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TPhaseNeuromechanics[1]

TPhaseNeuromechanics[1]

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Published by: Nate Barnes on Apr 10, 2011
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Z‐Health
 Neuromechanics



Why
Do
Nerve
Glides?

         

Facilitate
Mechanoreceptive
Activity
 Increase
Injury
Resistance
 Decrease
or
Prevent
Muscular
Atrophy
 Positively
Alter
Persistent
Pain
Maps
 “True”
Neural
Warm‐Up
   Pre‐Mobility
   Pre‐Strength
   Pre‐Stretch
   Pre‐Sport

Copyright
©
2008
Z‐Health
Performance
Solutions,
LLC


Z‐Health
 Neuromechanics

Standard
Nerve
Glides

1.  2.  3.  4.  5.  6.  7.  8.  9.  10.  11.  12.  13.  14.  15.  16. 

Cervical
Lateral
Flexion
Away
 Scapular
Depression
 Humeral
Internal
Rotation
 Elbow
Flexion
(Light)
 Cervical
Rotation
Away


Median
 Ulnar
 Radial
 Musculocutaneous
 Axillary
 Suprascapular
 Peroneal
 Tibial
 Sural
 Saphenous
 Femoral
 Obturator
 Lateral
Femoral
Cutaneous
 Trigeminal
 Facial
 Accessory


  Most
Used

  Median
   Ulnar
   Radial
   Tibial


  Least
Used

  Everything
Else


Copyright
©
2008
Z‐Health
Performance
Solutions,
LLC


Z‐Health
 Neuromechanics
 Nerve
Glide
Performance
Basics
             Perform
Actively
–
Not
Passively!
 Perform
Sequentially
&
Incrementally
 Pre/Post‐Test
Muscle
Testing
(T‐Phase)
 Vary
Glide
Sequencing
Based
On
Testing
Of

Your
Choice
 Perform
Using
4
Different
Speeds
 Perform
Bilaterally
 Copyright
©
2008
Z‐Health
Performance
Solutions.
LLC
 .

Median
Nerve
 Tensioning
Sequence
 1.  Finger
Flexors
 Wrist
Flexors
 Opponens
Pollicis
 Pronator
Teres
 Copyright
©
2008
Z‐Health
Performance
Solutions.  2.  7.  5.  4.  2.  3.  4.
LLC
 .  6.  Wrist
&
Finger
Extension
 Wrist
Supination
 Elbow
Extension
 Humeral
External
Rotation
 Scapular
Depression
 Shoulder
Abduction
 Cervical
Lateral
Flexion
Away
 Cervical
Rotation
Toward
 Typical
Muscle
Weakness
 1.  3.  8.

  2.  5.  7.  3.  3.  4.Ulnar
Nerve
 Tensioning
Sequence
 1.  Finger
Flexors
 Wrist
Flexors
 Opponens
Digiti
Minimi
 Copyright
©
2008
Z‐Health
Performance
Solutions.  2.  Wrist
&
Finger
Extension
 Wrist
Pronation
 Humeral
External
Rotation
 Elbow
Flexion
 Scapular
Depression
 Shoulder
Horizontal
Abduction
 Cervical
Lateral
Flexion
Away
 Typical
Muscle
Weakness
 1.
LLC
 .  6.

  2.  4.  6.  Wrist
&
Thumb
Flexion
 Wrist
Pronation
 Elbow
Extension
 Humeral
Internal
Rotation
 Scapular
Depression
 Shoulder
Abduction
 Cervical
Lateral
Flexion
Away
 Typical
Muscle
Weakness
 1.  2.
LLC
 .  5.  3.  Triceps
 Brachioradialis
 Wrist
Extensors
 Supinator
 Copyright
©
2008
Z‐Health
Performance
Solutions.  3.  4.  7.Radial
Nerve
 Tensioning
Sequence
 1.

Musculocutaneous
 Nerve
 Tensioning
Sequence
 1.
LLC
 .  2.  5.  3.  4.  6.  Coracobrachialis
 Biceps
 Copyright
©
2008
Z‐Health
Performance
Solutions.  7.  Thumb
Flexion
 Wrist
Ulnar
Deviation
 Elbow
Extension
 Shoulder
Extension
 Scapular
Depression
 Either
Int
or
Ext
Humeral
Rotation
 Cervical
Lateral
Flexion
Away
 Typical
Muscle
Weakness
 1.  2.

  4.  5.
LLC
 .  2.Axillary
Nerve
 Tensioning
Sequence
 1.  Cervical
Lateral
Flexion
Away
 Scapular
Depression
 Humeral
Internal
Rotation
 Elbow
Flexion
(Light)
 Cervical
Rotation
Away
 Typical
Muscle
Weakness
 1.  3.  Deltoid
 Teres
Minor
 Copyright
©
2008
Z‐Health
Performance
Solutions.  2.

  6.  4.  Cervical
Lateral
Flexion
Away
 Scapular
Depression
 Scapular
Retraction
 Humeral
Internal
Rotation
 Shoulder
Flexion
 Shoulder
Adduction
 Elbow
Flexion
 Typical
Muscle
Weakness
 1.  3.  Supraspinatus
 Infraspinatus
 Copyright
©
2008
Z‐Health
Performance
Solutions.  2.
LLC
 .  2.  5.  7.Suprascapular
 Nerve
 Tensioning
Sequence
 1.


LLC
 .  Spinal
“Slump”
 Hip
Flexion
 Hip
Adduction
 Hip
Internal
Rotation
 Knee
Extension
 Ankle
Plantar
Flexion
 Ankle
Inversion
 Toe
Flexion
 Typical
Muscle
Weakness
 1.  4.  3.  3.  8.  6.  2.  4.  7.Common
Peroneal
 Nerve
 Tensioning
Sequence
 1.  5.  2.  Peroneus
Longus
 Peroneus
Brevis
 Tibialis
Anterior
 Toe
Extensor
 Copyright
©
2008
Z‐Health
Performance
Solutions.

  3.  4.  Tibialis
Posterior
 Popliteus
 Toe
Flexors
 Gastrocnemius
 Copyright
©
2008
Z‐Health
Performance
Solutions.
LLC
 .  Spinal
“Slump”
 Hip
Flexion
 Hip
Adduction
 Hip
Internal
Rotation
 Knee
Extension
 Ankle
Dorsiflexion
 Ankle
Eversion
 Toe
Extension
 Typical
Muscle
Weakness
 1.  3.  7.  6.Tibial
Nerve
 Tensioning
Sequence
 1.  2.  8.  2.  5.  4.


LLC
 .  3.Sural
Nerve
 Tensioning
Sequence
 1.  4.  Spinal
“Slump”
 Hip
Flexion
 Hip
Adduction
 Hip
Internal
Rotation
 Knee
Extension
 Ankle
Dorsiflexion
 Ankle
Inversion
 Typical
Signs
 Loss
or
Altered
Sensation
On
 the
Postero‐Lateral
Foot
 Copyright
©
2008
Z‐Health
Performance
Solutions.  7.  5.  2.  6.

  Psoas
 Sartorius
 Quadriceps
 Rectus
Femoris
 Copyright
©
2008
Z‐Health
Performance
Solutions.
LLC
 .  2.  2.  3.Femoral
Nerve
 Tensioning
Sequence
 1.  4.  4.  3.  Side
Lying
 Spinal
“Slump”
 Hip
Extension
 Knee
Flexion
 Typical
Muscle
Weakness
 1.

  3.  Side
Lying
 Spinal
“Slump”
 Knee
Flexion
 Hip
Extension
 Hip
Abduction
 Typical
Muscle
Weakness
 1.  2.  Adductors
 Gracilis
 Copyright
©
2008
Z‐Health
Performance
Solutions.  5.  2.Obturator
Nerve
 Tensioning
Sequence
 1.
LLC
 .  4.

Lateral
Femoral
 Cutaneous
Nerve
 Tensioning
Sequence
 1.  2.  5.  3.  Side
Lying
 Spinal
“Slump”
 Knee
Flexion
 Hip
Extension
 Hip
Adduction
 Typical
Signs
 Loss
or
Altered
Sensation
On
 Lateral
Thigh
from
Greater
 Trochanter
to
Knee
 Copyright
©
2008
Z‐Health
Performance
Solutions.  4.
LLC
 .

  6.  3.  Hip
Extension
 Hip
Abduction
 Knee
Extension
 Hip
External
Rotation
 Ankle
Dorsiflexion
 Ankle
Inversion
 Typical
Signs
 Medial
Knee
Pain
 Loss
or
Altered
Sensation
On
 Medial
Side
of
Lower
Leg
and
 Foot
 Copyright
©
2008
Z‐Health
Performance
Solutions.
LLC
 .Saphenous
 Nerve
 Tensioning
Sequence
 1.  2.  5.  4.

  Upper
Cervical
Flexion
 Upper
Cervical
Lateral
 Flexion
 Full
Cervical
Flexion
 TMJ
Lateral
Glide
Opposite
 Typical
Muscle
Weakness
 1.  3.  2.Trigeminal
 Nerve
 Tensioning
Sequence
 1.  Masseter
 Temporalis
 Palpate
bilaterally
during
teeth
 clenching
to
identify
weakness/ atrophy
 Copyright
©
2008
Z‐Health
Performance
Solutions.  4.  2.
LLC
 .


LLC
 .  Upper
Cervical
Flexion
 Upper
Cervical
Lateral
 Flexion
 Full
Cervical
Flexion
 TMJ
Lateral
Glide
Opposite
 Typical
Muscle
Weakness
 1.Facial
Nerve
 Tensioning
Sequence
 1.  2.  Smiling
 Frowning
 Tight
Closing
of
the
Eyes
 Compare
bilateral
symmetry

 during
each
expression
to
 identify
weakness/atrophy
 Copyright
©
2008
Z‐Health
Performance
Solutions.  3.  4.  2.  3.

Accessory
 Nerve
 Tensioning
Sequence
 1.
LLC
 .  Upper
Cervical
Lateral
Flex
Away
 Cervical
Anterior
Glide
 Scapular
Retraction
 Full
Cervical
Flexion
 Typical
Muscle
Weakness
 1.  3.  4.  2.  2.  Upper
Trapezius
 Sternocleidomastoid
 Copyright
©
2008
Z‐Health
Performance
Solutions.

g.
LLC
 .Z‐Health
 Neuromechanics
 Make
a
Good
Thing
Even
Better!
   Nerve
Glide
Enhancements
   Toe
Position
   Finger
Position
(e.
Single
Finger)
   Eye
Position
(PREP)
   PNRT
Position
 Copyright
©
2008
Z‐Health
Performance
Solutions.


W.
LLC
 .
TH.Z‐Health

 Neuromechanics
 Don’t
Forget
To
Glide!
   Insert
Daily
Nerve
Glides
Into
Your
Training
   Upper/Lower
Body
Split
 ▪  Upper
Body
–
M.
S
 Copyright
©
2008
Z‐Health
Performance
Solutions.
F
 ▪  Lower
Body
–
T.



 
Please
do
not
distribute
this
guide
as
the
“definitive”
Z‐Health
approach
 to
 this
 subject.

 
Understand
that
neuromechanical
drills
number
in
the
thousands
and
the
 pictures
in
this
handout
are
simple
representations
of
POSSIBLE
drills.
 As
 you
 review
 your
 T‐Phase
 manual.
However.
 pay
 particular
 attention
to
the
many
different
R
and
I‐Phase
template
combinations
that
 function
as
excellent
active
neural
mobilization
drills.
with
 the
 increasing
 popularity
 of
 nerve
 work
 around
 the
 world.
LLC
 .
 Copyright
©
2008
Z‐Health
Performance
Solutions.
 the
 inevitable
 trademark
disputes
are
now
arising.Z‐Health

 Neuromechanics
 Neuromechanics
Legalities
 
Nerve
mobilizations
have
always
been
a
part
of
Z‐Health.

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