Theresa Schmidt – PESI – Integrated Neuromuscular Re-Education: Muscle Energy Therapy and Positional Release
Silence the Pain! Restore Mobility and Strength!
Integrated Neuromuscular Re-Education is an introductory hands-on approach to correction of somatic dysfunction using muscle energy/PNF and counterstrain/positional release. The goals of INMR are to restore normal soft tissue tone and elasticity, relieve pain, improve strength and optimize performance. Identification and treatment of abnormal neuromuscular tension, painful trigger points, motion restriction and strength deficit is the focus of this course. INMR approach is a synthesis of active and passive approaches to facilitate positive changes in the structure and function of the myofascial and neuromuscular systems. Techniques may be immediately applied in a variety of clinical situations. A review of the current evidence-based literature will illustrate the efficacy of these interventions. This course includes lecture, discussion and emphasis on hands-on lab practice. A must-take course for manual therapists!
Objectives
- Discuss the theoretical basis and evidence-based research for positional release/counterstrain (PRT) and muscle energy therapy (MET/PNF)
- Describe basic neuromuscular reflexes, the function of the muscle spindle, Golgi tendon organs and proprioceptors and their effect on muscle tone and function
- Assess the musculoskeletal system using palpation to identify indicator trigger points (TPs)
- Identify positions that reduce the pain and sensitivity of TPs to allow spontaneous release of abnormal neuromuscular tone
- Apply principles of MET/PNF to position a joint to effectively stretch a muscular restriction or strengthen an inhibited muscle (to correct a somatic dysfunction)
- Implement a treatment program using positional release and muscle energy therapy to improve range of motion, flexibility, strength, and to reduce spasm and pain for a variety of clinical conditions
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