Integration of neurodynamics into neurorehabilitation

Abstract

Since the early stages in the Neurorehabilitation field both clinicians and researchers had to deal with spasticity and the so-called spastic patterns as limiting factors to the individuals´ daily life activities being the main cause of the reduction in their level of participation. Nowadays therapeutic approaches are focused on clinical results and there are several ideas about how to lower spasticity or hypertone and how to measure it before and after a treatment, like the Ashworth modified muscle tone measurement scale. Also there are different surgical approaches, such as rhizotomies or tendon or muscles cut, which try to deal with this patterns and a lot of discussion about the outcome of this operations in terms of functionality. Yet, nobody has reached a convincing explanation about the origin of spastic positions and spasticity further than the lack of inhibition after damage in the Central Nervous System (CNS) and its tracts. What we want to show is a complete new way of understanding these patterns and the whole concept of spasticity through the profound analysis of the neurodynamic tests and their components.