Facilitating Coherent Movement:
Clinical Mentorship/Study Group
This continuing education format is an informally structured learning environment that is designed to allow for directed clinical observations, associated with direct hands-on guidance in acquiring (or refining) subtle and highly specific manual assessment/ treatment skills.
Effective manual skills involve refined focus and perceptions that are best learned in a mentorship environment. This includes a small group size, direct observations of participants, volunteers or “patients”, an analysis of clinically relevant findings followed by learning and practicing appropriate techniques. For optimal effectiveness in manual therapy subtlety combined with anatomical precision is required however these techniques are easily learned, highly effective and pain-free.
This class format is designed to be adaptable to accommodate a range of learning venues including 1:1 tutorials, small classes, or clinical settings. The participation of patients/clients and the presentation of clinical problems is encouraged.
“Coherent Movement” for this study is defined as:
A combination of well organized neuromuscular control and the dynanmic alignment of the skeletal system that allows for optimal translation of load and movement throughout the body.
This entails two distinct but overlapping elements:
1) The structure must have the mobility to allow for that optimal alignment, ie be free of limiting structural restrictions.
2) The neurologic element (sensory perception and motor control) must be organized in such a way as to make best use of the structure.
Course Objectives: The primary objective is to develop and enhance your skill in facilitating functional improvement by addressing the neurologic and structural components through an efficient application of observational and touch-based techniques.
Given the variable and informal nature of this instructional format the specifics of each session will vary according to needs and interests of the participitants, however the overall objectives are that you will gain skills such that you will:
1) Be able to discern key areas of increased stress in posture and basic movements.
2) Demonstrate an enhanced understanding of the biomechanics of the skeleton, joints and soft tissues.
3) Be able to visually assess habitual movement patterns.
4) Be able to palpate and discern significant joint and soft tissue restrictions.
5) Be able to identify and palpate inherent movement bias.
6) Demonstrate effective skill in the application of joint and soft tissue mobilization techniques to release key restrictions that limit coherent movement.
7) Demonstrate skill in utilizing active neuromuscular facilitation techniques to effectively reorganize habitual movement patterns and assist in releasing structural restrictions.
And ultimately put all of the above elements together in a single treatment session.
Topics may include:
> Introduction to and exploration of the concept of Coherent Movement
> Observation of posture and movement in relation to coherent movement
> Exploration of different qualities of touch with reference to both the physical/mechanical > aspects as well as the intention motivating the touch
> Exploration of key importance in the practitioner’s own body use and its influence upon perception, quality of touch as well as the nature of neuromuscular/sensory input to the patient
> Introduction to “palpatory listening” and practice of general and local “listening”
> Basic principles of joint mobilization, review of biomechanics (regional and whole system), relevant anatomy, demonstration of mobilization techniques and guided practice
> Basic principles of soft tissue mobilization, and practice releasing/mobilizing specific relevant areas that were identified during the assessment process
> Neuromuscular facilitation/education approaches: focused awareness, contract/relax, hold/relax techniques, guided experience of coherent patterns
> Putting it all together: how to integrate all of the above elements in a treatment session
At the end of each continuing education blocks time will be allotted for:
Summary and Questions
Course evaluation and feedback
For each Facilitating Coherent Movement/Clinical Mentorship/Study Group Course: An attached document will detail the specific content of the study block and the number of Continuing Competency Hours
Instructor: Eddie Rosen PT
Instructor Biography: Eddie graduated in 1976 from the Curriculum in Physical Therapy at the University of California, San Francisco. He has concentrated on studying, developing and refining manual therapy and movement education skills. His approach to treatment rests on the basics of anatomy, biomechanics, the neurologic and physiologic functioning of the body. His professional experience includes work in the fields of neurologic and orthopedic rehabilitation, the treatment of disabling spinal pain, orthopedic, athletic and musculoskeletal injuries. He has worked in rehabilitation, home health, acute hospital, pediatric, outpatient and educational settings. He has served as a Clinical Instructor at the School of Physiotherapy in Melbourne, Australia and a visiting lecturer in the Curriculum in Physical Therapy at U.C.S.F. Medical Center as well as instructed numerous continuing education classes in the US, Australia and Europe.
Eddie founded and directed the Physical Therapy and Movement Education Center in Cotati, California from 1984 to 2006. The center was unique in providing acclaimed care, integrating the fundamentals of physical therapy with the principles and techniques of Yoga, Feldenkrais, Osteopathy and Pilates. This integrated approach to patient care continues to serve as a guiding principle in his practice. This course is drawn from the approaches and techniques that have proven most effective and expedient in his clinical practice.