Integrating Functional Neurology into Clinical Practice 1:
Basal Ganglionic & Cerebellar Dysfunction in
Musculoskeletal and Movement Disorders


Altered functional output of the motor system can be detected in nearly all patients who present with musculoskeletal pain syndromes. Accurate modulation and fine control of motor programmes is pre-requisite for the appropriate stabilisation of joints, for making quick and efficient postural corrections and other movement adaptations, as well as creating precisely timed and well co-ordinated sequences of muscle contractions and relaxations.

This seminar will review the primary brain structures involved in motor modulation, i.e. the basal ganglia and cerebellum, and discuss in clinical context how they can contribute to musculoskeletal and movement disorders. Treatment strategies to address problems with motor modulation, coordination and timing will be explored in detail and related to clinical cases. 

 
Numerous practical sessions throughout the day will help develop your newly learnt clinical skills.
Delegate numbers are limited to ensure that each individual receives sufficient attention during the practicals.

Course Content: 

  • Review of the functional roles of the basal ganglia and cerebellum within the motor system.

  • The concept of surround inhibition for fine motor control.

  • Neurological wind-up as a consequence of basal ganglionic and cerebellar cortex dysfunction; how this can adversely affect patients both neurologically and in terms of their general health, how this manifests clinically, and how to manage it.

  • How proprioceptive deficits and central sensory processing problems interfere with proper control and coordination of movement, and how this contributes to musculoskeletal and movement disorders.

  • Musculoskeletal consequences, abnormal movement patterns and injury susceptibility related to basal ganglionic and cerebellar dysfunction.

  • Cognitive consequences of basal ganglionic and cerebellar dysfunction, and how this relates to conditions such as anxiety, OCD, depression and various childhood developmental disorders.

  • Treatment strategies for hyperkinetic movement disorders, including surround inhibition training, specific sensory afferentation, sensory tricks and visuo-sensory therapy.

  • The Parkinson’s patient – strategies to preserve their functional capacity for as long as possible.

 
Pre-reading suggestions:

http://neuroscience.uth.tmc.edu/s3/chapter04.html

http://neuroscience.uth.tmc.edu/s3/chapter05.html

http://www.gradedmotorimagery.com/mirror-therapy.html

http://www.gradedmotorimagery.com/explicit-motor-imagery.html

http://www.gradedmotorimagery.com/left-right-discriminiation.html

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4156890/