https://forum.researchworks.academy/ Fri, 12 Jun 2026 20:08:54 +0000 MyBB https://forum.researchworks.academy/showthread.php?tid=84 Thu, 19 Mar 2026 03:17:47 +0000 ProducerEd]]> https://forum.researchworks.academy/showthread.php?tid=84
Where’s the Evidence? Challenging Therapists to Stop Legitimizing Dynamic Movement Intervention and Cuevas Medek Exercises
FREE access: https://journals.lww.com/pedpt/fulltext/...to.30.aspx

Authors:
Paleg, Ginny PT, MPT, DScPT; Pool, Dayna PT, PhD; Hidalgo-Robles, Álvaro PT, MSc; Frumberg, David MD; Livingstone, Roslyn OT, MSc(RS); Damiano, Diane PT, PhD

Dynamic Movement Intervention (DMI) and Cuevas Medek Exercises (CME) are promoted as innovative neurorehabilitation methods for children with neurological disabilities, yet both rely on outdated reflex-hierarchical models rather than contemporary motor learning principles. 

A review of the literature reveals that CME, despite 5 decades of use, is supported only by a few case reports and 2 small, biased comparative studies. DMI, introduced in 2021, has no published empirical evidence beyond a single conference abstract. Thus, both interventions remain at Sackett Level 5—no evidence. The ethical implications are substantial. Families often pay thousands for intensive, noncovered therapies that may displace meaningful participation in education and social life. 

Therapists have a professional responsibility to avoid legitimizing unproven practices and to prioritize interventions supported by robust evidence. Pediatric rehabilitation should shift toward child-led, functional, and task-specific approaches grounded in modern motor learning science, with professional bodies and insurers withholding endorsement of nonevidence-based methods.]]>
Where’s the Evidence? Challenging Therapists to Stop Legitimizing Dynamic Movement Intervention and Cuevas Medek Exercises
FREE access: https://journals.lww.com/pedpt/fulltext/...to.30.aspx

Authors:
Paleg, Ginny PT, MPT, DScPT; Pool, Dayna PT, PhD; Hidalgo-Robles, Álvaro PT, MSc; Frumberg, David MD; Livingstone, Roslyn OT, MSc(RS); Damiano, Diane PT, PhD

Dynamic Movement Intervention (DMI) and Cuevas Medek Exercises (CME) are promoted as innovative neurorehabilitation methods for children with neurological disabilities, yet both rely on outdated reflex-hierarchical models rather than contemporary motor learning principles. 

A review of the literature reveals that CME, despite 5 decades of use, is supported only by a few case reports and 2 small, biased comparative studies. DMI, introduced in 2021, has no published empirical evidence beyond a single conference abstract. Thus, both interventions remain at Sackett Level 5—no evidence. The ethical implications are substantial. Families often pay thousands for intensive, noncovered therapies that may displace meaningful participation in education and social life. 

Therapists have a professional responsibility to avoid legitimizing unproven practices and to prioritize interventions supported by robust evidence. Pediatric rehabilitation should shift toward child-led, functional, and task-specific approaches grounded in modern motor learning science, with professional bodies and insurers withholding endorsement of nonevidence-based methods.]]> https://forum.researchworks.academy/showthread.php?tid=29 Mon, 04 Aug 2025 22:22:17 +0000 Dayna]]> https://forum.researchworks.academy/showthread.php?tid=29
I was just doing some analysis of footage that I took the other day. It is so easy, very quick to do and provides me with some quantitative data that can help to make some decisions about where to next or even how to refine the intervention to make it more targeted. 

I used the experimental version where you can play around with the size of the markers and fonts. I like how the angles are displayed here too with the graphs shown below.

Be sure to give it a go! You can pair it with the clinical decision tree for gait classification too!]]>
I was just doing some analysis of footage that I took the other day. It is so easy, very quick to do and provides me with some quantitative data that can help to make some decisions about where to next or even how to refine the intervention to make it more targeted. 

I used the experimental version where you can play around with the size of the markers and fonts. I like how the angles are displayed here too with the graphs shown below.

Be sure to give it a go! You can pair it with the clinical decision tree for gait classification too!]]> https://forum.researchworks.academy/showthread.php?tid=23 Tue, 15 Jul 2025 06:26:05 +0000 sophiagribbon]]> https://forum.researchworks.academy/showthread.php?tid=23 I really enjoyed listening to the recent EACD Research Works podcast episode with Professor Stacey Dusing about play.
It made me really think about how I play in sessions and reflect on whether I am manipulating the play too much and not letting the child direct the play enough instead. As the nominated "fidelity assessor" in our work place I wonder whether we should be assessing our play fidelity too?]]> I really enjoyed listening to the recent EACD Research Works podcast episode with Professor Stacey Dusing about play.
It made me really think about how I play in sessions and reflect on whether I am manipulating the play too much and not letting the child direct the play enough instead. As the nominated "fidelity assessor" in our work place I wonder whether we should be assessing our play fidelity too?]]> https://forum.researchworks.academy/showthread.php?tid=22 Tue, 15 Jul 2025 06:19:07 +0000 jordandinh]]> https://forum.researchworks.academy/showthread.php?tid=22 Participate App, I discovered a new park in my local community to take a client to this morning. The app worked amazingly as I was able to show the family the previews of local parks as described by therapists, and select one that best served our needs.

Definitely one to check out!]]> Participate App, I discovered a new park in my local community to take a client to this morning. The app worked amazingly as I was able to show the family the previews of local parks as described by therapists, and select one that best served our needs.

Definitely one to check out!]]> https://forum.researchworks.academy/showthread.php?tid=21 Tue, 15 Jul 2025 06:14:58 +0000 MatthewHaddon]]> https://forum.researchworks.academy/showthread.php?tid=21 Would love to hear what you recommend or find useful!]]> Would love to hear what you recommend or find useful!]]> https://forum.researchworks.academy/showthread.php?tid=10 Thu, 15 May 2025 04:11:00 +0000 Dayna]]> https://forum.researchworks.academy/showthread.php?tid=10
Why do you think that is the case - what are we missing?

Is balancing on a balance board more compelling the walking in a walking frame?]]>
Why do you think that is the case - what are we missing?

Is balancing on a balance board more compelling the walking in a walking frame?]]> https://forum.researchworks.academy/showthread.php?tid=3 Wed, 30 Apr 2025 04:46:53 +0000 ProducerEd]]> https://forum.researchworks.academy/showthread.php?tid=3
It's a place for clinicians to ask and answer questions, start discussions and just hang out to have a chat! 

All the usual conditions apply - treat everyone with respect and we encourage robust (but fair) discussions and debates.

Let's make this a place where there are no silly questions and is a safe place to ask them!]]>
It's a place for clinicians to ask and answer questions, start discussions and just hang out to have a chat! 

All the usual conditions apply - treat everyone with respect and we encourage robust (but fair) discussions and debates.

Let's make this a place where there are no silly questions and is a safe place to ask them!]]>