KEY FEATURES:

• Identifies individuals whose symptoms respond to local role synergist retraining, improving clinical decision-making processes regarding who should start with early or late with this specific intervention;
• Supplies targeted retraining interventions, allowing clinicians to be increasingly time efficient in addressing patients’ recurrence risk;
• Supplies therapists with clinical reasoning and skillset to manage the complexities of deficits within local stabiliser muscle synergists;
• Develops skills to successfully use clinical tools and a movement focused framework to change the mechanisms of movement impairment associated to local stabiliser role synergists;
• Allows for integration of translation control retraining alongside other movement interventions;

LEARNING OUTCOMES:

At the end of this course the participant should be able to:

• Demonstrate the ability to assess and retrain impairments in the local stabiliser role system related to a patient’s risk of recurrence;
• Demonstrate an ability to employ a clinical reasoning framework to identify which patients require this approach and when;
• Demonstrate enhanced skills of cueing and recruitment facilitation;
• Demonstrate an ability to critically appraise the current employment of local stabiliser role synergist assessment and retraining in light of the current body of evidence;

PROGRAMME OUTLINE:

• Why movement matters to the local system and vice versa. Review function of the local stabiliser role synergists in providing protective control of inter-segmental displacement in functional movements;
• Review anatomy and function of local stabiliser role synergists of low back, hip, neck and shoulder;
• Review the altered function of local stabiliser role synergists in the presence of pain and impairment;
• Examine the evidence for impairment of these muscles associated to pain and history of recurrent pain;
• Principles of the clinical evaluation of recruitment efficiency of local stabiliser role synergists;
• Assessment and retraining of local stabiliser role synergists of low back, hip, neck and shoulder to reduce recurrence and restore confident, sustained pain-free function;
• Principles and strategies of retraining of recruitment efficiency to control inter-segmental displacement and segmental translation at the hip, shoulder and neck and low back/pelvis Identifying optimal retraining strategies and progressions for low back, hip, neck, and shoulder;
• Applying motor learning strategies for cognitive recruitment efficiency of the local stabiliser role synergists of low back, hip, neck, and shoulder;
• Matching recruitment efficiency retraining to the client’s / patient’s goals and priorities;

DAY ONE:

9.00 – 9.30: Movement Health & muscle synergies.

9.30 – 10.30: Function and impairments of the local stabilizer role synergists.

10.30 -10.50: Coffee.

10.50 – 12.30: Principles of testing for recruitment efficiency of local stabilizer role synergists The process of testing recruitment efficiency. Clinical testing of cognitive recruitment efficiency of the local stabiliser role synergists of the low back.

12.30 – 13.30: Lunch.

13.30 – 15.00: Clinical testing of cognitive recruitment efficiency of the local stabiliser role synergists of the low back.

15.00 – 15.20: Tea.

15.20 – 17.00: Continue.

DAY TWO:

9.00 – 10.30: Clinical testing of cognitive recruitment efficiency of the local stabiliser role synergists of the hip.

10.30 – 10.50: Coffee.

10.50– 12.30: Clinical testing of cognitive recruitment efficiency of the local stabiliser role synergists of the hip, neck & shoulder.

12.30 – 13.30: Lunch.

13.30 – 15.00: Clinical testing of cognitive recruitment efficiency of the local stabiliser role synergists of the neck & shoulder.

15.00 – 15.20: Tea.

15.30 – 16.00 /17.00: Matching movement retraining solutions to the client’s / patient’s goals and priorities.