Clinical Pilates in Practice: Neurodyamics

Integrating neural mobility exercises into functional movements and clinical Pilates practice can have multiple benefits, regardless of whether a client is displaying neural mechanosensitivity: all tissues in the body need to move!

 

Key Points: Neurodynamics
  • Mechanical and physiological events within the nervous system are dynamically interdependent.
  • Neurodynamics (ND) is the term used to describe the integration of the morphology,
    biomechanics, and physiology of the nervous system." 10
  • In neurodynamics, posture and multi-joint movements are combined to apply force to a nerve.
  • Mobilisation triggers a range of responses in nervous tissues, including tension and pressure changes, and positive impacts on nervous impulses, axonal transport, viscoelasticity, microcirculation, and abnormal impulse-generating sites.
  • Theoretically, neural mobilisation restores homeostasis in and around the nerve, dispersing intraneural oedema in the nerve root and axon, thereby decreasing...
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Anatomy Links: What is the Iliocapsularis Muscle?

An informal poll of our colleagues has concluded that no-one knew that the iliocapsularis muscle existed until two days ago… This got us thinking about other muscles of the hip that insert into the joint capsule, and their role in hip function and movement dysfunction.

Let’s dive in.  

 

Key Points: Iliocapsularis
  • The iliocapsularis is a constant muscle. ie., found in all human specimens!
  • Origin = Inferior border of the anterior inferior iliac spine + antereomedial joint capsule.
  • Insertion = Distal to the lesser trochanter.
  • Runs anterolaterally to posteromedially.
  • Lies under rectus femoris and lateral to iliacus (sometimes blends with iliacus).
  • Contraction pulls the hip joint capsule zona orbicularis superomedially -> stabilizing the hip anteriorly. 

  • Hypertrophy of the iliocapsularis is seen in patients with hip dysplasia, particularly helping to stabilize the femoral head when there is a deficient acetabulum.
  • Iliocapsularis limits...
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