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SUMMARY:Primitive Reflexes Influencing Movement & Motor Behavior: How to Help Patients Move Better in Calgary\, Canada
DESCRIPTION:Course Description \nMovement is a foundation of physiotherapy rehabilitation. A sub group of patients have very poor coordination and this can interfere with traditional rehab (e.g.\, eloquently termed “motor morons” in Canada). Other patients just seem to have tightness in muscles that does not go way. This can be due to retained primitive reflexes. \n“It’s too simple – If someone has a problem with movement\,  \ngo back to when they learned how to move” \nPrimitive reflex inhibition are very gentle and easy to use strategies that can be applied right away in the clinic. \nPrimitive reflexes (PR) are brain stem-mediated\, complex automatic movement patterns that commence in utero.  If PR are present they will influence normal motor control and can interfere with normal rehabilitation. There are numerous causes of PR being present in neurologically intact adults (e.g.\, atypical birth history or developmental milestones especially walking and crawling; concussion). Numerous conditions are known to have retained primitive reflexes (e.g.\, ADHD\, Developmental Coordination Disorder\, dyslexia\, addictions\, scoliosis\, DM\, chronic LBP\, chronic WAD\, post concussion syndrome\, chronic shoulder pain\, stroke\, TBI). \nThe treatment of primitive reflexes can be used clinically in different ways to : \n\nreduce individual muscle tone in chronically short muscles (e.g.\, hamstrings\, gastrocnemius)\nincrease range of motion (e.g.\, upper cervical flexion\, glenohumeral joint medial rotation)\nimprove general coordination (e.g.\, clumsiness\, proprioception\, postural stability)\ntarget specific problems (e.g.\, toe walkers\, some torticollis)\nfacilitate pelvic floor rehab (e.g.\, pelvic floor asymmetry)\nimprove motor imagery (e.g.\, midline and musculoskeletal body image deficits)\nnormalize muscle tone (e.g.\, stroke)\n\nDuring this course we will cover the assessment and rehabilitation of PR in detail. Strategies for treatment in the clinic and home exercise will be covered.  Specific examples will be used to show how primitive reflex inhibition can immediately improve movement and motor behavior. \nThe course material has other uses for neurology\, concussion\, pediatrics and in helping regular clients learn exercises more quickly. \nThere are no pre-requisites for this course \nClinic host: Leading Edge Physiotherapy
URL:https://smarterehab.blog/event/primitive-reflexes-influencing-movement-motor-behavior-how-to-help-patients-move-better-in-calgary-canada/
LOCATION:Calgary\, Alberta\, 4015 University Dr NW #205\, Calgary\, Alberta\, T3B 2V7\, Canada
CATEGORIES:Sean Gibbons
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DTSTART;TZID=America/New_York:20241018T130000
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DTSTAMP:20260406T045618
CREATED:20240414T144154Z
LAST-MODIFIED:20240414T144544Z
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SUMMARY:Lumbar Spine: Movement & Loading Analysis for  Motor Behavior Therapy: Laval\, Quebec\, Canada: Part 1
DESCRIPTION:Note: This course is being taught over two weekends (October 18-20 & November 1-3). The hours for each course will be: Friday: (1:00 to 5:00)\, Saturday (8:30 to 4:30) and Sunday AM (8:00 to 11:30). \nCourse Description \nLumbo-pelvic pain can be related to a variety of factors including trauma or overuse\, but frequently it is an insidious\, recurrent and an ongoing problem for many people. This is often related to sub-optimal loading on around the lumbo-pelvic region. \nThe mechanism driving the sub-optimal loading on the tissues may related to: \n\nMovement Pattern Control\nTranslation Control of the joint\nBiomechanical Exposures to Loading\n\nThere is considerable individual variation in how these present. These loading mechanisms may occur in combinations or alone. Presentations include a spectrum from “too little control” to “too much control”. Each tissue loading mechanisms has causation creating the need for highly individualized management. \nThe underlying hypothesis of movement as a link to musculoskeletal symptoms is that the way the central nervous system coordinates movement can influence tissue loading. For example\, people with lumbar low back pain can move the lumbar spine more than their hips into flexion and extension. \nIn normal function we need the ability to vary postures and movement patterns\, or kinetic chain sequence\, in order to avoid tissue overload. It is normal and necessary to use our end range movements\, however it is abnormal to continuously use the same movement pattern or end range movement. If the ability to vary the kinetic chain and control movement is lost\, tissue load can be exceeded\, tissue repair can become compromised and pathology may result. \nAltered translation control can manifest as too much little control (e.g.\, shear) or too much control (e.g.\, compression).  Too much shear can place stress on articular structures that limit movement. Compression with shear places more stress on articular structures (e.g.\, disc). Altered translation control can present with altered movement patterns and can contribute to ongoing symptoms. For example\, lumbar instability is not rare. \n  \nBiomechanical exposures to loading are the physical stresses experienced by the body. Biomechanical factors include gross body position\, exertion\, forces and motions. This loading causes mechanical tension within the tissues which can lead to microdamage if the load tolerance is exceeded.  This can occur on its own\, but is often combined with movement or translation control mechanisms. \nWhy is the central nervous system moving the body in a way that is potentially harmful? \nThis question should be answered or many people will not progress or quickly plateau. We review the functional causes of altered movement and motor behavior. \nHow does it fit in? – Movement as a Clinical Reasoning Tool \nTargeting movement and motor behavior will allow you to be much more effective with whatever skills you already have! Treatment and progression will also be faster. These are discussed and numerous examples demonstrated during the practical sessions. \nWhy not just let it heal and load it? \n Load management and progressive loading principles are appropriate for some people. However\, everyone does not respond the same and multiple loading mechanisms can occur together. The Movement Exposures & Loading Tool© is a simple questionnaire which will facilitate the need for load management. \nIs this for everyone? – Of course not! \nThis is what a Sub-classification is for. Motor behavior issues represent a subgroup of patients and are not the priority for everyone. The purpose of the sub-classification model is to show you how to identify who will respond to this type of therapy. Some people do not have the ability to learn motor control based exercises. Others can learn\, but won’t respond. Some do not have a nociceptive pain mechanism. While others have neuro-immune-sympathetic dysregulation or nociplastic pain). \nThis course will provide participants with skills in assessing movement and sub-classifying movement pattern and motor control deficits that will relate to the functional movements that provoke the patient’s symptoms.  Rehabilitation strategies will provide a logical and functional based starting point with directions for progression. A universal clinical problem-solving model is given to iron out real-life difficulties. \nCourse Objectives:  \n\nMake a movement pattern control sub-classification and relate this to the client’s presentation\nUtilize strategies to diagnose lumbar instability\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? \nPredict who will Respond to Therapy \nDon’t waste time. Learn the factors that predict a very favorable respond to Motor Behavior Therapy for movement pattern control and segmental stabilization exercise (for translation control) \nDiagnostic Accuracy of the Articular Related Pain: Lumbar Spine\nWe’ll review the best tests for you to use clinically \n Psoas Major \nPsoas major barely flexes the hip! – it’s main function is to stabilize the lumbar spine\, sacro-iliac joint and hip. Research shows that it has segmental atrophy similar to multifidus. It likely needs specific rehab. We also have new facilitation strategies. \nTransversus Abdominis Asymmetry\nWe’ll show you how to test for and rehabilitate asymmetry \nMultifidus Cuing – Beyond “Swelling” \nNewer cues help people who can learn much better than these older cues! \nBreathing\nDo you know what normal breathing is?  Do you know how to retrain it? The diaphragm is a muscle and changes with posture and pain and can affect all aspects of our function.  Breathing is an essential part of rehabilitation and needs to be addressed. \nGluteus maximus is a multitasking muscle!\nIt has three functional subdivisions. The Deep Sacral Gluteus Maximus only crosses the sacroiliac joint and is ideally suited for SIJ stability.  Why don’t some people progress with glut max training and what can we do about it? \nNeurodevelopmental Disorders and Postural Reflexes\nWe`ll show you how postural reflexes can be the cause of increased lumbar spine flexion compared to hip. \nPrimitive Reflexes \nOver 90% of people with musculoskeletal pain have primitive reflexes. They contribute to altered motor control and tone. Learn how they will influence the lumbar spine. \nCore Cylinder\nThe translation control mechanism of lumbo-pelvic stability partially depends on integration of the whole cylinder. We’ll show you how to assess and rehabilitate this. \nMyofascial Trigger Point (MTP) 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. \nClinical Reasoning in Motor Behavior Therapy \nProviding the right therapy for the right person at that time in their rehab – the essence of sub-classification. To do this you need to logically match the history to the patho-anatomical diagnosis to the mechanisms involved.
URL:https://smarterehab.blog/event/lumbar-spine-movement-loading-analysis-for-motor-behavior-therapy-laval-quebec-canada-part-1/
LOCATION:Laval Canada\, Laval\, Canada
CATEGORIES:Sean Gibbons
ORGANIZER;CN="PhysioActif":MAILTO:ariel@physioactif.com
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