Chapter 8: Method of Treatment: Systematic Progression

This is a Chapter 8 summary of “Clinical Neurodynamics” by Michael Shacklock.

Let’s Treat the Interfaces

The two main ways to treat interfaces involve opening and closing techniques. These treatments involve either sustained or dynamic components. We will discuss which techniques work best in terms of dysfunction classification.

– Reduced Closing Dysfunction – Given static openers early in this progression, continuing to increase frequency and duration. Eventually you move to more aggressive opening techniques, while finishing with closing maneuvers.

– Reduced Opening Dysfunction – Start with gentle opening techniques working to further increasing the range.

– Excessive Closing and Opening Dysfunctions – Work on improving motor control and stability.

How About Neural Dysfunctions

The main treatments are sliders and tensioners; each can be performed as one or two-ended. Sliders ought to be applied when pain is the key symptom. Sliding may milk the nerves of inflammation and increase blood flow. These techniques could also be used to treat a specific sliding dysfunction.

Sliders can be performed for 5 to 30 reps with 10 seconds to several minute breaks between sets. Increased symptoms such as heaviness, stretching, and tightness is okay, but pain should not occur afterwards. Typically sliders are performed in early stages, and in acute situations should occur away from the offending site.

Tensioners are reserved for higher level tension dysfunctions. The goal is to improve nerve viscoelasticity. Some symptoms are likely to be evoked, but this occurrence is okay as long as symptoms do not last.  Tensioners are used in later-stage dysfunction.