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Craig Phillips B.App.Sc ( Phty ) MPhysio (Sports). A.P.A.M

Predicting the outcome of patient specific exercise interventions. Do we need conscious input to make motor control changes?. Craig Phillips B.App.Sc ( Phty ) MPhysio (Sports). A.P.A.M Director - DMA Clinical Pilates & Physiotherapy. Recent research validates the predictability of

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Craig Phillips B.App.Sc ( Phty ) MPhysio (Sports). A.P.A.M

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  1. Predicting the outcome of patient specific exercise interventions. Do we need conscious input to make motor control changes? Craig Phillips B.App.Sc (Phty) MPhysio (Sports).A.P.A.M Director - DMA Clinical Pilates & Physiotherapy

  2. Recent research validates the predictability of • directionally biased exercise interventions (Tulloch 2012) • Near perfect inter rater reliability k = .87 (Yu 2013 - in press) • Within session within subject changes consistently reproducible pre intervention post intervention Patient self report of ability - n/5

  3. Intervention exercises based on movement based classification subgrouping model Matched to directional subgroup Directional intervention model has level 1 evidence Directional subgrouping - Right extension bias

  4. applying directional bias to exercises • no conscious input required to change aberrant motor pattern • ? Sub cortical • ? Decerebate • ? Mechanical neural change • ? intrafasicular pressure • WHY ?

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