Peripheral Nerve Sliders & Tensioners | Upper Limb Neurodynamics

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The peripheral nerves (median, ulnar, and radial nerve) can easily be visualized using a theratube or similar rubber band. Sliders and tensioners are commonly used in the treatment of nerve related issues after radicular syndrome for example.
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📚 ARTICLES:
- Ellis et al. (2008): pubmed.ncbi.nlm.nih.gov/19119...
- McKeon et al. (2008): pubmed.ncbi.nlm.nih.gov/18708...
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.

Пікірлер: 128

  • @Garahan
    @Garahan3 жыл бұрын

    1:43 median nerve 2:30 ulnar nerve 3:38 radial nerve

  • @slevin39kelevra

    @slevin39kelevra

    11 ай бұрын

    Obrigado amigo, você é um amigo! :)

  • @michaelminugh5357
    @michaelminugh53574 жыл бұрын

    Oh man, I would've loved having this for the exam half a year ago, amazing idea to use the tube to visualize it all.

  • @tonyblom5564
    @tonyblom55642 жыл бұрын

    Great and simply demonstrated to make me see and feel really easy the effect that comes right away. Thank you!

  • @Lv_Av
    @Lv_Av Жыл бұрын

    Thank you so much! My patient needs both of Ulnar and Radian. It was so clear and easy to remember!

  • @satyaekhihai4653
    @satyaekhihai46533 жыл бұрын

    Explained in a very effective way, very easy to understand, thanks a lot.

  • @Jzinho89
    @Jzinho894 жыл бұрын

    Great job guys!! Awesome content, it helps me a lot 🙏

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Thanks Joao 👍🏼

  • @eyal297
    @eyal2976 жыл бұрын

    Great! Thank you!

  • @SOYANAPIEDRAHITA
    @SOYANAPIEDRAHITA25 күн бұрын

    me encanta, me fascina, tanta teoria explicada en menos de 5 min, thanks , Kai. your videos are great guys.

  • @devilshxxter
    @devilshxxter6 жыл бұрын

    Gosh! I'm doing a presentation on this topic. You guys definitely saved my life!

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Good luck with the presentation 👍🏼

  • @highthrivinghealth4158

    @highthrivinghealth4158

    5 жыл бұрын

    Yes it was a fabulous tutorial

  • @okashakhan8433
    @okashakhan84334 жыл бұрын

    Amazing and informative videos! thank you so much sir❤

  • @kristab6862
    @kristab68622 жыл бұрын

    Excellent video! Thank you!

  • @---wb5ql
    @---wb5ql4 жыл бұрын

    Great video!! Thank you! I have scalene tightness and brachial plexus entrapment due to probably the first rib? (Chiropractor first rib adjustment helps a lot). What do you think I should do? I have been suffering for 7 months

  • @johnm8261
    @johnm82615 ай бұрын

    This video is top!! Thank so much for sharing 😊

  • @robertmclean1714
    @robertmclean17145 жыл бұрын

    Thank you for this very nicely demonstrated video.

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Glad you like it 👍🏼

  • @davidsychan
    @davidsychan6 жыл бұрын

    Fantastic! Thank you so much!

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Happy to hear that you like our video David! Thanks for following us!

  • @Esraa-Hossam
    @Esraa-Hossam5 жыл бұрын

    Thank you guys I will never forget this 😊❤️❤️❤️❤️❤️

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    That was our goal. Works wonders if you explain this to patients with a tube!

  • @Esraa-Hossam

    @Esraa-Hossam

    5 жыл бұрын

    @@Physiotutors thanks a lot 😍😍

  • @mjclaudianava5397
    @mjclaudianava53972 жыл бұрын

    Hi thank you for the video. Should we bend the head towards or away from the hand for ulnar nerve when the hand is in extension?

  • @akselkerim5704
    @akselkerim57044 жыл бұрын

    Hi! You made a great job!! I'd like to ask why you haven't performed all the gliding techniques with contralateral neck flexion?

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Because Contrapateral neck flexion is used in tensioners

  • @nurk5230
    @nurk52303 жыл бұрын

    perfect! thank you

  • @nehahardas4837
    @nehahardas48375 жыл бұрын

    Guys u r doing grt work...🙌 thanks a lot physiotutors😘😎

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Thanks neha!

  • @hillsongirl1
    @hillsongirl14 жыл бұрын

    he got a hair cut after the median nerve slider lol

  • @mindigoodman7217
    @mindigoodman72175 жыл бұрын

    you guys are the best! thank you!!

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Appreciate it Mindi, thanks for following!

  • @Fatima-jf8tg
    @Fatima-jf8tg11 ай бұрын

    great!!!! thaaanks

  • @manuelapressenda1017
    @manuelapressenda10176 жыл бұрын

    AMAZING!!!! THANK YOU!!!

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    You're Welcome! 😀

  • @killjoythree-five3916
    @killjoythree-five39162 ай бұрын

    Great video

  • @ginavanulzen6681
    @ginavanulzen66814 жыл бұрын

    I was told one of these tests is a shoulder impingement test and I got a positive sign, im a rock climber so my arms are often overhead in internal rotation which increases the risk for shoulder impingement. I don’t present with any shoulder pain but I have been having occipital headaches and I’ve also had finger injurys on the same side. Should I be doing these glides?

  • @sowrabadhikary8706
    @sowrabadhikary87063 жыл бұрын

    Great video.... Thank you sir❤️

  • @aminajappie3415
    @aminajappie34154 жыл бұрын

    Awesome!! Thanks 👏

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Happy you like it Amina!

  • @highthrivinghealth4158
    @highthrivinghealth41585 жыл бұрын

    Great explanation!

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Happy you like it!

  • @nicklas956
    @nicklas9565 жыл бұрын

    Hi, first I want to say that you are doing a great job. My question is, where can I find the nerve slides in the app?

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Thanks! The app only includes assessment. No interventions, therefore it’s not in the app

  • @michellehamilton4075
    @michellehamilton4075 Жыл бұрын

    This is great information. Where can I get one of those rubber hoses and what are they called? Thank you!

  • @mannrawatofficial6991
    @mannrawatofficial69916 жыл бұрын

    can u suggest me better exercise for weak hip abduction end range knee extension n fr over supination and there is flexion posture of upper body. while walking n standing in stroke case. these are problems i am getting to make the patient walk.

  • @amyreuban
    @amyreuban4 жыл бұрын

    Great video. Hypothetically speaking, for someone in late subacute/ or chronic stage what dosage would you reccomend ( reps sets etc) Im a RMT student from Canada and I have lots of info on assesment ( magee text specifically) im looking for more advanced treatment / technique application resources, as the neuro side of rehab wasn't covered all that much in detail. thanks.

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Hey amy Would not specifically aim for a certain set rep scheme. Rather dose as symptoms allow. They shouldn’t increase symptoms

  • @babymarcus123
    @babymarcus1233 жыл бұрын

    Excellent

  • @ranadiaa6335
    @ranadiaa63355 жыл бұрын

    Thanks I really can understand it clearly now 😍😘

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Glad you do!

  • @azharta3850
    @azharta38504 жыл бұрын

    This one is great!!!

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Thanks a lot 😊 we’ve also made one for the lower extremity

  • @azharta3850

    @azharta3850

    4 жыл бұрын

    Thank you for that too!!

  • @sontakkerohit
    @sontakkerohit3 жыл бұрын

    Do you have any resources that would help with intervention and also for outcome assessment? It would be great if you take a moment to direct me .

  • @user-pn9hv2db3x
    @user-pn9hv2db3x6 жыл бұрын

    Thanks very mutch you are very creative man, iam from syria and we have here war ans a very much patients So we benfiting from the informations

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Haha, the idea comes from David Butler so we were not that creative!;) Glad you like it though!

  • @hassanbeddaa1435
    @hassanbeddaa14355 жыл бұрын

    Hi tutors I have a question please. In the case of CTS, we must began with wrist dorsal flexion first or let it as a final step in treatment?

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Check out this blog post discussing neurodynamics in CTS: www.physiotutors.com/reblog-carpal-tunnel-syndrome/

  • @aryandev6780
    @aryandev67802 жыл бұрын

    Sir can u pls tell me , after doing bicep workout why am feeling pain in my left side of bicep to front shoulder and I feel little numbness in corner of thumb and and tingling when I sit on both the legs it's been a month , I m feeling good after doing ur exercises, pls reply me sir

  • @mohammedalmosawe7672
    @mohammedalmosawe76726 жыл бұрын

    is there any test for traps and rhomboid tear also rotator cuff and shoulder blade position thank u

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Never heard of a trap or rhomboid tear - basically never happens. Use the search function on our channel to learn more about "scapular dyskinesis" and "shoulder impingement"

  • @user-qb5ov5kt8x
    @user-qb5ov5kt8x4 ай бұрын

    Hello Physiotutors. My question, please, is how to choose to use the tensioner or the slider ? Thank you

  • @TheHeartofStillness
    @TheHeartofStillness4 жыл бұрын

    Did body work for years,why was I never tight this? YOU ROCK!

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Gotta eat big to get big 😉

  • @ganirintiniano
    @ganirintiniano3 жыл бұрын

    It feels like when i was trying to lear how to do "popping" in breakdance 💪

  • @devinnazareno7107
    @devinnazareno71073 жыл бұрын

    omg thank youuuuuuuuuuuuu huhuhu

  • @newts-fv8kl
    @newts-fv8kl2 жыл бұрын

    As your one of the few You tubers who replies can you please answer a question for me. I have been told that the tightness in my right shoulder blade is caused by my neck....physio advice is median glide and levator scap strecth, is this correct?

  • @basantsheta8818
    @basantsheta8818 Жыл бұрын

    The best

  • @MrUsername0426
    @MrUsername04264 жыл бұрын

    Hi, could you direct me to the research you were citing at the beginning of the video? Thanks :)

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Check the links in the description

  • @hassanbeddaa1435
    @hassanbeddaa14356 жыл бұрын

    Nice work tutors! Although my English is bad I will try to ask you my question. How to know if our patient has extra neural lesion or intra neural lesion? And if we must juste use sliders in extra neural and tensioners in intra lesion or both

  • @hassanbeddaa1435

    @hassanbeddaa1435

    6 жыл бұрын

    And thank you very much

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Don't think we are able to distinguish that. We first treat the interface (place where a peripheral nerve gets entrapped), then perform sliders (less provocation, should be pain free) and progress to tensioners. This build up has nothing to do with intra- or extraneural lesions, but more with progression.

  • @hassanbeddaa1435

    @hassanbeddaa1435

    6 жыл бұрын

    Thank you Physiotutors. So, there is no assessment able to distinguish between the 2 lesions.

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Not that we know of

  • @sangeetahazarika-ge3if
    @sangeetahazarika-ge3if2 ай бұрын

    How to get the thera tube

  • @altaykosova5910
    @altaykosova59106 жыл бұрын

    theacher s should watch this video great job!

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Feel free to recommend the video to your teachers - maybe they implement it in their teachings?;)

  • @blimplock
    @blimplock6 жыл бұрын

    Thanks for all your tutoring, much appreciated! Any thoughts on number of repetetions, sets, frequence when doing nerveglides?

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    You're welcome! Not sure if there are any studies showing that a certain volume is better than another. We advise our patients do them several times a day and then around 10-20 reps.

  • @blimplock

    @blimplock

    6 жыл бұрын

    Physiotutors Thank you so much. Another question: some therapists claim that tensioning of a nerve (as in home exercise) may cause ischemia and therefore not should be done. Only gliding techniques. Any comments?

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Neural tissue mobilization techniques are passive or active movements that focus on restoring the ability of the nervous system to tolerate the normal compressive, friction, and tensile forces associated with daily and sport activities. It is hypothesized that these therapeutic movements can have a positive impact on symptoms by improving intraneural circulation, axoplasmic flow, neural connective tissue viscoelasticity, and by reducing sensitivity of AIGS (Butler 2000, Shacklock 2005) So you are trying to improve blood circulation through movement. We are usually starting with the interface (is there anything the entraps the nerve?), followed by sliders (less provocative) and progress towards tensioners as you want to increase tissue tolerance to stretch, which does occur in activities of daily living as well! Be careful that your patients don't exercise with too much discomfort and overdo it!

  • @blimplock

    @blimplock

    6 жыл бұрын

    Physiotutors Thank you again; I always work on interfaces if present, and progressing to gliding movements. But have been somewhat unsure and sceptical when it comes to clean stretching of the nerve, because of what i.e Chris Dukarski says. Guess one should try out gentle stretching and see the effect.

  • @mazbrighton8056
    @mazbrighton80565 жыл бұрын

    Great video, thanks. It threw me off that you got a haircut half way haha.

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Haha, had a hair dresser on the set!;p Just kidding, sometimes we have do to retakes a week later or so.

  • @missinesse
    @missinesse6 жыл бұрын

    Hi, I have a question if you dont mind. How can correct a pelvic position for a patient with chronic low back pain ? Sorry I know it has nothing to do with this vidéo

  • @missinesse

    @missinesse

    6 жыл бұрын

    I mean procedure. What exercice can we give to do at home? And which questions should we ask first ?

  • @juliuschowdhury7033
    @juliuschowdhury70336 жыл бұрын

    BROTHER GRT INFO.. I RE ALLY APPRICIATE . BT CN U GUIDE ME ABOUT OSTEOPATH..

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Good to hear, appreciate it Julias! We're physios and doing our masters in manual therapy, so can't tell you anything about osteopathy.

  • @bepe999
    @bepe9993 жыл бұрын

    Does it have the same effect without the Theratube?

  • @Physiotutors

    @Physiotutors

    3 жыл бұрын

    The tube is only for illustration purposes to show what the nerve is doing

  • @pr6613
    @pr66136 жыл бұрын

    Nice work! I would like to ask if shoulder depression is a important component during sliders? Thanks

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    It can be used, but it doesn't matter too much how you build it up plus it's hardly possible for a patient to add shoulder depression themselves. We like to teach sliders and tensioners to our patients as a home exercise.

  • @eyal297

    @eyal297

    6 жыл бұрын

    For those who dont know how to depress the shoulder actively, you may find it helpful to instruct them to do so while the scapula is put against a wall with some weight shift to it while depressing it prior to the exercise. I'd suggest adding that when the patient is advanced in sliders and doesnt get mildly provoked without this depression.

  • @oscargadorjr.4238
    @oscargadorjr.42383 жыл бұрын

    how does ulnar gliding influence pain relief?

  • @Physiotutors

    @Physiotutors

    3 жыл бұрын

    There are a couple of theories such as improved gliding of the nerve within the epineurium, and blood flow/oxygen to the nerve, but to our knowledge noone really knows yet. Pain is complex.

  • @walidmakki
    @walidmakki5 жыл бұрын

    Can you have more than one nerve injury together

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Of course

  • @jessicasmith7666
    @jessicasmith76663 жыл бұрын

    Are these two ended slider exercises?

  • @Physiotutors

    @Physiotutors

    3 жыл бұрын

    A two ended slider is a tensioner

  • @sheryvalsan2405
    @sheryvalsan24056 жыл бұрын

    What is the difference between sliders and tensioners..

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Gliding techniques, or ‘sliders’, are neurodynamic maneuvers that attempt to produce a sliding movement between neural structures and adjacent nonneural tissues, and they are executed in a non-provocative fashion. As the name implies, the purpose of neurodynamic tensile loading techniques is to restore the physical capabilities of neural tissues to tolerate movements that lengthen the corresponding nerve bed. It is important to emphasize that tensile loading techniques are not stretches; these neurodynamic maneuvers are performed in an oscillatory fashion so as to gently engage resistance to movement that is usually associated with protective muscle activity (Butler, 2000; Shacklock, 2005). The vigor of technique may be adjusted to elicit gentle stretching sensations or to evoke mild symptoms in rhythm with each oscillation (Butler, 2000). Tensile loading techniques are more aggressive than neurodynamic ‘sliders’ (Butler, 2000; Shacklock, 2005), and they are not indicated in patients with clinical evidence of impairments in impulse conduction.

  • @alifjamal2221
    @alifjamal22216 жыл бұрын

    can I know the recommended dosages for sliders and tensioners? like how many reps? how long do I hold?

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    There are no recommended dosages to our knowledge. We recommend our patients a couple of repetitions throughout the day, for example 3 times a day and 10 reps. The idea is to start with sliders (less provocative) and progress into tensioners (with slight provocation). There is no end-range holding time or whatsoever

  • @alifjamal2221

    @alifjamal2221

    6 жыл бұрын

    thank you for the reply!

  • @ranjitm07

    @ranjitm07

    6 жыл бұрын

    Neural mobilisations should be medium to large amplitude and u should not hold end range position more than second according to shacklock

  • @mdkooter
    @mdkooter Жыл бұрын

    Thanks, however a little comment : Your instructions are a bit confusing, because visually you indicate the head position opposite in the static examples than in the dynamic movements following. The static examples indicate the head is tilted one way with a certain hand position, while the dynamic examples you show the inverted. I'm sure I'm misunderstanding this, but even after watching it several times I still get confused by it..perhaps in your speech you clarify this but I'm very focused on the visuals and probably don't comprehend it well.

  • @areebasid2259
    @areebasid22596 жыл бұрын

    Thankyou for making this video. It will help us. But please make a vdo on how to assess a patient for back pain

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Ur welcome Areeba! That's too much for one simple video. Our backpain guideline video series can give you ideas what to do!

  • @sagarikasharma4108
    @sagarikasharma41083 жыл бұрын

    Hello sir.. Where can I get this band?

  • @Physiotutors

    @Physiotutors

    3 жыл бұрын

    This one is from physiosupplies

  • @sagarikasharma4108

    @sagarikasharma4108

    3 жыл бұрын

    @@Physiotutors okay thanks

  • @rahimaallauddin954
    @rahimaallauddin9544 жыл бұрын

    Conceptual....

  • @VS-id2yn
    @VS-id2yn4 жыл бұрын

    *me watching this* wow this is so cool I will probably NEVER forget this!! Also me trying to do this with my theraband: That escalated quickly... xD so let`s watch this again ;)

  • @vigneshrider6850
    @vigneshrider68506 жыл бұрын

    Guys r u have any Physiotherapy college

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Haha, no we are still part-time Master students ourselves. Maybe in a couple of years - who knows?;)

  • @vigneshrider6850

    @vigneshrider6850

    6 жыл бұрын

    Physiotutors I'm going to finish my UG how can I join Masters in ur institution

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Our Master's is in Dutch, so you'd have to learn the language first.

  • @benishbhatti6624
    @benishbhatti66245 жыл бұрын

    Can u come in Pakistan???

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Do you mean for holidays or for a lecture?

  • @aimenrashi8116
    @aimenrashi81165 жыл бұрын

    Good work But music is irritating

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Heard that one before, but it kind of became our tune!;)

  • @dmzabo3914
    @dmzabo39144 жыл бұрын

    This is where my Caucasian shows up...I have absolutely zero rhythm to do this in one take. Thank goodness for pause and rewind. lol. Hope all who need this help find it

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    You got this. 1 and 2 and 3 and 4 and

  • @vinista256
    @vinista25616 күн бұрын

    This guy has a Schwarzenegger vibe.