KINETIC
CONTROL – LOWER BACK MODULE COURSE. (Certified by Kinetic
Control, UK)
Resource Person: Mr. PADMANABAN SEKARAN M.Sc.PT
(UK),
Accredited Movement Therapist & Kinetic
Control Tutor
Chief of Physiotherapy & Rehabilitation
Services, SPARSH Hospitals. India
DATE
: 17, 18, 19, 20 April 2014,
VENUE
: SPARSH
HOSPITAL FOR ADVANCED SURGERIES, 146, INFANTRY ROAD,
BANGALORE-
560001
COURSE FEE
: INR 8000/- ONLY
(Includes: Certificate from Kinetic Control International, UK, 150 pages hard
copy of course material, working lunch, Tea & Snacks)
Maximum seats : ONLY 20, please conform your
participation at the earliest
Payment mode :DD/ Cheque in favour of
“SPARSH FOUNDATION”
Mailing address : Mr. PADMANABAN SEKARAN M.Sc.PT (UK),
SPARSH HOSPITAL FOR ADVANCED
SURGERIES, 146, INFANTRY ROAD, BANGALORE-
560001
(Please note:
completion of Kinetic control concept course is minimum prerequisite for the
lower back module. If anyone is interested in the lower back module, please
contact us for your participation at KC concept course on 30 March 2014 at
Bangalore)
About the Resource Person:
Padmanaban
is presently the 'Chief of Physiotherapy & Rehabilitation Services' at
SPARSH Hospitals, Karnataka. Padmanaban completed his MSc in Physiotherapy with
distinction (First Msc PT student of the University to achieve this level) from
Keele University, UK, where he also worked as a researcher. Padmanaban is an
accredited movement therapist and a Kinetic Control Tutor, the first and only
one in Asia. As a Kinetic Control Tutor, he has completed a rigorous course of
training in UK and is qualified to deliver Kinetic Control training courses
anywhere in the world.
Click
here for more details
Low Back module outline
Review of movement dysfunction & uncontrolled movement - concepts
Review of functional anatomy of the lumbar spine
Myofascial influences on postural alignment and postural adaptation
Review of postural types
Alignment assessment: [practical]
- Assessment of postural type
Kinaesthetic repositioning
- Proprioception and pain
- Proprioception and recruitment
Principles and practice of dynamic movement assessment and correction
Control of direction
Assess the direction of uncontrolled movement in the lumbar region and retrain control mechanisms at an appropriate level: [practical]
- Flexion: observe, test and rate the ‘give’ at the lumbar spine into flexion and the ability to stabilise the lumbar region relative to the thoracic spine and the hips
- Extension: observe, test and rate the ‘give’ of the lumbar spine into extension and the ability to stabilise the lumbar region relative to the thoracic spine and the hips
- Unilateral bias: observe, test and rate the ‘give’ of the lumbar spine into rotation, sidebending / sideshift and the ability to stabilise the lumbar region relative to the hips and thoracic spine
Diagnose the type of lumbar control dysfunction based on the direction of uncontrolled movement and the relationship to pathology
- Assess the direction of the loss of dynamic control in the lumbar region and retrain stability mechanisms at an appropriate level
Integration into function
Control of translation
Control of translation
Recruitment of local and global stabilisers to control translation (neutral training region)
Retrain low threshold recruitment efficiency of local and global stabilisers to increase stiffness to control translation
Integration of local and global stabiliser recruitment into normal function
Controlling lumbar neutral via activation of:
Controlling lumbar neutral via activation of:
- transversus abdominis
- deep lumbar multifidus
- posterior fascicles psoas
- Pelvic floor
- Diaphragm
Assess each muscle individually
- observe & palpate, test and rate. [practical]
Identification of substitution strategies and faulty recruitment patterns
Activation of: transversus abdominis, deep lumbar multifidus, posterior fascicles of psoas, pelvic floor and diaphragm with appropriate facilitation techniques – ‘a’ list and ‘b’ list facilitation strategies
Activation of: transversus abdominis, deep lumbar multifidus, posterior fascicles of psoas, pelvic floor and diaphragm with appropriate facilitation techniques – ‘a’ list and ‘b’ list facilitation strategies
Integration into functional activities
The integrated cylinder : use of the pbu to test overall integrated recruitment efficiency of the ‘inner unit’ or ‘cylinder’
Control of imbalance – through range control
Control of imbalance – through range control
Assess and rehabilitate the stability role of the global stability muscle system
Observe, test and rate the ability to shorten sufficiently to control the inner range of movement [practical]
- Provide eccentric control of functional load throughout range (especially rotation)
- Perform sustained, low threshold activation
- Improve stability function via a graduated progression of exercise
Progression of stability function for: lateral abdominals, anterior abdominals, back extensors, iliacus and anterior psoas, gluteus maximus, posterior gluteus medius, stabilising adductors
Control of imbalance - extensibility
Control of imbalance - extensibility
- Lengthen and inhibit over activity in the dominant global mobility muscle system
- The appropriate use and application of techniques to lengthen connective and contractile tissues
- Active inhibitory re-stabilisation (AIR)
Assess the length and dominance of the global mobility muscle system (observe, test and rate) and lengthen and inhibit over-activity via appropriate techniques for:
- Tensor fascia latae and the ilio-tibial band, iliopsoas and hip capsule, rectus femoris, hamstrings, gluteus maximus and the posterior ilio-tibial band, quadratus lumborum, piriformis, erector spinae, anterior abdominals, mobilising aductors
Clinical decision making and integration of local and global stabiliser recruitment into normal function
- Rehabilitation strategies
- Integration of flow chart strategies to develop a framework for dynamic stability progression
- Strategies and priorities for rehabilitation progression
