Institute of Dynervology of Tours Métropole
Based in Saint-Cyr-sur-Loire (37), the very first physical centre where the discipline is practised opened its doors in 2025. At once a place of care, a place for training AFD-referenced practitioners, and a place of clinical research, this is first and foremost where the practice underpinning the entire Dynervolink ecosystem is documented, ahead of the upcoming opening of new Institutes.
The place and the clinical team
The clinical team brings together a multidisciplinary group of six practitioners with complementary profiles: physiotherapists, osteopaths, ergonomists… All carry out the reference clinical activity of the dynervology discipline.
The Institute was entirely designed as a place dedicated to dynervology : fitted consultation rooms, a clinical assessment area, a training room and a research space. Each space serves a stage of the journey, from the first examination to the debrief.
It is equipped with state-of-the-art technology, including a Primus RS, a motorised dynamometer that is almost unique in France. This device measures strength analytically and functionally, reproduces the professional or everyday movement in three dimensions, and objectifies recovery through documented comparative data : a rare asset to ground the practice and prepare the return to activity.
The Institute's three roles
The Institute is not an isolated consultation practice. Three activities are run there in parallel, and each one feeds the other two.
01 · Place of care
Dynervological assessments for patients referred by their attending physician, occupational physician, or by one of the B2G/B2B programmes operated by Dynervolink. The compression (median, ulnar, radial, fibular, tibial or saphenous), if present, is named, its topography documented, and the assessment shared with the patient and, with their consent, with the referring physician.
02 · Place of training
The Institute hosts the continuing education of practitioners wishing to acquire the dynervological reading. Orthopaedic surgeons, physiotherapists, osteopaths, sports physicians, occupational physicians: the modules are built by discipline, under the scientific responsibility of the AFD.
03 · Place of research
Day-to-day activity feeds a pseudonymised clinical database. The work focuses on nerve imaging, biomechanical modelling and the documented care trajectory, with the aim of designing a genuine digital twin of the dynervologist before 2030.
Practical arrangements
Access arrangements depend on the patient journey and the nature of the request. Three pathways are operable today.
Referred patient
Attending physician, sports physician, occupational physician, surgeon: any physician can refer a patient for a dynervological assessment at the Institute. Appointments are booked by phone or via the contact form, together with the referring physician’s letter.
B2G or B2B programme
When the patient falls under a B2G (public-sector body) or B2B (company) programme contracted with Dynervolink, referral to the Institute is handled directly by the programme teams. No individual step is required.
Pro-sport agreement
For professional athletes covered by a partnership with a medical staff, the assessment request is made by the referring sports physician of the club or federation. The debrief is given to that physician, in strict compliance with sports medical confidentiality.
Get in touch
Referring physician, organisation or medical staff: the Institute team responds to qualified requests.
