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 ?