Neuromuscular Re-Education:
Upper & Lower Extremities

On Demand Videos
PDF Class Notebook
18 CEUs

Course Description:

Neuromuscular Reeducation (NMR) is the integration of complex clinical rehabilitation skills to bring about improvements in movement, balance, coordination, kinesthetic sense, posture, and proprioception through the use of Counterstrain, MET, and Gait Dynamic Integration (GDI) techniques. These high level skills are desired by patients and insurance companies alike but billing patterns show that most therapists do not bill these codes. This class is designed to teach the parameters of NMR so that students can appropriately use NMR and appropriately seek reimbursement.

The need for Neuromuscular Reeducation arises from neuro-musculo-skeletal dysfunction that has undermined the patient’s ability to employ appropriate motor programs. Motor program proficiency, given an intact neurological system, is the ability to exert force throughout a joint's functional range of motion while maintaining balance, coordination, kinesthetic sense, posture, and proprioception. When the musculo-skeletal system dysfunctions then the neurological system, i.e. reflexes, dysfunctions as a result of poor afferent input and ROM availability. This class explores the complex interactions of musculo-skeletal and neurological dysfunctions that need to be corrected for neuromuscular reeducation to occur.

Specific focus will be given to improving identification and localization of barriers to movement function to include lower and upper extremity to shoulder / hip interaction with pelvis, lumbar, thoracic and cervical spine. Static and dynamic stretches as a measure of performance and progression will be used. These barriers to NMR will determine the start point of any patient treatment. Developmental stage of movement progression and breathing will be incorporated. 

Class participants will learn how to:

1. List the parameters of Neuromuscular Reeducation in treatment.

2. Test core strength, upper cervical function, contralateral upper extremity and lower extremity function and integration by using the Gait Pattern Recognition Flowchart.

3. Design a NMR driven rehab program for low, medium and high functioning patients using static and dynamic stretches and integrative techniques (Counterstrain, MET or GDI).

4. Identify the most common Hypertonic and Inhibited muscle pattern dysfunctions, and their associated signs and symptoms.

5. Describe the pathophysiology of the musculoskeletal, neural, vascular, and lymphatic structures secondary to faulty adaptive patterns.

6. Implement a complete care program to include: specific treatment modality selection, neuromuscular reeducation and exercise prescription regimes to resolve somatic dysfunction and restore neuromuscular patency.

Target audience: All licensed or certified healthcare providers including, but not limited to: PT, AT, DC, MT, RN, OT, and ND.

18 contact hours – 18 1-A hours anticipated  

Instructors: Neal O'Neal, PT and Dennis Eaton, MPT

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