Neurodynamics of the upper limbs

Biopsychosocial management of neuropathic pain and neuropathy of the upper limb  

Training for physiotherapists


An original format for the bio-psycho-social management of neuropathic pain and neuropathy of the upper limb.


Neuromusculoskeletal examination, clinical reflection according to the neurophysiological mechanisms involved, therapeutic strategy

"Patient-centered", neurodynamic techniques ...

A 10-hour VOD on pain neuroscience, included, must be done before the face-to-face internship.

Price: 750 €

At the end of this training, the professional will be able to have an overview of the neurophysiological mechanisms involved in pain.

He will be able to set up a therapeutic strategy according to the bio-psycho-social mechanisms involved.

To do this, he will learn to choose, adapt and master the following manual therapy tools:

In addition to this, you need to know more about it.

  • Neuro-dynamic tests

  • Testing and diagnosis of the peripheral nervous system and the different sensory fibers

  • Neural mobilization (gliding, sliding)

  • Passive and active joint mobilization

  • Modification of motor control in a cognitive and functional approach


educational goals


  1. Understand the mechanisms and the different components of pain linked to the evolution of neuroscience

  2. Develop patient-centered care, by identifying the patient's bio-psycho-social risk factors

  3. Learn to choose, adapt and master neurodynamic tests and techniques


List of target audiences


Physiotherapists DE or Osteopaths DO


Trainees participating in the training are strongly advised to have watched Laurent Fabre's VOD, on the neurosciences of pain. This VOD can be viewed, free of charge, for all validated registrations.




There is no other prerequisite to register for this training than to be a professional in one of the targeted professions.



Duration of training and organizational arrangements


The duration of the training: 21 hours,

Over 3 days

Max workforce: 20 people

Accessibility: disabled

Training content


Day 1 :

1. Presentation:

• Self-quiz and e-learning debrief

• Objectives of pain management.

• How it will unfold: The 4 modules.


2. Diagnostic approach (Module 1)

• Revision of the multidimensional framework of clinical understanding (O'Shaugnessy and Jones; O'Sullivan, Walton)

• Yard and red flags

• Clinical prediction rules

• Psychosocial Risk Factor

• Clinical cases and role plays: recognize the mechanisms, questions to ask, the different questionnaires (STartBack, CSI)


3. The neurodynamic approach (Module 2)

• Neurogenic-Neuropathic-Neuropathy Difference

• Mechanosensitivity: Palpation and provocation (ULNPT, brachial plexus, median, radial, ulnar nerve)

• Function test: examinations of all types of fibers, reflection dermatome / sensory territory / central sensitization / myotome / motor territory


Day 2:

The neurodynamic approach (Module 2)

• Clinical prediction rule and test cluster

• Mechanical provocation and cancellation test for nociceptive pain

• Motor control: Posture and Movement

o Analysis of motor control (flexion type, active extension, passive extension)

o Correlation or absence of correlation with the mechanical behavior of pain (Sitting posture, head bearing and shoulder position, movements)

o Practical session


4. Treatment (Module 3)

• Evidence (various reviews and guidelines)

• Principles of treatment (desensitization, drainage of neural tissue)

• Algorithm for the choice of techniques according to mechanosensitivity / stenosis

• Treatment protocols


Day 3:

5. The neurodynamic diagnostic approach (Module 1 and 2)

• Resumption of the complete clinical examination

• Demonstration and Training

• Resumption of clinical cases


6. Module 4: Therapeutic Strategies

• The 3D of the therapeutic approach

• Cognitive and functional management adapted to nociceptive, neuropathic and central pain

• Metaphors and prosody

• What we say and what we do

• Total management (posture, ergonomics, advice, etc.).

Quality report of the last session
Capture d’écran 2021-04-21 à 16.59.14.

Laurent Fabre is an osteopath DO graduated from CEESO Paris.

Holder of two university diplomas in anatomy (Universities Paris V and Paris Ouest), since 2005 he has been teaching palpatory and clinical anatomy as well as dissection.

Laurent has been working in his own practice since 2002, he specializes in the diagnosis of neuro-musculoskeletal pain and the treatment of radicular pain / radiculopathies. He is also passionate about neuroscience and maintains a blog on pain management in manual therapy.

His areas of interest mainly focus on the neurophysiological mechanisms of pain, the reliability of osteopathic diagnosis and the physiological effects of manual osteopathic treatment. Co-author of articles published in indexed scientific journals as well as speaker at international osteopathic congresses, he is involved in research (PHRC Hôpital Cochin, COME, IJOM reviewer).


12 au 14 janvier 2023 - Bordeaux


DPC : Validé  (kinésithérapeute) N° Action de DPC 2022 : 99MJ2200006 

FIFPL : En attente de validation (Formation susceptible d'être prise en charge, sous réserve des budgets annuels) pour les kinésithérapeutes, les ostéopathes et les chiropracteurs.

Pour connaitre les montants annuels de prise en charge FIFPL pour votre profession, cliquez ici :    FIFPL

Pour connaitre les montants annuels de prise en charge DPC pour votre profession, cliquez ici :      DPC

Informations générales


Lieu de la formation, horaires, conditions d'accès, hébergements, restauration  : consultez le     Livret d'accueil stagiaire