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26.08.2021
1
Det Perifere Nervesystemet
Manuellterapeut Svein Kristiansen
MSK KLINIKKEN AS
Lillestrøm 24.08.2021
1
#denlilleverdensbyen
2
3
#copyright?
4
Dagens timeplan
• 08.30 – 09.00 Registrering, kaffe, frukt og sjokolade
• 09.00 – 09.45 The Sensitive Nervous System – 20 år med kunnskap
• 10.00 – 12.00 Mekanosensitivitet – Basistester i klinikken
• 12.00 – 13.00 LUNCH
• 13.00 – 14.00 Challenging Common Belifes – Endring av praksis
• 14.00 – 14.15 Pause
• 14.15 – 16.00 Håndtering av mekanosensitivitet
• 16.00 – 16.15 40 år med nevrodynamikk – En stund for refleksjon
5 6
26.08.2021
2
7
#1 Teoretisk bakgrunn
8
#2 Klinisk andvendbarhet
9
#3 Klinisk resonnering
10
Describes an innovative concept
of examination and treatment
technique. A controversial book
which broadens the horizons of
manual therapy to embrace
adverse tension in the nervous
system. Clinical reasoning
processes are associated with a
new understanding of the nervous
system as a dynamic continuum.
He introduces new tension tests
and refined versions of standard
tests. www.amazon.com
Butler DS 1991 Mobilisation of the Nervous System.
Churchill Livingstone, Melbourne
11
Var det noe spesielt med boka?
• Det var kun et konsept
• Den var kontroversiell
• Den beskrev adverse tension
• Et dynamisk continuum
• Tensjonstester
• Boka var konstruert som at det
perifere nervesystemet var
#hardware
12
26.08.2021
3
Den vitenskapelige ødemarken
13 14
15 16
17
1995
18
26.08.2021
4
The decade since the publication of David
Butler's Mobilisation of the Nervous System
has seen the rapid growth and influence of the
powerful and linked forces of the
neurobiological revolution, the evidence based
movements, restless patients and clinicians.
The Sensitive Nervous System calls for skilled
combined physical and educational
contributions to the management of acute and
chronic pain states. It offers a "big picture"
approach using best evidence from basic
sciences and outcomes data, with plenty of
space for individual clinical expertise and
wisdom.
19
Hva er forskjellen på 1991 og 2000?
• Utdanning av pasienter
• Integrering av nevrobiologi
• Nevrodynamikk
• The big picture
• Best evidence from basic science
• Bokas tittel forteller det meste
om det som kommer i fremtiden
#sensitivitet
20
Det vitenskapelige korallrevet
21 22
23 24
26.08.2021
5
25 26
27
The decade of Neuroscience 2010-2020
• Integrering av nevrobiologi
• Farmakologi
• Smertemekanismer
• RCT og kliniske studier
• #bridgingthegap
28
29 30
26.08.2021
6
31 32
33 34
Hva har vi lært siden 1979?
35 36

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Det perifere Nervesystemet 1 - 2021

  • 1. 26.08.2021 1 Det Perifere Nervesystemet Manuellterapeut Svein Kristiansen MSK KLINIKKEN AS Lillestrøm 24.08.2021 1 #denlilleverdensbyen 2 3 #copyright? 4 Dagens timeplan • 08.30 – 09.00 Registrering, kaffe, frukt og sjokolade • 09.00 – 09.45 The Sensitive Nervous System – 20 år med kunnskap • 10.00 – 12.00 Mekanosensitivitet – Basistester i klinikken • 12.00 – 13.00 LUNCH • 13.00 – 14.00 Challenging Common Belifes – Endring av praksis • 14.00 – 14.15 Pause • 14.15 – 16.00 Håndtering av mekanosensitivitet • 16.00 – 16.15 40 år med nevrodynamikk – En stund for refleksjon 5 6
  • 2. 26.08.2021 2 7 #1 Teoretisk bakgrunn 8 #2 Klinisk andvendbarhet 9 #3 Klinisk resonnering 10 Describes an innovative concept of examination and treatment technique. A controversial book which broadens the horizons of manual therapy to embrace adverse tension in the nervous system. Clinical reasoning processes are associated with a new understanding of the nervous system as a dynamic continuum. He introduces new tension tests and refined versions of standard tests. www.amazon.com Butler DS 1991 Mobilisation of the Nervous System. Churchill Livingstone, Melbourne 11 Var det noe spesielt med boka? • Det var kun et konsept • Den var kontroversiell • Den beskrev adverse tension • Et dynamisk continuum • Tensjonstester • Boka var konstruert som at det perifere nervesystemet var #hardware 12
  • 4. 26.08.2021 4 The decade since the publication of David Butler's Mobilisation of the Nervous System has seen the rapid growth and influence of the powerful and linked forces of the neurobiological revolution, the evidence based movements, restless patients and clinicians. The Sensitive Nervous System calls for skilled combined physical and educational contributions to the management of acute and chronic pain states. It offers a "big picture" approach using best evidence from basic sciences and outcomes data, with plenty of space for individual clinical expertise and wisdom. 19 Hva er forskjellen på 1991 og 2000? • Utdanning av pasienter • Integrering av nevrobiologi • Nevrodynamikk • The big picture • Best evidence from basic science • Bokas tittel forteller det meste om det som kommer i fremtiden #sensitivitet 20 Det vitenskapelige korallrevet 21 22 23 24
  • 5. 26.08.2021 5 25 26 27 The decade of Neuroscience 2010-2020 • Integrering av nevrobiologi • Farmakologi • Smertemekanismer • RCT og kliniske studier • #bridgingthegap 28 29 30
  • 6. 26.08.2021 6 31 32 33 34 Hva har vi lært siden 1979? 35 36