Disclosure. Objectives. The Motor Cortex. Neuromuscular Principles for Injury/Fall Prevention, Rehabilitation and Sports Performance Utilizing PRIMFIT

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Neuromuscular Principles for Injury/Fall Prevention, Rehabilitation and Sports Performance Utilizing PRIMFIT Disclosure The speaker is the founder and partner at PRIMFIT and has a financial interest

1 Neuromuscular Principles for Injury/Fall Prevention, Rehabilitation and Sports Performance Utilizing PRIMFIT Disclosure The speaker is the founder and partner at PRIMFIT and has a financial interest in the product 2018 MPTA Conference ~ April Arik Poremba PT, DPT Objectives Review the nervous system function Review biomechanics theories related to functional movement The Nervous System and Movement Vs4EFe8c&feature=youtu.be Review and describe the Bio-motor components, Interdependent principles and Supercompensation theory Describe the PRIMFIT Fast Assessment Describes the PRIMFIT 100 The Motor Cortex Located in the rear portion of the frontal lobe Main area involved in voluntary movement Receive Information - RI Process Information - PI Plan of Action - POA The Neuromuscular Junction (NMJ) Vital role in the function and adaptation of skeletal muscles to stress Electrical Impulse and Chemical reaction contribute to The Action Potential The site of fatigue that can lead to muscle failure and as results to kinetic and kinematic abnormality Execution #trainthebrain

2 Neurological Adaptation Studies have shown that progressive and repetitive movements can increase the ability to recruit more motor units and to accelerate the electrical signal as well as to facilitate neurons connection Brain Expression: Not only movements, but Integrated and coordinated movements facilitate the neurons connection and contribute to a new BRAIN MAPPING The Nervous System Fatigue Fatigue: A decline in muscle performance associated with the given activity Two categories: 1. Central 2. Peripheral Central: At the motor cortex > Issues could be with RI, PI, POA Peripheral > A direct effect on the NMJ > Accumulation of Phosphate and insufficient release of Calcium > Lactic Acid Theories & Terminology Kinematic Vs. Kinetic: 1. Description of movement 2. Study of forces ( Internal+External ) Movement Mechanical Analysis ( MMA) & Movement Mechanical Correction (MMC) PANAMA : Adaptation Theory ( Physiological, Neurological, Mechanical ) FAST : Functional Adaptation Specific Training Physical Stress Theory: Magnitude*Time*Direction Bio-Motor Components Intra-Dependents : 1. Speed 2. Strength 3. Endurance 4. Flexibility 5. Coordination Strength & Power The ability to exert force Power: The ability to generate force in the shortest amount of time The ability to express power is based upon the function of the neuromuscular system The key is to train movement and not individual muscle The brain does not recognize an individual muscle fiber, but movement patterns Initial neurological adaptation is by recruiting motor units Speed & Endurance Speed: The ability to perform movement in the least amount of time. Immediate Balance Reaction ( IBR )- Reaction time to stimulus or lost of balance Endurance: The ability to perform and tolerate physical and mental stress incorporating aerobic and anaerobic elements.

3 Flexibility & Coordination The ability to receive and process external or internal input and initiate a controlled and organized movement pattern Dynamic in nature Consistency is the key for improvement Never one motion in one plane, always multiple motions in multiple planes Bio-Motor Components All Components related to Supercompensation Homeostasis ( Base Line ) -> Constant Stress Adaptation Syndrome In neuromuscular training and rehabilitation the desired response is the Supercompensation Supercompensation Developed in late 70 s early 80 s Adapted by Sports PTs and Physical Rehabilitation experts in late 80 s Supercompensation Stage one: Application of a physical training stress/ Fatigue as a response to Stimulus Stage two: Recovery/Compensation Stage three: Supercompensation/Adaptive Rebound Response Stage four: Involution or natural decline of the supercompensation Interdependent Principles For Injury Prevention, Rehabilitation and Performance Rule of Progression : Initiate skills from slow to fast Initiate skills from simple to complex Initiate skills from shorter to longer distance/duration Initiate skills from unloaded to loaded Interdependent Principles Accumulation: 1. Repetitive Accumulative Response 2. The Rule of Consistent Training 3. It takes repetitions for the first neurological adaptation

Interdependent Principles Variation: Manipulate the Volume,

Manipulate the environment PRIMFIT Introduction Recovery:

Context : The relationship between the training/session

comfort zone : Challenge movement, challenge environment

controlled unstable surface STJ Support PRIMFIT Introduction

Pradip Ghosh to Gray CooK to PRIMFIT Never one motion in one

movement training for adaptation Stability and Mobility

4 Interdependent Principles Variation: Manipulate the Volume, Intensity and Frequency. Manipulate the environment PRIMFIT Introduction Recovery: Physical and Mental ( Consider fatigue ) Principle of Context : The relationship between the training/session components Principle of Overload: OK to get out of the comfort zone : Challenge movement, challenge environment Movement is Medicine Movement is Medicine PRIMFIT Safe and controlled unstable surface STJ Support PRIMFIT Introduction From Florence Kendall to Dr. Pradip Ghosh to Gray CooK to PRIMFIT Never one motion in one plane, always multiple motions in multiple planes Functional movement training for adaptation Stability and Mobility principles Not only a product, but an integrated system- Grading and Progressing Functional Outcome, Progressive Exercises, Condition Specific and Sports Specific

PRIMFIT Fast Assessment Four progressive maneuvers PRIMFIT Fast Assessment Quantitative measure: Functional Outcome baseline test Explain and demonstrate first Look for Immediate Balance Reaction

Rounds on each leg ) Test 4: 10 Repetitions on each leg Exercise Prescription-PRIMFIT 100 A progressive exercise program designed for Rehabilitation, Injury Prevention and Sports Performance

5 PRIMFIT Fast Assessment Four progressive maneuvers PRIMFIT Fast Assessment Quantitative measure: Functional Outcome baseline test Explain and demonstrate first Look for Immediate Balance Reaction Perform without any mechanical deviations or pain PRIMFIT Fast Assessment PRIMFIT Fast Assessment Test 1: 30 seconds on each leg Test 2: 30 seconds on each leg Test 3: 18 points on each leg ( 3 Rounds on each leg ) Test 4: 10 Repetitions on each leg Exercise Prescription-PRIMFIT 100 A progressive exercise program designed for Rehabilitation, Injury Prevention and Sports Performance Exercise Prescription-PRIMFIT 100 PRIMFIT progressive exercises for rehabilitation, prevention and performance Emphasis posture control, functional core strengthening, proprioception, dynamic balance, eccentric and rotational movement Goals: Improve neurological reaction time Improve immediate balance reaction Improve stability and mechanical efficiency Improve athletic ability and body coordination Improve functional flexibility

6 Thank You!

Chapter 20: Muscular Fitness and Assessment

Chapter 20: Muscular Fitness and Assessment American College of Sports Medicine. (2010). ACSM's resource manual for guidelines for exercise testing and prescription (6th ed.). New York: Lippincott, Williams