Kinetic Control - Targeting Muscle Synergies to Optimise Movement Retraining for the Neck and Shoulder 2018

Kinetic Control - Targeting Muscle Synergies to Optimise Movement Retraining for the Neck and Shoulder is organized by National Centre of Rehabilitation Education (NCORE) and will be held during Oct 16 - 17, 2018 at London Road Community Hospital, Derby, England, United Kingdom. This CME Conference has been approved for a maximum of 14 Credits.

Movements of the head, neck and shoulder girdle are both anatomically and biomechanically linked as many of the muscles producing or controlling movement of the neck also produce and control movement of the shoulder. As the neck and shoulder are functionally interdependent it seems clear both should be assessed and retrained together. It is not just these regions that closely interact in the production of efficient movement. All functional movement utilises synergistic patterns of recruitment between one-joint stabiliser and multi-joint mobiliser muscles.

Predictable and consistent impairments in the co-ordinated activation of these synergists has been associated with pain and the site and direction of uncontrolled movement. Changes in their synergies or patterns of recruitment also affects the efficiency of their ability to produce or control movement. Based on a diagnosis of movement control impairment, a clinical reasoning approach can prioritise which synergists are more relevant to test and retrain. Assessing and retraining these muscles to recover their length and recruitment deficiencies can help manage pain, impairment and recurrence.

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

• Relate movement and synergistic recruitment patterns and consider how changes to these patterns influence pain, recurrence and function
• Display an enhanced understanding of some physiological changes associated with aberrant synergistic recruitment patterns
• Demonstrate an understanding of the differences and implications of low threshold slow motor unit recruitment and high threshold fast motor unit recruitment
• Demonstrate an awareness of the factors that influence muscle stiffness and discuss how these factors can be used in movement retraining to influence function
• Demonstrate the ability to assess for loss of extensibility and aberrant recruitment substitutions of the global mobility muscles that contribute to movement control impairments of the low back and hip
• Display an ability to analyse the interactions between restrictions and compensations to maintain function in the low back and hip, from an intra-articular, inter-articular and regional perspective
• Demonstrate the ability to assess the recruitment efficiency of the global stability muscles that control the range of movement at the low back and hip
• Display options for movement retraining in addition to acquiring the ability to match the level of retraining to your patient's abilities and goals

Additional details will be posted as soon as they are available.