Proprioceptive Sensory Motor Training & Rehab for Problem Clients
Tutor: Sean Gibbons BSc. (Hons) P.T., MSc. Ergonomics, MCPA
Duration: 2 day(s)
Course Description:
Course outline (pdf) click here
This course is particularly suited to musculoskeletal, neurology and paediatric therapists.
Course Description
A sub group of patients have difficulty understanding the exercises or education we give them. These patients have significant deficits in proprioception and sensory motor function, and have primitive reflexes in the nervous system. Research shows that there is a strong relationship between proprioception, sensory motor function and cognitive function. The presence of primitive reflexes significantly affects normal motor control and makes it difficult for patients to learn specific motor control exercise.
During this two day course, the clinical application of sensory motor testing and proprioception is described in detail along with relevant physiology. This includes the relationship of sensory motor function and proprioception to pain, motor unit recruitment, muscle stiffness, muscle imbalance, sense of effort and fatigue. The relationship between learning difficulties and sensory motor function is also covered along with the relationship to pain coping and fear avoidance.
The Motor Control Abilities Questionnaire is an instrument developed to identify patients who have difficulty understanding stability and movement control exercises. The use of this questionnaire will be described and how sensory motor rehabilitation can be used to improve cognitive function. The assessment and rehabilitation of evidence based tests of sensory motor function are reviewed along with five key primitive reflexes. The categories of learning styles are emphasized along with a structured model for clinical problem solving. The course emphasizes appropriate clinical starting points and suitable progression of therapeutic exercise.
Course Objectives:
After the course the participant will be able to:
- Understand the learning process and apply suitable learning styles in rehabilitation
- Appreciate the types of motor and cognitive dysfunctions that occur with pain
- Identify clients who will unlikely progress with specific stability exercises by using the Motor Control Abilities Questionnaire and with a sensory motor assessment
- Assess and rehabilitate aspects of sensory motor function (i.e. proprioception, postural stability, oculomotor function)
- Assess and rehabilitate several primitive reflexes and recognize how they influence movement, stability and cognitive function
- Prescribe exercises for patients to improve cognitive learning function
- Apply problem solving strategies to make exercises easier and harder for all patients
What will you get form this course that you may not already have?
Sensory Motor Function
Proprioception is one component of the whole sensory motor system. We also need to consider vision, tactility, the vestibular system and auditory systems and relate these to the client’s problem.
Primitive reflexes
Understand the role of primitive reflexes in pain, cognitive function and motor control. This has a huge influence on correcting movement, rehab strategies and learning skills. This is also important for neurological rehab.
CNS Coordination – A New Sub-Classification
Our clinical reasoning promotes a diagnosis of movement dysfunction, tissue, pain mechanisms and CNS Coordination. The latter represents a new, but significant sub-classification, which represents the cognitive and motor functions of the CNS.
Motor Control Ability Screening
What about the people who can`t seem to learn the exercises we teach them? You will learn how to use the Motor Control Abilities Questionnaire and a sensory motor function assessment to screen people for the ability to learn specific motor control exercises. You will learn alternative treatment options to rehabilitate this problem population.
Learning Difficulties
Appreciate the importance of cognitive based learning skills in rehabilitation.
Sensory Integration Disorder
Providing more sensory input normally helps, however this will make some people worse. Learn how to identify these patients.
Motor Control Problem Solving
Problem solving with some clients can be difficult. We have developed a Universal Problem Solving Model of Motor Control to help you make exercises easier or harder. We have to give people exercises they can do, not ones they can’t.
Do you sometimes find it hard to teach people Specific Stability Exercises?
We have all learned motor control exercises before, but sometimes it is difficult to apply to clinical practice. This may be because it is hard to problem solve, difficult to know where to start and where to progress, some clients are hard to teach and some just don’t appear to get it.
Regardless of your experience level, this course can help.
We can change the brain
Who Can Attend:
It is designed to be beneficial for all levels of expertise and experience, with particular relevance to all Manual Therapists and Sports Medicine Practitioners.