Entries categorized "ABR Videos"

Fascia and Cerebral Palsy science in a tea cup

This is a mini-post that illustrates that sometimes valuable insights into the fundamentals of what’s happening to fascia and musculoskeletal structures as a result of challenges associated with cerebral palsy could be gained from most mundane everyday experience – from observations of what’s happening in a tea cup –literally…

Anyone who had a training by me knows that: 1) I am a tea fan; 2) that I have a tendency to leave cups with unfinished tea everywhere opting for the new cup of a fresh tea instead..

Well, I’ve been criticized for this untidy habit more time that I can remember – to no avail I must admit… However, sometimes there are some unforeseen bonuses that come out of it…

For the recent weeks I’ve been thinking a lot of how to visualize for parents the effects of fascia layers adhesion in case where the flow of the interstitial fluid is affected and how we can restore their proper division by means of  Thermoplastic elastomers (TPE) as the Force Transfer Medium [well that’s the official title of “egg rolling” :-)]

So couple of days ago I looked at one of my cups with the tea leftovers from a previous day … and found and excellent illustration ..

I hope you are going to find that metaphor/ spatial homology useful and insightful

 

 Thanks …

As usual Facebook likes and comments are most appreciated


"Thrifty" Fascia vs "Lavish" Brain+Muscles approaches to cerebral palsy therapies introduced

I came back home a week ago after nearly 3 months on the road ... fortunately my family still recognized me... I guess it's the haircut ... :-)

Tons of materials accumulated during these months -- the teachings, the presentations and the comparisons of before/afters to do...

This year's round of assessment was very rewarding -- the ball rolling indeed works as expected -- probably even better! The improvements of the connections within the vertebral columns and the ability to connect the 'velcro attachments' of the shoulder blades -- are really quite amazing breakthroughs..

So my call to all of you esteemed ABR Parents-Therapists -- please do not skip learning courses... Ball rolling techniques are  continually upgraded empowering you to become a lot more effective and efficient... There is one thing that one cannot buy in this life -- it's time... and in the development of the growing child with cerebral palsy -- 1 hour of work done this year is probably worth at least 2-3 hours done next year --from the perspective of developmental yield...

I am going to provide you with a lot more of the technical teachings in a format of videos and practical tips in the forthcoming months -- we already accumulated tons of such teaching material -- and working through sorting it out...

So -- there is going to be a lot more opportunities for you to progress via doing your homework better.

However, direct hands-on teaching by an expert ABR trainer -- is always a major shortcut for you. That's how you can develop your skills faster and get those skills in action -- boosting your kids' development...

I started sorting out the presentations we did  with Mark during the visit to Hawaii -- in this post I am offering you the one that we did in the Rehabilitation Hospital of Hawaii.

It is far shorter than the main workshop that we delivered as part of the Pacific Rim Conference on Disabilities -- but maybe there is some advantage to this more compact format.

Couple of preliminary cover notes...

  • Unlike the main ABR workshop at the Pacific Rim Conference on Disabilities  that was filmed with a professional camera by a videographer -- this on is filmed using a good old Flip  placed stationary on a mini-tripod with a superwide view of the entire room.

            I guess you'd realize that the quality is not supergood. However, it's not too bad either.

            First, most of the presentation is based on the powerpoint slides -- so I have inserted          them into the video -- making it a lot easier to follow the narrative.

            Second, I must say that the Flip is surprizingly good in recording the sound   considering the tough circumstances of filming.

            So I hope that your viewing experience is going to be reasonable enough to allow you        to concentrate on a content...

  • The really interesting part is the fact that only through the circumstances of this particular presentation I understood how much of routine challenges an immersion of the new paradigm and methods face -- even when there is a genuine interest and goodwill.

            Let me paint a broader picture to help you to see the context...

            First of all -- the MD who is in charge of a Rehab Hospital team attended the             workshop that we did few days earlier and was very positive and receptive. He was   the one who actually "send" a group of PTs and OT -- 12-15 people -- to learn from         us.

            So, there was no resistance -- only goodwill. But... then the reality kicks in..

            Every therapsit has a significant workload scheduled days in advance...

            Only now I realized how significant are those logistical and administrative constraints within the existent healthcare model..

Frankly, a physical therapist in many instances has no more freedom than a worker at the assembly line -- it's a conveyor belt! Patient after patient, who have to receive a type of therapy that has been pre-aproved by the insurance companies and by referring physicians who are absolutely removed from any hands-on work with the patients..

How on Earth even the most enthusiastic and thoughtful individuals inside this profession are going to progress beyond the routines that they've been doing for decades!?

So to cut the story short -- the only time available was ... the lunch hour..

Well, it's a bit weird -- to introduce the ground-breaking concepts to the chewing crowd... :-)

However, on the one hand, even opera singers sometimes perform in front of the audience that eats and drinks, right? :-)

On the other hand, one can entertain the thought that the digestion of the "food for one's stomach" might facilitate the digestion of the "food for one's mind"....

I do not have much science to bakc this up -- but why not? :-)

On top of that, somewhere half way through the presentation ... the fire alarm went off! ...But as you all know -- I am loud and passionate enough not to be bothered by such minor inconveniences ...

 

So here we go ... this is a compact version of the presentation that introduces 2 key ideas:

  • Connective tissue focus instead of the mainstream brain and muscles focus in interpretation of Cerebral Palsy
  • Transition to the "Thrifty" Rehabilitation and Therapy based on connective tissue emphasis vs. the "Lavish" one that defines the therapies for Cerebral Palsy and brain-injury rehabilitation modalities today.

Part 1.

Part 2

Besides of going through these videos yourself I do encourage you to invite your PT, OT etc. to watch it as well... Hopefully, that will help your future communication with them...

Your comments are most appreciated. The more you say -- the more we'd be able to adjust and adapt the style and emphasis of presenation to help your 'inner game' development the most...


Hip Subluxation in Cerebral Palsy-Video 5-Specifics

I guess it is more than a time to proceed from general reviews of hip subluxation in Cerebral palsy videos to the specifics.

 

Video 5 turned out to be quite long -- so I divided it in 2 parts -- but eventually decided to add a summary as well -- that's Part 3.

In these videos I actually go point by point over the original questions, observations and concerns that were voiced in the original 6 min video by Emma's mom.

So even though the videos are quite long I think they are not too difficult to watch since any single topic is covered within a  few minutes max. I hope that in these videos I've managed to illustrate how the concepts introduced in the earlier videos blend together and provide a relatively straightforward framework for analysis of an individual case.

Of course, in an individual case of your child there could be some variations of the angles or of the dominant directions of legs mobility response -- however, the essence always remains the same: One needs to use a transanatomical framework to understand the full scope of transition.

I think that the main practical takeaway from these videos is the idea of evaluating your child's evolution through the chart that takes into account multiple aspects of the evolution in the pelvic region and within lower extremities-- including the percentage measurement of femur head alignment  in respect to the acetabulum but seeing it only as a single entry in a much larger matrix of changes.

I hope this helps.

I feel that these video series on hip subluxation in cerebral palsy give a comprehensive coverage of the subject -- to the point that "there shouldn't be any questions left"...  However, being realistic I am sure there are further questions and I am  looking forwards for receiving them -- because from my perspective of a broad "umbrella" I might be overlooking some of the very specific concerns that you might have.

As the final word for these series I want to express my gratitude to Team Emma for their willingness to go beyond "privacy" and to embrace a collective good for all the parents in a similar situation by making these video series possible. I think that some expression of your appreciation in the comments to this post will be much appreciated by Emma's parents.

P.S. Please do not forget to press Facebook 'Like' button --so more people can benefit from getting a little bit of rational outlook influx towards this emotionally charged issue of hip subluxation.

Cheers...

P.P.S. Do not forget that the best way is to actually to click on the 'ABR on Vimeo' link above -- and then you can actually download this and other videos from Vimeo website. Then you do not need to deal with streaming delays and play interruptions 'that some of you mentioned before


Video 4. Hip Subluxation -Why So Much Attention?--The Truths and the Myths

It's time for the video # 4..

As I mentioned in the overview I tried to cover some of the most wide-spread worries and concerns addressing them with as much of a bird's eye view as possible.

Unfortunately, too often there is so much hysteria being pumped up about the hip subluxation issue by orthopedic profession -- that at some point one might get absolutely swirled by all the pressure and scare-mongering.

I hope the video 4. "Hip Subluxation- Why So Much attention? -- The truths and the myths" is going to help you to get out of being scared mode and panicked cries for help -- and towards being able to approach this complex issue rationally and consciously.

 

I assure you that you have all the necessary intellectual capacity and background to be able to figure out the truths from the myths -- all you need is a bit of help.

I hope these videos will bring you closer to this state of having a clear and rational understanding of what's going on with your child and become confident of your own capacity to deal with challenges should they come your way.

In the previous post I already mentioned that it was difficult to keep this video short -- I couldn't keep myself on the rails all the time and took several tangential educational detours as well.

Hope you do not mind.

So frankly -- I do not know which video is better -- so I put both on. Your feedback is most appreciated and is going to help me to do better videos for you in the future.

Well, that's pretty much it...

P.S. Please do not forget to press Facebook 'Like' button --so more people can benefit from getting a little bit of rational outlook influx towards this emotionally charged issue of hip subluxation.

Cheers...

P.P.S. Do not forget that the best way is to actually to click on the 'ABR on Vimeo' link above -- and then you can actually download this and other videos from Vimeo website. Then you do not need to deal with streaming delays and play interruptions 'that some of you mentioned before


Hip Subluxation in Cerebral Palsy Video Series Overview

What is the best way to defuse fear and confusion that you are constantly being exposed to by medical establishment? – Knowledge.
To be precise – not any knowledge but parent-centered advanced knowledge.
I feel it is important to distinguish parent-centered advanced knowledge from a diluted and dumbed down versions of medical textbooks that you find on ‘official’ websites on Cerebral Palsy.

Hip Subluxation Video Series intend to do exactly that –give you a comprehensive perspective on the subject that is exploited most often by fear-mongers.

I have prepared 8 videos – each of them at least 30 minutes long covering a subject of hip subluxation extensively, digging deep and going broad in order to build it into the entire context of your CP child’s development – especially for quadriplegic kids.

Yes, it’s a lot of information and yes, you need to do your homework encouraging yourself on making an effort to absorb and digest it. However, considering all the emotional and financial costs that fear and confusion around hip subluxation and other ‘scary’ issues related to legs alignment and mobility impose on you – I think this homework is going to be a worthy investment of your time.

Continue reading "Hip Subluxation in Cerebral Palsy Video Series Overview" »


Hip Subluxation in Cerebral Palsy – addressing the parents concerns. Part 1.

Not so long ago I have received a wonderful video  with questions about hip subluxation and transitions in the mobility and alignment of the legs. The video is compact – about 6 min long, it shows impressive observational ability of a mother – awareness of all sorts of little details; but at the same time, within these short 6 min it covers the range of  questions and concerns that I hear from many of the other parents being asked over and over again.

I’ve been granted a generous permission to use this video and my answers to the questions asked as the teaching material that will benefit a great number of parents.

Obviously, I am going to stretch my explanations and comments much beyond the original 6 minutes – so I’d probably end up dividing it into several parts.

In the review of the video – I have separated the observations from the statements – which in turn are divided into explanations/ analytical statements and focus points of concern /questions

Since there are 23 observations and 19 analytical statements/questions/ issues of concern voiced by Emma’s mom– even if I spend a few minutes of comments per item– my video will end up being really long. But a number of these issues are so important for each and every of you that I have to dig deeper and show you a broader perspective as well. Obviously – that will add up the video length minutes.

Hence my  first suggestion to you is to have a look at the original 6 min video in its entirety to have a complete overview of the situation and to align yourself with it.

For your convenience I’ve added the captions and actually labeled all the observations and questions.

Continue reading "Hip Subluxation in Cerebral Palsy – addressing the parents concerns. Part 1." »


BioTensegrity and Cerebral Palsy

This is the video of my presentation “Using BioTensegrity framework in interpretation of multiarticular distortions in Cerebral Palsy” made at the 2nd B.I.G. (BioTensegrity Interest Group) meeting in Rome on Oct 9th, 2010.

I hope it will be informative and will help you to improve your ‘inner game’ as an ABR practitioner and facilitate a better understanding of your kids.

 

Warning! My presentation was scheduled at 9.20 a.m. and the entire session that day started at 8.50 a.m. – I wasn’t late! I came in on 8.48 a.m. By my standards – that’s heroics…

Mind it I was up until 4.30 a.m. putting some final touches on my PowerPoint...

Therefore, I started my talk being a bit like a steam engine – taking some time to warm up and get into the groove. I warmed up enough to be a decent presenter 5-7 minutes into the talk – so please give me a slack on that :-)

I must admit that talking in front of professional audience still has some stress component for me. (Not the stress= force/area that we talk about in ABR – but bad old psychological stress…)

It’s not about being “nervous” or ‘not sure of myself’ – it’s more about the burden of responsibility – ‘whether I’ll find the right avenue of presentation to do justice to the significance and elegance of the stuff I am talking about’.

Continue reading "BioTensegrity and Cerebral Palsy" »


U-shape Grip ABR 3Q Technique- wonders of makeshift training tools

I am not sure whether all of you have watched the previous video but I can't wait to upload this. I guess one needs to be in my position of spending countless sessions teaching the U-shape and frequently being frustrated by the stubborn V-squeeze and C-squeeze challenges -- let alone the teaching of the rhythmical / oscillatory application... and suddenly I stumbled upon this: a most ordinary styrofoam cup!

I do encourage everyone to practice after watching the video.

For the parent of quadriplegic kids, especially with 'grippable' necks -- I want to remind: U-shape grip applications -- anterior and posterior neck are the user-friendly fixtures of your program -- whether they are in the current home exercise plan or not. These are the applications that you shall be considering as the ones being always with you -- opportunity-based. Think of accumulating U-shape hours on a monthly and yearly time budget -- then even small 5-10-15 min injections of this 'fascia fitness' are going to pile up to a sizeable impact.

But I do encourage everyone to do this practicing -- even if you are not using the U-shape grip per se in your home program. This training tool gives you an amazing clarity of the perception towards oscillatory/rhythmical 3Q application. Perfect this skill with U-shape grip and it is going to boost your efficiency with staple grips like semi- and full "accordions"...

I hope you'll find it as fascinating as I do! 

P.S. Some self-promotion :-) In the left-hand column of this blog just under the comments you'll find the small rectangular space that invites you to subscribe to this blog -- don't hesitate, jsut go ahead and do it! :-) Thanks!


ABR techniques for Cerebral Palsy--Super Soft Ball Rolling & 3Q compared

Dear Friends,

Apologies for being away for so long -- the overzooming is my big challenge. I find the proverbial multi-tasking an unachievable feat especially when I am expected to combine 'field' live teaching or assessments  -- with writing. I keep trying -- it's still doesn't work. Unfortunately I am unable to write without passion -- even the blog posts -- otherwise I feel I am sort of cheating the audience. But on the other hand, that makes my blogging somewhat irregular...

On the bright side: the ABR training in Montreal went really well -- I concentrated on Super-Soft Ball Rolling Technique. That shouldn't be a surprise -- most of the families were seasoned ABR 'veterans' who are well-versed in the classic 3Q technique. (Please re-read http://blyum.typepad.com/on_abr_and_beyond/abr-classic-technique-3q-principles-illustrated.html -- it's one of the links in the right-hand column). Seeing my immense enthusiasm for SSBR and in the light of my advice of putting at least 50% of your home program into it -- some parents got the feeling that '3Q is out SSBR Technique is in'. Nothing could be further from truth -- in this video made during one of the classes in Montreal I am addressing the issue in details.

To be honest -- I have addressed it over and over again -- for each new group of parents -- so 10 classes on the same subject within less than a month. This is the filming of Class # 9. I guess the need to present the same subject several times in a row -- improves the delivery. Anyway -- in the next few days I'll put the videos of the few other classess -- Class #7 etc. They are about the same subject but I do recommend to watch several of them -- there is enough difference and nuances to make it a good learning tool. The video is 'as is' -- no editing done -- so you are getting the same thing as the ones who were present...

Altogether I am continuously amazed how good the response to Super-Soft Ball Rolling Technique is, partiucularly so because it addresses the 'soft spots' of 3Q-based ABR program and I hope that the video does good enough job of explaining it.

http://vimeo.com/11733691 -- smaller file that should load faster but the picture quality might not be so great.

This one is larger so might take a bit more time to load but the picture quality is better


Cerebral Palsy Peacenick practicalities: taming the Standing Frame

Jackie Chan dream did not help …

I tried to write some quick and short comments to the Part 2 of “Cerebral Palsy Peacenick Toolbox: How to use the Standing Frame correctly” – and it did not work…

I tried for a few days but whatever I began writing turned out into a long manuscript with tons of facets and angles – nothing short and punchy Jackie Chan style…

So I have no other option left but to be descriptive.

Part 2 “Cerebral Palsy Peacenick Toolbox: How to use the Standing Frame correctly” discusses:

·       What negatives effects occur when the placement of spastic individual into the standing frame is done in too ‘hawkish’ way;

·       How the negatives accentuate when the angle of the standing frame is adjusted following simplistic ‘the more vertical the better’ mindset;

·       How to get the 1st Win and  adjust the preliminary position of fixing a child with cerebral palsy in the frame – so that a child enjoys the social, emotional and sensory benefits with minimal or none of ‘biomechanical tax’.

·       How to get the 2nd Win and to find the optimal angle that minimizes the pivotal overload factor and maximizes the positive axial impact of ground reaction force.

·       How to get a Bonus – 3rd Win – shall I keep some suspense? …

I hope you’ll find the video informative and I also hope that you will re-watch the 1st video after watching the Part 2 – a lot of theoretical concepts will be a lot clearer after seeing the example.

At the same time I want to highlight that despite the successful adaptation of a standard standing frame for the case in the video – the exact ways of positional adjustment of this quadriplegic boy in the standing frame  are not universally applicable for the other CP kids.

I do hope that you interpret this video as the illustration of a PRINCIPLE not a collection of moves that should be ‘copy-pasted’.

Depending on the size of a child; angle of the pelvic tilt; muscular imbalance in the upper leg and relative position of the feet – the specific adjustments might vary.

However, the principles of minimizing the muscular loads remain. .


P.S. I asked for questions in the previous posts and did not receive much yet. Scratching my head while trying to figure out why (that’s how I got bald in first place – too much thinking and head scratching…)

P.P.S. Here are the links for downloading:

CP Peacenick Practicalities– Standing Frame: Part 1

http://www.screencast.com/t/M2QzZWI3ZTg

CP Peacenick Practicalities– Standing Frame: Part 2

http://www.screencast.com/t/ZDM3ZWNkNT