BEGIN:VCALENDAR
VERSION:2.0
PRODID:-//Sean Gibbons Blogs - ECPv6.15.11//NONSGML v1.0//EN
CALSCALE:GREGORIAN
METHOD:PUBLISH
X-ORIGINAL-URL:https://smarterehab.blog
X-WR-CALDESC:Events for Sean Gibbons Blogs
REFRESH-INTERVAL;VALUE=DURATION:PT1H
X-Robots-Tag:noindex
X-PUBLISHED-TTL:PT1H
BEGIN:VTIMEZONE
TZID:Europe/Rome
BEGIN:DAYLIGHT
TZOFFSETFROM:+0100
TZOFFSETTO:+0200
TZNAME:CEST
DTSTART:20230326T010000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:+0200
TZOFFSETTO:+0100
TZNAME:CET
DTSTART:20231029T010000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:+0100
TZOFFSETTO:+0200
TZNAME:CEST
DTSTART:20240331T010000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:+0200
TZOFFSETTO:+0100
TZNAME:CET
DTSTART:20241027T010000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:+0100
TZOFFSETTO:+0200
TZNAME:CEST
DTSTART:20250330T010000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:+0200
TZOFFSETTO:+0100
TZNAME:CET
DTSTART:20251026T010000
END:STANDARD
END:VTIMEZONE
BEGIN:VTIMEZONE
TZID:America/New_York
BEGIN:DAYLIGHT
TZOFFSETFROM:-0500
TZOFFSETTO:-0400
TZNAME:EDT
DTSTART:20210314T070000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0400
TZOFFSETTO:-0500
TZNAME:EST
DTSTART:20211107T060000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0500
TZOFFSETTO:-0400
TZNAME:EDT
DTSTART:20220313T070000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0400
TZOFFSETTO:-0500
TZNAME:EST
DTSTART:20221106T060000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0500
TZOFFSETTO:-0400
TZNAME:EDT
DTSTART:20230312T070000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0400
TZOFFSETTO:-0500
TZNAME:EST
DTSTART:20231105T060000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0500
TZOFFSETTO:-0400
TZNAME:EDT
DTSTART:20240310T070000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0400
TZOFFSETTO:-0500
TZNAME:EST
DTSTART:20241103T060000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0500
TZOFFSETTO:-0400
TZNAME:EDT
DTSTART:20250309T070000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0400
TZOFFSETTO:-0500
TZNAME:EST
DTSTART:20251102T060000
END:STANDARD
END:VTIMEZONE
BEGIN:VTIMEZONE
TZID:UTC
BEGIN:STANDARD
TZOFFSETFROM:+0000
TZOFFSETTO:+0000
TZNAME:UTC
DTSTART:20220101T000000
END:STANDARD
END:VTIMEZONE
BEGIN:VTIMEZONE
TZID:Europe/Paris
BEGIN:DAYLIGHT
TZOFFSETFROM:+0100
TZOFFSETTO:+0200
TZNAME:CEST
DTSTART:20210328T010000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:+0200
TZOFFSETTO:+0100
TZNAME:CET
DTSTART:20211031T010000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:+0100
TZOFFSETTO:+0200
TZNAME:CEST
DTSTART:20220327T010000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:+0200
TZOFFSETTO:+0100
TZNAME:CET
DTSTART:20221030T010000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:+0100
TZOFFSETTO:+0200
TZNAME:CEST
DTSTART:20230326T010000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:+0200
TZOFFSETTO:+0100
TZNAME:CET
DTSTART:20231029T010000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:+0100
TZOFFSETTO:+0200
TZNAME:CEST
DTSTART:20240331T010000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:+0200
TZOFFSETTO:+0100
TZNAME:CET
DTSTART:20241027T010000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:+0100
TZOFFSETTO:+0200
TZNAME:CEST
DTSTART:20250330T010000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:+0200
TZOFFSETTO:+0100
TZNAME:CET
DTSTART:20251026T010000
END:STANDARD
END:VTIMEZONE
BEGIN:VTIMEZONE
TZID:America/Halifax
BEGIN:DAYLIGHT
TZOFFSETFROM:-0400
TZOFFSETTO:-0300
TZNAME:ADT
DTSTART:20220313T060000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0300
TZOFFSETTO:-0400
TZNAME:AST
DTSTART:20221106T050000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0400
TZOFFSETTO:-0300
TZNAME:ADT
DTSTART:20230312T060000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0300
TZOFFSETTO:-0400
TZNAME:AST
DTSTART:20231105T050000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0400
TZOFFSETTO:-0300
TZNAME:ADT
DTSTART:20240310T060000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0300
TZOFFSETTO:-0400
TZNAME:AST
DTSTART:20241103T050000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0400
TZOFFSETTO:-0300
TZNAME:ADT
DTSTART:20250309T060000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0300
TZOFFSETTO:-0400
TZNAME:AST
DTSTART:20251102T050000
END:STANDARD
END:VTIMEZONE
BEGIN:VTIMEZONE
TZID:America/Chicago
BEGIN:DAYLIGHT
TZOFFSETFROM:-0600
TZOFFSETTO:-0500
TZNAME:CDT
DTSTART:20230312T080000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0500
TZOFFSETTO:-0600
TZNAME:CST
DTSTART:20231105T070000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0600
TZOFFSETTO:-0500
TZNAME:CDT
DTSTART:20240310T080000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0500
TZOFFSETTO:-0600
TZNAME:CST
DTSTART:20241103T070000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0600
TZOFFSETTO:-0500
TZNAME:CDT
DTSTART:20250309T080000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0500
TZOFFSETTO:-0600
TZNAME:CST
DTSTART:20251102T070000
END:STANDARD
END:VTIMEZONE
BEGIN:VTIMEZONE
TZID:America/Denver
BEGIN:DAYLIGHT
TZOFFSETFROM:-0700
TZOFFSETTO:-0600
TZNAME:MDT
DTSTART:20230312T090000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0600
TZOFFSETTO:-0700
TZNAME:MST
DTSTART:20231105T080000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0700
TZOFFSETTO:-0600
TZNAME:MDT
DTSTART:20240310T090000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0600
TZOFFSETTO:-0700
TZNAME:MST
DTSTART:20241103T080000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0700
TZOFFSETTO:-0600
TZNAME:MDT
DTSTART:20250309T090000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0600
TZOFFSETTO:-0700
TZNAME:MST
DTSTART:20251102T080000
END:STANDARD
END:VTIMEZONE
BEGIN:VTIMEZONE
TZID:Atlantic/Azores
BEGIN:DAYLIGHT
TZOFFSETFROM:-0100
TZOFFSETTO:+0000
TZNAME:+00
DTSTART:20220327T010000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:+0000
TZOFFSETTO:-0100
TZNAME:-01
DTSTART:20221030T010000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0100
TZOFFSETTO:+0000
TZNAME:+00
DTSTART:20230326T010000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:+0000
TZOFFSETTO:-0100
TZNAME:-01
DTSTART:20231029T010000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0100
TZOFFSETTO:+0000
TZNAME:+00
DTSTART:20240331T010000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:+0000
TZOFFSETTO:-0100
TZNAME:-01
DTSTART:20241027T010000
END:STANDARD
END:VTIMEZONE
BEGIN:VTIMEZONE
TZID:UTC
BEGIN:STANDARD
TZOFFSETFROM:+0000
TZOFFSETTO:+0000
TZNAME:UTC
DTSTART:20210101T000000
END:STANDARD
END:VTIMEZONE
BEGIN:VEVENT
DTSTART;VALUE=DATE:20241109
DTEND;VALUE=DATE:20241112
DTSTAMP:20260417T121926
CREATED:20220311T105752Z
LAST-MODIFIED:20231022T131209Z
UID:111-1731110400-1731369599@smarterehab.blog
SUMMARY:Advanced Clinical Reasoning (Closed) in Milan\, Italy
DESCRIPTION:Email – SMARTERehab@gmail.com\nLanguage – English \nThis course is for invitation only \nAdvanced Clinical Reasoning and Problem Solving  in Motor Behavior Therapy  \nThis course solidifies the material learned during the other courses and “puts it all together”. \nThe final subgroups of the Motor Behavior sub-classification are covered. The assessment and treatment of Motor Unit Recruitment Dys-regulation and Kinetic chain Imagery Deficits are covered. This shows when resistance training is required in rehab and the need for a whole body approach to management. \nSub-classification is about applying the best treatment for a specific person at a certain point in their rehabilitation.  Therefore\, correct sub-grouping is important to achieve the best outcome. \nThe diagnostic accuracy of each sub-classification will be reviewed along with how use your subjective history and physical assessment to enhance your clinical decision making of what subgroups to consider. Case studies will be used to illustrate the clinical reasoning when multiple subgroups are present concurrently. The prioritization of each sub-classification will be made along with the clinical reasoning behind each stage of the assessment and rehabilitation. This will involve the Causation of the sub-classification you have made and the Individual Factors. \nMotor control problem solving will be discussed in detail as well as strategies to use specific motor control to achieve pain control.  Strategies to educate patients on motor control rehab will be covered.  Overall\, appropriate education and pain control will significantly enhance exercise compliance. \nThe integration of other physiotherapy skills will and the integration of multiple subgroups be covered to enhance rehabilitation. This is a fun and enjoyable course for the problem solving clinician. \nCourse Pre-requisites \nSMARTERehab Motor Behavior series\, Primitive Reflexes\, Body Imagery & Central Pain \nCourses with some similar content and will be considered (e.g.\, Kinetic Control\, Sahrmann\, Queensland\, Diane Lee)
URL:https://smarterehab.blog/event/advanced-clinical-reasoning-closed/
LOCATION:Milan\, Italy\, Milan\, Italy
CATEGORIES:Sean Gibbons
ORGANIZER;CN="SMARTERehab":MAILTO:SMARTERehab@gmail.com
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=America/New_York:20241101T130000
DTEND;TZID=America/New_York:20241103T170000
DTSTAMP:20260417T121926
CREATED:20240414T144748Z
LAST-MODIFIED:20240414T144748Z
UID:695-1730466000-1730653200@smarterehab.blog
SUMMARY:Lumbar Spine: Movement & Loading Analysis for  Motor Behavior Therapy: Laval\, Quebec\, Canada: Part 2
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 \nNote: This course is being taught over two weekends. \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-2/
LOCATION:Laval Canada\, Laval\, Canada
CATEGORIES:Sean Gibbons
ORGANIZER;CN="PhysioActif":MAILTO:ariel@physioactif.com
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=America/New_York:20241018T130000
DTEND;TZID=America/New_York:20241020T113000
DTSTAMP:20260417T121926
CREATED:20240414T144154Z
LAST-MODIFIED:20240414T144544Z
UID:690-1729256400-1729423800@smarterehab.blog
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
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20241004T140000
DTEND;TZID=UTC:20241006T163000
DTSTAMP:20260417T121926
CREATED:20240408T021332Z
LAST-MODIFIED:20240408T022409Z
UID:669-1728050400-1728232200@smarterehab.blog
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
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20240914
DTEND;VALUE=DATE:20240917
DTSTAMP:20260417T121926
CREATED:20240408T025702Z
LAST-MODIFIED:20240408T025739Z
UID:675-1726272000-1726531199@smarterehab.blog
SUMMARY:Primitive Reflexes Influencing Movement & Motor Behavior: How to Help Patients Move Better in Divača\, Slovenia
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.\, Adult – Mild Neurological Factors). 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
URL:https://smarterehab.blog/event/primitive-reflexes-influencing-movement-motor-behavior-how-to-help-patients-move-better-in-divaca-sloveniaa/
LOCATION:Slovenia\, Slovenia
CATEGORIES:Sean Gibbons
ORGANIZER;CN="Tina Gerzel":MAILTO:gerzelj.tin1@gmail.com
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20240531
DTEND;VALUE=DATE:20240603
DTSTAMP:20260417T121926
CREATED:20220821T191340Z
LAST-MODIFIED:20240408T022243Z
UID:394-1717113600-1717372799@smarterehab.blog
SUMMARY:Primitive Reflexes Influencing Movement & Motor Behavior: How to Help Patients Move Better in Barcelona\, Spain
DESCRIPTION:Language – This course will be taught in English with translation\n \nCourse 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
URL:https://smarterehab.blog/event/primitive-reflex/
LOCATION:Barcelona\, Spain\, Spain
CATEGORIES:Sean Gibbons
ORGANIZER;CN="Sean Gibbons":MAILTO:SMARTERehab@gmail.com
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20240504
DTEND;VALUE=DATE:20240506
DTSTAMP:20260417T121926
CREATED:20220821T191607Z
LAST-MODIFIED:20231022T133836Z
UID:399-1714780800-1714953599@smarterehab.blog
SUMMARY:Primitive Reflexes Influencing Movement & Motor Behavior: How to Help Patients Move Better in Moncton\, 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 \n 
URL:https://smarterehab.blog/event/primitive-reflex-2/
LOCATION:Monton\, Canada\, Moncton\, Canada
CATEGORIES:Sean Gibbons
ORGANIZER;CN="Sean Gibbons":MAILTO:SMARTERehab@gmail.com
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=America/Chicago:20240405T130000
DTEND;TZID=America/Chicago:20240407T120000
DTSTAMP:20260417T121926
CREATED:20231022T132218Z
LAST-MODIFIED:20231022T132307Z
UID:608-1712322000-1712491200@smarterehab.blog
SUMMARY:Neurodynamic Treatment with Motor Control Retraining: Neck and Upper Quadrant – Trunk and Lower Quadrant in Laval
DESCRIPTION:Course Description\n The nervous system may become reactive and sensitized through many processes.  One such process is through extreme movement patterns and altered joint control. \nOn this course the base neurodynamic tests are reviewed we will show how retraining movement patterns can influence neurodynamic reactivity.  Examples will be highlighted where movement control rehabilitation and neurodynamics do not agree i.e. when the retraining movement patterns actually places more stress on neural structures. \nThis course will provide participants with skills in analysing movement in relation to neurodynamic reactivity.  Motor control retraining strategies will be introduced using an easy to use clinical reasoning process.  Strategies will also be covered to combine traditional neural mobilization with motor control exercise. \nThe course will cover the neck\, trunk\, shoulder girdle as well as the key aspects of the upper and lower quadrants. \nWe will briefly review our sub-classification model and the other key causes of reactivity of the nervous system. \nThere are no pre-requisites for this course
URL:https://smarterehab.blog/event/neurodynamic-treatment-with-motor-control-retraining-neck-and-upper-quadrant-trunk-and-lower-quadrant-in-laval/
LOCATION:Laval Canada\, Laval\, Canada
CATEGORIES:Sean Gibbons
ORGANIZER;CN="PhysioActif":MAILTO:ariel@physioactif.com
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20240301
DTEND;VALUE=DATE:20240304
DTSTAMP:20260417T121926
CREATED:20231022T133514Z
LAST-MODIFIED:20231022T133655Z
UID:612-1709251200-1709510399@smarterehab.blog
SUMMARY:Primitive Reflexes Influencing Movement & Motor Behavior: How to Help Patients Move Better in Calgary\, Alberta Canada
DESCRIPTION:Course Overview\nMovement is a foundation of physiotherapy rehabilitation. A sub group of patients have very poor coordination and this interferes 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 is frequently due to a retained primitive reflexes. \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\, head injury). \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 two day 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 control. \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
URL:https://smarterehab.blog/event/primitive-reflexes-influencing-movement-motor-behavior-how-to-help-patients-move-better/
LOCATION:Laval
CATEGORIES:Sean Gibbons
ORGANIZER;CN="Sean Gibbons":MAILTO:SMARTERehab@gmail.com
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20240223
DTEND;VALUE=DATE:20240226
DTSTAMP:20260417T121926
CREATED:20231022T133156Z
LAST-MODIFIED:20231022T133211Z
UID:610-1708646400-1708905599@smarterehab.blog
SUMMARY:Lumbar Spine: Movement & Loading Analysis for Motor Behavior Therapy in Edmonton\, Canada
DESCRIPTION:Course 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 be the: \n\nMovement Pattern\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. \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. \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? \nLoad 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 (newer term from central sensitization). \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
URL:https://smarterehab.blog/event/lumbar-spine-movement-loading-analysis-for-motor-behavior-therapy-in-edmonton-canada/
LOCATION:Laval
CATEGORIES:Sean Gibbons
ORGANIZER;CN="Sean Gibbons":MAILTO:SMARTERehab@gmail.com
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=UTC:20231124T130000
DTEND;TZID=UTC:20231126T120000
DTSTAMP:20260417T121926
CREATED:20231022T124214Z
LAST-MODIFIED:20231022T125601Z
UID:600-1700830800-1701000000@smarterehab.blog
SUMMARY:Thoracic Spine: Movement & Loading Analysis for Motor Behavior Therapy in Laval\, Canada
DESCRIPTION:Note: This course is half day Friday\, Full day Saturday\, and a half day Sunday \nCourse Description \nThoracic spine and symptoms can arise from trauma such as whiplash\, but frequently it is an insidious\, recurrent and an ongoing problem for many people. This is often related to suboptimal loading on the tissues around the thoracic region. \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. The causation can be related to local issues or from the other regions such as the lumbo-pelvic or cervical regions. \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\, the mid (or lower) thoracic spine is susceptible to developing flexion and / or rotation related symptoms. \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\, the thoracic spine can develop translation control deficits secondary to excessive movement (as noted above) or from the compensation for lumbo-pelvic or cervical deficits. \nThis course will provide participants with strategies to sub-classify a movement pattern control deficit in the thoracic spine and whether this is influenced by the lumbo-pelvic region or the cervical spine. \nMotor 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 thoracic spine; breathing retraining\, and the retraining of movement patterns of the thoracic spine. This can create an environment for normal healing by reducing tissue provocation. \nThe integration of other physiotherapy skills such as manual therapy\, myofascial trigger point release and progressive loading exercise will also be discussed. Some beneficial taping techniques will also be discussed. \nThe exercise progressions are described and strategies for the integration into function are discussed with participant examples and case studies to link it real life difficulties. \nCourse Objectives:  \n\nMake an accurate movement pattern control sub-classification and relate this to the client’s presentation\nUnderstand the relationship of the lumbo-pelvic and cervical motor behavior to the thoracic spine\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\nIdentify and rehabilitate normal breathing\n\n  \nWHAT WILL YOU GET FROM THIS COURSE THAT YOU MAY NOT ALREADY HAVE? \nThoracic Spine Segmental Stability \nWe have developed segmental stabilization exercises for Multifidus\, Serratus Posterior Inferior\, Lower Trapezius for the thoracic spine and ribs \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. \nCervical Spine or Lumbo-pelvic Culprit\nWe`ll show you how the cervical spine or lumbo-pelvic region is involved in thoracic dysfunction. \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 thoracic spine. \n 
URL:https://smarterehab.blog/event/thoracic-spine-movement-loading-analysis-for-motor-behavior-therapy-in-laval-canada/
LOCATION:Laval Canada\, Laval\, Canada
CATEGORIES:Sean Gibbons
ORGANIZER;CN="PhysioActif":MAILTO:ariel@physioactif.com
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=Atlantic/Azores:20231104T090000
DTEND;TZID=Atlantic/Azores:20231107T170000
DTSTAMP:20260417T121926
CREATED:20231022T125123Z
LAST-MODIFIED:20231022T125621Z
UID:603-1699088400-1699376400@smarterehab.blog
SUMMARY:The Lumbar Spine:  Movement & Loading Analysis for  Motor Behavior Therapy in Slovenia
DESCRIPTION:Course 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 be the: \n\nMovement Pattern\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. \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. \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? \nLoad 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 (newer term from central sensitization). \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. \n Course 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\n 
URL:https://smarterehab.blog/event/the-lumbar-spine-movement-loading-analysis-for-motor-behavior-therapy-in-slovenia/
LOCATION:Laval
CATEGORIES:Sean Gibbons
ORGANIZER;CN="Tina Gerzel":MAILTO:gerzelj.tin1@gmail.com
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20230602
DTEND;VALUE=DATE:20230605
DTSTAMP:20260417T121926
CREATED:20220821T192121Z
LAST-MODIFIED:20220822T174221Z
UID:410-1685664000-1685923199@smarterehab.blog
SUMMARY:Pelvic Health Body Imagery in Montreal\, Canada
DESCRIPTION:Note: This course starts at 1:00pm on Friday \nEmail – SMARTERehab@gmail.com\nLanguage – English\n \nCourse Description \nMotor imagery is used in motor skill based interventions. Motor imagery ability is deficient in a wide range of pain and non pain subgroups. Reduced motor imagery influences motor skill learning ability and pain. It usually manifests as poor coordination. \nThis course has two main focuses \n(1) Motor imagery as it relates to the assessment and rehab of motor control based interventions \n(2) Motor imagery as a pain mechanism \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 motor behavior to help get this information. When it is absent\, significantly inaccurate or cannot be processed\, musculoskeletal symptoms can result.  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! \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. \nOn this course we go through an easy to use clinical assessment of motor imagery and targeted rehabilitations strategies. These include primitive reflex inhibition\, postural reflex facilitation\, midline rehab and specific sensory motor rehab. \nClinical examples will be shown as to how the rehabilitation is targeted towards facilitating improved pelvic health. \nCourse Objectives: The participant will be able to: \n\nTake a subjective history related to motor imagery and Body Imagery Pain\nIdentify patients with poor motor imagery\nUse primitive reflex inhibition strategies to improve motor imagery and pelvic health rehab\nSubgroup Body Imagery Pain using a clinical reasoning process\n\nTestimonial \n“The courses that I have taken with Sean have completely changed my pelvic floor practice and the way I practice as a physical therapist! Sean’s courses are a must in order to help a variety of clientele and especially those who do not respond to conventional treatments!  He has researched and developed new evidence based techniques that are essential for pelvic floor therapists.”  \nErica Lafontant\, pht\, B. Sc\, M.Sc.A\nRééducation périnéale et pelvienne
URL:https://smarterehab.blog/event/pelvic-health-body-imagery/
LOCATION:Montreal\, Canada\, Montreal\, Canada
CATEGORIES:Sean Gibbons
ORGANIZER;CN="Sean Gibbons":MAILTO:SMARTERehab@gmail.com
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20230506
DTEND;VALUE=DATE:20230508
DTSTAMP:20260417T121926
CREATED:20220821T195355Z
LAST-MODIFIED:20230130T201214Z
UID:416-1683331200-1683503999@smarterehab.blog
SUMMARY:Primitive Reflexes Influencing Movement & Motor Behavior in Halifax\, Canada (TBC)
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 doesn’t move well\, go 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 \n  \n 
URL:https://smarterehab.blog/event/primitive-reflex-3/
LOCATION:Halifax\, Canada\, Halifax\, Canada
CATEGORIES:Sean Gibbons
ORGANIZER;CN="SMARTERehab":MAILTO:SMARTERehab@gmail.com
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20230421
DTEND;VALUE=DATE:20230424
DTSTAMP:20260417T121926
CREATED:20220821T191904Z
LAST-MODIFIED:20220822T172750Z
UID:406-1682035200-1682294399@smarterehab.blog
SUMMARY:Cervical Spine & TMJ: Movement & Loading Analysis for Motor Behavior Therapy in Laval\, Canada
DESCRIPTION:Email – ariel@physioactif.com \nCourse Description \nCervical spine and temporomandibular joint (TMJ) symptoms can arise from trauma such as whiplash\, but frequently it is an insidious\, recurrent and an ongoing problem for many people. This is often related to suboptimal loading on the tissues around the cervical\, orofacial and scapula-thoracic regions. \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. \nMotor control and sensory motor deficits can be identified in association with neck and TMJ pain. Following an episode of cervical pain changes occur in the central nervous system including: a loss of proprioceptive awareness\, reduced tactility\, deficits in oculomotor function\, altered postural stability\, and changes in movement patterns. As well\, the deep stabilising muscles have been shown to exhibit motor control deficits and the superficial muscles become more active at low threshold compared with non-neck pain subjects. The changes are more pronounced following whiplash. Tissues can be overloaded from uncontrolled segmental translation or compression due to the increased activity of the superficial muscles. \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. \nThis course will provide participants with strategies to sub-classify a movement pattern control deficit in the cervical spine\, TMJ and whether this is influenced by the scapular function. \nMotor 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 anterior and posterior cervical spine; and superior and horizonal control of the TMJ; the retraining of movement patterns of the cervical spine and the TMJ. This can create an environment for normal healing by reducing tissue provocation. \nThe integration of other physiotherapy skills such as manual therapy\, myofascial trigger point release and progressive loading exercise will also be discussed. 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 to link it real life difficulties. \nCourse Objectives:  \n\nMake an accurate movement pattern control sub-classification and relate this to the client’s presentation\nUnderstand the relationship of scapular motor behavior to cervical and TMJ\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? \nCervical Segmental Stability – Posterior\nTranslation control is more than the deep neck flexors. The posterior muscles of the neck experience segmental atrophy and need to be specifically retrained. We’ll give you strategies. Learn alternative strategies to activate the anterior translation control muscles (deep neck flexors). \nTMJ Translation control \nWe have researched and developed strategies for translation control of the TMJ. \nHeavy Head Syndrome \nWe’ve all heard patients complain of a heavy head. Learn a simple way to rehab this \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! \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 cervical and TMJ movement. \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. \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/cervical-spine-shoulder-forearm-2/
LOCATION:Laval Canada\, Laval\, Canada
CATEGORIES:Sean Gibbons
ORGANIZER;CN="PhysioActif":MAILTO:ariel@physioactif.com
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20221113
DTEND;VALUE=DATE:20221116
DTSTAMP:20260417T121926
CREATED:20220821T191438Z
LAST-MODIFIED:20220822T160919Z
UID:397-1668297600-1668556799@smarterehab.blog
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
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20221103
DTEND;VALUE=DATE:20221107
DTSTAMP:20260417T121926
CREATED:20220822T164153Z
LAST-MODIFIED:20220822T165432Z
UID:476-1667433600-1667779199@smarterehab.blog
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
END:VEVENT
BEGIN:VEVENT
DTSTART;VALUE=DATE:20221021
DTEND;VALUE=DATE:20221024
DTSTAMP:20260417T121927
CREATED:20220821T190419Z
LAST-MODIFIED:20220822T165523Z
UID:381-1666310400-1666569599@smarterehab.blog
SUMMARY:Shoulder Girdle & Forearm: Movement & Loading Analysis for  Motor Behavior Therapy in Laval\, Canada
DESCRIPTION:Contact Email – ariel@physioactif.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 suboptimal 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-and-forearm/
LOCATION:Laval Canada\, Laval\, Canada
CATEGORIES:Sean Gibbons
ORGANIZER;CN="PhysioActif":MAILTO:ariel@physioactif.com
END:VEVENT
END:VCALENDAR