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					                                                        Ria Sandenbergh Physiotherapists    Neural



                                     Ria Sandenbergh
                                      MPhysT (UP) Sport Medicine
                                  Registered Physiotherapist
                                    SASMA Accredited Sport Therapist
                                       Practice number: 0143235

                                www.physio-care.biz


                               Neural Mobility Exercises

Neural tissue is the collective term used for the nerves and the meninges (connective tissue
around the brain and spinal cord) as well as the connective tissue around the nerves in the limbs.
When the neural tissue becomes shortened, pain during movement, limits the range of motion.

The neural tissue is fixed at 5 points in the body: the head, the finger tips and tips of the toes. The
rest of the system is mobile and “give” to allow movement. When there is a problem e.g. muscle
spasm, joint swelling or disc protrusions the ”give” is influenced and a limitation in movement
results.

Muscle stretches is commonly done incorrectly, in a way that it involves a neural stretch. This may
cause an irritation of the nerve, which, instead of minimizing pain, aggravates the problem. These
exercises are designed to improve mobility and nutrition of the nervous system, relieving pain and
improving range of motion.

The exercises must not be painful at all and must not be done continuously, limit it to 10 repetitions
twice a day. It may cause latent pain (pain that only starts after the exercise has stopped), so do
not overdo it. Do not start of by doing all the exercises. Start with one or two (one for the arms and
one with the legs) and increase the exercises over a few weeks.

The exercise is described in steps; none of the steps must be painful. Leave a step out if it causes
pain. Always try and do the “big, happy movement” as the repeating one – swing your legs, but
don’t pull up your toes if it is painful.

The aim of the exercises is to improve circulation within the nerves and not to stretch it. A
continuous hold will irritate the nerve and increase the pain.




_____________________________________________________________________________                        1
Hoërskool Eldoraigne            Postnet Suite 406           74 Van Ryneveld Ave
Christopher Str                 Private Bag x10             Pierre Van Ryneveld
Wierda Park                      Elardus Park, 0047         Centurion, 0157

012 654 1686                          082 821 3646                        012 662 1783
                                                 Ria Sandenbergh Physiotherapists   Neural



   STARTING POSITION                        ACTION                                  REPS
   Sit on a table so that your legs are            1. Place your hands behind your 10x
   hanging free                                       back
                                                   2. Slump in your back
                                                   3. Drop your head
                                                   4. Straighten one leg, pull up your
                                                      toes
                                                   5. Swing legs
   Lie on your back with your knees bent. Flex and point your toe, without any 10x
   Rest one leg on the knee of the other, pain.
   within limits of pain. Lessen the amount
   of knee flexion, until there is no pain.
   Sit on a chair with your feet supported on Rotate your arms inwards towards 10x
   the floor and your back straight. Lift your your body, bending your elbows. Keep
   arms in front of you. Cross your your fingers laced. Unwind your arms.
   forearms, putting your palms together
   and finger laced.
   Sit on a chair with your feet supported on Rotate your arms inward, towards your 10x
   the floor and your back straight. Lift your face, putting the “0” over your eyes
   arms in front of you. Put your thumb and (palms against your skin) – like
   index finger together to form a “0” and glasses and the other fingers over your
   the other 3 fingers standing up.            cheeks (little finger over your ear).
                                               Elbows facing upwards. Rotate back
                                               and repeat. Do not pull up your
                                               shoulders.
   Lie on your side with both your knees Straighten your top leg at the knee and 10x
   bent and resting on top of each other. bend again. Do not go into a painful
   Stabilise yourself with your arm if range.
   necessary.




_____________________________________________________________________________                2
Hoërskool Eldoraigne            Postnet Suite 406           74 Van Ryneveld Ave
Christopher Str                 Private Bag x10             Pierre Van Ryneveld
Wierda Park                      Elardus Park, 0047         Centurion, 0157

012 654 1686                      082 821 3646                     012 662 1783

				
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