……a bit of ‘history’ – The 1989 Adverse Mechanical Tension in the nervous system, or ‘AMT’ papers that Butler and I wrote for the Journal Physiotherapy. For those of you who may be unaware, AMT is now called ‘neurodynamics’!
Please read the ‘neurodynamics a bit of history‘ blog to get the context of this material
Butler D, Gifford L 1989. The concept of Adverse Mechanical Tension in the Nervous System. Part 1: Testing for ‘dural tension. Physiotherapy 75:11 622-629
Butler D, Gifford L 1989. The concept of Adverse Mechanical Tension in the Nervous System. Part 2: Examination and Treatment Physiotherapy 75:11 629-636
The second article follows the first…. it’s all in one.
A bit more history… my Olive Sands’ Memorial Lecture for the Organisation of Chartered Physiotherapists in Private Practice…It was of course a great honour to be asked to present this annual lecture. I re-read it now and shudder a bit, but historically you can see that this was round about the time in my career when I was starting to shift and get a handle on neuropathic and central pain generation and mechanisms… But note the big tissues and small brain! And also, the way I was describing the crazy presentations of chronic pain…an criticising the value of Maitland manual therapy! This was heresey back then! The cartoon, figure 9 sums it up!! Pleasingly I mention pain generated from within the CNS, see 2nd column page 19. But there’s still a strong tie to ‘skilled manual treatment’…!!
Gifford LS 1993 Examining and treating signs of neural tension. Olive Sands Memorial lecture. In Touch, The journal of the OCPPP. Issue 68:16-24
It’s always been my experience with nerve root type problems – cervical and lumbar – that the pain could easily be reproduced with nerve pinch type movements often in preference to nerve ‘tension’ type movements. These two articles and the one chapter on neurodynamics feature this quite strongly.
Gifford L S 1997 Neurodynamics. In: Pitt-Brooke (ed) Rehabilitation of Movement: Theoretical bases of clinical practice Saunders, London 159-195
Gifford L S 1998 Acute low cervical nerve root conditions: Symptoms, symptom behaviour and physical screening. In Touch The Journal of the Organisation of Chartered Physiotherapists in Private Practice Winter issue No. 85: 4-19
Gifford L S 2001 Acute low cervical nerve root conditions – symptom presentations and pathobiological reasoning. Manual Therapy 6 (2) 106-115