Controlling the Core: managing the pain

21st February 2011

Physio First has been running a series of courses with Sarah Mottram (Kinetic Control Accredited Tutor). Controlling the Core: Managing the pain

The course has been held in Kent, Southampton and Ruislip following the first course at the Physio First conference in April 2010.

Course Description:

There is also strong evidence that stretching and strengthening do not predict or prevent re-injury or recurrence in sport. There is increasing evidence that Un-Controlled Movement (UCM) is linked to recurrent musculo-skeletal pain and can be identified even in periods of pain remission or pain free function. This day will explore in depth the evidence and the application for identifying and retraining uncontrolled movement. A comprehensive strategy will be presented detailing how to find and fix uncontrolled movement. This process identifies the site (e.g. low back or shoulder) and the direction (e.g. flexion or rotation) and the threshold (low or high) of this uncontrolled movement. With this information you can design client specific therapeutic exercises to regain control of the UCM. The will be detailed using case studies and practical application to musculo-skeletal screening and movement retraining.

What will delegates get out of attending?

The use of The Performance Matrix screening tool in health and performance screening
How to link uncontrolled movement to pain and recurrence of pain
The use of functional movement tests to identify uncontrolled movement in terms of site, direction and threshold
Practical application of the screening tool (The Performance Matrix) and the development of retraining strategies

Learning outcomes:

On completion of the course participants will be able to understand:
-    Consider the evidence supporting the need to  identify uncontrolled movement in relation to pain and recurrence of musculoskeletal pain
-    Link recurrence of injury to uncontrolled movement
-    Identify weak links (uncontrolled movement) in the movement system in terms of site, direction and threshold
-    Use some The Performance Matrix screening tests to identify uncontrolled movement
-    Explore a strategy to  fix weak links  using a client specific exercise programme

What they say about the course:

……“It’s like magic!”

These were words uttered by an enthusiastic delegate regarding a course that just kept on delivering from the moment it started to the moment it finished and you can always tell when lunch gets forsaken to practice techniques that it is being very well received.

The course “Controlling the Core; the Performance Matrix” is a fresh approach to considering uncontrolled movement, performance stability and movement faults and puts forward a superb way of looking at movement assessment in such a way as to look at quality of life issues, testing, interaction and how to maximise recovery.

Sarah put forward a batch of tests, a method of assessing why people with pain move differently but the concept of the performance matrix is to identify the faults in both an athlete or normal subject before pain occurs…multi-dimensional.

Imagine within10 minutes of the introduction being fed a reasoned approach to a technique that looked at common patterns seen in professional sportsmen and women  and being instantly able to project that information even as far down as to the elderly population……what an assessment tool.

These tests are multi-joint tests so hugely applicable for both neuro-physiotherapists as well as musculoskeletal practitioners, in fact Sarah quickly helped us consider the cross-overs in the two “client groups” and not to consider them in isolation.

The lecture notes were comprehensive but as always it is the practical element that physiotherapists yearn and these were full-on and useful on all levels. Her knowledge is extensive and during these practical sessions very obvious and with diligence and skill she managed to channel enthusiasm quickly into a degree of competency that did not go unnoticed by many.

The return on investment cannot be denied as it quickly became apparent to whom this tool could be directed:- golfers, footballers, athletes but equally through careful marketing to pain management specialists and GP’s, anyone requiring an individual client profile and retraining programme. Many levels of improved referral pathways.

The course describes a model of world-class screening which can be accessed on-line once the theoretical understanding is appreciated.

Evaluation of core strength and movement control in functional movement with the tool to create, monitor and progress retraining…..what a valuable return.

This is a course not to be missed…remember “It’s like magic”.

Karen L. Winrow Hon. Education & Research Officer Physio First.

.... A fresh approach to core stability/strenght testing and training. This cn be developed from specific sports to functional needs of our general clientele

Useful parts of the programme: practicing tests, site, direction and threshold very helpful

For future courses see Physio First

Keywords: Lecture Seminar Workshop