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,

and

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

Local

Organic


What are our Goals ?

A-specific: Impairments

Disabilities

Handicaps

Specific: Based on our OMT examination in AMNM &

CCRS


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)


CCRS

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

AMNM:

specific for the primary lesion and

involved tissues

CCRS:

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)

Load

Fatigue Recovery

Supercompensation

Ph

ase 1

Ph

as

e 2

Ph

as

e 3

Ph

ase 4

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

Speed


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

25%

30%

35%

40%

45%

50 %

55%

60%

65%

70%

75%

80%

85%

90%

95% 2

4

7

11

16

22

25

30

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


Pn

eu

ma

tic

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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