The Kinetic Control Process: The Management of Uncontrolled Movement

We deliver a comprehensive structure to enable you to assess, diagnose, classify and retrain uncontrolled movement in relation to pain and disability.

Our series of courses and educational products can help you manage Uncontrolled Movement

• The Kinetic Control process has been evolving since 1995, reflected by clinical practice, current research and best evidence

• General consensus of therapists attending physical therapy conferences in recent years is there is a major problem with managing musculoskeletal pain

• Systematic reviews have evidence of many therapies being effective in helping to manage pain in the current pain episode – this includes exercise based therapies such as taught in the Kinetic Control process

• However managing recurrent pain does not have the same clinical success

• Kinetic Control courses teach you to identify and subgroup uncontrolled movement   in terms of the site and direction of movement control deficiencies –  we suggest clinical guidelines to help you prioritise whether to use global stabiliser muscle function to regain control of direction specific provocation or whether to prioritse local muscle retraining to better control intersegmental translation

• The research over the last 5 years has demonstrated that in submaximal / testing there are consistent and predictable changes in the patterns of activation threshold between muscles with a stabiliser role and muscle s with a mobiliser roles in the development of chronicity and recurrence . Our courses present a variety of options to identify and correct these aberrant patterns

Kinetic Control can help you

• Assess, diagnose and classify movement in terms of pain and dysfunction from a motor control and a biomechanical perspective
• Develop a large range of movement retraining strategies to establish optimal functional control
• Use a clinical reasoning framework to prioritise the clinical decision-making challenges experienced in contemporary clinical practice

• Develop an assessment framework that addresses the four key criteria relevant to dysfunctional movement:

a. Diagnosis of movement dysfunction

i.   Site and direction of uncontrolled movement

ii.  Uncontrolled translation

iii.  Uncontrolled range of motion

iv.  Myofascial and articular restriction

v.   Aberrant guarding responses

b. Diagnosis of pain-sensitive tissue(s)

i.  Patho-anatomical structure

c. Diagnosis of pain mechanisms

i.   Peripheral Nociceptive (inflammatory or mechanical)

ii.  Neurogenic sensitisation

d. Identification of relevant contextual factors

i.  Environmental factors (extra-individual) (e.g. physical and social context)

ii.  Personal factors (intra-individual) (e.g. lifestyle and behavioural changes,psychosocial attributes, coping skills)

• Make links between uncontrolled movement and pain and other symptoms,dysfunction, recurrence, risk of injury and performance
• Make a link between uncontrolled movement and disability through thedisablement process model
• Make links between uncontrolled movement and changes in motor control,strength, joint range of motion, myofascial extensibility and functional activities
• Identify the clinical priorities in terms of retraining uncontrolled movement andmobilising restrictions of normal motion
• Use a clinical assessment tool to identify deficiencies and reassess improvementsin motor control efficiency
•  Integrate non-functional motor control retraining skills with functionally relevantmovement
• Use other techniques and strategies (e.g. taping to support uncontrolled movementor facilitate motor relearning and strengthening).
• Use a clinical reasoning framework to identify priorities for rehabilitation, where to   start retraining and how to be specific and effective in exercise prescription to        developindividual retaining programmes
• Know which way and how fast to progress, and know how to tell when retraininghas achieved an effective end-point independently of symptoms

(Comerford & Mottram 2012)

And help you to:

• Assess, diagnose & classify movement in terms of pain and disability from a motor control perspective.
• Have available at your fingertips a large range of motor control and movement retraining strategies to establish optimal functional control.
• Use a clinical reasoning framework to prioritise the decision-making challenges that movement therapists experience in contemporary practice.
• Use fine-tuned observation and palpation skills to monitor recruitment and control of movement.
• Understand and interpret the different aspects of 'core stability' and how 'core stability' fits into rehabilitation.
• Integrate manual therapy and physiotherapy techniques and modalities and pain education into movement and motor control.
• Use the KC Motor Control Rating System as a clinical assessment tool to identify deficiencies and reassess improvements in motor control efficiency.
• Integrate non-functional motor control strategies into functional movement.
• Identify and retrain uncontrolled movement at any joint in the body