Post on 20-Jan-2016
PowerPoint Presentation
Predicting the outcome of patient specific exercise interventions.
Do we need conscious input to make motor control changes?
Craig Phillips B.App.Sc (Phty) MPhysio (Sports).A.P.A.MDirector - DMA Clinical Pilates & Physiotherapy
Recent research validates the predictability of directionally biased exercise interventions (Tulloch 2012)
Near perfect inter rater reliability k = .87 (Yu 2013 - in press)
Within session within subject changes consistently reproducible
testL prepostRprepostSLS41.5SHR42.5HOP3173%33%testL prepostRprepostSLS441.53.5SHR442.53.5HOP33.513.573%76%33%70%
pre intervention post interventionPatient self report of ability - n/5
Intervention exercises based on movement based classification subgrouping model
Matched to directional subgroup
Directional intervention model has level 1 evidence
Directional subgrouping - Right extension biasapplying directional bias to exercises
no conscious input required to change aberrant motor pattern
? Sub cortical ? Decerebate ? Mechanical neural change? intrafasicular pressure
WHY ?