Primitive Reflexes influencing Movement & Motor Control: Assessment and Rehabilitation by Sean Gibbons

Objetivos

Identificar a los clientes que son más adecuados para el tratamiento con inhalación de reflejos primitivos.
Comprender el papel de los reflejos primitivos en el dolor, la función neurocognitiva y el control motor.
Evaluar y rehabilitar los reflejos primitivos y reconocer cómo influyen en el dolory en el control motor.
Utilizar estrategias de inhibición de reflejos primitivos para mejorar el control motor, el tono y el dolor.
Prescribir ejercicios para los pacientes para mejorar la función de aprendizaje neurocognitivo.
¿Qué obtendrá de este curso que no tenga ya?

Reflejos primitivos

Comprender el papel de los reflejos primitivos en el dolor, la función cognitiva y el control motor. Esto tiene una gran influencia y corrige el movimiento, las estrategias de rehabilitación y las habilidades de aprendizaje. Esto también es importante para la rehabilitación neurológica.

Proceso de Neurodesarrollo

El proceso de desarrollo neurológico puede ser utilizado para la rehabilitación de pacientes ortopédicos, la rehabilitación neurológica de adultos y niños, así como el reentrenamiento del dolor central y el equilibrio.

Factores neurológicos – Una nueva subclasificación

Nuestro razonamiento clínico promueve el diagnóstico de patrones de movimiento, tejido, mecanismos de dolor, factores de comportamiento y coordinación SNC. Esta última representa una nueva, pero significativa subclasificación, que representa las funciones cognitivas y motoras del SNC:

Control de la capacidad de control de motores

¿Qué pasa con la gente que parece no poder aprender los ejercicios que les enseñamos? Aprenderá a utilizar el cuestionario de habilidades de control de motores y una evaluación de la función sensorial motora para evaluar a las personas en cuanto a la capacidad de aprender ejercicios específicos de control motor. Usted aprenderá opciones de tratamiento alternativo para rehabilitar esta población problemática.

Dificultades de aprendizaje

Apreciar la importancia de las habilidades de aprendizaje basadas en el conocimiento en la rehabilitación.

Mejorar el control del motor

Aprende a utilizar la inhibición de los reflejos primitivos para reducir el tono y la tensión muscular y mejorar el movimiento y la coordinación.

Solución de problemas de control de motores

La resolución de problemas con algunos clientes puede ser difícil. Hemos desarrollado un modelo universal de resolución de problemas de control de motores para ayudarle a hacer los ejercicios más fáciles o más difíciles. Tenemos que dar a la gente ejercicios que puedan hacer, no los que no puedan hacer.

Metodología

El curso será teórico-práctico.

---

Objectives

Identify clients who are most suitable for treatment with primitive reflex inhbition
Understand the role of primitive reflexes in pain, neurocognitive function and motor control
Assess and rehabilitate primitive reflexes and recognize how they influence pain, and motor control
Use primitive reflex inhibition strategies to improve motor control, tone and pain
Prescribe exercises for patients to improve neurocognitive learning function
What will you get from this course that you may not already have?

Primitive Reflexes

Understand the role of primitive reflexes in pain, cognitive function and motor control. This has a huge influence and correcting movement, rehab strategies and learning skills. This is also important for neurological rehab.

Neurodevelopmental Process

The neurodevelopmental process can be used for rehabilitation of orthopedic patients, neurological rehab of adults and children, as well as central pain and balance retraining.

Neurological Factors – A new sub-classification

Our clinical reasoning promotes a diagnosis of movement patterns, tissue, pain mechanisms, behavioral factors and CNS coordination. The latter represents a new, but significant sub-classification, which represents the coginitive and motor functions of the CNS.

Motor Control Ability Screening

What about the people who can’t seem to learn the exercises we teach them? You will learn how to use the mtor control abilities questionnaire and a sensory motor function assessment to screen people for the ability to learn specific motor control exercises. You will learn alternative treatment options to rehabilitate thisproblem population.

Learning Difficulties

Appreciate the importance of cognitive based learning skills in rehabilitation.

Improve Motor Control

Learn how to use primitive reflex inhibition to reduce tone and muscle tightness, improve movement and coordination.

Motor Control Problem Solving

Problem solving with some clients can be difficult. We have developed a Universal Problem Solving Model of Motor Control to help you make exercises easier or harder. We have to give people exercises they can do, not ones they can’t.

Methodology

The course will be theoretical-practical.

Peer Reviewed

Lehtola V, Luomajoki H, Leinonen V, Gibbons SGT, Airaksinen O 2016 Sub-classification based specific movement control exercises are superior to general exercise in sub-acute low back pain when both are combined with manual therapy: A randomized controlled trial. BMC Musculoskeletal Disorders . 17:135. DOI: 10.1186/s12891-016-0986-y

Parfrey K, Gibbons SGT, Drinkwater EJ, Behm DG 2014 Head and limb position influence superficial EMG of abdominals during an abdominal hollowing exercise. BMC Musculoskeletal Disorders. 15:52. DOI: 10.1186/1471-2474-15-52 (Highly accessed)

Lehtola V, Kaksonen A, Luomajoki H, Leinonen V, Airaksinen O, Gibbons S 2013

Content validity and responsiveness of a Finnish version of the Patient-Specific Functional Scale. European Journal of Physiotherapy. 15: 134-138

Lehtola V, Luomajoki H, Leinonen V, Gibbons SGT, Airaksinen O 2012 Efficacy of movement control exercises versus general exercises on recurrent sub-acute nonspecific low back pain in a sub-group of patients with movement control dysfunction. Protocol of a randomized controlled trial. BMC Musculoskeletal Disorders 2012, 13:55. DOI: 10.1186/1471-2474-13-55 (highly accessed)

Not Peer Reviewed

Gibbons SGT 2015 Can manual therapists diagnose instability of the sacro-iliac joint?

Manuelletherapie. (German). 19(05): 211-216. DOI: 10.1055/s-0035-1570013

Gibbons SGT, Strassl H 2012 Can altered movement pattern and muscle imbalance be related to FAI and other hip disorders? Manuelletherapie. (German). 16(3): 119-131. DOI: 10.1055/s-0032-1322424

Gibbons SGT 2011 Neurocognitive and sensorimotor deficits represent an important sub-classification for musculoskeletal disorders – Central Nervous System Coordination. Journal of the Icelandic Physical Therapy Association. 38 (1): 10-12

Gibbons SGT 2008 Retraining of asymmetry in recruitment of transversus abdominis. Orthopaedic Division Review. March/April: 29-34

Gibbons SGT 2007 Assessment and rehabilitation of the stability function of psoas major. Manuelletherapie. (German) 11:177-187. DOI: 10.1055/s-2007-963466

Gibbons SGT 2002 Guest Editorial: A New Look at Time Scales and Outcome Measures. Orthopaedic Division Review. Jan / Feb

Gibbons SGT, Comerford MJ and Emerson P 2002 Rehabilitation of the stability function of psoas major. Orthopaedic Division Review. Jan / Feb. 7-16

Gibbons SGT, Mottram S, Comerford MJ 2001 Stability and movement dysfunction related to the elbow and forearm. Orthopaedic Division Review. Sept / Oct:15-33

Gibbons SGT and Comerford MJ 2001 Strength versus stability. Part 1: Concepts and terms. Orthopaedic Division Review. March / April. 21-27

Gibbons SGT and Comerford MJ 2001 Strength versus stability. Part 2: Benefits and limitations. Orthopaedic Division Review. March / April. 28-33

Other

Book Chapters

Andreotti D, Cantarelli F, Gibbons SGT 2019 The Role of Specific Motor Control in Adult Obesity. Springer (in press)

Gibbons SGT, Andreotti D 2015 Neuromuscular, sensory motor, and specific motor control of the craniomandibular region: Assessment and rehabilitation. In von Piekartz H Ed Craniofacial Pain: Neuromusculoskeletal Assessment, Treatment and Management. 2nd Ed. Churchill Livingstone, Edinburgh.

Gibbons SGT 2007 The role of psoas major and deep sacral gluteus maximus in lumbo-pelvic stability. In: Vleeming A, Stoeckhart R and Mooney V. Movement, Stability and Lumbopelvic Pain, 2nd Edition, Churchill Livingstone, Edinburgh

Gibbons SGT 1999 A review of the anatomy, physiology and function of psoas major: A new model of stability. Proceedings of: The 11th Annual Orthopaedic Symposium. Canadian Physiotherapy Association Orthopaedic Division Nov 6-7; Halifax, Canad

Presentations at Meetings

Invited

Gibbons SGT 2019 Exercise therapy for shoulder instability – different perspectives. Proceedings of: Current concepts in orthopaedic and rehabilitation treatment: Shoulder and knee sport related injuries. July 19-20; Valdoltra, Slovenia

Gibbons SGT 2019 ACL tear: surgery or not? Proceedings of: Current concepts in orthopaedic and rehabilitation treatment: Shoulder and knee sport related injuries. July 19-20; Valdoltra, Slovenia

Gibbons SGT 2018 Midline as a sensory system: Implications for Body Image & Central Pain. FisioForum. Oct 12-14; Rome, Italy

Gibbons SGT 2016 Psoas major: Myths, misconceptions and strategies for rehabilitation.

2nd Congresso International Fisioterapy Movimento. Oct 8-9; Malaga, Spain

Gibbons SGT 2014 Sub-classification, diagnosis and rehabilitation of musculoskeletal body image disorders. 62nd Annual Scientific Meeting of the Canadian Association of Physical Medicine and Rehabilitation. June 18-21; St. John’s, Newfoundland

Gibbons SGT 2012 Facilitating neuroplasticity for pain, movement and function. Manitoba Physiotherapy Association. April 13; Winnipeg, Manitoba

Gibbons SGT 2012 Why does motor control change? Influences of primitive reflexes and body image in the lower limb. Quebec Manual Therapy Association Symposium (AQPMO). February 11; Montreal, Quebec

Gibbons SGT 2012 Does the foot or hip cause lower limb movement pattern control deficits? Quebec Manual Therapy Association Symposium (AQPMO). February 11; Montreal, Quebec

Gibbons SGT 2011 New advances in concussion and head injury rehabilitation. SSNL2011. 5th Annual Health and Safety Conference. Oct 24-26; St. John’s, Newfoundland, Canada

Gibbons SGT 2011 Neurocognitive and sensorimotor deficits represent an important sub-classification for musculoskeletal disorders – Central Nervous System Coordination. Proceedings of: Icelandic National Physical Therapy Conference. Feb 25; Reykjavik, Iceland

Gibbons SGT 2010 Primitive reflexes are associated with poor motor control, psychological conditions and learning difficulties. Proceedings of: Finnish National Physiotherapy Conference. Nov 19-20; Tampere, Finland

Gibbons SGT 2010 Neurocognitive deficits should be considered in musculoskeletal pain. Proceedings of: Finnish National Physiotherapy Conference. Nov 19-20; Tampere, Finland

Gibbons SGT 2010 What exercise for which patient? Prescriptive clinical prediction rules for low back pain. Proceedings of: MACP Conference – “The Great Debate”, Sept 25-26; London, England

Gibbons SGT 2010 The relevance of neurocognitive deficits in treating musculoskeletal pain. Proceedings of: ECT 2010 – “Neurological concepts and impact of manual therapy on pain”, Sept 23-25; Antwerp, Belgium

Gibbons SGT 2010 Benefits and limitations with specific motor control rehabilitation Proceedings of: ECT 2010 – “Neurological concepts and impact of manual therapy on pain”, Sept 23-25; Antwerp, Belgium

Gibbons SGT 2010 What does chronic pain have in common with learning difficulties? Proceedings of: Neurodynamics & The Neuromatrix Conference. April 15-17; Nottingham, England

Gibbons SGT 2010 Influence of cognitive learning factors on psychosocial factors and central sensitization. Proceedings of: Neurodynamics & The Neuromatrix Conference. April 15-17; Nottingham, England

Gibbons SGT 2009 The role of psoas major and deep sacral gluteus maximus in lumbo-pelvic stability. The Second International Congress on Musculosqueleta and Sport Rehab. May 13-16; Belo Horizonte, Brazil

Gibbons SGT 2009 Implications of cognitive learning function for outcome prediction, performance and rehabilitation. The Second International Congress on Musculosqueletal and Sport Rehab. May 13-16; Belo Horizonte, Brazil

Gibbons SGT 2008 The role of proprioception & sensory motor function in rehabilitation, cognitive function & outcome prediction. The 7th National Symposium of the Kuwaiti Physical Therapy Association. November 12-13; Kuwait City, Kuwait

Gibbons SGT 2005 Integrating the psoas major and deep sacral guteus maximus muscles into the lumbar cylinder model. Proceedings of: “The Spine”: World Congress on Manual Therapy. October 7-9; Rome, Italy.

Gibbons SGT 2005 Muscle function and a critical evaluation. Proceedings of: The 2nd International Conference on Movement Dysfunction. “Pain and Performance: Evidence & Effect”. September 23-25; Edinburgh, Scotland

Peer Reviewed

Gibbons SGT 2019 Modified ketogenic diet and supplement based intervention for adults with chronic widespread pain and widespread co-morbid medical symptoms. A case series. Proceedings of: The 10th Interdisciplinary World Congress on Low Back Pain. October 28-31, 2019; Antwerp, Brussels

Gibbons SGT 2019 Are co-morbid medical symptoms associated with poor response to sub-classification based management of chronic low back pain? A retrospective case-control study. Proceedings of: The 10th Interdisciplinary World Congress on Low Back Pain. October 28-31, 2019; Antwerp, Brussels

Gibbons SGT 2019 Preliminary development of a clinical prediction rule for specific motor control exercise in adults with chronic low back pain,. Proceedings of: The 10th Interdisciplinary World Congress on Low Back Pain. October 28-31, 2019; Antwerp, Brussels

Gibbons SGT 2019 Is one screening tool enough to identify the diverse spectrum of behavioral factors that may influence a poor outcome in musculoskeletal pain? Proceedings of: The 10th Interdisciplinary World Congress on Low Back Pain. October 28-31, 2019; Antwerp, Brussels

Gibbons SGT 2019 Motor imagery of lumbar movement is influenced by orientation of head position in subjects with atypical handedness and chronic low back pain. Proceedings of: The 10th Interdisciplinary World Congress on Low Back Pain. October 28-31, 2019; Antwerp, Brussels

Gibbons SGT, Newhook TW and Behm DG 2019 Do core stability exercise types and general exercise have different neurocognitive and sensorimotor requirements for motor skill learning? Proceedings of: The 10th Interdisciplinary World Congress on Low Back Pain. October 28-31, 2019; Antwerp, Brussels

Gibbons SGT 2016 Is neurocognitive function associated with the ability to perform motor imagery in adults with musculoskeletal pain? A retrospective case control study. Proceedings of: “Cognitive Vitality” The CAPM&R 64th Annual Scientific Meeting. May 25-29, London, Ontario. Journal of Rehabilitation Medicine

Gibbons SGT 2016 Are a battery of obstetric and neurodevelopmental variables are associated with a subgroup of fibromyalgia and un-classified pain patients. A retrospective case control study. Proceedings of: “Cognitive Vitality” The CAPM&R 64th Annual Scientific Meeting. May 25-29, London, Ontario. Journal of Rehabilitation Medicine

SGT Gibbons 2016 Can targeted exercises for nerve movement be effective for primary restless leg syndrome in adults with and without musculoskeletal pain? Proceedings of: Canadian Neurological Sciences Federation, 51st Annual Congress, June 21 – 24; Quebec City, Quebec

Gibbons SGT 2016 Can a strategy for motor imagery relearning used in learning difficulties be used for complex pain presentations? A case series. Proceedings of “Expanding Horizons”: The 11th International Conference of IFOMT. July 4-8; Glasgow, Scotland

Gibbons SGT 2016 What is the ideal treatment time for musculoskeletal physiotherapists? A survey of caseloads in Canada. Proceedings of “Expanding Horizons”: The 11th International Conference of IFOMT. July 4-8; Glasgow, Scotland

Gibbons SGT 2016 Preliminary development of items to identify a neuro-immune-autonomic-endocrine involvement in complex pain presentations. Proceedings of “Expanding Horizons”: The 11th International Conference of IFOMT. July 4-8; Glasgow, Scotland

Gibbons SGT 2016 Should central pain be sub-classified? A hypothesis of Musculoskeletal Body Image Pain – initial insights into diagnostic criteria. Proceedings of “Expanding Horizons”: The 11th International Conference of IFOMT. July 4-8; Glasgow, Scotland

Gibbons SGT 2016 What are the functional mechanisms of altered movement patterns during trunk flexion tasks? The need for further sub-classification: A systematic review. Proceedings of “Expanding Horizons”: The 11th International Conference of IFOMT. July 4-8; Glasgow, Scotland.

Gibbons SGT 2011 Neurocognitive and sensorimotor deficits represent an important sub-group for whiplash associated disorders. Fifth International Whiplash Trauma Congress. Aug 24-28; Lund, Sweden. J Rehabil Med 2011; Suppl 50: 23

Gibbons SGT 2010 Primitive reflex inhibition and sensory motor training improves cognitive learning function and symptoms in chronic disabling low back pain: A case series. Proceedings of: The 7th Interdisciplinary World Congress on Low Back Pain. November 9-12; Los Angeles, USA

Gibbons SGT 2010 The development, initial reliability and construct validity of the motor control abilities questionnaire. Proceedings of: The 7th Interdisciplinary World Congress on Low Back Pain. November 9-12; Los Angeles, USA

Gibbons SGT and Clark J 2009 Specific motor control exercise for lumbo-pelvic pain of articular origin: A systematic review. Proceedings of: The 3rd International Conference on Movement Dysfunction. “Rehabilitation: Art and Science”. October 30-Nov 1; Edinburgh, Scotland. Manual Therapy. 14 (S1): S16-17

Gibbons SGT 2009 Cognitive learning and sensorimotor function provide a protective effect from disability in low back pain. Proceedings of: The 3rd International Conference on Movement Dysfunction. “Rehabilitation: Art and Science”. October 30-Nov 1; Edinburgh, Scotland. Manual Therapy. 14 (S1): S30

Gibbons SGT 2009 Neurological soft signs are present more often and to a greater extent in adults with chronic low back pain with cognitive learning deficits. Proceedings of: The 3rd International Conference on Movement Dysfunction. “Rehabilitation: Art and Science”. October 30-Nov 1; Edinburgh, Scotland. Manual Therapy. 14 (S1): S20

Gibbons SGT 2009 The development, initial reliability and construct validity of the motor control abilities questionnaire. Proceedings of: The 3rd International Conference on Movement Dysfunction. “Rehabilitation: Art and Science”. October 30-Nov 1; Edinburgh, Scotland. Manual Therapy. 14 (S1): S22

Gibbons SGT 2009 Primitive reflex inhibition and sensory motor training improves cognitive learning function and symptoms in chronic disabling low back pain: A case series. Proceedings of: The 3rd International Conference on Movement Dysfunction. “Rehabilitation: Art and Science”. October 30-Nov 1; Edinburgh, Scotland. Manual Therapy. 14 (S1): S24

Gibbons SGT 2007 A randomized controlled trial of specific motor control stability exercise versus specific directional exercises in acute low back pain. New directions towards prognostic indicators. Proceedings of: The 6th Interdisciplinary World Congress on Low Back Pain. November 7-11; Barcelona, Spain

Gibbons SGT 2007 Sub-classification of core stability exercise for the purpose of a systematic review. Proceedings of: The 6th Interdisciplinary World Congress on Low Back Pain. November 7-11; Barcelona, Spain

Gibbons SGT 2007 The development and initial reliability of the Motor Control