Franklin, TN, September 29, 2009 --(PR.com
)-- Cervical spine and upper quarter movement dysfunction represent a large component of physical therapy practice. Movement dysfunction is conceptualized as an imbalance within or between the body’s biomechanical and neuromechanical components. The effective intervention for cervical spine dysfunction must integrate all anatomic/physiologic components of the upper quarter and be multisytem in scope. Biomechanical dysfunction refers to abnormalities of the musculoskeletal system including the osteokinetics and arthokinematics associated with creating movement. Neuromechanical dysfunction refers to abnormalities associated with the anatomy and physiology of the central, peripheral, and autonomic nervous systems influencing movement.
This two-day course provides a model and strategies for the examination, evaluation, and intervention of the cervical spine from a neuromechanical perspective which has traditionally been viewed as less important and received less emphasis than the biomechanical orientation. The course includes significant discussion of the scientific basis and rationale for a neuromechanical orientation to cervical spine rehabilitation. The course incorporates lecture with significant laboratory experiences. Laboratory sessions enable the participants to integrate examination and intervention techniques and strategies for neuromechanical system components associated with movement dysfunction. These include for the nervous system, neurodynamics and the sympathetic component of the autonomic nervous system; the role of muscle facilitation and inhibition associated with the cervical spine; the role of primitive and postural reflexes in movement dysfunction; the vestibular system and motor learning. The use of a muscle energy technique is also developed and implemented from a neuromechanical perspective.
The strategies developed for examination and intervention provided in this course combine well with traditional biomechanical approaches used for intervention of cervical spine movement dysfunctions. Course information is immediately relevant and applicable in the clinical setting. The concepts and principles learned transfer to all upper quarter movement dysfunctions.
This course is designed for physical therapy continuing education and occupational therapy continuing education.
North American Seminars Course Objectives
- Thoroughly understand breast anatomy, breast cancer pathology and the muscular, tissue, nerve and lymphatic involvement of surgery and reconstruction procedures.
- Understand and describe the foundation for neuromechanical examination, evaluation, and intervention.
- Describe the components of, and complete, a neuromechanical screen.
- Explain the theoretical basis for assessing segmental sustained cervical axial traction and be able to demonstrate the ability to facilitate inhibited segments and implement an appropriate home exercise program.
- Recognize the role of the sympathetic nervous system in chronic pain and movement dysfunction.
- Describe the mechanical and physiologic functional implications associated with movement of the nervous system and implement an examination to differentiate compression, sliding, or tension dysfunctions.
- Integrate concepts and principles of motor control with the fundamentals of neuromechanical dysfunction.
- Explain inhibition and facilitation of upper quarter muscle dysfunction in the context of Janda’s “upper-crossed” model.
- Describe the sequence of normal reflex development and assess the presence or absence of reflexes.
- Describe the basic concepts and principles associated with the use of PNF.
- Explain the relationship between the vestibular system and cervical spine movement dysfunction.
- Explain the neuromechanical rationale for using a MET and integrate the MET with PNF to facilitate motor learning and control.
Robert Friberg, PT, PhD, CFMT is a professor in the Physical Therapy Program at Hardin-Simmons University. He teaches the kinesiology and orthopedics components of the curriculum. His clinical certification is the Certified Functional Manual Therapist(c) from the Institute of Physical Art. Dr. Friberg brings 35 years of clinical experience with a specialization in chronic pain associated with spinal dysfunction. His training includes experience with a variety of models for orthopedic practice. This experience led to a unique perspective for examination, evaluation and intervention of movement dysfunction associated with the spine. He has taught nationally on topics associated with the spine including manual therapy, motor control, and stabilization. He has provided systematic spinal dysfunction training for national physical therapy groups. He has numerous clinical and research presentations at national meetings. His research interests include such topics as neurodynamics, the neuromechanical effects of posture, the relationship of reflexes in spinal dysfunction, and the role of muscle inhibition and facilitation in spinal movement dysfunction. Dr. Friberg currently has a private practice with consistent patient interaction.
This course meets the continuing education requirements for physical therapists and occupational therapists.