Always indicated in the presence of peripheral pain which could be referred from the spine. If you do not complete neurological testing when indicated it is UNSAFE
This should then be performed during/at each session dependent on clinical presentation to monitor for improvement/worsening of symptoms
Neural Integrity:
Indications for Neural Integrity:
Pain referred to or past the buttock/shoulder
Altered sensation, i.e. paraesthesia or anaesthesia
Referred pain from the spine can be: NOCICEPTIVE/SOMATIC PAIN or NEUROPATHIC/RADICULAR PAIN
Any changes found in neural integrity testing will support that the referred pain is neural in origin
Neural Integrity - Motor Neurone Testing:
Upper motor neurone = refers to a motor neurone within the CNS, so the brain and spinal cord
Lower motor neurone = refers from the nerve root into the periphery