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1. Describe how measurable (visible) pathologies correspond with underlying muscle patterns.
2. Explain the concept of learned motor patterns driving tissue adaptation (Wolff's Law).
3. Apply exercises which target the CNS to restore muscle inventory lost to compensation.
4. Identify and correct defensive postural adaptation using a single integrated motion.
5. Demonstrate movement strategies which are immediately and favorably integrated by the CNS, thus avoiding exercises which the body resists as "invasion."

VITAL DEFINITIONS: ESSENTIAL ELEMENTS OF CORE COMMUNICATION

• Correctly defining the CORE is key to functional training
• Rules of communication
• How the technology explosion in healthcare impairs genuine communication
• Why outcomes have not improved in an age of research data availability
• The Definition Game: 10 ill-defined words we all rely on every day

LAB: KINESIOLOGICAL SURFACE EMG TESTING

• Volunteers selected, skin preparation, system test
• Single arm raise task in standing
• Video and sEMG recording of test activity
• We take requests: "Any movement you're curious about? Let's test it!"

MUSCLES 101

• Learning how the CNS sees muscles
• Reviewing sEMG data to observe "chains" vs. groups
• Muscles, mood, and movement (Cuddy, et. al. i.e. current research review)
• CNS perspective: Opposing chains with broken links
• Implications of CNS as CORE: Motor learning in an always on, 24/7, learning, adapting system

WHAT IS THE CORE TWIST: HOW THE HUMAN MOTOR SYSTEM TRAINS ITSELF

• Lower quarter symptoms - most common underlying pathologies -  the Core pattern as driver
• Upper quarter symptoms - most common pathologies - the Core pattern as driver
• Review of definitions from the Definition Game
• How far off were we?
• Recognizing the simple elegance of functional chains

TRAINING FUNCTIONAL CHAINS: EXERCISING OUT OF THE TWIST

• Training vs. exercise: Targeting the CNS with structured, resisted movement
• Opposing teams or an orchestra at work?
• Crosstraining out of the Twist
• Any exercise NOT countering the Twist is NOT Functional

LAB: THE FUNCTIONAL CHAIN GAME

• Workshop it !
• Demo and practice: XC Skiing, backwards resisted walking, etc.
• Best of the group brainstorming: FCT demo and SkiX activity
• Signs of success: Posture, balance, and youthful boldness

Five years after a severe back injury in 1980, David Lemke, NMT, sEMG Tech began his apprenticeship as a massage therapist in Canada. After 10 years of successfully treating thousands of pain sufferers, he had a breakthrough when information from a kinesiological surface electromyography (sEMG) evaluation led him to discover that single manipulation freed a borderline frozen shoulder and eliminated nearly all the pain – and the results lasted. Mr. Lemke eventually developed a unique model of functional assessment using sEMG.

Since the 1990s, his treatment has been relied on by top performing athletes, dancers and martial artists, those recovering from orthopedic surgeries, and generally stressed individuals. As a passionate interest, Mr. Lemke has enjoyed working with select special education teachers treating motor coordination problems in children diagnosed with learning disabilities. He is a Certified Dartfish Video Coach and uses slow motion video analysis of biomechanics in athletics and rehabilitation. He has used kinesiological sEMG (computer aided muscle analysis) in testing of exercise equipment, devices, and new treatment procedures as well as trained hundreds of specialized massage therapists for physical therapy and complementary healthcare clinics. Mr. Lemke was the primary consultant to Champions Sports Medicine (Dr. P.Z. Pearce, Ironman Medical Director, Spokane, WA) in the creation of their Biomechanics lab.

Learn more at davelemke.us

Speaker Disclosures:

Financial: David Lemke receives commissions from Bioperformance Texas LLC and Flexsolate for demonstration and sales of the Functional Chain Trainer, as well as consulting. He receives a speaking honorarium for PESI, Inc.

Non-financial: David Lemke has no relevant non-financial relationships to disclose.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Massage Therapists
PESI, Inc. is approved by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) as a continuing education Approved Provider. Provider #1808. This self-study course is offered for 5.0 CE hours. 100% attendance is required for a Certificate of Completion to be issued, no variable credit is given.

Florida Massage Therapists: PESI, Inc. is approved by the Florida Board of Massage Therapy as a continuing education Approved Provider. Provider #50-399. This self-study course is offered for 5.5 CE hours.

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Occupational Therapists & Occupational Therapy Assistants - Credit Available Until: 6/30/2025
PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. This self-study course qualifies for 5.5 self-study contact hours or .55 CEUs in the Category of Domain of OT and Occupational Therapy Process. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 5.5 continuing education credits.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 5.9 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 5.75 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.75 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.5 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.1 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.75 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 5.75 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Massage Therapists
• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Exercise Physiologists
• Athletic Trainers
• Certified Strength and Conditioning Specialists