Saturday 7 September 2019

What Causes the Neurodynamic Reactivity During testing? Learning in Calgary

Well...it isn't exactly known.

The functional causes are easier to focus on:
(1) Is there a history of trauma?
(2) Is there a history of disease (including low grade inflammation)?
(3) Is there an abnormal movement system or motor control placing stress on the nervous system?

Keep in mind, if 1 & 2 are present, it doesn't mean that movement still isn't placing stress on the nervous system.

Some simple tests can give us the answers.


Want to Learn?
We are doing this course in Calgary, Alberta Canada Dec 13-15, 2019 (2pm Friday start)

Course Description
The nervous system may become reactive and sensitized through many processes. One such process is through abnormal movement patterns. On this course the base neurodynamic tests are reviewed we will show how correcting movement patterns can influence neurodynamic reactivity. Examples will be highlighted where movement control rehabilitation and neurodynamics do not agree i.e. when the ideal movement pattern actually places more stress on neural structures. 
This course will provide participants with skills in analysing movement in relation to neurodynamic reactivity. Specific motor control retraining strategies will be introduced using a comprehensive and clinical reasoning process. 
Strategies will also be covered to combine traditional neural mobilization with motor control exercise.
The course will cover the neck and upper quadrant as well as the trunk and lower quadrant.
Course Objectives:  The participant will be able to:
  • Understand how uncontrolled movement patterns and poor motor control may contribute to reactivity of the nervous system
  • Use motor control retraining strategies to treat neurodynamic reactivity
  • Understand when normal movement can aggravate sensitive neural tissue and problem solve to use other techniques
  •  Use movement pattern control rather than time frames as a predictor of outcome
WHAT WILL YOU GET THAT YOU MAY NOT ALREADY HAVE?

How do you mobilize the nervous system and control movement? How do you use to unload the nervous We'll show you!

How do you rehab the Slump Test when there is also excessive Lumbar Flexion? There does not seem to be a logical way to rehab both of these problems. We'll show you how!

The ideal scapular position can change when neurodynamics is present
Based on anatomy, biomechanics, motor control and clinical research we have an ideal scapular position this can change when neurodynamic reactivity is present – hence what we think is good rehab can be harmful some people

Upper Trapezius is a Good Muscle – find out why!

Taping
There are some great taping techniques for shoulder girdle, forearm and neurodynamic problems.

Neck rehab is so much more than the Deep Neck Flexors! In the deep neck flexors when neurodynamic reactivity is present frequently aggravates symptoms.

Popliteus is one of the missing links in of anterior knee pain and lower limb dysfunction. What does it do? How do we retrain it?
Why Do We Move Differently?
We'll review some key Primitive Reflexes that are involved in neurodynamics and discuss the known mechanisms of altered movement.
Testimonials
“I can't recommend Sean Gibbons and Smarterehab courses enough. I have found the sub-classification system to be easy to use and revolutionary in removing a lot of the guesswork in my patient management. The courses have been transformative in my practice in that it has wide applicability across a spectrum of conditions that would normally constitute ‘difficult’ patients. I can't recommend these courses highly enough!Chris Barber MCSP BSc (Hons) Musculoskeletal & Sports Physiotherapist, Director: Advanced Physiotherapy Centres Ltd.
As a clinic owner and have seen a trend in Canadian physiotherapy towards spinal manipulation and needling techniques. While these techniques are valuable, the transformative learning that takes place in a SmarteRehab course is the direction I am dedicated to bringing our profession. As Physiotherapists, if we wish to distinguish ourselves from chiropractors, massage therapists, athletic therapists, osteopaths etc., we need to move away from technique based therapy. Sean is masterful at explaining the complex relationship between Central Sensitization, Central Pain, Sensori-Motor Function and how it relates to Motor Control dysfunction and pain. No other approach I have seen, heard of, or even read about does such a complete job of integrating neurological rehabilitation techniques and orthopaedic treatment. I now have junior therapists who are able to reason their way through the most complex of chronic pain cases and can formulate treatment plans that are effective and get results. Most importantly they can explain to these patients the nature of their problem in a way that they can understand. It is so rewarding to see patients, empowered with this knowledge, resolve problems that have sometimes existed for decades. Equally as rewarding is watching a junior Physio quickly solve an orthopaedic complaint by identifying the underlying movement dysfunction and easily explaining it’s cause. Thank for what you have done and continue to do for our Profession.Dave Holmes Owner and Physiotherapist at Tower Physiotherapy & Sports Medicine 
If you find yourself stuck and frustrated with chronic, generalized, weird pain patients who don't respond to usual treatments, this is what this course is all about. Sean's courses are truly unique and bring practical, guidelines that are untouched by other institutions. Places are limited.
Jean-Michel Cormier, Physiotherapist Max Health Institute, Shediac, NB, Canada
Testimonial- Pelvic Floor Therapist
The courses that I have taken with Sean have completely changed my pelvic floor practice and the way I practice as a physical therapist! Sean's courses are a must in order to help a variety of clientele and especially those who do not respond to conventional treatments! He has researched and developed new techniques that are essential for pelvic floor therapists.

Erica Lafontant, pht, B. Sc, M.Sc.A
Rééducation périnéale et
Action Sport Physio
Ville Mont-Royal, QC,

Facilitator
Sean Gibbons graduated from Manchester University in 1995. He has been rehabilitating movement patterns for over 20 years. He is an international expert in specific motor control exercise and has researched and developed numerous advances the cognitive control of movement to make the rehab process better. These include predicting who can learn, understanding who can learn but will not respond, and integrating which postural and primitive reflexes influence movement and key aspects neurodevelopment. His PhD was on the development of a prescriptive clinical prediction rule for specific motor control exercises in low back pain. Key new sub-classifications were identified: Neurological Factors, which are related to poor movement and the ability to learn; Midline as a sensory system which is critical to Body Image Pain; and Neuro-Immune dysregulation, which is critical for Central Sensitization and Psychosocial Factors. His current work involves further researching the sub-classification model. His dissection and research into psoas major, gluteus maximus and other muscles led to the development of new rehabilitation options. He has presented his research at national and international conferences and has several journal publications and book chapters. He is an Assistant Clinical Professor (Adjunct) at McMaster's Advanced Orthopaedic Musculoskeletal / Manipulative Physiotherapy specialization and lectures at Manchester Metropolitan University's Masters in Advanced Physiotherapy program.


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