isomtt - manualfysion · 2019. 10. 23. · isometrics 10. isodynamics ... super compensation...

copyright M.J. Davidson

ISOMTT

Meeting Meersburg

May 14 - 18, 1998

Michael J. Davidson OMT, PT and Acupuncturist

Graduated OMT study in 1991

examined by David Lamb*, Lasse Thue,

M. Jonquière MD. PhD, doctor in manual

medicine and H. van der Berg.

Started as an OMT-teacher in 1993

Director of a private practice in

Amsterdam since 1981

Who are we ?

PT with a specialization in OMT,

according to the educational

standards of IFOMT

What are we doing ?

We give treatment, advice and

training:

to cure,

to prevent

Important is that we have the tools and

skills to create favorable conditions

to achieve our goals

Service-model

Diagnosis Consult

Test-treatment

Accompany Short term

Support patient

Support multidisciplinair

Treatment

Service-model(2)

Treatment crisis-intervention

regular treatment

medium length treatment

long term treatment 1

long term treatment 2

To Motivate

“People who think that they have no

time for exercises, sooner or later

must make time to be ill”

(The Conduct of Life, Edward Stanley, 1826 - 1893)

To Discriminate

“The devices are only as good as the

examiners who are using them”

(Anderson and Lipscomb, A.J.S.M.)

EN-Tree

Medical Training Therapy

Or how to integrate the musculo-

skeletal part of the human body and

the cardio vascular part with: respect for pain

knowledge of the pathology

laws of training

in osteo- and arthro-kinematics

applied to: patients and

(top) sport(wo)men

Physiological

What is treatable, and what

increases the performance: strength / power

endurance

velocity

coordination

stretchability and contractability

How do we establish

the treatable factors

OMT examination of

complaints

Biomechanical chain

Autonomic nervous

system

Segmental

Psychological

Organic

What are our Goals ?

A-specific: Impairments

Disabilities

Handicaps

Specific: Based on our OMT examination in AMNM &

Medical Training Therapy

A = Arthron

M = Muscular

N = Neurogenic

M = Mechanism

(V) = Vascular

C = Cardio

C = Circulatory

R = Respiratory

S = System

AMNM(V)

Diagnostic part for :

musculo-skeletal part of the body

First fourteen steps (of 28)

Diagnostic part for:

physiological part of the body

also first fourteen steps (of 28)

Setup for an individual

Rehab program (1)

1. Anamnesis

2. Antropometric profile

Antropometric profile (1)

Weight

Length

Quetelet index / BMI

Skinfold Biceps

Triceps

Subscapular

Suprailiac

Fat-free mass

Skeleton weight knee width left + right

wrist width left + right

Physiological data bloodpressure (rest)

Hr in rest

Hr max

Shuttle run test a-cyclic(al) test

Astrand (bike-)test:

VO2-max (l/min)

VO2-max / kg low / fair / average / good / high

cyclic(al) test

estimated value about the condition

Spirometry vital capacity

peakflow

one second value

Conconi test by bike or treadmill

respiratory (heart rate)

lactic acid (4 m/moll)

aerobic-anaerobic threshold

Conclusion CCRS

Rehab program (2) 3. diagnosis about the positioning of

the bones (in the joints)

4. diagnosis of movement

(osteokinematic / arthrokinematic)

5. hypo- or hypermobility or

instability

6. Pain provocation and/or painrelief

=evaluation of the arthron

Rehab program (3)

7. Muscular evaluation Strength ( power)

Endurance

Coordination

Speed (velocity)

Stretchability and contractability

8. Isokinetics

9. Isometrics

10. Isodynamics

Rehab program (4) 11. neurologic evaluation adverse mechanical tension

slump test

12. CMN / PMN central motorneuron lesion

peripheral motorneuron lesion

13. Vascular component

14. Conclusion AMNM

Conclusion after

the first 14 steps

EN-TreeM pulley

Now you have

Individual starting points in

specific for the primary lesion and

involved tissues

specific in physiology, body-figure

and shape

I. Individuality and Specificity

II. Starting points -> goals -> methods

The choice of the goals

depends on:

choice in (a-)specific goals, not just

the medical diagnosis

actuality of the pathology

the opinion of the patient /customer/

sports(wo)man

Choice of the Method

depends on

musculo skeletal

A. primary lesions (AMNM{V})

B. local, segmental, biomechanical

chain and or autonomic nervesystem

involvement

physiological

Matwejew Training always gives an adaptation

in the human body to the load /

intensity of the training.

The goal is that this adaptation

brings us to a better performance by: super compensation

optimal load

specificity

law of diminishing returns

reversibility (= recurrence)

Fatigue Recovery

Supercompensation

Phase 1: Energy consumption

Phase 2: Recovery

Phase 3: Supercompensation

Phase 4: decrease to begin situation

Physiological

Intensity of the training method in relation to

the aerobic / anaerobic threshold

Musculo-skeletal(1)

Strength

Endurance

Individual 1Rmax. Two way’s of calculate patients 1Rmax.

maximum test

warming up

without weight experience the ROM

nervous system

sub-maximum test

how many times can a movement uninterrupted be

repeated

see Holten diagram

energy supply

Holten diagram

ca. 35

ca. 40

ca. 45

ca. 50

ca. 60

ca. 70

ca. 80

Percentage of the

maximum power/strength Number of repetitions

Musculo-skeletal(2)

Different type’s of strength

e.g. strength-endurance load <<<=60%

repetitions 15 - 60

rest 0 - 1 minute

series 3 - 6

maximum power

explosive strength

speed strength

Endurance(1)

Aerobic endurance

endurance training extensive

Fartlek

intensive

extensive interval interval endurance

Endurance(2)

Anaerobic endurance

with lactic acid

intensive interval training blocktraining

interval-pace training

pace training (repetition training)

Endurance(3)

Anaerobic endurance

without lactic acid

speed-endurance training

Sequence in MTT

Trunk stability (= central)

Extremities (= peripheral)

Sequence in MTT

From the massage table and a

manual resistence by the OMT to a

pulley-device, EN-Dynamic training

till sport- and work simulation

Sequence in MTT

From isometric contractions till

dynamic exercises and from

symmetric(al) resistance nearby the

arthron to an a-symmetric resistance

with a long lever

Sequence in MTT

From a wide (support)surface to a

small one

Stimulation of the contractions by: exteroceptive stimulation(s)

in- and exhaling

eye-movements

Case Report

Mrs. Hoogewoning (64 years) disability & handicap level

spine problems

patient/customer

Mrs. van Elst (?) impairment level

spine problems

patient/sportswoman

EN-Train

Nearby future??

PolicyHolder

HealthRisk’s

Symptoms

Diagnosis &

A B C D

Therapy

Insurancecompany

Nearby future??

A Premium based on costs

B Risk-management prevention & changing lifestyle

CDisease management managed care

multidisciplinair

DEfficiency

The End

I thank you for your attention !

isomtt - manualfysion · 2019. 10. 23. · isometrics 10. isodynamics ... super compensation...

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