Neuromuscular Reeducation I: Basis and Progression is a lab and lecture based class focused on the scientific basis of exercise and recognition and removal of barriers to appropriate motor programming that leads to improper exercise.  This class will provide the practitioner the ability to measure the exercise competence of a patient through clinical tests and develop an appropriate manual treatment regimen to optimize and improve that patients' reflex arc function, that is, to perform Neuromuscular Reeducation effectively.

NeuroMuscular Reeducation: Basis and Progression I

June 9-11th, 2017

Courtyard Portland Airport,

11550 NE Airport Way, Portland, OR 97216

​

Neuromuscular Reeducation (NMR) is the integration of complex clinical rehabilitation skills to bring about improvements in movement, balance, coordination, kinesthetic sense, posture, and proprioception through the use of Counterstrain, MET, and Gait Dynamic Integration (GDI) techniques. These high level skills are desired by patients and insurance companies alike but billing patterns show that most therapists do not bill these codes. This class is designed to teach the parameters of NMR so that students can appropriately use NMR and appropriately seek reimbursement.

The need for Neuromuscular Reeducation arises from neuro-musculo-skeletal dysfunction that has undermined the patient’s ability to employ appropriate motor programs. Motor program proficiency, given an intact neurological system, is the ability to exert force throughout a joint's functional range of motion while maintaining balance, coordination, kinesthetic sense, posture, and proprioception. When the musculo-skeletal system dysfunctions then the neurological system, i.e. reflexes, dysfunctions as a result of poor afferent input and ROM availability. This class explores the complex interactions of musculo-skeletal and neurological dysfunctions that need to be corrected for neuromuscular reeducation to occur.

Specific focus will be given to improving identification and localization of barriers to movement function to include lower and upper extremity to shoulder / hip interaction with pelvis, lumbar, thoracic and cervical spine. Static and dynamic stretches as a measure of performance and progression will be used. These barriers to NMR will determine the start point of any patient treatment. Developmental stage of movement progression and breathing will be incorporated. 

Class participants will learn how to:

1. List the parameters of Neuromuscular Reeducation in treatment.

2. Test core strength, upper cervical function, contralateral upper extremity and lower extremity function and integration by using the Gait Pattern Recognition Flowchart.

3. Design a NMR driven rehab program for low, medium and high functioning patients using static and dynamic stretches and integrative techniques (Counterstrain, MET or GDI).

4. Identify the most common Hypertonic and Inhibited muscle pattern dysfunctions, and their associated signs and symptoms.

5. Describe the pathophysiology of the musculoskeletal, neural, vascular, and lymphatic structures secondary to faulty adaptive patterns.

6. Implement a complete care program to include: specific treatment modality selection, neuromuscular reeducation and exercise prescription regimes to resolve somatic dysfunction and restore neuromuscular patency.

Target audience: All licensed or certified healthcare providers including, but not limited to: PT, AT, DC, MT, RN, OT, and ND.

18 contact hours – 18 1-A hours anticipated  

Instructors: Neal O'Neal, PT and Dennis Eaton, MPT

Class is held 9-5 Friday / Saturday and 8-12 Sunday and will be a combination of Lecture and Lab.

Schedule:

Friday-

8:30am – 9 am            Sign in

9am – 10:30am           New Concepts in Neuri-Motor Recruitment (Lecture)

10:30am – 10:45am    Break

10:45am – 12pm         New Concepts in Neuri-Motor Recruitment (cont’d) (Lecture)

12 – 1pm                     Lunch

1pm – 1:45pm             Global and Regional Provocation Tests (Lab)

1:45pm – 2:30pm        Weight Bearing vs NWB Recruitment (Lecture)

2:30pm – 2:45pm        Break

2:45pm – 5:30pm        Somatic Treatment of Recruitment Dysfunction- STM and Counterstrain (Lab)

Saturday-

8:30am – 9 am            Networking and discourse

9am – 9:30am             Review and discussion of Topics (Interactive)

9:30am – 10:30am      NMR for the LE, Transversus Abdominis, Contralateral UE (Lab)

10:30am – 10:45am    Break

10:45am – 12pm         Weight Bearing vs NWB Recruitment II (Lecture)

12 – 1pm                      Lunch

1pm – 1:45pm             Case Studies (Lecture and Interactive Discussion)

1:45pm – 2:30pm        NMR: Gait Dynamic Integration- GDI (Lecture)

2:30pm – 2:45pm        Break

2:45pm – 5:30pm        NMR for Gait - 2-Hand Technique (Lab)

Sunday-

8am – 10:15am           Ballistic Exercise (Lecture)

10:15am – 11:15am    Neurological Approaches- Ganglia Treatment (Lab)

11:15am – 12pm         Case study presentation, Interactive Discussion, and Overview