www.efeld.com
The art, practice and science of Feldenkrais®
Director: Robert J. Burgess BEd, PT, PhD, Feldenkrais Practitioner


SAN FRANCISCO CA Friday September 29th KLBP I
DENVER CO   Friday October 6th KLBP I
BOSTON MA Thursday October 12th KLBP I
BURLINGTON VT Wednesday October 18th KLBP I
PORTLAND ME Friday October 20th KLBP I
NASHUA NH I Tuesday October 24th KLBP I
NASHUA NH II Wednesday October 25th KLBP II
NASHUA NH I & II Tuesday & Wednesday October 24-25th KLBP I & II
Questions? please email me.

Advanced Motor Control Treatment and Training or AMC Therapy has been developed by Dr. Burgess from over 30 years as a PT and 25 years exploring the Feldenkrais Method in PT. AMC Therapy is the result of this experience and learning particularly for the treatment of low back pain.

AMC Therapy re-introduces purposeful skeletal spinal action schemas back into motor control therapy for low back pain rather than solely a focus to muscles. AMC Therapy utilizes both modes of motor learning and control.

Transform Core Stabilization and Motor Control Theory: The class begins with CS and MC Theory and the practice of abdominal hollowing and bracing. The class advances from controlling muscles to spinal skeletal schemas- abdominal hollowing becomes pelvic and lumbar flexion then becomes whole trunk action. TA contraction becomes a lumbosacral awareness and mobilization tool. Learn to switch between a muscle model and a skeletal model for motor control.

The video (9.32 minutes) below is a brief in a nutshell introduction to the AMC theory for kinematics of low back pain and the basics of treatment and training:

 

 



  This class has been approved for 7 CEU's by the Physical Therapy Board of California.  



  1. Introduction
  2. Course Content
  3. Course Schedule
  4. Course Registration
 

Instantly, this class will increase your success with exercises for low back pain. The shift between muscles alone to muscles and skeleton is powerful and immediate. More difficult to learn but also more potent are the hands on techniques called Mobilizations for Motor Control.

You will learn:

-the major mechanical characteristics of CLBP
-exercises for pelvic and lumbar power and mobility
-hands on techniques- Mobilizations for Motor Control
-pelvic floor awareness and stretching exercises - attention, differentiation and training of spinal motor schemas

1. Introduction

Low back pain remains an elusive condition for therapists. Eighty percent of presenting LBP has been categorized as Non-Specific Low Back Pain. A clear definition has eluded and frustrated medicine. Roussouly & Pinheiro-Franco in 2011 stated that this definition for LBP is unacceptable. Advanced Motor Control Therapy has been developed by Dr Burgess from 35 years of PT and 25 years with the Feldenkrais Method to provide a new potent theory and treatment for LBP.

Core Stabilization and Motor Control theory and practice use only muscles to affect motor control of the spine. AMC Therapy takes full advantage of the modifiable motor schemas for spinal function- the brain models the internal skeletal configuration of movement. As has long been stated in neuroscience, that

“the central nervous system knows nothing of muscles, it only knows movements” (Hughlings-Jackson 1889 pg 358).

AMC theory postulates, with evidence, that rather than LBP being unstable as has been the popular belief, LBP is actually stiff. Stiffness is Un-Differentiated Action© - if you can't feel it and differentiate it, then you can't and don't utilize it. A loss of low lumbar lordosis and an increase in upper lordosis by excessive co-contraction drives a flat, undifferentiated and stiff back. The very low spinal levels are the stiffest and the most difficult to determine mobility. AMC therapy offers methods to determine L4-S1 mobility.
This class will examine the Stiffness Model versus the Instability Model for LBP and the Muscle Weakness Model versus Over Active Muscle Model for spinal dysfunction.

AMC Therapy provides an evaluation system to determine the specific mechanical features of LBP - the Seven Kinematic Signs of Chronic Low Back Pain (see below for Trunk Flexion in Supine). And it offers immediate potent motor control exercises for modifying spinal skeletal schemas.

Figure 1. Trunk Flexion in Supine. One of the seven signs of CLBP, is Trunk Flexion in Supine. (a). Half trunk flexion- "Bend like a Hockey Stick?". Raising the head invokes flexion of upper half of the trunk only, with no pelvis and lumbar motion. The pelvis is rigid. This is very typical for a person with chronic low back pain. The abdominals must be working to pull on the thorax to raise the head, but the pelvis and lumbar spine don't move. Co-contraction of flexors and extensors prevents motion and creates compression. (b). Normal Full trunk flexion- "Bend like a Banana". Raising the head invovles the entire spine in motion, pelvis to head with the pelvis as the base and strength of the action. The pelvis is in motion and the lumbar spine flexes. If you try this, make sure your patient raises the head only slightly. Repeat going slower and smaller and you may see. Every degree of head motion must activate the lower trunk else there is excessive co-contraction. More during the course. See video below:.....

2. Course Content

The Trunk as a Kinematic Chain of the Pelvis, Thorax and Length of Spine. Tail to Head
Power of the Pelvis. Stabilize or Mobilize?
Pelvic Tilt. Which way do you tilt- anterior or posterior?
Abdominal Hollowing and Bracing as Skeletal Learning and Training Exercises.
Leg-Trunk Coordination©, Arm-Trunk Coordination©- body segments working together.
The Hip Abduction Trilogy©. Empowering the Pelvis and Leg.
Body Segments or Muscles or Joints? Switching modes. What do Brains do?
Lumbo-Sacral Kyphosis: What we can learn from Isthmic Spondylolisthesis Research.
Pelvic floor- weak or over active? Strengthening or Skill Training and Stretching?

The Old Dog Syndrome for Low Back Pain©. Wagging the Tail or Not.
Straight Leg Raise as a measure of Lumbar Mobility and Rigidity.
Snakes, Turtles, Salamanders, Dogs, Cats, Snails and other comparative vertebrate functional anatomy for understanding the human spine in action.
Trunk Side Bending and Human Locomotion- spinal lengthening is a critical component of normal gait.
Immobility creates Instability. Full review of literature on Spinal Instability. Does it exist?
The Kinematics of Lumbar DDD. Sagittal Alignment & Mobility of DDD. Six Defining Signs of Passive SLR.

Natural History of the Spine and spinal conditions- the Good, the Bad, the Ugly and the Resolution.
Seven Classic Signs for CLBP. Kinematic Signs determine Treatment and Training.
Introduction to Hands On for Advanced Motor Control Therapy=
Mobilizations for Motor Control©.
Lumbo-sacral mobilizations for flexion, side bend and traction motor control. Stretching the Pelvic Floor.

 

3. Course Schedule

Day 1: Pelvic-Trunk, Leg-trunk and Arm-Trunk Coordination

Registration 8.15am.

8.30-9.30am. Abdominal hollowing, bracing, pelvic tilt, trunk flexion in supine and leg trunk coordination. Differentiating spinal segments. The Hip Abduction Triology. Movement lesson and exercises.

9.30-11am. Lumbar Geometry, Sagittal Alignment and Kinematics of Trunk Flexion and Extension. Spinal basics of posture and mobility for Normal spine, CLBP, DDD, Isthmic and Degenerative Spondylolisthesis. PSLR- six signs and their significance. Hypothesis for etiology for CLBP. Lecture and labs.

11-12. Lumbo-Sacral mobilizations- flexion and side bending. Hands on practice.

1-2.30pm. Trunk rotation- the role of the pelvis and thorax. Arm-Trunk Coordination. Differentiating spinal segments. Movement lesson and exercises.

2.30-3.30pm. Mobilizing the Thorax. On side and prone. Hands on and exercises.

3.30-4.30pm. Lumbo-Sacral mobilizations in prone. Weight bearing, side bending, rotation and traction. Local, adjacent, at a distance and global mobilizations.

The course allows 7 hours CEU's.

 

Day 2: The Foot, Ankle, Shank, Thigh and Lumbosacral Coordination

8.30-10am. Recap, refresh from Day 1. Pelvic tilt, trunk flexion, leg-trunk coordination.
Movement lesson and hands on.
Connecting the foot, ankle, shank, hip and lumbosacral spine. Movement lesson and exercises.

10-11am. Pathomechanics, Prevalence and Aging of the Lumbar disc in Life and DDD. Mechanical hypothesis for etiology of DDD and Spondylolisthesis and hence CLBP. How to treat, educate and prevent pain and mobility issues in DDD. “Getting all the Miles
out of yourTires”. Lecture.

11-12noon. Leg, hip and lumbosacral weight bearing, rotation and side bending mobilizations in prone. Mobilizing the foot- metatarsotarsal joint weight bearing, rotation and side bending mobilizations in prone.

1-3.30pm. Isthmic and Degenerative Spondylolisthesis-up to date literature on sagittal spinal parameters and what that means for treatment.

3.30-4.30pm Foot-hip-lumbosacral mobilizations in supine.



The course allows 7 hours CEU's.

 

4. ONLINE REGISTRATION & PAYMENT:

San Francisco CA    Day 1: Friday September 29th $200
Serrano Hotel 405 Taylor St, San Francisco CA 94102


Denver CO    Day 1: Friday October 6th   $200
Crowne Plaza Denver Airport Convention Ctr

15500 East 40th Avenue, Denver CO 80239
303 371 9494


Boston MA    Day 1: Thursday October 12th  $200
Hilton Boston-Burlington

5 Wheeler Road, Burlington MA 01803
781 272 88009

 

Burlington VT    Day 1: Wednesday October 18th   $200
Hilton Burlington
60 Battery St, Burlington VT 05401
802 658 6500


Portland ME      Day 1: Friday October 20th   $200
Hilton garden Inn
65 Commercial St, Portland ME 04103
207 780 0780


Nashua NH       Day 1: Tuesday October 24th   $200
Crowne Plaza
2 Somerset Pkwy, Nashua NH 03063
603 886 1200

 

Nashua NH    Day 2: Wednesday October 25th  $180
Crowne Plaza
2 Somerset Pkwy, Nashua NH 03063
603 886 1200

 

Nashua NH    Day 1-2: Tuesday & Wednesday Oct 24-25th  $380
Crowne Plaza
2 Somerset Pkwy, Nashua NH 03063
603 886 1200

NB: you have several options for attending day 1 and 2. You can book Nashua Day 1 & 2, or Boston Day 1 and Nashua Day 2, or Maine Day 1 and Nashua Day2 etc......