Clinical neurodynamics and Physiotherapy in peripheral neuropathies

Neurodynamics is a discipline that studies the peripheral nervous system from different perspectives. It analyses the mechanics and physiology of the nervous system, the interaction between the two and their integration with the rest of the musculoskeletal structures to understand the mechanisms underlying peripheral neuropathies and propose more effective treatments. 

The research line in neurodynamics focuses on the biomechanical study of the peripheral nervous system, on the diagnostic improvement of patients with peripheral neuropathies, such as carpal tunnel syndrome or lumbar radiculopathies (sciatica), among others, and on the therapeutic effect of neural mobilization techniques in these patients, considered effective, specific and well-tolerated techniques by patients for the relief of symptoms and improvement of neuro-musculoskeletal function. 

The research line in clinical neurodynamics develops its research in three fundamental aspects:

Study of the biomechanics of the peripheral nervous system: analysis of the biomechanical properties of the peripheral nerve at different levels (cadaveric specimens, healthy subjects and patients with peripheral neuropathies).

Validation of neurodynamic tests in the diagnosis of peripheral neuropathies.

Analysis of the therapeutic effect of neural mobilization techniques in patients with peripheral neuropathies.

Ultrasound as a guide to assessment and treatment of the neuromusculoskeletal system.

The use of ultrasound as a diagnostic and treatment tool in the neuromusculoskeletal system (NMSS) field has experienced exponential growth in recent years. This non-invasive technology offers a wide range of applications for assessing and treating various conditions affecting muscles, tendons, ligaments, joints and nerves.

Publications in neurodynamics

Bueno-Gracia E, Malo-Urriés M, Borrella-Andrés S, Montaner-Cuello A, Estébanez-de-Miguel E, Fanlo-Mazas P, López-de-Celis C. Neurodynamic test of the peroneal nerve: Study of the normal response in asymptomatic subjects. Musculoskelet Sci Pract. 2019 Oct;43:117-121.

Bueno-Gracia E, Pérez-Bellmunt A, Estébanez-de-Miguel E, López-de-Celis C, Shacklock M, Caudevilla-Polo S, González-Rueda V. Differential movement of the sciatic nerve and hamstrings during the straight leg raise with ankle dorsiflexion: Implications for diagnosis of neural aspect to hamstring disorders. Musculoskelet Sci Pract. 2019 Oct;43:91-95. 

Bueno-Gracia E, Estébanez-de-Miguel E, López-de-Celis C, Shacklock M, Caudevilla-Polo S, González-Rueda V, Pérez-Bellmunt A. Effect of ankle dorsiflexion on displacement and strain in the tibial nerve and biceps femoris muscle at the posterior knee during the straight leg raise: Investigation of specificity of nerve movement. Clin Biomech (Bristol, Avon). 2020 May;75:105003.

Bueno-Gracia E, Pérez-Bellmunt A, Estébanez-de-Miguel E, López-de-Celis C, Caudevilla-Polo S, Shacklock M, González-Rueda V. Effect of cervical contralateral lateral flexion on displacement and strain in the median nerve and flexor digitorum superficialis at the wrist during the ULNT1 – Cadaveric study. Musculoskelet Sci Pract. 2020 Dec;50:102244.

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