Assisted Median Nerve Glide
Supine · Median nerve pathway
Supported, small rhythmic movements for the median nerve pathway.
Position and focus
Supine · Median nerve pathway
Starting position
The client lies supine. The trainer stands on the client's left and supports the left arm out to the side, a little below shoulder height, with the elbow bent and the palm facing up.
Movement phases
1. Support the arm
Support the forearm and upper arm in a position where the shoulder does not hunch.
2. Small movements
Straighten the elbow and extend the wrist, then bend the elbow back, in a small range.
3. Slightly larger range
Straighten the elbow a little further, as long as the feeling in the fingertips does not change.
4. Return the arm
Make the movement smaller and bring the arm back beside the body.
What the trainer checks
Watch the client's face and ask about any numbness in the hand or fingers. Also check that the shoulder does not hunch.
Trainer information
Trainer position
Stand on the client's left (the side shown in the 3D) with your feet apart front to back, at a height that suits the table. Move by shifting your body weight rather than holding with the arms alone.
Contact and support
Support the forearm from below near the wrist and the upper arm from above the elbow.
Stabilisation
Open the arm only as far as the shoulder stays on the table.
Compensation
Shoulder hunching, neck tension, holding the breath.
Easier option
Reduce the range and let the weight of the leg or arm rest on a cushion or the table. Go back to checking a pain-free starting position.
Cues and consent
Tell the client where you will touch and which way you will move, and say, 'Tell me straight away if you feel any pain or discomfort.' Confirm consent before touching and before moving.
Stop criteria
Return to the starting position immediately if the client reports sharp pain, numbness, weakness, a pinching feeling in the joint, dizziness, shortness of breath or anxiety, or asks to stop.
The sources include material for clinicians and carers. This 3D is not yet fully reviewed as a studio procedure and does not replace hands-on training. Do not perform unfamiliar techniques from the 3D alone.
Caution
Work within your qualifications, contract and studio procedures, and check medical history, medication and any pain before starting. This is not a substitute for diagnosis or treatment. Do not perform unfamiliar techniques from the 3D alone. Think of a nerve glide as sliding rather than stretching, and keep the movements small. Stop if you feel numbness, tingling or pain, or if a sensation stays after moving. If you are receiving treatment for numbness or pain, check with your healthcare professional first.
These English notes describe a prototype model. The stretch, foam roller and resistance band lessons are being produced under the supervision of CoconeRu. Move, reviewed in stages. They are not medical advice or an individual exercise prescription.
References
Each note describes what the whole source covers.
Basson A et al. The Effectiveness of Neural Mobilization for Neuromusculoskeletal Conditions: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2017 ↗
A review of research on nerve gliding movements (neural mobilisation): combining joint movements to move the nerve pathway a little at a time.
About this page
It shows a typical way to do the movement. The 3D is a schematic model; it does not decide whether a lesson suits you, prescribe exercise or diagnose anything. Stop if you feel pain or discomfort.
Sources, supervision and revisions