Brian McKeever, MPT, ATC, CEAS developed this course after years of clinical research, development, and successful implementation. Brian has been practicing as a Physical Therapist for over 30 years. He has worked with many fortune 500 companies, has traveled the country as a preferred provider of continuing education as well as presented his techniques and methods at APTA State Sections Conferences, and was chosen to provide his services at one of golfs most prestigious events, the 2014 US Open. Many of his treatment strategies were developed when working with the Intel Corporation. In an effort to better understand the muscle dysfunctions and injuries associated with working at a computer workstation Brian performed dynamic Semg (Surface Electromyography) assessments. The findings in these studies demonstrated that there could be underlying muscle dysfunctions even when outward strength and posture appeared normal. Based on these findings and further study Brian demonstrated that sitting at a computer could promote underlying muscular dysfunctions that could become locked into the CNS leading to pain and dysfunction. This is what he calls "Muscle Confusion". He then developed very successful exercise strategies to reverse these effects. This was the beginning of his Muscle Pattern Re-Organization proprioceptive specific techniques. Since it became clear that the CNS was in control of our movement dysfunctions, Brian then went on to study and develop treatment techniques to influence the CNS and restore optimal Muscle Pattern Organization or what he calls "Muscle Cooperation". He now has a patent pending device designed to promote Muscle Pattern Re-Organization to the spine through sequential proprioceptive specific awareness exercises designed to lock in the new patterns facilitated through the hands-on techniques.
Our 2023 Course Schedule Will Be Coming Out Soon.
Principles Behind Our Core Board System and Muscle Pattern Re-Organization Seminar.
When it comes to creating a calculated evidence-based approach to developing a stronger and more resilient core, it’s not just about strength. The muscles must have sufficient strength and endurance and fire in the proper sequence and degree to satisfy the demands of segmental spinal motor control. But the efficacy of the muscle system is dependent on its controller, the central nervous system (CNS).
When it comes to creating a calculated evidence-based approach to developing a stronger and more resilient core, it’s not just about strength. The muscles must have sufficient strength and endurance and fire in the proper sequence and degree to satisfy the demands of segmental spinal motor control. But the efficacy of the muscle system is dependent on its controller, the central nervous system (CNS).
It is the restoration or optimizing of the sequential detailed neurological input (afferent signals) and output (efferent signals) directed by our CNS that will predict how successful our physical therapy efforts will be.
Muscle Pattern Re-Organization is a protocol and philosophy in which we utilize proprioceptive specificity to both prepare the muscles to be strengthened and again while performing our corrective exercises with the goal of optimizing the efficacy of the controller (CNS).
Muscle Pattern Re-Organization is a protocol and philosophy in which we utilize proprioceptive specificity to both prepare the muscles to be strengthened and again while performing our corrective exercises with the goal of optimizing the efficacy of the controller (CNS).
It's been a great experience to travel the country teaching our approach and has been amazing what PT's across the country have been able to accomplish with our training and with the use of our core board.
"I have gone through the highest level of training through the McKenzie Institute, and I have been overly impressed with the core board system and how it can be used and applied to effectively treat a variety of spinal dysfunctions."
DPT, TX
As a Diplomat of the McKenzie Method, I found this course very comprehensive, evidence based, and immediately clinically applicable. Great Course!"
DPT, VA
"Excellent webinars and home study materials that make referencing the techniques easy. Great new tools for my PT toolbox. Thank You!"
DPT, NC
- Are your client’s core muscles prepared for proper strengthening?
- And, what does that mean?
- Well, it is not just about strength.
- You can go wrong with just strong!
Here is your sneak peak.
A few video clips demonstrating the main concept behind our techniques. You will learn that your corrective exercise strategies are not about just increasing strength. It's about the muscles at any given joint firing in the proper sequence and proper degree so that the action is executed optimally. Having an understanding of the neurological factors involved in muscle sequencing is essential.
The Total Spinal Fitness protocol is a proven method that helps to reverse the root cause of back dysfunctions. Since we created this protocol over a decade ago hundreds of Physical Therapists across the country have adopted this approach which has helped thousands of patients resolve their back pain and dysfunction. In one case a fellow Physical Therapist contacted me regarding her back pain. I want to share the following text. This text was from this Physical Therapist she had DDD, Stenosis, and bulging discs at L3-L4 and L4-L5. As a PT she had been through all other conventional conservative methods with minimal change in symptoms and minimal functional gains.
There are numerous different takes on "the best" way to build a strong core as well as how to make core training translate into "functional movements", how to strengthen the core while protecting an underlying injury or surgical repair, and of course, how to protect against future reoccurrence.
With ALL the clinical information available today (some of it contradictory) it can cloud our judgements on how to properly rebuild the core for ALL the benefits listed above, which is not only absolutely possible, it should also be our goal.
Restoring BALANCED COORDINATED PELVIC AND LUMBAR MOTION is the KEY FACTOR in restoring spinal health because this creates equal disc and ligament load-sharing and results in a balanced synergy between global and local muscles (Tao Liu, Kinda Khalaf, Samer Adeeb, Marwan El-Rich: Effects of lumbo-pelvic rhythm on trunk muscle forces and disc loads during forward flexion: A combined musculoskeletal and finite element simulation study: Journal of Biomechanics 2019 Jan 3;82:116-123). Our protocol has a focus on restoring this balanced pelvic and lumbar motion as opposed to the emphasis on TA and oblique bracing which is in the standard protocols. We believe the early stages it is important to brace to allow for healing, but it is much more important for long term spinal and disc health to emphasize the deeper core in respect to re-establishing optimal lumbo-pelvic biomechanics.
Principles of Muscle Pattern Re-Organization for Core Strengthening.
- First, we must get out of training (strengthening) mode and get into clinical thinking mode. It is not just about increasing strength.
- The muscles must work in a coordinated and integrated order to ensure that they fire in proper sequence and proper degree so that the action is executed accurately.
- The muscles must have sufficient strength and endurance to satisfy the demands of segmental spinal motor control.
- The efficacy of this process is dependent on its controller, the central nervous system (CNS).
- It is the restoration and optimizing of the sequential detailed neurological input (afferent signals) and output (efferent signals) directed by our CNS that will predict how successful our physical therapy efforts will be.
- The core is also dependent on the position and movements of the LE’s and UE’s so you will also learn to efficiently address these regional interdependencies utilizing small critical subsets of movements to create global changes.
- Muscle Pattern Re-Organization is a proprioceptive specific protocol and philosophy in which we both prepare the muscles to be strengthened and then perform efficient corrective exercises with the goal of optimizing the efficacy of the controller (CNS).
And Here is Where We Further Separate Our Techniques from the Rest!
You will learn the role the ANS (Autonomic Nervous System) plays in influencing underlying muscle dysfunctions.
As far back as 1988 a research article published in the Journal of Physical Therapy demonstrated that the state of the Autonomic Nervous System can be an accurate predictor of the level of success with manual therapy sessions.
And. as recent as 2020
Isabel S Glover,. Stuart N Baker: Cortical, Corticospinal, and Reticulospinal Contributions to Strength Training: Journal of Neuroscience; 20 Jul 22;40(30):5820-5832.doi: 10.1523/JNEUROSCI.1923-19.2020. Epub 2020 Jun 29.
As the Reticulospinal Tract modulates ANS output these results indicate that strength training is associated with ANS neural adaptations in intracortical and reticulospinal circuits and are dominant factors in strength training.
Although the CNS is the controller and the efficacy of movement is dictated by ingrained CNS patterns, there is one more particularly important concept to also follow: The ANS can override the CNS causing disruption of these optimal muscle firing patterns. We call this "Afferent Noise". Afferent noise can come from active and latent trigger points, locked in tonic protective patterns from previously injured tissue, poor breathing patterns, and even emotional stress.
Our Muscle Pattern Re-Organization technique is anchored in re establishing proper CNS control and without addressing the ANS we can not achieve this.
With our method you will learn how to develop an integrated core. An integrated core is a truly functional core.
You will learn:- Instruction in our Myo-Sequence motor point treatment. A sequential manual therapy approach to prepare the core muscles for optimal strengthening.
- A sequential corrective exercise approach to facilitate and optimize integrated muscle firing patterns.
- How our modern environment can affect the mechanoreceptors within the muscles leading to improper firing patterns and how to utilize small critical subsets of movements to create global changes and reverse these effects.
- How to prescribe simple and effective HEP’s optimizing long term spinal health.
- Simple and effective techniques to improve the health of the spinal discs and joints.
- The bottom line is, our body has built in systems for maintaining functional spinal muscle health, joint health, and disc health.
Facilitating these systems is our best path to achieving successful long term outcomes.
Watch this next video. A unique video we had made to explain part of our process.
See what a few of clinical affiliates have to say
Watch the testimonials below. The techniques learned in the course will help you get results like this.
A case story demonstrating the effectiveness or our proprioceptive specific treatment approach. Re-booting the threshold position of the muscle mechanoreceptors.
Upcoming Courses
October 22, 2022 Asheville, NC Class Completed
Carolina Spine and Neurosurgery
7 Vanderbilt Park Dr.
Asheville, NC 28803
11/19/2022 Wilmington, NC Class Completed
Total Spinal Fitness
330 Military Cutoff Rd. Suite A1
Wilmington, NC 28405
12/03/2022 Wilmington, NC Class Completed
Total Spinal Fitness
330 Military Cutoff Rd. Suite A1
Wilmington, NC 28405
12/10/2022 Wilmington, NC Class Completed
Total Spinal Fitness
330 Military Cutoff Rd. Suite A1
Wilmington, NC 28405
01/07/2023 Wilmington, NC Class Completed
Total Spinal Fitness
330 Military Cutoff Rd. Suite A1
Wilmington, NC 28405
Here is even more of what you will receive when you register for our seminar.
Our 2023 Course Schedule Will Be Coming Out Soon.
- Detailed video instructions on how to use the system
- New exercises to sequentially activate and target the deep core musculature and provide synergy with the outer core musculature.
- Our home exercise videos which can be downloaded for your patients.
- Detailed editable treatment notes to help you efficiently document your newly learned skills.
Our 2023 Course Schedule Will Be Coming Out Soon.
Download the Course Brochure Below
| total_spinal_fitness_functional_muscle_therapy_2021.pdf |
Thanks for considering our course. We look forward to meeting you. Our system has changed and once you have paid and registered, we will receive notification on our end. Your will soon receive an invite link to register and gain access to the webinars. You may need to check you spam folder. If you do not receive an invite link within 24 hours please contact us at: brian@totalspinalfitness.com or call 910-508-6629
For more information about our program clink the link to the right.
If You Have Any Questions About Our Seminar Or If You Are Interested In More Information About Our Clinical Affiliate Program Please Contact Us.