Pre-Conference Course
Controlling the core: a matrix for managing pain and recurrence in sport
Mark Comerford, Kinetic Control (UK), Performance-Rehab (Australia)
Outline
There is also strong evidence that stretching and strengthening do not predict or prevent re-injury or recurrence in sport. There is increasing evidence that Un-Controlled Movement (UCM) is linked to recurrent musculo-skeletal pain and can be identified even in periods of pain remission or painfree function. This day will explore in depth the evidence and the application for identifying and retraining uncontrolled movement. A comprehensive strategy will be presented detailing how to find and fix uncontrolled movement. This process identifies the site (e.g. low back or shoulder) and the direction (e.g. flexion or rotation) and the threshold (low or high) of this uncontrolled movement. With this information you can design client specific therapeutic exercises to regain control of the UCM. The will be detailed using case studies and practical application to musculo-skeletal screening and movement retraining.
Programme
9.00am
- Introduction
- Current features of screening for injury and re-injury in sport
- Evidence for effectiveness of current musculo-screening to predict or prevent injury
- Adequacy of injury rehab outcome measures to prevent recurrence
- Classification of movement faults
- Un-Controlled Movement (UCM) - relationships to:
- Symptoms
- Dysfunction
- Disability
- Recurrence
- Risk
- Performance
- Outcomes of retraining uncontrolled movement (UCM)
10:30am break
10:45am
- Muscle function categorisation:
- Recruitment issues:
- low threshold motor control training versus high threshold strength training
- Practical application
- Functional implications of pain and recruitment
- Identifying Un-Controlled Movement (UCM)
- Testing for uncontrolled movement
- demonstration and practical application
- The Matrix testing: site, direction & threshold of UCM
- practical application of testing
- (Practical) Quick subjective test for core stability (identifying UCM in the spine and pelvis and shoulder girdles)
12:30pm lunch
1:30 pm
- (Practical) Objective measures of uncontrolled movement and core strength
- Series 1: Functional body load
- Series 2: Neutral core under load (gym weight equipment)
- Retraining uncontrolled movement
- Dissociation
- Low threshold control
- High threshold strengthening
- Range control
- Low threshold control
- High threshold strengthening
- Practical application of retraining
3:15pm break
3:30pm
- Retraining uncontrolled movement (continued)
- The Matrix testing process identifies the site, direction and threshold of uncontrolled movement in functional multijoint movements
- The Performance Matrix
- The Sports Matrix
5:00pm finish
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