Treatment of Spine Dysfunctions with PNF – AGM01

The biggest diagnostic group of patients with musculo-skelettal disorders are those with dysfunctions of the spine
The involved morphologic structures can be bones, joints and their surrounding structures (capsule, ligaments, menisci), muscles and tendons, intervertebral discs and peripheral neural structures.

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Impairments on level of structure and function we can find:

Deformations of bones and their consequences: skoliosis, deformation after Spine fractures
Degenerative processes: Arthrosis, disc hernias, osteoporosis….
Hypermobilities and structural based instabilities: hyper mobile Cx or Lx
Inflammatory / infectious processes: Rheumatism, M. Bechterew, Arthritis….

Overuse syndromes: as seen in physically heavy working persons
Syndromes of arthro-muscular disorders: Lumbago, Facets syndrome, functional instabilities

In most of the cases the patient wants to see the (orthopaedic) physician because pain is limiting activities of daily life. Example: a patient is usually not going to see the doctor because the rotation of the thoracic spine is reduced but

Pains is an important treatment parameter: Usually patients are motivated and cooperative (as long as the pain is influenced positively by physical therapy). For the PT pain is also a good reference for the treatment success.

Limitations in daily life activity are a result of deficits in the senso-motor system (causal impairments). One of the most existing causal impairments is the reduced range of motion on the background of structural changes and/or pain.

Other impairments :

Strength and Endurance caused by lack of movements (inactivity atrophy) or by pain induced inhibition
Proprioception (ligamental lesions, post OP,)
Coordination (either as cause for Overuse syndromes or as consequence of pain processes)
Balance (as consequence of lack of strength/endurance/coordination/ROM)
Neuropsychological functions and symptoms: fear, lack of self-confidence,
Every orthopaedic dysfunction is related to changes in the neuromuscular coordination:

– as cause for disorders
– as result (of nociception)

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Workshop Topics:

Nociception and its effect on the somato motoric system
Instability
Introduction to PNF Techniques

Lumbar Spine:

PNF for mobilisation
PNF for stabilisation
Hands off Exercises – Home work

Ilio sacral joint:

PNF for mobilisation
PNF for stabilisation
Hands off Exercises – Home work

Thoracic Spine:

PNF for mobilisation
PNF for stabilisation
Hands off Exercises – Home work

Cervical Spine:

PNF for mobilisation
PNF for stabilisation
Hands off Exercises – Home work

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Meet the tutor:

Marcel Grzebellus
PT, IPNFA Senior Instructor, Germany

Qualifications:

Physiotherapist since 1984
PNF-training in Berlin, Bad Ragaz and Vallejo/USA
since 1992 Instructor of the International PNF Association (IPNFA)
since 2005 IPNFA Senior Instructor
many postgraduate courses in Manual Therapy Bobath, Functional Kinetics, Brügger, Myoreflextherapy etc.

Abstract:

Teacher’s Training for primary school in Frankfurt/Germany
Education as physiotherapist in Mainz
IPNFA-Senior-Instruktor; teaches all IPNFA course levels including qualification of IPNFA-instructors
Co-owner of private physiotherapy outpatient clinic and study center in Radolfzell/Germany
Teacher for PNF at Zurich University for applied sciences Winterthur/Switzerland
IPNFA courses and PNF workshops in many countries worldwide

Publications:

Instructional Video „PNF-Pattern BASIC”, 1998 (with Carsten Schäfer)
Instructional Video„PNF-Pattern PLUS”, 2002 (with Carsten Schäfer)
Article “Biomechanische Aspekte der Irradiation” (Biomechanic Aspects of Irradiation) in “Physiotherapeuten” 9/98 (with Carsten Schäfer)
Article „Ein Fall für Vier: Retropatellarer Schmerz. Wieder fit fürs Joggen werden. physiopraxis 2008; 3: 29-30
Thieme e-learning PNF-Grundkurs” together with Nicola Fischer und Carsten Schäfer, 2014
Article: „Hands-on: PNF-Techniken für die Schulter”, physiopraxis 09/2015, 30-34
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Fee and Application:
For applications before the 1st of August, the full workshop is €300.
After this date, the fee will be €340
Advance Reservation Fee – €75
€60 Discount for Educational Day (14.10) participants