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PAEDIATRIC INTEGRATIVE MANUAL THERAPY
This is the training course
for you!
Contents
This is the training course for you
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Letter from the director
5
What will you learn in this course?
6
Pre-requisites.
The Programme . Course structure
The teachers
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Do you want to be able to treat children and
babies with a gentle, effective and
integrated
Manual
Therapy
in
Neurodevelopment?
Finally, here is everything you need to assess and treat
articular and tissue dysfunctions with manual therapy in
children and infants, with an in-depth understanding of
neuro-development and the keys to stimulate it.
Develop your
manual
capacity with
accurately and
simply
Learn about the
keys
to work with
children
and babies
Discover a
new
focus
on
Therapy
Manual
This is the training course
for you...
Do you want to be able to assess and treat children in a new and effective
way
HAVE YOU TRAINED in manual therapy but you were not taught how to
apply it to children and infants.
HAVE YOU STUDIED OSTEOPATHY but still have a lot of questions
about how to integrate neuro-development.
DO YOU HAVE EXPERIENCE IN PAEDIATRICS but you
do not have the effective tools to treat dysfunctions at an articular, tissue and
cranial level.
Do you want to be capable of preventing and treating development, attention
deficit and learning difficulties from a physiotherapy point of view.
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Most physiotherapists would like to know the
practical keys to be able to help their patients from
a technically efficient and specific manual
application, but also with a global and inclusive
approach and thinking.
The problem is that those who trained in Manual
Therapy do not have much experience with
children and infants whose anatomy and
physiology is clearly different from adults.
Some experienced snippets of Manual Therapy
but with a focus on more osteopathic techniques
and did not learn to assess neurodevelopment
and their interrelation with mechanical
dysfunctions. This relationship is fundamental
and is a distinguishing factor of a good manual
therapist.
And those who specialised in Paediatrics had no opportunity for training in Paediatric Manual
Therapy, so they lack the tools to be effective with a torticollis, a hip dysfunction or drainage of an otitis.
Even fundamental aspects such as vestibular and tactile stimulation in neurodevelopment probably did
not have much relevance in their training.
Unlike other programmes, this course focuses on specific manual aspects such as the child's
motor and sensory construction, offering key tools in assessment and treatment. Also unlike
other programmes in paediatrics, this course addresses in particular the dysfunctions of children
without brain damage but with pain or dysfunction, even with a an immature neurodevelopment
that affects their balance, coordination, attention or learning abilities.
When you finish training at PIMT you will have the attitude, resources
and tools needed to enter or progress in the field of paediatrics.
Iñaki Pastor Pons
What will you learn
in this training
course?
Manual Therapy
• Paediatric manual assessment of
tissues (aponeurotic, muscular or
membranous).
• Manual
articular
paediatric
assessment (peripheral joints, spine
and skull).
• The management of structural and
functional
techniques
in
the
framework of paediatric practice.
• Understanding the specific anatomy
of the child and their developmental
changes into adulthood.
• The
treatment
of
mechanical
dysfunctions in the musculoskeletal
system (torticollis, hip problems,
postural alterations, backaches,
costal problems, etc.).
• The treatment of gastrointestinal
dysfunctions of a neuromechanic
origin
(reflux,
baby
colic,
constipation, dyskinesia of the small
intestine, etc.).
• Treatment of respiratory dysfunctions
(bronchitis, asthma, etc.) integrating
respiratory
physiotherapy
and
manual therapy.
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Development
Physiotherapy
• The neurofunctional assessment of the
newborn, the infant and child.
• The approach to the immaturity of
neurodevelopment and its consequences
(coordination, balance and development
problems of the baby and the child).
• The use of official screening scales and tests
to assess neurodevelopment.
• The determination of the age of development
against the biological age in the baby and the
newborn.
• Stimulation programmes for babies with
hypotonia and developmental disorders.
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Skull and face
• The assessment of cranial
development in the baby and its
relation to the cervical spine.
• Assessment and treatment of
intraand
extracranial
headaches
• The birthing process as the
origin
of
cranio-cervical
alterations that influence the
neurodevelopment.
• How to clean and open the High
Respiratory Tract.
• How to treat otitis through
cranial and drainage techniques.
• Treatment of non-synostosis
cranial
deformations:
plagiocephaly.
Attention deficit and
learning problems
• The approach to attention deficit and
learning problems of the child (dyspraxia,
dyslexia, literacy alterations etc.) from an
integrative model in manual therapy.
• Understand the influence of vestibularproprioceptive and vestibular-cerebellar
dysfunctions in learning disabilities.
• Assessment of the vestibular, proprioceptive
and oculomotricity.system.
• Assessment of the presence of nonintegrated primitive or postural reflexes.
• Coordination with other professionals in the
treatment
of
learning
disabilities:
psychopedagogues, optometrists, speech
therapists,
occupational
therapists,
psychologists, neuropediatricians, etc.
PRE-REQUISITES
The training is open to physiotherapists. You must submit:
• Copy of the diploma of studies.
• Certificate of association or certificate of liability insurance (practical work is with
infants and children so this is a necessary requirement).
• Brief letter of motivation in just a few lines indicating the "why" you want to do this
training.
• Brief C.V. one side of an A-4 page, indicating professional experience, major
postgraduate training and current job position.
Experience in the paediatric field will be particularly valued.
The programme
COMPLETE STRUCTURE OF THE TRAINING
Training in PIMT is structured in 3 levels and different seminars of advanced level. The levels are:
LEVEL 1
Paediatric integrative manual
therapy
and introduction to
neurodevelopment
2 seminars
LEVEL 2
Assessment and treatment of
neurodevelopment disorders
from an integrative model in
paediatric manual therapy
2 seminars
LEVEL 3
Assessment and treatment of
the skull and face from an
integrative model in paediatric
manual therapy
2 seminars
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LEVEL 1
PAEDIATRIC INTEGRATIVE MANUAL
THERAPY AND INTRODUCTION
TO NEURODEVELOPMENT
SEMINAR 1
PAEDIATRIC INTEGRATIVE MANUAL
THERAPY. LUMBOPELVIC
DYSFUNCTIONS AND
LOWER LIMBS
Duration
30 hours over 4 days of training.
Aims
• Understand the concept of Integrative
Manual Therapy.
• Differentiate
between
structural
and
functional manual techniques, and their
integration into the paediatric application.
• Understand the multifactorial concept of
pathology, and the relationship between
mechanical
and
neurodevelopment
dysfunctions.
• Acquire basic skills for articular and tissue
assessment of the pelvis and lower limbs in
paediatrics.
• Acquire basic practical technical resources
to treat mechanical dysfunctions of the pelvis
and lower limbs in paediatrics.
Contents
General aspects
• Introduction to Integrative Manual Therapy.
• Integration of structural and functional
aspects with three-dimensional parameters
in Integrative Manual Therapy.
• Manual
Paediatric
Therapy
and
Neurodevelopment in children without brain
damage. Towards a global conception of
Paediatric Physiotherapy.
• Relationship between biological systems in
health and disease.
Specific aspects
• Mechanical dysfunctions in the hip in the infant
and the child. Impact on the integration of
movement and postural patterns.
• Mechanical dysfunctions in the lumbopelvic
hip joint in the infant and the child.
• Implications of mechanical dysfunction in the
integration of movement patterns, postures
and integration of primitive reflexes.
Consequences for development.
• Dorsolumbar mechanical dysfunctions and
digestive problems.
• Towards a comprehensive integrative
exploration in paediatric manual therapy.
Exploration and Treatment in PIMT
• Exploration and Treatment of an actual
paediatric patient.
• Joint and tissue exploration in PIMT.
• Introduction to joint and myofascial functional
techniques.
• Correction
techniques
in
PIMT
for
mechanical and aponeurotic dysfunctions in
the pelvis (I).
• Correction
techniques
in
PIMT
for
mechanical and aponeurotic dysfunctions in
lower limbs (I).
• Correction
techniques
in
PIMT
for
mechanical and aponeurotic dysfunctions in
the dorso-lumbar spine (I).
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SEMINAR 2
BIOMECHANICS OF
BIRTH, CERVICAL SPINE AND
UPPER LIMB DYSFUNCTIONS
Duration
30 hours over 4 days of training.
Aims
• Learn about the birthing process from the
biomechanical point of view of the baby's
skull and neck.
• Learn about the responsibility of mechanical
craneocervical
dysfunctions
in
neurodevelopmental disorders.
• Acquire the basic skills for the joint and
tissue assessment of the superior cervical
and cervical dorsal spine.
Acquire basic practical technical resources to
treat the mechanical dysfunctions of the
cervical spine of the baby and the child.
Contents
General aspects
• Biomechanics of childbirth. Types of
presentations. The mechanical stress of the
baby's cervical spine and the skull at birth.
• The "trauma of childbirth" as possible onset
of neurodevelopmental disorders.
• Risk factors during childbirth: instrumental
delivery, Kristeller's manoeuvre, labour time,
etc.
• Anatomical differences between the baby
and the adult at a cervical and cranial level.
• Importance of cervical proprioception in
vestibular
sensorial
integration
and
oculomotricity.
Specific aspects
• Cervical mechanical dysfunctions.. Severe
re-percussion in neurodevelopment.
• Introduction to perinatal mechanical factors
in attention deficit and learning problems.
• Baby colics
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• Congenital muscular torticollis
• Cervical dysfunctions as a key factor in
plagiocephaly.
• Cervicothoracic dysfunctions and respiratory
pathology.
Integrative
approach
of
respiratory physiotherapy in manual therapy.
• Introduction to an integrative cervical cranial
model in Paediatric Integrative Manual
Therapy
Exploration and Treatment in PIMT
• Exploration and Treatment of an actual
paediatric patient.
• Assessment of the cervical spine of the child
and the newborn.
• Correction
techniques
in
PIMT
for
mechanical and aponeurotic dysfunctions in
the superior cervical spine (I).
• Correction
techniques
in
PIMT
for
mechanical and aponeurotic dysfunctions in
the cervical dorsal spine (I).
• Correction
techniques
in
PIMT
for
mechanical and aponeurotic dysfunctions in
the lower limb (I).
• Techniques of assessment and treatment of
the thorax and ribs in PIMT.
LEVEL 2
ASSESSMENT AND TREATMENT OF
NEURODEVELOPMENT
ALTERATIONS
FROM AN
INTEGRATIVE MODEL IN
PAEDIATRIC
MANUAL THERAPY
SEMINAR 3
SENSORY AND MOTOR
NEUROPROGRAMMING IN THE BABY
AND THE NEWBORN. A NEW ASSESMENT
AND CONCEPTUAL FRAMEWORK
Duration
30 hours over 4 days of training.
Aims
• Understand sensory and motor development
and neuroprogramming in the infant.
• Understand
the
stages
of
motor
development and
assessment of postural control in the infant
and the newborn.
• Acquire skills for neurodevelopmental
assessment in the infant and the newborn.
• Acquire basic skills for treatment and
stimulation of neurodevelopment.
Contents
General aspects
• Philogenesis and ontogenesis in postural
and movement organisation.
• Movement as the basis of a physiological
motor development.
• A great variety of innate and acquired motor
programmes.
• Assessment of the motor and spontaneous
behaviour in the first 15 months.
• Sensory integration as a modulator of a
natural development.
• Prenatal factors in developmental problems
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Specific aspects
• The assessment of postural reactions as an
indicator of healthy development.
• The assessment of primary and postural
reflexes in the infant as an indicator of
healthy development.
• Mechanical dysfunctions that can block ideal
neurosensory motor development.
• Phases of sensory processing and its
programming.
• The development of the different senses:
somatic and special
• The role of the vestibular system and tactile
information in the neurodevelopment of the
infant.
• Keys to programming: stimulation, repetition
and relevance.
• The ideal stimulation frame and ideal
environment for the baby. Parent education
and advice to health workers.
Exploration and Treatment in PIMT
• Exploration and Treatment of an actual
paediatric patient.
• Exploring the infant's neurodevelopment:
-- Attitude, posture and spontaneous
movement - Postural reactions.
-- Primitive reflexes. - Tonic assessment.
• Advanced correction techniques for the
cervical cranial complex.
• Correction
techniques
in
PIMT
for
mechanical dysfunctions in the superior
cervical spine (I).
• Vestibular and tactile stimulation techniques.
• Development of correct postural patterns
and movement in the baby.
SEMINAR 4
SENSORY AND MOTOR
N THE CHILD. PHYSIOTHERAPY
IN COORDINATION,
ATTENTION AND
LEARNING DISORDERS
Duration
38 hours over 5 days of training. (From 2017).
Aims
• Understand the role of vestibular, tactile and
proprioceptive
information
in
neurodevelopment and its alterations.
• Acquire basic practical technical resources
to assess and treat neurodevelopmental
disorders from an integrative model in
manual therapy.
• Understand the relationship between motor
development and sensory development
problems and learning disabilities.
• Acquire the basic competences for
neurodevelopment assessment in children.
Contents
General aspects
• Classification of learning disabilities.
• Main theories on motor control: hierarchy,
programming and dynamic systems, and
their impact on a treatment model.
• Physiology and function of the vestibular
system.
• Presence of primitive reflexes as a sign of
CNS immaturity? Relevance of evidence.
• Evaluation in PIMT of neurodevelopmental
disorders.
• Towards an integrated model of manual
therapy in neurodevelopment.
• Towards
a
neurosensory-motor
reprogramming.
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Specific aspects
• Proprioceptive information as a contrast with
visual and vestibular information in the CNS.
• Mechanical dysfunctions as a source of
proprioceptive error.
• Mechanical dysfunctions linked to the
persistence of primitive reflexes. Specific
correlation.
• Reflections based on ocular motor control:
vestibulo-ocular reflex, cervico-ocular reflex
and
optokinetic
reflex.
Assessment
instruments.
• Interdisciplinary
treatment
and
communication:
Optometrist,
speech
therapist,
occupational
therapist,
psychomotrician,
psychologist,
psychopedagogue, neuropediatrician ...
• Advice in the educational framework.
• Visual therapy and acoustic therapy.. When
are they essential?
• The role of paediatric integrated manual
therapy in paediatric physiotherapy.
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Exploration and Treatment in PIMT
• Exploration and Treatment of an actual
paediatric patient.
• Treatment of the cervical-cranial complex in
disorders of postural control.
• Exploring the infant's neurodevelopment:
-- Posture and
balance. -Coordination.
-- Cerebellar function.
-- Vestibular function.
-- Primary and postural reflexes. - Proprioceptive quality.
-- Oculomotricity.
• Neurosensory-motor
stimulation
programmes in the child with coordination,
attention and learning problems.
• Use of scales and official screening tests of
neurodevelopment.
• Treating balance and coordination problems
in the child.
• Vestibular stimulation: practical codes of
application.
• Tactile and proprioceptive stimulation:
practical keys of the application.
LEVEL 3
ASSESSMENT AND TREATMENT OF
THE SKULL AND FACE FROM AN
INTEGRATIVE MODEL IN
PAEDIATRIC
MANUAL THERAPY
SEMINAR 5
ASSESSMENT
TREATMENT OF THE SKULL
IN PAEDIATRICS
Duration
30 hours over 4 days of training.
Aims
• Discover the basic anatomical-physiological
aspects of the skull in paediatrics.
• Acquire the basic competences for the
assessment of cranial structures in manual
therapy.
• Acquire basic practical technical resources
for the treatment of cranial structures in
paediatrics.
Contents
General aspects
• Anatomy of the skull and its development in
infancy.
• Comparison of anatomy between the infant's
and adult's skull.
• Cranial adaptations inside and outside of
uterus
• Assessment and treatment of the paediatric
skull.
Specific aspects
• Principles of cranial embryology.
• Bones of the skull.
• The components of the cranial base.
•
•
•
•
•
The components of the cranial vault.
Skull and cervical spine ossification centres.
Chondral and desmal ossification.
Intraosseous and overlap lesions.
Fontanelles
or
fonticulus
and
their
development.
• Physiology and structure of cranial sutures.
• Synostosis
and
non-synostosis
plagiocephaly.
• Orthotic treatment of plagiocephaly.
• Synotosic plagiocephaly or craniosynostosis
and their types.
• Craniometric measurements. Craniometrics.
Cranial indices and asymmetry of the vault.
Assessment with laser scanner and 3D
photography.
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• Dural relationship between sacrum and skull.
• Relationship between cranial and cranial
nerves.
• Assessment and visualisation of paediatric
cranial imaging methods.
Exploration and Treatment in PIMT
• Exploration and Treatment of an actual
paediatric patient.
• Assessment of the vault and cranial base.
• Palpation and listening to changes in cranial
pressure.
• Paediatric techniques of treatment on the
cranial base and the cranial vault.
• Paediatric techniques of treatment on on
vault sutures.
• Paediatric techniques of treatment on the
dura and intracranial membranes.
• Paediatric techniques for treatment of
cervical-neoplasms..
• Paediatric techniques on cerebral ventricles.
SEMINAR 6
ASSESSMENT
AND TREATMENT OF THE FACE
IN PAEDIATRICS
Duration
30 hours over 4 days of training.
Aims
• Discover the basic anatomical-physiological
aspects of the viscerocranium in paediatrics.
• Acquire the basic competences for the
assessment of alterations of viscerocranium
in paediatrics.
• Acquire basic practical technical resources
for the treatment of face structures in
paediatrics.
Contents
General aspects
• Anatomy
and
development
of
the
viscerocranium and the face.
• Comparison of anatomy between the infant,
child and adult's face.
• Asymmetries and orofacial adaptations.
• Cranial adaptations in labour (I).
• The trauma of childbirth for the face.
• Assessment and treatment of the face
paediatrics.
in
Specific aspects
• The bones of the face.
• Development of the skull and development
of the face.
• Symmetry and facial asymmetries.
• The components of the perineal sinuses.
• The temporomandibular joint.
• The orbicular cavity and the tear duct.
• The ear and the auditory tube.
• Facial and obstetric trauma.
• Types of childbirth and their implications in
the cranial molar.
• Accessory instrumentation in childbirth.
• Orthodontic
treatment
in
paediatrics,
Interdisciplinary coordination.
• Mouth breathing and its consequences.
• Otitis in infants. Assessment and treatment.
• Rhinitis and sinusitis in children. Assessment
and treatment.
• Headache and migraines in paediatrics.
• Cleft lip and palate. Interdisciplinary
coordination.
•
Assessment and treatment of alterations of
the oculomotor system.
• Assessment and visualisation of facial
imaging methods in paediatrics.
Exploration and Treatment in PIMT
• Exploration and Treatment of an actual
paediatric patient.
• Exploration of the viscerocranium in
paediatrics.
• Paediatric techniques for palate treatment.
• Paediatric techniques of treatment of the
bones of the face.
• Pumping and drainage techniques of the
perinasal sinuses.
• Pumping and drainage techniques of the
autistic tube.
• Treatment techniques of spheno-palatine
ganglion.
• Treatment techniques of the lacrimal canal.
• Pumping and draining techniques of the orbits.
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Unique
course
with
practice
in
children
and
infants
The teachers
Our teachers and tutors are renowned physiotherapists. Find out more about them online. As well
experienced physiotherapists, we know what works and what does not work with children and infants,
and they will communicate this with clarity and generously.
You can expand the information about the teaching team on our website:
www.terapiamanualpediatrica.es
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Iñaki Pastor Pons
Nuno Matos
Physiotherapist. Director of the Paediatric
Integrative Manual Therapy Training and the
Institute of Integrative Therapies. Author of the
book Manual Therapy in the Oculomotor System
(Elsevier, 2012). Iñaki has a Masters in
Paediatric Physiotherapy and is responsible for
Global Postural Reeducation training in Canada.
He gives training courses and seminars in the
cervicocranial area in different countries of the
world. Director of the Aragonese Institute of
Health and Child Development (IASDI).
Physiotherapist and osteopath, trainer in the
area of Manual Therapy with more than 15
years of experience. He is director of the
Cabinet of Manual Therapies and Integrated
Medicine in Cascais, Portugal. He is currently
doing
a
master's
degree
in
the
musculoskeletal area. Nuno is creator of the
myo-neuromeningeal technique. Author and
coordinator of the Cranio-facial Assessment
and Treatment Course both in Portugal and
Spain.
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Miren Echániz Martínez
Anxo Cachinero Torre
Physiotherapist. Specialist and trainer in
Paediatric Integrative Manual Therapy (PIMT).
Master in Orthopedic Manual Therapy.
Trained in the INPP concept, in rhythmic
movement therapy, in the Upledger concept
and in Paediatric Osteopathy. Iñaki Pastor of
the Aragonese Institute of Health and Child
Development.
Physiotherapist. Specialist and trainer in
Paediatric Integrative Manual Therapy (PIMT).
Master in Physiotherapy Manual of the
Locomotor
Apparatus.
Master
in
Neuroscience. Teaching assistant at the
Aragonese Institute of Health and Child
Development.
Manu López Paez
Physiotherapist. Specialist and trainer in
Paediatric Integrative Manual Therapy (PIMT).
Higher Diploma in RPG. Director of the Fysio
Salud y Deporte Group.
C/ San Miguel, 16, Entlo. Dcha.
50001 Zaragoza
www.terapiamanualpediatrica.es
Tel. +34 665 677 723
[email protected]