Module: Muscle Synergies

Targeting muscle synergies to
optimise movement retraining
for the low back & hip



This module develops clinicians’ ability to exert the greatest change on their patients’ movement, chance of recurrence and function by focusing upon muscle synergies of the low back and hip.

Literature is increasingly identifying the relationship between muscle synergies and altered movement quality in the presence of pain, a history of pain and compromised function. The course gives clinicians the skillset, the understanding and a systemized framework to efficiently facilitate changes in muscle synergies so as to reverse the frequently observed recruitment impairments.

Clinical tools of assessment and movement retraining are directed towards altering contributions of synergistic muscles, a process ensuring patients can move through each day with a more optimal set of movement patterns, meeting the demands of function without pain and a reduced chance of recurrence.



The main focus of this course is to enhance clinicians’ abilities to change their patients’ muscle synergies to reduce pain, the effects of pathology, and the impact of compromised function.,

A systemized framework of movement management is presented and applied, including a model of muscle synergy classification. This model helps steer clinical decision making, retraining design and delivery and patients’ long-term outcomes.

Clinicians gain an enhanced ability to analyse and subsequently alter muscle synergies. As all functional movement utilises synergistic patterns, the clinical value of this course’s content is to supply the tools to positively influence multi-joint in function.


  • Enhances ability to assess and retrain muscle synergies associated to pain, pathology and compromised function of the low back and hip
  • Develops clinicians’ cueing and facilitation skillset to positively impact movement impairments attributable to altered muscle synergies
  • Supplies clinical skills to give patients strategies to reduce recurrence and maintain function
  • Gives therapists the skills, tools and understanding to choose movement assessment and retraining as the clinical intervention of choice



At the end of this course the participant should be able to:
  • Demonstrate the skills allowing them to change patients’ movement through the assessment and retraining of muscle synergies
  • Relate muscle synergy recruitment patterns to pain, recurrence and compromised function
  • Demonstrate an ability to assess muscle synergy efficiency
  • Demonstrate an ability to retrain muscle synergy efficiency
  • Demonstrate the ability to assess for loss of extensibility and aberrant recruitment substitutions of dominant synergists
  • Display options for movement retraining in addition to acquiring the ability to match the level of retraining to your patient’s abilities and goals
  • Operate within a structured clinical reasoning framework to help patients achieve their outcomes


  • Practical workshops to enhance movement assessment and retraining proficiency within clinical environments: to include global stabiliser muscles - oblique abdominals, multifidus and spinalis, gluteus maximus, medius and minimus, ilicus, psoas, short adductors. Global mobiliser muscles – rectus abdominis, quadratus lumborum, erector spinae, latissimus, hamstrings, suoerfical gluteus maximustensor fascia lata, rectus femoris, satarious, gracilis & adductor longus
  • Practically applies principles of muscle synergy management to target mechanisms associated with patients’ movement impairments
  • Supplies clinical relevance to the functional roles of muscle synergies
  • Explores the relationship between muscle synergies and the presence of pain, pathology, and compromised function


  • Supplies clinical value to the analysis and management of restriction and movement impairments
  • Presents multi-factorial rating criteria to assess efficiency of muscle synergies
  • Presents multi-factorial muscle synergy classification model to support clinical reasoning and intervention
  • Retraining options and progressions for global stabiliser retraining at the low back and hip
  • Cognitive recruitment efficiency solutions for movement control impairments of the low back and hip
  • Matching recruitment efficiency retraining to the client’s / patient’s goals and priorities
During these courses:
  • We’ll look at how changes in muscle recruitment can relate to movement impairments
  • You can start to evaluate the recruitment efficiency of the local and global muscle systems
  • At this stage you will experience additional practical applications of movement retraining strategies to help restore recruitment efficiency
  • You will further develop your skills for cognitive motor learning
  • Learn new strategies to recover the ideal recruitment and length of the overactive multi-joint muscles
By the end of the courses you will:
  • Have acquired the necessary assessment skills to implement tests to evaluate muscle efficiency
  • Developed a better understanding of the relationship between movement impairments and muscle efficiency
  • Have at your disposal a range of effective strategies for helping your patients recover ideal recruitment and length of multi-joint global synergists and improve their function
  • There will be an opportunity for us to consider the neuroscience underpinning the principles recruitment efficiency, impaired function and recurrence of symptoms

Kinetic Control courses are designed for medical health professionals such as physiotherapists, osteopaths, chiropractors, podiatrists etc registered with the HPC. In exceptional circumstances experienced non medical health professionals may be allowed to attend Kinetic Control courses but these participants MUST be able demonstrate that the course material is within their scope of practice and that they have appropriate professional liability insurance to cover them for their attendance at the course and the course content.

This course has both theortical and practical elements. Please come prepared for the practical work.