Absolutely brilliant video thanks. Could you please explain why Cx side flexion indicates whether there is a Cx component or not? My rationale is that if a band (metaphorical for the nerve) is alright tensed, regardless of the part of the band you stretch, it is going to become even more tensed (ie symptomatic)?
Hey Peter! Thank you for your kind words! I totally appreciate your question... My answer would be: If the band is already tensed, regardless of Cx position, it implicates the arm. So for example, if increased tension with elbow extension, bring the neck back to midline and then see how arm reacts. If you wanted you could then keep head back in midline, and then stretch arm further to see if that increases tension again. If it does, more likely arm. If not, more likely neck. ...... Overall, its always difficult. Like you said, one could argue that whatever position the arm is in, CXSF will increase tension..... you could also say that whatever position the neck is in, changing arm position will increase tension..... Therefore key is, does this reproduce the *patient's symptoms*, and don't be afraid to play around with "a little bit more neck, or a little bit more arm" to help you decide... Long answer but hope that makes sense!+
@Clinical Physio Yes, that makes a lot of sense to me and I am very thankful for the long answer! Would be great if you could answer this too - patients I have seen with distal paresthesia that's +ve with the ULTTs sometimes report the neural tension felt at forearm or even shoulder and not necessarily the comparable symptoms, from your experience is it more about playing around the sequence of movement of the tests to try to trigger the comparable symptoms or would mobilising the same nerve following the dermatomic pattern would be sufficient? E.g. patient with classic thumb & index tips numbness = likely radial nerve neurally tensed = mobilise that nerve even though tension only reproduced in the forearm & shoulder
Thank you so much Maddy! Honestly I would do both anyway… common practice is to perform all of them if you suspect neural tension… You could argue that different joints get biased more quickly/slowly with 1 and 2a with different step-by-step process to sensitise median nerve 😊
Playlists finally 😍.... You made my day..... Otherwise my plan for d day was first to reorganize the videos and then watch it 😅.Thanks.🇮🇳
😁😁😁
I loved that too !!!!
Brilliant video!! Thank you for explaining it so clearly and thoroughly, it really helped.
You are very welcome!
well done! I got clarity first time with your video.
🙏🏼🙏🏼🙏🏼
Indian physio fraternity really loves ur video❤️❤️
Thank you so much!
Can you please make a video on PNF techniques. 😊
Yes yes pnf please παρακαλώ parakalo
Absolutely brilliant video thanks.
Could you please explain why Cx side flexion indicates whether there is a Cx component or not? My rationale is that if a band (metaphorical for the nerve) is alright tensed, regardless of the part of the band you stretch, it is going to become even more tensed (ie symptomatic)?
Hey Peter! Thank you for your kind words! I totally appreciate your question... My answer would be: If the band is already tensed, regardless of Cx position, it implicates the arm. So for example, if increased tension with elbow extension, bring the neck back to midline and then see how arm reacts. If you wanted you could then keep head back in midline, and then stretch arm further to see if that increases tension again. If it does, more likely arm. If not, more likely neck. ...... Overall, its always difficult. Like you said, one could argue that whatever position the arm is in, CXSF will increase tension..... you could also say that whatever position the neck is in, changing arm position will increase tension..... Therefore key is, does this reproduce the *patient's symptoms*, and don't be afraid to play around with "a little bit more neck, or a little bit more arm" to help you decide... Long answer but hope that makes sense!+
@Clinical Physio Yes, that makes a lot of sense to me and I am very thankful for the long answer! Would be great if you could answer this too - patients I have seen with distal paresthesia that's +ve with the ULTTs sometimes report the neural tension felt at forearm or even shoulder and not necessarily the comparable symptoms, from your experience is it more about playing around the sequence of movement of the tests to try to trigger the comparable symptoms or would mobilising the same nerve following the dermatomic pattern would be sufficient? E.g. patient with classic thumb & index tips numbness = likely radial nerve neurally tensed = mobilise that nerve even though tension only reproduced in the forearm & shoulder
Amazing video, so clearly explained! Just wondering, what is the clinical reasoning behind choosing 1 and 2a?
Thank you so much Maddy! Honestly I would do both anyway… common practice is to perform all of them if you suspect neural tension… You could argue that different joints get biased more quickly/slowly with 1 and 2a with different step-by-step process to sensitise median nerve 😊
Great great super good
Efschiaristo!
Median is 110 deg abd?
exellent
I am confused, why ULNT3 is for ulnar nerve? Should it be radial nerve instead? Thanks
Hi Sarah! No this is definitely for Ulnar Nerve - 2b is Radial Nerve 😊
@@ClinicalPhysio Thanks for your swift reply. May I ask what is your reference? We are using Magee.
@@sarahligaya9446 No problem! We would also use Magee. If you wish, come find us on Instagram (@clinicalphysio) if you wanted to chat further
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Thank you so much!