New! Entrapment Neuropathies Unlocked: Examination to Intervention

Requirements:

For the on-demand, online Self-Study portion of the course, you will be required to:

View 6 hours of on-demand, online lectures and demonstrations, and successfully complete an online post-test with a passing score of 90%. Prior to attending the live, in-person portion of the course, you must view all recordings and pass the post-test.

For the live portion of the course, you will be required to:
• wear shorts and a halter top or tank top for lab sessions.
• wear comfortable clothing over lab attire, so you are not cold during lecture sessions.
• Bring a yoga mat for your personal use during lab sessions.

Upon completion of online registration, you will be emailed a course receipt. This is NOT a course confirmation. Your course confirmation will be sent separately. It is recommended that you wait for written course confirmation prior to booking non-refundable travel or lodging. If you have not received course confirmation 10 days prior to your live CE course, please contact Rehab Education, LLC to check on status of your registration.

Accessing the Pre-Course:
Upon completion of your online registration, you will be emailed a course receipt. This is NOT a course confirmation. Once the required minimum number of participants have registered, you will receive an email confirmation along with details on how to access your online independent-study Pre-Course .

By the end of this course, participants will be able to:

• Analyze patient history and clinical presentation to differentiate entrapment neuropathies from musculoskeletal and other neurogenic conditions.
• Explain the underlying pathophysiological mechanisms and contributing factors associated with peripheral nerve entrapment.
• Identify and prioritize relevant anatomical structures and common sites of peripheral nerve entrapment to guide examination and intervention.
• Perform a comprehensive examination of the peripheral nervous system using a tetrad of tests, including neurodynamic testing to identify the entrapment site(s) and scope of dysfunction.
• Synthesize examination findings to direct clinical decision-making and establish a focused and efficient plan of care.
• Apply skilled manual therapy techniques to address nerve interface dysfunction and surrounding tissue impairments.
• Implement and grade neurodynamic interventions (e.g., nerve gliding and tensioning) based on irritability, severity, and patient response.
• Design individualized, patient-centered intervention plans that integrate manual therapy, neurodynamic principles, and functional rehabilitation.
• Modify examination and intervention strategies in response to patient progress, outcomes, and clinical findings.
• Integrate management of entrapment neuropathies into functional tasks and occupation-based or movement-based rehabilitation.

This hybrid course includes on-demand, independent study components (recorded lectures and demonstrations) which must be completed prior to the on-site training, allowing the in-person sessions to be heavily lab-based.

On Demand Online Independent Study Coursework:

Module-Based Directed Self-Study

Module One: Anatomy and physiology of neural entrapment

Part A: (0.5 hr.)

• Course introduction
• Literature review

Part B: (0.75 hr.)

• Connective tissue
• Vasa nervorum
• Axonal Transport
• Neural innervation of nerve

Part C: (0.5 hr.)

• Role of small fiber nerves (A delta and C)
  • GTO
  • Muscle spindles
  • Proprioceptors
  • Free nerve endings – nociception

Part D: (0.5 hr.)

• Historical view of nerve entrapment
• Role of EMG
• Entrapment Neuropathy defined

Module Two: Introduction to the Neural Entrapment Tetrad to assess for and localize the entrapment sites along the nerve path

Part A: (1.25 hr.)

• Palpation hierarchy – identify neural sensitivity and small fiber involvement
  • Tender over the nerve trunk
  • Tinel’s signs
  • Tender + Tinel’s signs
  • Doorbell signs
• Major entrapment sites – UE’s
• Major entrapment sites – LE’s

Part B: (0.5 hr.)

• Manual muscle testing to identify motor nerve involvement and or inhibition of strength from small fiber nerve irritation
  • Specific muscles tested based on suspected location of entrapment
  • Look for 4-/5 to 4+/5 response
  • More likely to identify partial loss of innervation to motor units
  • Based on concept that entire motor nerve is not compressed – car tire on garden hose analogy

Part C: (0.5 hr.)

• Sensory Collapse testing
  • Definitive location of entrapment site(s) along the nerve
  • Strength of response of collapse may indicate the degree of involvement along the nerve

Part D: (1.5 hrs.)

• Neural mobility testing – use of grading scales and structural differentiation
  • UE Neurodynamic tests 0/5 – 5/5 scales
    • Brachial Plexus
    • Medial Nerve
    • Radial Nerve
    • Ulnar Nerve
  • Sciatic Nerve
    • Hamstring vs. Sciatic Nerve
    • Fibular Nerve Bias
    • Tibial Nerve Bias
    • Sural Nerve Bias

The above components allow for objective measures on test-treat-retest clinical management and to build effective treatment interventions

Onsite Live In-Person Coursework:

Hours: 8:00 am to 5:30pm. Sign in begins at 7:30 am

Lab-based skills acquisition for examination and treatment of entrapment neuropathies

Review of basic concepts from self-study portion (0.5 hrs.)

Examination and assessment (4 hrs.)

• Guided practice of the examination tetrad
  • Palpation of common nerve entrapment sites for the upper and lower extremities
  • Review of manual muscle testing concepts
  • Sensory Collapse
  • Neurodynamic testing
    • Sciatic nerve path
    • Grading scale for the upper extremities
    • Structural differentiation
  • Skills integration via case studies

Lunch Break

Treatment approaches – space, movement, slack (guarded tension to enhance healing response) (3.5 hrs.)

• Movement – Guided exercise
  • Nerve tensioning and gliding
  • Posture correction exercises for restoring nerve bed resting position and neuromuscular reset
• Soft tissue work
  • Pin/stretch
  • Pin/slide
• Accessing the autonomic nervous system
  • Brainstem level – diaphragmatic breathing
    • Move from fight-flight to rest-digest
  • Aerobic exercise to promote perspiring to access the autonomic and metabolic response
  • Large scale neural mobilization/sympathetic chain mobilization
  • Skills integration through case studies

Wrap-up and review

Contact Hours = 14 (6 hours on-demand online independent study, 8 hours in-person).

This course content is not intended for use by any participants outside the scope of their license or regulation.

This hybrid live course is accepted by many professional credentialing organizations and state professional regulatory boards. Rules and regulations change frequently without notification, and apply differently to live and online courses. Please check with your state board to confirm accuracy of this list and acceptance of contact hours. Certificate of Attendance will be issued to all participants upon completion of the course and may be used for CEU verification of credits.

CE credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CEUs.

Rehab Education, LLC is recognized as:

• AOTA approved provider of OT and OTA continuing education (#6177)
• approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy.
• approved provider of PT and PTA continuing education by IDFPR/ Illinois Board of Physical Therapy (#216000227).

Click here to Register