Neurological

Motor Control Retraining in People with Neurological Impairments 

Part A: Diagnosis of Disability Specific Uncontrolled Movements and Retraining Strategies in the Trunk, Pelvis and Shoulder Girdle

This course explores the concept of uncontrolled movement based on extensive evidence and research literature to date. A systematic and logical approach is presented which aims to make your assessment of the patient’s disability much more specific and precise.

The rehabilitation programme is taken to its full completion on  the follow up course Part B.

Part B: Retraining Disability Specific Site and Direction of Uncontrolled Movement - linking gait and function

Course Outline

Movement function and dysfunction is complex. For physiotherapists interested in restoring movement control in a patient with disability or with pain it is essential to understand the strategies used by the CNS to control movement ,and the interrelationships between all four components of the movement system. These include the local and global muscle systems, the passive restraint systems, the connective tissue components and the central and peripheral neural systems. The practical sessions focus on finding and diagnosing the site and direction of uncontrolled movements, and a problem solving approach is applied to design a patient specific and functionally relevant rehab programme. This rehab programme is taken to its full completion on the follow-up course, part B, once you have consolidated these skills in the clinic.

Parts A & B are very interactive courses with practical and functional integration of stability retraining concepts into your management of the person with neurological impairments.

Key Features

Part A

• Relating uncontrolled movement to disability, dysfunction and pain
• How to use a systematic and logical approach to identifying and correcting uncontrolled movement
• Use the assessment as a tool to design a retraining strategy & prescriptive exercise porgramme
• Practical application of assessment and retraining of uncontrolled movement
• The consequences of restrictions
• How disability relates to uncontrolled movement

Part B

• How uncontrolled movement can influence the gait cycle
• Specific strategies for retraining inefficient muscles
• Specific retraining for each site and direction of uncontrolled movement

Learning Outcomes

Part A

• Identify uncontrolled movement and relate this to disability in people with neurological impairments
• Apply a specific individual retraining programme
• Discuss the relationship between disability, symptoms and dysfunction in the movement system
• Discuss the concept of movement and motor control

Part B

• Apply a specific individual retraining programme to retrain the global muscle system to control uncontrolled movement and gain extensibility of the overactive global mobility muscles
• Relate gait patterns to uncontrolled movement

Programme Outline

Part A

Understanding Movement and Function: Concepts

Uncontrolled movement relating to pain or to disability
Video examples of disability – discussion
Assessment of uncontrolled movement with case studies

Key concepts of Uncontrolled Movement - movement and motor control

Assessment and retraining of movement faults

Identifying uncontrolled movement

Strategies to retrain the site and direction of uncontrolled movement

Part B

Specific retraining of the site and direction of uncontrolled movement

Focus on retraining the inefficient global stability muscles

The consequences of restrictions and regaining the extensibility of the dominant overactive stability muscles

Uncontrolled movement and gait patterns - assessment and retraining