AssessmentandTreatmentof MuscleImbalance: TheJandaApproach

201112.BenchmarkPhysicalTherapy

AssessmentandTreatmentofMuscleImbalance: TheJandaApproach CourseDescription

ThishandsoncourseintroducestheteachingsofthelateProfessorVladimirJandaMD.Janda wasapioneerinmuscleimbalancesandchronicmusculoskeletalpain.Heidentifiedspecific clinicalcrossedsyndromesofmuscularimbalance,focusingmoreonglobalfunctionthan isolatedstructures.ThisworkshopwilldescribethescientificbasisforJandasapproach,aswell asasystematicevaluationandtreatmentoffunctionalpathology.Anevidencebasedapproach totheconservativemanagementofwillbepresentedforupperandlowerquartermuscle imbalancesyndromes.

CourseOutline
Day1 IntroductiontoMuscleImbalance MuscleImbalanceParadigms SensorimotorSystem ChainReactions MuscleImbalanceSyndromes FunctionalAssessment Posture Gait&Balance MovementPatterns MuscleLength Triggerpoints Breathing Day2 InterventionTechniques PeripheralNormalization MuscleReBalancing SensorimotorTraining FunctionalTraining ManagementofMuscleImbalanceSyndromes UpperCrossedSyndrome LowerCrossedSyndrome

 CourseObjectives
Followingcompletionofthiscourse,participantswilllearn: 1. Theroleofthesensorimotorsystem,chainreactions,andmusclebalanceinchronic painsyndromes 2. Functionalassessmentforchronicpain,includingposture,gait,andmovementpatterns 3. Specificinterventiontechniquesforchronicpainsyndromes

CourseSchedule(14hours)
Day1 09001100 11001115 11151230 12301330 13301530 15301545 15451800 Day2 08301030 10301045 10451230 12301330 13301630 InterventionTechniques Break InterventionTechniques Lunch InterventionTechniques Lecture Lab Lab Introduction Break FunctionalAssessment Lunch FunctionalAssessment Break FunctionalAssessment Lecture Lecture Lab Lab

CourseDetails
Participantsmustbelicensedhealthcareproviders;coursecontentisnotintendedforuse outsidethescopeofpracticeoftheparticipantslicenseorregistration Attendeesmustwearloose,comfortableclothingthatcanberemovedforaccessduring assessment Allattendeesassumetheriskofparticipatingintheworkshop,includingdiscussionof personalmedicalissuesandpossibleinjuryfromparticipatingintheexercises Videotapingisnotallowedduringthelectures,butisallowedduringthelabportion

Instructor
PhilPage,PhD,PT,ATC,CSCS,FACSM
PhilPageisalicensedphysicaltherapist,athletictrainer,andcertifiedstrength &conditioningspecialist.HegraduatedfromLSUinphysicaltherapyand receivedhismastersdegreeinexercisephysiologyfromMississippiState University,aswellasadoctorateinKinesiologyfromLSU.Philwasrecently awardedFellowshipintheAmericanCollegeofSportsMedicine.Hehasbeen involvedinrehabilitationandsportsmedicineforover25years.Since1998,Phil hasbeenthedirectorofclinicaleducationandresearchforTheraBand& Biofreezeproducts.Hisclinicalandresearchinterestsincludetheroleofmuscleimbalancein musculoskeletalpain.HerecentlywasawardedtheLifetimeExcellenceinEducationAwardfromthe SportsPhysicalTherapySectionoftheAPTA.Philisamemberofseveralnationaladvisoryboardsand regularlyreviewsgrantsandjournalarticlesubmissions.Phillecturesextensivelyandprovides workshopsonavarietyoftopicsaroundtheworld,includingtheJandaApproachtoMuscleImbalance. Hehaspresentedover170internationallecturesandworkshopsonexerciseandrehabilitationtopics, andhasover100publicationsincluding3booksincludingAssessmentandTreatmentofMuscle Imbalance:TheJandaApproach.PhilisanInstructorofKinesiologyatLSUandaClinicalInstructorin OrthopedicsatTulaneUniversityMedicalSchool.HehasworkedwiththeathleticprogramsatLSU, Tulane,theNewOrleansSaintsandSeattleSeahawks,aswellastheUnitedStatesOlympicTrackand FieldTrials.Heliveswithhiswifeand4childreninBatonRouge,Louisiana.

SelectedBibliography
PageP,FrankC,LardnerR.Assessmentandtreatmentofmuscleimbalance:TheJandaApproach.2010. HumanKinetics:Champaign,IL. BullockSaxtonJ,JandaV,BullockM.1993.Reflexactivationofglutealmusclesinwalkingwithbalance shoes:anapproachtorestorationoffunctionforchroniclowbackpainpatients.Spine.18(6):704708. JandaV.1987.Musclesandmotorcontrolinlowbackpain:Assessmentandmanagement.InTwomey LT(Ed.)Physicaltherapyofthelowback.ChurchillLivingstone:NewYork.Pp.253278. Janda,V.1988.MusclesandCervicogenicPainSyndromes.InPhysicalTherapyoftheCervicaland ThoracicSpine,ed.R.Grand.NewYork:ChurchillLivingstone. PavluD,NovosadovaK.2001.[Contributiontotheobjectivizationofthemethodofsensorimotor trainingstimulationaccordingtoJandaandVavrovawithregardtoevidencebasedpractice.]Rehabil PhysMed.8(4):178181.

www.JandaApproach.com

IntroductiontotheJandaApproach
ProfVladimirJandaMD,DSc("yanda")(19232002)wasaCzechneurologistandphysiatristwithover 50yearsexperienceasaprofessor,researcher,andphysician.Hepresentedhisclinicalandresearch findingsaroundtheworld,andisconsideredanexpertinmusculoskeletalpainsyndromes.Throughhis researchandexperience,hehasdefinedcharacteristicpatternsandsyndromesofmuscleimbalance thatleadtochronicpainanddisability.Dr.JandawasconsideredthefatherofrehabilitationinCzech RepublicandanintegralpartofthePragueSchoolapproachtorehabilitationmedicine. Thesensorimotorsystemfunctionsasoneentity,integratingthecentralnervoussystem(CNS)and musculoskeletalsystem.ThemusclesareoftenawindowtothefunctionoftheCNS.TheCNS regulatestwophylogenicsubsystems:thetonicmusclegroupandthephasicmusclegroup.Eachgroup ofmuscleshasapredispositionforfacilitation(tonicsystem)orinhibition(phasicsystem).Anychange withinthesensorimotorsystem(duetopain,pathologyoradaptivechanges)willbereflectedby compensationoradaptationsthroughoutthesystem.Thisleadstosystemicandpredictablepatternsof muscleimbalance.Dr.JandahasdefinedthecharacteristicUpperCrossedSyndrome,LowerCrossed Syndrome,andLayerSyndrome.Thesemuscleimbalancesoftenleadtochangesinmovementpatterns, mostnotablyseenwithhipextension,hipabduction,shoulderabduction,pushup,cervicalflexion,and trunkflexion. Functionalpathologyofthemotorsystemisatermusedtodescribetheimportanceofdysfunction, ratherthanstructurallesions.Chronicmusculoskeletalpain,suchaschroniclowbackpain,sacroiliac dysfunction,shoulderimpingement,anteriorkneepain,orfibromyalgia,isoftentheresultoffunctional pathologyofthesensorimotorsystemwithsecondarystructuralinflammation.Systematicevaluationof posture,balance,gait,musclelength,movementpatterns,andtriggerpointshelpsdeterminetheextent ofmuscleimbalanceandmovementimpairment.Oncethespecificpatternsofimbalanceand impairmenthavebeendetermined,aspecificexerciseprogramisimplemented.Thegeneral progressionoftreatmentinvolvesthenormalizationofperipheralproprioceptivestructures, normalizationoftightmuscles,facilitationofinhibitedorweakmuscles,andfinallycoordinationof movementpatternsthroughspecificexercise.Musclesmustbetrainedreflexivelytorestorenormal firingpatterns,speed,andcoordinationwithothermovements.Dr.Janda'suniqueSensorimotor Training(SMT)programisthebasisforrestoringnormalmusclefunction.SMTspecificallytargetsthe sensorimotorsystemthroughprogressiveproprioceptiveexercises.

Learnmoreatwww.JandaApproach.com