TPhase Neuromechanics

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 
Cervical Lateral Flexion Away 
Scapular Depression 
Z‐Health  Humeral Internal Rotation 
Neuromechanics  Elbow Flexion (Light) 
Cervical Rotation Away 
Standard Nerve Glides 
  Most Used 
1.  Median 
2.  Ulnar    Median 
3.  Radial 
4.  Musculocutaneous    Ulnar 
5.  Axillary 
6.  Suprascapular    Radial 
7.  Peroneal 
8.  Tibial    Tibial 
9.  Sural 
10.  Saphenous 
11.  Femoral 
12. 
13. 
Obturator 
Lateral Femoral Cutaneous 
  Least Used 
14. 
15. 
Trigeminal 
Facial 
  Everything Else 
16.  Accessory 
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 
Median Nerve 
Tensioning Sequence 
1.  Wrist & Finger Extension 
2.  Wrist Supination 
3.  Elbow Extension 
4.  Humeral External Rotation 
5.  Scapular Depression 
6.  Shoulder Abduction 
7.  Cervical Lateral Flexion Away 
8.  Cervical Rotation Toward 
Typical Muscle Weakness 
1.  Finger Flexors 
2.  Wrist Flexors 
3.  Opponens Pollicis 
4.  Pronator Teres 
Ulnar Nerve 
1.  Wrist & Finger Extension 
2.  Wrist Pronation 
3.  Humeral External Rotation 
4.  Elbow Flexion 
6.  Shoulder Horizontal Abduction 
1.  Finger Flexors 
2.  Wrist Flexors 
3.  Opponens Digiti Minimi 
Radial Nerve 
1.  Wrist & Thumb Flexion 
2.  Wrist Pronation 
4.  Humeral Internal Rotation 
6.  Shoulder Abduction 
1.  Triceps 
2.  Brachioradialis 
3.  Wrist Extensors 
4.  Supinator 
Musculocutaneous 
Nerve 
1.  Thumb Flexion 
2.  Wrist Ulnar Deviation 
4.  Shoulder Extension 
6.  Either Int or Ext Humeral Rotation 
1.  Coracobrachialis 
2.  Biceps 
Axillary Nerve 
4.  Elbow Flexion (Light) 
5.  Cervical Rotation Away 
1.  Deltoid 
2.  Teres Minor 
Suprascapular 
Nerve 
3.  Scapular Retraction 
5.  Shoulder Flexion 
6.  Shoulder Adduction 
7.  Elbow Flexion 
1.  Supraspinatus 
2.  Infraspinatus 
Common Peroneal 
Nerve 
1.  Spinal “Slump” 
2.  Hip Flexion 
3.  Hip Adduction 
4.  Hip Internal Rotation 
5.  Knee Extension 
6.  Ankle Plantar Flexion 
7.  Ankle Inversion 
8.  Toe Flexion 
1.  Peroneus Longus 
2.  Peroneus Brevis 
3.  Tibialis Anterior 
4.  Toe Extensor 
Tibial Nerve 
6.  Ankle Dorsiflexion 
7.  Ankle Eversion 
8.  Toe Extension 
1.  Tibialis Posterior 
2.  Popliteus 
3.  Toe Flexors 
4.  Gastrocnemius 
Sural Nerve 
Typical Signs 
Loss or Altered Sensation On 
the Postero‐Lateral Foot 
Femoral Nerve 
1.  Side Lying 
3.  Hip Extension 
4.  Knee Flexion 
1.  Psoas 
2.  Sartorius 
3.  Quadriceps 
4.  Rectus Femoris 
Obturator Nerve 
5.  Hip Abduction 
1.  Adductors 
2.  Gracilis 
Lateral Femoral 
Cutaneous Nerve 
Typical Signs 
Lateral Thigh from Greater 
Trochanter to Knee 
Saphenous 
Nerve 
2.  Hip Abduction 
4.  Hip External Rotation 
Typical Signs 
Medial Knee Pain 
Medial Side of Lower Leg and 
Foot 
Trigeminal 
Nerve 
1.  Upper Cervical Flexion 
2.  Upper Cervical Lateral 
Flexion 
3.  Full Cervical Flexion 
4.  TMJ Lateral Glide Opposite 
1.  Masseter 
2.  Temporalis 
Palpate bilaterally during teeth 
clenching to identify weakness/
atrophy 
Facial Nerve 
1.  Upper Cervical Flexion 
2.  Upper Cervical Lateral 
Flexion 
4.  TMJ Lateral Glide Opposite 
1.  Smiling 
2.  Frowning 
3.  Tight Closing of the Eyes 
Compare bilateral symmetry  
during each expression to 
identify weakness/atrophy 
Accessory 
Nerve 
1.  Upper Cervical Lateral Flex Away 
2.  Cervical Anterior Glide 
3.  Scapular Retraction 
1.  Upper Trapezius 
2.  Sternocleidomastoid 
Z‐Health 
Neuromechanics 
Make a Good Thing Even Better! 
  Nerve Glide Enhancements 
  Toe Position 
  Finger Position (e.g. Single Finger) 
  Eye Position (PREP) 
  PNRT Position 
Z‐Health  
Neuromechanics 
Don’t Forget To Glide! 
  Insert Daily Nerve Glides Into Your Training 
  Upper/Lower Body Split 
▪  Upper Body – M, W, F 
▪  Lower Body – T, TH, S 
Z‐Health  
Neuromechanics 
Neuromechanics Legalities 
 Nerve mobilizations have always been a part of Z‐Health. However, with 
the  increasing  popularity  of  nerve  work  around  the  world,  the  inevitable 
trademark disputes are now arising.  
 Understand that neuromechanical drills number in the thousands and the 
pictures in this handout are simple representations of POSSIBLE drills.  
 Please do not distribute this guide as the “definitive” Z‐Health approach 
to  this  subject.  As  you  review  your  T‐Phase  manual,  pay  particular 
attention to the many different R and I‐Phase template combinations that 
function as excellent active neural mobilization drills. 

TPhase Neuromechanics

Enviado por

Dados do documento

Descrição original:

Título original

Direitos autorais

Formatos disponíveis

Compartilhar este documento

Compartilhar ou incorporar documento

Opções de compartilhamento

Você considera este documento útil?

Este conteúdo é inapropriado?

Direitos autorais:

Formatos disponíveis

TPhase Neuromechanics

Enviado por

Direitos autorais:

Formatos disponíveis

Z‐Health

Você também pode gostar