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<span style="font-weight: 400;">If you have found this blog but not yet <a href="https://www.biomechanicseducation.com/blog/" target="_blank" rel="noopener">read Part 1 &amp; Part 2 please go &amp; read them first</a> to get the most out of Part 3.</span>

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<span style="font-weight: 400;">We are on a mission to help PTs with skills in an assessment system that, from the evidence, guides us in pre &amp; post rehab exercise prescription techniques. </span>

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<span style="font-weight: 400;">The techniques, including the nerve mobilisation described here, are NOT recommended for someone with acute symptoms </span>

<span style="font-weight: 400;">This client MUST seek medical advice PRIOR to working with an exercise professional or manual therapist </span>

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<span style="font-weight: 400;">However to REDUCE RISK of the onset sciatica this nerve mobilisation technique can be prescribed, and is really great, as part of a progressive movement preparation programme, like iMoveFreely. </span>

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<span style="font-weight: 400;">Once we have assessed their intrinsic biomechanics to better understand how to prepare them for our exercise programme our planning becomes far more bespoke to that individual &amp; their biomechanics. </span>

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<span style="font-weight: 400;">If they demonstrate a tight sciatic nerve during the nerve range (lower limb tension) test we can potentially reduce risk of sciatica by prescribing a nerve gliding technique as part of their warm up</span>

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<h2><b>Preparation is key!</b></h2>
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<span style="font-weight: 400;">It’s probably prudent to begin with muscle energy techniques, like the iMoveFreely 20/20, to improve the function of the muscles that relate to the sciatic nerve pathway first.</span>

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<h2>The 4 Sign Test &amp; Exercise</h2>
https://youtu.be/_Lkur9ZcNXw

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<span style="font-weight: 400;">This could be followed by subtle pure spine mobility drills, like knee rolls &amp; pelvic tilts taught in our iMoveFreely Instructor programme workshop, to prepare &amp; mobilise the nerve roots in advance of the slump. </span>

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<h2>Lumbar Tilts &amp; Knee Rolls</h2>
https://youtu.be/IKdmb5L5uh8

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&nbsp;
<h2><b>The slump nerve mobilisation technique</b></h2>
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<span style="font-weight: 400;">Nerve mobilisation techniques require an understanding of nerve anatomy. The idea is to gradually lengthen the nerve to the point of feeling the beginning of tension. Then once the client feels the beginning of tension, we reduce it at a single joint then add it back on &amp; repeat slowly to gently ‘mobilise’ the nerve. </span>

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<span style="font-weight: 400;">Moving very slowly in &amp; out of that start of tension is a really nice &amp; safe way to calm the tension down. It desensitises the nerve tension &amp; allows for improved range of motion. It could also cue muscles &amp; joints towards improved functionality too. </span>

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<span style="font-weight: 400;">The slump looks almost identical to the lower limb tension test or SLR we covered last time in part 2 &gt;&gt;HERE.</span>

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<span style="font-weight: 400;">By coaching your client into gradually lengthening the nervous system that relates to the sciatic nerve, we can ‘find the beginning of tension’ then reduce it at a single joint &amp; repeat SLOWLY 8 times on each leg.</span>

<span style="font-weight: 400;">Ideally doing one leg at a time since they may feel tension earlier in one side &amp; this allows for control over the exercise.</span>

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https://youtu.be/xMDNnhoXWRs

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<h2><b>Our Role</b></h2>
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<img class="wp-image-27966 alignleft" src="https://www.biomechanicseducation.com/wp-content/uploads/2021/06/ryan-snaadt-qCPUBf1ek-Y-unsplash-scaled.jpg" alt="" width="588" height="331" />

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<span style="font-weight: 400;">So we can plan how to mobilise the nerves in preparation for our client’s sport or chosen activity. As PTs its really all about risk reduction &amp; performance optimisation which could be known as PREHAB &amp; for some maybe even post rehab. </span>

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<span style="font-weight: 400;">Maybe even ME-HAB for ‘My Rehab’ which is exactly what a Biomechanics Coaches skill is in creating bespoke movement programmes that are progressive, regressive where necessary &amp; with continuous evaluation &amp; monitoring.  </span>

&nbsp;
<h2>Did you find this series helpful?</h2>
<h2>What would you like us to write about in out next guide?</h2>
<h2>Why not hit reply &amp; send your feedback?</h2>
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