripheral nerve IS NOT the same as dermatome and myotome patterns Nerve roots will progress into multiple peripheral nerves E.g C8 nerve root is present in ulnar, median and radial peripheral nerves

14. Neurodynamics Cervical Spine

15. The Neurodynamic System Interaction of 3 components – Mechanical Interface – Neural Structures – Innervated Tissues

16. Abnormal Neurodynamic System Can be the result of one or a combination of: – Dysfunctional Tension – Dysfunctional Sliding – Dysfunctional Compression

17. Tension

18. Sliding

19. Compression

20. Movement of the Neural System The nervous system will generally slide towards the moving joint distally and proximally to increase the available slack

21. Median Nerve Testing

22. Ulnar Nerve Testing

23. Radial Nerve Testing

24. Look for….. Pain ROM Paraesthesia or Numbness

25. Structural Differentiation Perform the test Make a change 2 joints away from the symptoms Does it increase or decrease symptoms? Does it make no change?

26. Dermatomes

29. Myotomes C1/2C3

30. Myotomes C4C5

31. Myotomes C6

32. Myotomes C7

33. Myotomes C8T1

34. Management Soft tissue release Joint mobilisations – Sliders and Tensioners

35. Sliders

36. Tensioners

37. Home Exercise Programme Median/Ulnar Slider

39. Home Exercise Programme Median/Ulnar Tensioner

42. Home Exercise Programme Radial Slider

43. Home Exercise Programme Radial Tensioner