Monday 10 February 2020

If You Rehabilitate Movement You Should Know About Primitive Reflexes


Primitive Reflexes influencing Motor Control & Motor Skill Learning. Come Learn! 

It's so logical why isn't it part of mainstream rehab?
If someone isn't moving well, rehab the strategies in which they learned how to originally move.

Primitive reflexes are essentially what guides infantile movements. They are very easy to rehab. Just low effort resistance in the correct patterns of the reflex.

What do we know about primitive reflexes for musculoskeletal pain?
  • Having PR interferes with normal motor control and coordination
  • Having PR interferes with learning motor control exercise or normal movement
  • PR inhibition helps normal motor control and movement
  • PR inhibition helps postural stability and balance
  • PR inhibition helps neurocognitive function
  • PR inhibition helps body image
  • PR are stimulated by a sensory stimulus. Most are vestibular related and some are tactile
This course is suitable for orthopaedic, paediatric, neurological, pelvic floor and vestibular physiotherapists

Course Description
Some questions beg answers
How do you rehab someone with poor coordination?
Why does the brain move the body in a harmful way?
Why do some people never regain full ROM?
This course will answer these questions & more!

Primitive reflexes (PR) are brain stem-mediated, complex automatic movement patterns that commence in utero.  If PR persist beyond their average lifespan they may begin to interfere with normal movement, motor control and brain development. They present in a variety of conditions relevant to you such as MSK pain, concussion, atypical handedness / birth, early-late walking.

The presence of PR will influence motor control and can interfere with normal rehabilitation. 
During this two day course we will cover the assessment and rehabilitation of primitive reflexes in detail.  Strategies for treatment in the clinic and home exercise will be discussed. You will be able to immediately improve movement and motor control in your patients.
Specific examples of what PR can be used to improve highly common clinical problems including:
• Grasp reflex for shoulder upper limb coordination and glenohumeral medial rotation ROM
• Babinski and Foot Tendon Guard for lower limb & gait coordination, and dorsiflexion ROM
• Asymmetrical Tonic Neck & Abdominal Reflexes for abdominal hollowing, & trunk coordination
• Landau for hamstrings and trunk tone
The traditional view that PR are inhibited by normal movement is limited. The cognitive replication, rather than reproduction of PR inhibits them. PR are highly effective at rehabilitating normal movement, and neurocognitive function. 
Course Objectives:

The participant will be equipped to:
• Use primitive reflexes to rehab patients with very poor coordination & motor skill  learning
• Understand the role of primitive reflexes in pain, cognitive function and motor control.
  Assess and rehabilitate primitive reflexes in children and adults
• Implement a home exercise program for primitive reflex inhibition
• Use primitive reflex inhibition strategies to improve movement & motor control 

Testimonial
"This course is a game changer. Sean continues to push physiotherapists to think beyond the standard orthopedic model, incorporating neurological, neuro-developmental, functional medicine and original research into a model that answers so many questions regarding each patient's unique pain experience. His midline and musculoskeletal body image work is revolutionary"
"Finally, I have a way to treat motor morons"
Chris Barber Physiotherapist

"Finally, I have a way to treat motor morons"
"Movement changes so quickly - and maintains"
Chris Barber Physiotherapist

What will you get from this course that you may not already have?
A rehab option for "Motor Morons". Neurodevelopmental rehab works for these patients
Improve Muscle Tone & Motor Control
Learn how to use PR to reduce tone and muscle tightness, improve movement and coordination.
Stop Wasting Time: quickly rule out the people who have poor motor skill learning
Understand the role of Primitive Reflexes in pain, cognitive function and motor control.  This is also important for neurological rehab.
Concussion
Find out how to help rehab concussion with primitive reflexes
Pediatrics, Neuro, Vestibular, Pelvic Floor Physios
The same primitive reflex inhibition techniques can be used very effectively with these groups 
Regardless of how much knowledge you have you will benefit from knowing:
• Screening who has poor motor skill learning
• Strategies to rehab motor morons
• Which Postural and primitive reflexes to immediately change movement patterns and performance on  specific motor control exercise

Want to Learn?
Ottawa, Canada: March 6-8, 2020: Primitive Reflex & Motor Skill Learning
Barcelona, Spain: March 20-22, 2020: Primitive Reflex & Motor Skill Learning
Toronto, Canada: May 2-3: Body Image, Motor Skill Learning & Primitive Reflexes for Pelvic Health 
Warsaw, Poland: May 8-10: Primitive Reflexes
Warsaw, Poland: May 11-13: Body Image, Motor Skill Learning & Advanced Primitive Reflexes
Harrogate, UK: May 16-17: Body Image, Motor Skill Learning & Advanced Primitive Reflexes
Montreal, Canada: June 5-7: Body Image, Motor Skill Learning & Advanced Primitive Reflexes for Pelvic Health 
Milan, Italy: June 19-21: Advanced Concussion & Body Image

For more information email: stabilityphysio@gmail.com
visit: www.smarterehab.org

Primitive Reflex Related Posts
https://smarterehab.blogspot.com/2020/02/lets-be-clear-neurological-soft-signs.html
https://smarterehab.blogspot.com/2019/12/wy-should-all-physiotherapists-be.html
https://smarterehab.blogspot.com/2016/11/why-does-replicating-primitive-reflex.html
https://smarterehab.blogspot.com/2019/09/if-you-can-do-muscle-energy-technique.html
https://smarterehab.blogspot.com/2016/11/symmetrical-tonic-neck-reflex-new-look.html
https://smarterehab.blogspot.com/2016/11/is-functional-hallux-limitis-sign-of.html
https://smarterehab.blogspot.com/2016/11/is-idiopathic-toe-walking-caused-by.html

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 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 by identifying the underlying movement dysfunction and easily explaining it’s cause. Thank you 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
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 Physio. Ville Mont-Royal, QC,
Sean Gibbons graduated from Manchester University in 1995. He has been rehabilitating movement patterns and chronic pain his whole career. 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 extremely poor movement and motor skill learning; Body Image & Body Image Pain; and Chronic Low Grade Systemic Inflammation which is the cause of most chronic disease. His current work aims to further validate the screening tools and understand the underlying causes of each subgroup. The importance of individual factors such as the therapeutic relationship and patient beliefs are also considered. His dissection and research into psoas major, gluteus maximus and other muscles has 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 on related topics. 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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