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DTSTART;VALUE=DATE:20221103
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SUMMARY:Shoulder Girdle & Forearm:  Movement & Loading Analysis for  Motor Behavior Therapy in Divača\, Slovenia
DESCRIPTION:Contact Tina Gerzel: gerzelj.tin1@gmail.com \nLanguage English \nCourse Description \nShoulder girdle and forearm symptoms can arise from trauma\, but frequently it is an insidious\, recurrent and an ongoing problem for many people. This is often related to sub-optimal loading on the tissues around the scapula-thoracic\, glenohumeral joints and forearm. \nThe mechanism driving the sub-optimal loading on the tissues may be the: \n\nMovement Pattern (too much and too little)\nTranslation Control of the joint\nBiomechanical Exposures to Loading\n\nThere is considerable individual variation in how these present. These loading mechanisms may present in combinations or alone. As well\, how the central nervous system tries to control the loading could be too much or too little. \nAlteration of muscle activation of the scapula-thoracic muscles can result in the scapula adopting a downwardly rotated resting position and / or a loss of dynamic control of the scapula in functional arm movements. This can cause tissue loading in the shoulder and cervical regions provoking the patient’s pathology. \nThe glenohumeral joint frequently displays a dysfunctional pattern of excessive anterior translation\, which is often combined with other neuromuscular deficits. This translation control deficit can contribute to tissue loading of local tendons and the glenohumeral joint. It is also a common neurodynamic interface. An anterior sitting humeral head also alters normal movement of the forearm and hand. This course involves a detailed assessment of the movement control patterns of the scapula-thoracic\, glenohumeral joints and forearm. \nSpecific motor control retraining strategies will be introduced using a comprehensive and evidence based clinical reasoning process. This involves; specific activation of the appropriate stability muscles to control segmental translation of the glenohumeral joint\, scapulothoracic proximal and distal radioulnar joints\, the carpus and the hand; the retraining of specific muscles to correct movement pattern control deficits; dynamic control of the scapula in functional movements; and the integration of these training strategies into a wider base of rehabilitation options. This can remove the tissue provocation and promote the normal healing process. Assessing and correcting scapula and glenohumeral movement can significantly improve post operative results as well. Some beneficial taping techniques will also be used. \nThe exercise progressions are described and strategies for the integration into function are discussed with participant examples and case studies. \nCourse Objectives:  \n\nMake an accurate movement pattern control diagnosis and relate this to the client’s presentation\nDistinguish shoulder pain between the scapula\, glenohumeral joint and cervical spine with a movement pattern control assessment\nUnderstand the relationship of scapular dysfunction to cervical dysfunction and glenohumeral dysfunction to forearm dysfunction\nUse movement patterns as a clinical reasoning tool to help guide manual therapy and other techniques\nIntegrate the treatment of movement patterns and translation control into clinical practice\n\nWHAT WILL YOU GET FROM THIS COURSE THAT YOU MAY NOT ALREADY HAVE? \nGrasp Reflex\nThe grasp primitive reflex is present in about 40% of the population. This contributes to increased muscle tone in the shoulder girdle and upper limb. We will show you how to treat it and how other primitive reflexes and sensory motor deficits are related to ongoing motor control deficits. \nKinetic Medial Rotation Test\nThe Kinetic Medial Rotation test is a newly validated test of shoulder girdle function (Morrisey\, 2005). This test differentiates between scapular and glenohumeral joint problems within the shoulder girdle. This helps give us a diagnosis and also lets us set priorities in rehabilitation. \nUpper Trapezius is a Good Guy Muscle \nUpper trapezius does not elevate the scapula – it has a local and global stability role for the neck and shoulder girdle. It has a major stability influence on the neck\, shoulder and thoracic spine. It has an anticipatory timing pattern and is delayed with pain – similar to Transversus. It also experiences sudden atrophy – similar to Multifidus. It rarely loses extensibility so assessment and retaining needs to be specific. Lower trapezius does not pull the inferior angle of the scapula down and in. There are better ways to train lower trapezius for scapular stability! \nAnconeus\, Supinator and Pronator Quadratus\nThese muscles have a translation control role in the forearm.  We have developed specific exercises like multifidus in the lumbar spine. \nWrist and Thumb Stability\nOur detailed dissection has identified a mechanism to stabilize the wrist\, thumb and individual joints of the fingers. \nMyofascial Trigger Point (TTP) Release\nMTP release is a useful way in many people to improve aspects of motor behavior (e.g.\, range of movement). In some people it can be a source of pain. Motor Behavior Therapy can be used to help desensitize MTP’s. \nNeurodynamics\nNeurodynamic reactivity can significantly affect the way people move. We’ll show how movement can be used to treat neurodynamic reactivity. \nTaping\nThere are some great taping techniques for the shoulder girdle\, forearm and neurodynamics!
URL:https://smarterehab.blog/event/shoulder-girdle-forearm-movement-loading-analysis-for-motor-behavior-therapy-in-divaca-slovenia/
LOCATION:Slovenia\, Slovenia
CATEGORIES:Sean Gibbons
ORGANIZER;CN="SMARTERehab":MAILTO:SMARTERehab@gmail.com
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DTSTART;VALUE=DATE:20221113
DTEND;VALUE=DATE:20221116
DTSTAMP:20260410T083245
CREATED:20220821T191438Z
LAST-MODIFIED:20220822T160919Z
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SUMMARY:Body Imagery\, Central Pain and Complex Pain in Warsaw\, Poland
DESCRIPTION:Language – This course will be taught in English with translation \nCourse Description \nThere are more options besides addressing Psychology or  \nPain Physiology Education \nNot all pain has a mechanical behavior. Unfortunately\, many common traditional intervention strategies are largely dependent upon a “mechanical related” pain mechanism. \n“Pain mechanisms” are a subgroup since they represent a “process that is driving the disorder / pain”. Pain mechanisms are generally divided into: nociplastic (building on central sensitization)\, neuropathic and nociceptive. \nIt is our opinion that nociplastic or central sensitization is inadequate in fully explaining the diverse range of clinical presentations we see. There are problems in terminology use\, diagnosis\, and effective rehabilitation. \nOn this course we discuss these issues and attempt to solve these problems: \n\nNociplastic pain is considered a spectrum to help describe various presentations\nFunctional causation is considered to facilitate better treatment targeting\nBody Imagery Pain is introduced as it represents a non mechanical pain state that is not addressed in the definition of nociplastic pain or central sensitization.\n\nWhy do people: \n\nHave complex\, bizarre pain\, whole limb pain or paraesthesia?\nGet all their symptoms on one side of their bodies?\nFeel swelling when there isn’t any?\nHave one sided fatigue\, heaviness or other bizarre musculoskeletal-like complaints?\n\nWe’ll show you why and be able to explain strategies for appropriate body imagery pain education! \nThe brain needs to know what is happening in the body. It gets this information from sensory feedback and forming complex maps. When this information is deficient the brain will change its behavior to get this information. When it is absent\, significantly inaccurate or cannot be processed\, musculoskeletal symptoms can result.  This is the essence of body imagery pain.  It is now clear that our virtual brain and body imagery are involved in pain states. In some cases they can be a primary cause of the pain state! \nWe will cover the clinical diagnosis of nociplastic pain and body imagery pain based upon subjective history characteristics\, questionnaires and simple laboratory / physical assessment strategies. \nYou will leave with a clear understanding of how to diagnose various types of non mechanical pain\, along with the appropriate subjective history\, physical examination and questionnaires to use. You will be able to develop a rehabilitation program for clients with altered body imagery and / or nociplastic pain and have appropriate progressions and problem solving strategies. \nThis course is suitable for musculoskeletal\, neurological\, pediatric\, vestibular and pelvic health physiotherapists. \nIt can be tailored to meet the needs of specific groups.
URL:https://smarterehab.blog/event/body-imagery/
LOCATION:Barcelona\, Spain\, Spain
CATEGORIES:Sean Gibbons
ORGANIZER;CN="Sean Gibbons":MAILTO:SMARTERehab@gmail.com
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