NERVE GLIDE Chair / Seated • 초급 Discs: L4-L5, L5-S1

좌골신경 가동술 (신경 플로싱 스트레칭)

Nerve flossing (or neural mobilization) glides the sciatic nerve back and forth through the neural foramina and deep gluteal tissues without pulling it into excessive tension. This restores blood flow to the nerve and reduces shooting pain.

생체역학 동작 다이어그램

DURAL NERVE FLOSS

🎯 Sciatic Mobility

단계별 실행 가이드

임상 프로토콜

1 Sit tall on the edge of a sturdy chair with feet flat and hands resting on your thighs.
2 As you straighten your affected leg forward and flex your toes toward your nose, tilt your head backward looking up at the ceiling.
3 Then, as you bend your knee back down, lower your chin down toward your chest.
4 Coordinate the movement rhythmically: leg extends as head tilts up; leg bends as head tucks down.
5 Perform 12 to 15 continuous, smooth cycles. Never hold in maximum stretch tension.

🎯

핵심 자세 포인트

✓ Move smoothly like a gentle wave; this is a nerve slider, not a static muscle stretch.
✓ Stop short of any tingling, shooting, or electric sensations.

⚠️

주의해야 할 흔한 실수

✗ Do not flex the ankle while tucking the chin down at the same time (this creates excessive tension).
✗ Avoid fast, jerky movements.

🛑

금기 사항 및 중단 기준

Do not perform this movement or modify strictly under clinical supervision if you have:

Severe acute progressive neurological deficit (foot drop, sudden loss of strength)
Acute Cauda Equina symptoms

과학적 근거 및 참고문헌

임상 생체역학과 근거

This exercise protocol utilizes proven spinal mechanics: active core co-contraction (McGill stabilization), directional preference extension (McKenzie MDT), and non-compressive axial elongation to facilitate nutrient exchange in the avascular intervertebral disc matrix.

• McGill, S.M. (2016). Low Back Disorders: Evidence-Based Prevention and Rehabilitation. Human Kinetics.

• Delitto, A., et al. (2021). Low Back Pain Clinical Practice Guidelines. Journal of Orthopaedic & Sports Physical Therapy (JOSPT).

권장 처방 운동량

유지 시간 2 Seconds

반복 횟수 12-15 glides per side

세트 수 2 sets

난이도 초급

시작 자세 Chair / Seated

주동근 (타겟 근육)

Sciatic Nerve Tract Hamstrings

안정화 근육

Gastrocnemius Spinal Dura