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26. januar 2021 - 27. januar 2021


A live, interactive course via Zoom


Dansk beskrielse:

“Braking Bad  – et online, corona venligt, interaktivt kursus via Zoom i Januar 2021.
Excentrisk muskelaktivering er kroppens bremsesystem, som vi er meget afhængige af for at kunne bevæge os rundt.
Det excentriske muskelarbejde er udfordrende både med og uden en neurologisk diagnose.
Postural kontrol, excentrisk muskelarbejde og respirationen, hvordan hænger det sammen ?
Hvordan kan du ved at bruge voicing (stemmeføring) arbejde med postural kontrol?
Det og meget mere får du svar på ved deltagelse i kurset der er delt over 2 dage for at imødekomme vores tidszone”.


Karen Clausen er til daglig fysioterapeut på sensomotorisk klinik, Regionshospitalet Hammel Neurocenter og har været assistent på 2 Mary Massery kurser i Danmark afholdt af

Dansk Selskab for Neurologisk Fysioterapi.

Instructors: Mary Massery, PT, DPT, Dsc

Nechama Karman, PT, MS, PCS

Sponsored by: MasseryPT LLC

Karen Clausen, Aarhus, Denmark Clara Caplice, Dublin, Ireland

Date / Time: Tuesday, January 26, 2021 from 15:30 – 19:15

Wednesday, January 27, 2021 from 15:30 – 19:45

Educational Hours: 7.5 Contact Hours

Course cost: $215 USD via Eventbrite registration; fees included

Refunds: 90% refundabe if requested no later than January 15, 2021

Queries: Karen Clausen at

Register on-line now with credit card: registration-120536141845



Eccentric muscle contractions are the brakes of the human movement system. Although there is yet little direct research on voicing eccentrics, preliminary data shows that glottal control is integral to upright postural control. Modulation of glottal constriction such as during voicing regulates intra-thoracic pressure, and by extension, intra-abdominal pressure, both of which are necessary for finely tuned postural control. The speakers will present novel ideas on the role of eccentrics in trunk control from talking to walking. In the normal gait pattern, the majority of muscle contractions are eccentric, yielding remarkable efficiency: harnessing momentum and ground reaction forces to minimize the energy cost of walking. In individuals with neurological injuries, movement impairments impede the ability to generate eccentric contractions or to time muscle contractions correctly, yielding co-contraction and inefficiency. The speakers will identify how these impairments impede postural control and gait ability and how to specifically address them using voicing as a mechanism to promote eccentric muscle contractions in intervention programs to minimize negative effects on gait and maximize walking performance. Interactive laboratory experiences will allow participants to practice application of these methods across a variety of functional tasks.


Upon completion of this course, you will be able to:

  1. State how the mechanics of breathing, talking, and postural control are inter-active and inter-dependent components of normal movement strategies using a soda-pop can as a conceptual model.
  2. Discuss the potential benefits of utilizing voicing strategies to treat postural control deficits in multi-task activities like talking while walking and reaching.
  3. Identify elements of a biomechanically-efficient gait pattern that are not present in specific gait patterns demonstrated by individuals with neurological impairments.
  4. Select and perform intervention strategies and/or techniques to elicit eccentric muscle contractions and address timing and alignment deficits that adversely affect reach, gait, transfers, sustained phonations, and voice volume in a wide range of patients across the lifespan.


Tuesday, January 26, 2021 (3.5 Contact Hours)





15:00 – 15.30 Zoom doors opens
15:30 – 16:00 CLASS STARTS Introductory remarks
16:00 – 17:15 Lecture


Introduction to course: All things eccentrics!

–  Biomechanical and neuromuscular links between airway control, posture and movement

–  Bonus material: Ventilatory Strategies

17:15 – 17:30 Discussion Q&A
17:30 – 17:45 Break Break
17:45 – 19:00 Lecture


–  Elements of and impediments to achieving an energy-efficient gait pattern (importance of eccentric control)

–  Muscle Function /Gait Cycle – how much is of gait is eccentric? Lots!

19:00 – 19:15 Discussion Q&A

Wednesday, January 27, 2021 (4.0 Contact Hours)



15:00 – 15:30 Zoom doors opens
15:30 – 15:40 CLASS STARTS Setting up the day + Q&A
15:40 – 16:05 Breakout Room #1 & 2 Meet your team.

–  Discussion: linking talking to walking

–  Establishing baseline glottal control with posture

–  What is a meaningful change in gait?

16:05 – 16:15 Discussion Debrief & Q&A
16:15 – 16:25 Lecture NK What is Proprioceptive Neuromuscular Facilitation’s (PNF) “Agonistic Reversal” (AR) technique? – Eccentric resistance – video: so easy that even a 2 y/o can do it
16:25 – 16:45 Demonstration AR technique on the chest

– proximal hand placement coordinated with trunk’s plane of motion

16:45 – 17:10 Breakout Room #3 Practice session: PNF AR on the chest
17:10 – 17:20 Discussion Debrief & Q&A
17:20 – 17:35 Break Break
17:35 – 17:55 Demonstration PNF AR applied to the extremities
17:55 – 18:20 Breakout Room #4 Practice session: PNF AR applied to the extremities
18:20 – 18:30 Discussion Debrief & Q&A
18:30 – 18:40 Demonstration More extremity patterns demonstrated (not practiced)
18:40 – 18:55 Breakout Room #5 Show ‘n tell lab. Quickly develop an application of AR to an assigned functional task
18:55 – 19:25 Demonstrations Show ‘n tell time! Small group demonstrations of functional tasks using AR and voicing
19:25 – 19:45 Lecture/discussion Videos, summary and suggestions for further study


Mary Massery, PT, DPT, DSc

Dr. Massery received her BS in Physical Therapy from Northwestern University in 1977, her DPT from the University of the Pacific in 2004 and her DSc from Rocky Mountain University in 2011. Her publications and interests focus on linking motor behaviors to breathing and/or postural mechanics in both pediatric and adult patient populations. Dr. Massery has been invited to give over 900 professional presentations in all 50 US states and in 18 countries worldwide, including more than 100 presentations for the American Physical Therapy Association. Mary’s research pioneered the concept of managing trunk pressures as a new way to visualize core stabilization. She has delivered keynote and major addresses on topics such as cystic fibrosis and posture, pectus excavatum (chest deformities), connections between posture & breathing, and PNF (proprioceptive neuromuscular facilitation).

Mary has received national awards from the APTA, including its highest clinical award, The Florence Kendall Practice Award, honoring “one’s outstanding and enduring contributions to the practice of physical therapy.” She has been honored as Outstanding Alumnus of the Year by each of her 3 universities. She was also awarded Northwestern University’s Alumnae Research Achievement Award. Mary continues to maintain a private practice in Chicago, specializing in breathing and postural dysfunction.

Nechama Karman, PT, MS, PCS

Nechama is obsessed with eccentric control and its link to functional balance and gait! Nechama was the driving force behind the development of this course.

Nechama Karman received her MSPT from Columbia University in 1994, her Advanced MS in orthopedic PT from Touro College in 1998 and has completed her Health Sciences PhD coursework at Seton Hall University. She has held academic appointments at both Hunter College and NYIT and is also an APTA board-certified pediatric clinical specialist.

Nechama is chief clinical educator at Mobility Research, providing pediatric and adult trainings, introductory and advanced seminars, webinars, and clinical support for LiteGait in the USA and internationally. She is a primary instructor in LiteGait’s “train the trainer” program. In addition, after a 2-year invited apprenticeship in 2016, Nechama became Mary Massery’s first certified faculty member to teach her national course: “If you can’t breathe, you can’t function.” In 2019, she was certified to teach Mary’s musculoskeletal course as well. Nechama owns a private practice in New York City focusing on treating patients with complex neurological conditions and/or complex pelvic conditions.

Register on-line now with credit card:


Course cost: $215 USD via Eventbrite registration; fees included Refunds: 90% refundable if requested no later than January 15, 2021 Queries: Karen Clausen at


26. januar 2021
27. januar 2021
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