NEW STRUCTURE AND EDUCATIONAL PLAN FOR THE BSPTS
THE NEW EDUCATIONAL PLAN OF THE BSPTS
Barcelona 22/10/2018 (last modified 14/07/2019)
By Manuel Rigo MD PhD. Chair of the BSPTS
As the natural Chair of the BSPTS I am aware that there was never a defined strategy to expand the BSPTS. In fact, we have now a well-defined strategy to go forward, however,the strategy is not just Expansion, at any cost, but Proper Education and Treatment Quality, so the NEW EDUCATIONAL PLANhas not been created with the intention of doing it easier and more attractive to the potential students (these are both terms related to marketing in order to expand a name or trademark, in other words, Business) but to guaranty the proper application of a good therapy tool, based on a good concept (thus thinking more in Medical or Health Education and Academic Values than in Business). Nothing wrong about business, it is just that business is not here the objective so I do not want people collaborating with us to have this objective. If you have this objective, it is right and it is fine to me but not with us.
BSPTS-Concept is a physiotherapy technique to specifically treat patients with scoliosis and other spinal deformities. Physiotherapy Scoliosis Specific Exercises (PSSE), can be considered one of the treatment strategies offered by the Scoliosis Specialists, and physiotherapists are the health professionals that in most of countries offers this type of treatment.
The treatment of scoliosis, in accordance to SOSORT guidelines and SRS recommendations is based on Non-Operative treatment and Operative treatment.
Operative treatment is made by Orthopaedic Surgeons with specific knowledge and education in Spinal Deformities. The success of Operative Treatment is based on both the quality of the Surgeon and the quality of the patient. Education to become a good Scoliosis specialist, capable to do correctly decisions about selecting proper patients as well as operative strategies based on wide accepted standards can be considered a long way. It is not enough to be a certified medical doctor with the specialization of orthopaedic surgery completed. Additional education under the supervision of experienced surgeons is mandatory before taking the responsibility of doing these decisions and performing these extremely complex operations.
Non Operative treatment in patients still growing is based on Bracing, usually combined with a more or less specific physiotherapy program. Physiotherapy alone has been recommended in some countries before bracing is indicated. The traditional indication for physiotherapy as the only treatment has been mild scoliosis, before bracing is indicated, as early preventive treatment. Another indication of PSSE alone is symptomatic adult scoliosis. But this is a tradition, which come mainly from XVIII Century, and it is not based on EIM. A similar recommendation has been, for example, swimming. However, since SOSORT was created, the evidence in favor of Specific Physiotherapy has been slowly growing in quantity and quality. Thus, nowadays, scoliosis specialists, well informed, should know that Specific Physiotherapy has more supportive evidence, while swimming, unspecific physiotherapy, and other type of intervention, continue being intervention based on tradition or believes but not on evidence. In any case, the evidence in favor of PSSE is still poor in quality and insufficient in quantity and strength, and, in any case, it is in favor of PSSE being part of the multi-strategy-options in the treatment of scoliosis and never in the direction of being a full therapy by itself, alternative to any of the other interventions (bracing and surgery), although it could be in the future, if evidence support that, an alternative to surgery in some adult patients, taking the place of first treatment of election.
Just Knowledge is not enough to become a physiotherapists specialized in spinal deformities. Knowing about the complexity of the scoliosis phenomenon is a must but it is not enough. Physiotherapists offering this type of treatment will need time and experience, beside the specific knowledge, to do it with efficacy and guaranties. When a physiotherapist with no specific education observes a treatment guided by a BSPTS Certified Physiotherapist, he/she could think that this is an easy treatment. It looks so easy when you observe somebody with experience correcting!! However, you all know how many hours of dedication are necessary to become a ‘master (as far as somebody can be considered Master in treating scoliosis)’. Remember ‘maestro Pau Casals’ (the famous Catalan violoncellist). He said ‘I was born with an ability, with music in me, that is all. No special credit was due me. The only credit we claim is for the use we make of the talent we are given. That is why I urge young musicians: Don’t be vain because you happen to have a talent. You are not responsible for that; it was not of your doing. What you do with your talent is what matters. You must cherish this gift. Do not demean or waste what you have been given. Work – work constantly and nourish it. There is, of course, no substitute of work. I myself practice constantly, as I have all my life. I have been told I play the cello with the ease of a bird flying. I do not know with how much effort a bird learns to fly, but I do know what effort has gone into my cello. What seems ease of performance comes from the greatest labor.’
This new BSPTS Educational Plan has been developed to be the first part of the way to become a physiotherapists specialized in scoliosis and other spinal disorders, but it does not substitute the need of a further learning curve based on work and experience (Learning Curve), ideally under the supervision of an already experienced physiotherapists. Unfortunately, we cannot offer this in a regulated way, but we strongly recommend physiotherapists going into this way to continue educating according to this plan, to work integrated in a multidisciplinary team according to the SOSORT recommendations and to submit their work not only to the rest of the members of the team but also to those colleagues with longer experience, open always to the possible evolution of the concept.
New BSPTS Educational Plan
The New Educational Plan includes 5 types of courses:
- Spinal Deformities Basic Course
- Level 1 Course, 6 Days(For Certified BSPTS PTs = 1 EP per day of observation)
- Level 2 Course, 6 Days(For Certified BSPTS PTs = 1 EP per day per day of observation)
- Level 3 Course 6 Days– Final Certification(For Certified BSPTS PTs = 1 EP per day of observation)
- Continue Education Courses, 3 Days (9 EP)
EP = Educational Points(this is just an Internal BSPTS system scoring continue education). EP is a way to accumulate experience (from attending Continue Education Courses or from observation, attending Basic or C courses, or doing ‘observational stages’ in some selected clinics – 1 EP per day too). Another way to obtain EP will be by getting students for observation (see below in Exams and other requirements). Only Certified BSPTS according to the new plan can get EP. Certified PTs according to the old plan will need to validate their C2 certification to get new Certification allowing them to get EP.
Total Days of Education to get Final and Unique BSPTS Certification, according to this new Plan, is 18 total days attending in-person Course (126 H of effective educational time + the overtime of minimum time working with patients, observing treatment and preparing Exams and Presentations). To go into this 18 Days Educational Program, it will be an obligatory requisite to follow the Spinal Deformities Basic Course and/or to demonstrate a sufficient comprehension of all the obligatory topics before Registering to the Level 1 course (See below in Level 1 Course). This is in contrast with the current 10 days for C1 and 6 days for C2. Nowadays, PTs become already certified only after 10 days (C1). It is true that C1 is just a temporary certification but some physiotherapists are not following to C2 and some of them still use expired C1 certification to treat patients under BSPTS name. This is a serious problem bringing down the Standard of the BSPTS that we would like to prevent throughout this new Plan.
Final and Unique Certification will be delivered only after finishing Level 3 Course.
Certification of Attendance will be delivered after every course, necessary to go into the next level course, but this certification is not allowing people to announce themselves as certified BSPTS PTs, but only as PTs in the process of certification.
As far as any PT has, according to his/her PT certification, the permission to treat any type of patient with indication for physiotherapy, PTs in the process of BSPTS certification can treat any type of Scoliosis Patients and they can say that are using BSPTS concept but still being in the process of Certification.
All participants will be evaluated before getting the ‘Green Light to go forward to the next level of Education.
All physiotherapists registering Level 1 will need to pass an Exam. The Card to pass to Level 1 will be obtained after passing Basic Knowledge Exam- This Exam is made after finishing the Online Official Basic Corse, or a Face-to-face Basic course offered in different regions, but always covering the issues defined in Basic Course. The Exam to access Level 1 will be, however, a unique one and managed on-line by the so called International BSPTS Educational Committee – IEC (This committee will be named by the International BSPTS Board, please see New BSPTS Structure, coming soon)
A second Evaluation will be after at the end of Level1 course. This Evaluation will be made exclusively by the Teacher, supported, in necessary case, by the so called International Educational Committee (IEC).
A third Evaluation will be necessary to go into Level 2 Course. This will be about the preparation and presentation of two case reports (one typical 3C and one typical 4C). This Evaluation will be made on-line by the IEC.
A fourth Evaluation will be at the end of Level 2 Course. This Evaluation will be made by the Teacher, supported, if necessary by the IEC.
A fifth Evaluation will be necessary to go into Level 3 Course. This will be about the preparation and presentation of a specific ‘work for grade’ (the rules and guidelines for this work will be developed by the IEC and published in the WEB at the proper time). This Evaluation will be made by the IED.
A sixth and final Evaluation during the whole Level 3 Course. There shall not be single test concentrated the last day but the Evaluation will be from the first to the last day of the Level 3. This Evaluation will be made by the Teacher, supported, if necessary by the IEC.
All the Exams (also those evaluated by the Teacher at the end of Level 1 and 2) will be developed by the IEC.
A participant who has passed Level 1 and Level 2 is supposed to be prepared to pass the practical Exam (Level 3). We can assume that most of the participants reaching Level 3 level will pass, but in case Instructor has serious doubts about participant’s capability the case can be presented into the IEC for consultation. IEC will decide about what to do, to finally certificate or to recommend repetition of some level, before another trial to pass Level 3.
Observation is an essential part of the education in this field. It is Not obligatory but recommendable that all participants demonstrate a minimum number of 20 hoursof observation with an already certified PT between Level 1 and Level 3. All BSPTS Certified Physiotherapist will be asked to accept students for observation and for free, obviously we cannot impose this as an obligation. However, BSPTS Certified PT who take other PTs in for observation will be compensated with EP (0.5 EP per observation Day x observer).
The minimum time to finish the whole certification cycle will be 21 months.
Minimum time between Level 1 and Level 2 is 9 months.
Minimum time between Level 2 and Level 3 is one year.
The maximum time to finish the whole certification cycle will be six years.
The maximum number of trials for every Evaluation is ‘3’ trials. After 3 trials, in case of not passing the Evaluation, it will be obligatory to repeat the previous Level course. Thus, only two repetitions are permitted. Repetitions will be offered at special rates.
This new Protocol for Educational Project will start working in 2020 (2019 will continue like now).
On-line Basic Course will be available from November 2019. Teachers can organize from November 2019 Basic courses as well. The Pedagogic Material for Basic Course will be available at the Private Zone of the International BSPTS Society WEB by the end of October (however, the program is here below detailed).
On-line Examinations to get the ‘Green Light’ to participate in Level 1 Course, in other words, to go forward into the Certification Process, will be offered from February 2020.
Thus, Level 1 Courses can be officially announced to be offered as earlier on April 2020. This announcement, in any case, cannot be made until the International BSPTS Society WEB is working (By the end of October 2019 as the latest dead-line). All will be officially announced in the International BSPTS Society WEB.
In case a Regional Group offers a Level 1 Course on the earliest date of April 2020, and want to announce it in the International BSPTS Society WEB, will need to be in contact with the General Manager (Garikoitz Aristegui) and inform him who will be the person managing the Regional Group Section, in order to get the User Name and Password to be able to manage the Section, as soon as possible, during October 2019 (please not earlier).
Teachers will be allowed to publish course information in their personal WEBs only after it has been already published in the International BSPTS Society WEB.
Regional Groups with already official webs (US), will be allowed to publish the general guidelines of the New Educational Plan, before the International BSPTS Society WEB is operative, but only General Information and possible dates, optionally opening a waiting list for registration, which can be only effective, official and payable, after February 2020 (when On-line Examination to get permission to go under Certification process).
The person that I ask at this moment to organize the International Basic Course on-line is Garikoitz Aristegui, the General Manager of the International BSPTS Society. He will do it in English and Spanish, preparing with me all the Pedagogic Material During this summer. The Registration to the Online Basic Course will include the On-line Exam to get the pass to Level 1, this Evaluation made by the IEC from February 2020. However, Every Regional Group (Teachers) can organize Face-to-face Basic Courses in any place of their Region. Attendants to these Face-to-face Basic courses, while presenting a Certification of attendance to these courses, will be also accepted to the On-line Evaluation to get access to Level 1 for a minimum established fee. Professional able to demonstrate her/his experience and knowledge into the field could also accede to the On-Line Exam directly (By a higher registration fee in this case), to get Level 1 Course’s pass.
Taking April 2020 as the earliest possible date for the first Level 1 Courses, the first Level 2 Courses could be only possible from January 2021, and Level 3 from January 2022. Thus, first Physiotherapists certified according to the new Educational Plan will come only on January 2022.
The IEC will be defined also a protocol for already BSPTS certified PT. They will need to do something to get a validation of their certifications according to the new project. This ‘something’ will be defined by the IEC. Old Certifications shall not be lost and will work for ever. Continue Education Courses are open to old C2, but if old Certified PTs want to get EP from attendance of the Continue Education Courses, they will need to validate first their Certification.
Once the new program starts, some PTs will be still following the old plan and it will be necessary to offer them classical C2 courses from the old program. This, C2 according to the old format will need to be offered at least until the end of 2022. PTs starting the old program on 2019, will be allowed to choose between continue with the old plan and then validate the Certification according to the defined validation protocol after finishing in accordance to old plan, or to directly following in the new plan, going directly to the new Level 2 course. However, by doing this, they will lose the validity of C1 and will accept just getting final certification after Level 3.
The protocol to validate from old to new certification has to be defined yet and it is expected that the IEC defines it on-time to be published together with the whole New Educational Plan, once the International BSPTS Society WEB is perative by the end of October 2019.
My personal opinion at this moment is that nothing related with the concept but just very very basic and general things, as something that can evolve, should not provide as a part of the contain of the Basic course, no matter on-line or face-to-face. Other information, related with specific knowledge on scoliosis, as far as it is published and we have just organized and exposed to do it better understandable for the students, could be provided before students go into the Certification process.
The following program (format and contain) is the way I am going to do in Barcelona for the International education.
I strongly recommend to follow both, format and contain, however, every Regional Group should decide finally about format. Contain, exams (provided by the IEC) and total number of hours is obligatory for all the Groups, in order to create a standard.
As an example, Israeli group has proposed a different format, which is not now fully exposed here, where they will be offering something more than just treating scoliosis and structural kyphosis, but also postural problems. They have asked me about educating for recognizing and treating postural problems and certifying people under BSPTS about it as a previous step to go forward with a more specialized education about structural deformities. Once into this more specialized education, the one which should cover all the obligatory contain, they would like to divide sagittal structural deformities first and then go forward with scoliosis, in a way that some participants, with no full interest in structural scoliosis but only in structural kyphosis, are certified also under BSPTS to treat exclusively kyphosis. The reason for is the special recognition of the BSPTS as the accepted physiotherapy to treat all these disorders supported by the main National Insurance Companies, in a way that some PTs would be just interested in treating postural problems, others structural kyphosis and just some of PTs would be interested in treating scoliosis, but all under the umbrella of the BSPTS.
I would agree with this, at least for the Local Courses, the courses that they will be offering for Israelis. However, when organizing International course offered to citizens from Africa (in case Israeli Group accept taking part of the International project) should preferably follow also the Format I am exposing here.
Groups like North American group and Australia, will have all their courses in English so theoretically opened to International participants. Those Regions should decide whether offering Local and International courses, with different formats, or not. In case of offering a unique format it would be more rational not to divide and define courses as both Local and International.
At this moment, this is the Plan. I will have a first Meeting for Standardization with the North-American Regional Group on September, 2019 (18-21)and will discuss with them the possibility to have also some special format for Local North-American Courses.
- Spinal Deformities: Basic Course (3 Days)
Objective of the Course: Attendants will learn about all general and specific knowledge related to the main two disorders called Idiopathic Scoliosis and Juvenile Kyphosis (Scheuermann). They will need to fully understand about the 3D nature of idiopathic scoliosis and will need to demonstrate this knowledge, together with the most important clinical and radiological parameters. The BSPTS-Concept will be also introduced, so participants will need to learn and demonstrate knowledge about clinical types (Classifications).
This is a common Basic Course for the traditionally accepted health professionals into the multidisciplinary scoliosis working team, including Physiotherapists, Medical Doctors, Orthotists and Psychologists.
- Normal Spine and Trunk in 3D: Anatomy, Geometry, Biomechanics (Stabilization Mechanisms)
- Sagittal Disorders (Scheuermann and others)
- Scoliosis: General knowledge and 3D Nature
- EOS, AIS, AdS
- Natural History of Idiopathic Scoliosis
- Patient Evaluation
- Non-Surgical Treatment, PSSE and Bracing. Schools and Evidence
- Introduction to Brace Treatment: Rigo-Chêneau Concept (It would be good to offer this to a local Orthotists familiar with the concept)
- Introduction to Surgical Treatment (it would be good to offer this to a Local Scoliosis Surgeon)
- Non-Idiopathic Scoliosis
- Introduction to BSPTS Concept (General Principle, Specific Principles and Clinical types, including the classical Schema of Blocks, to further introduce the idea of ‘pre-defined Strategy of Correction’). This information will be very generic, not really detailed.
- Guidelines to prepare the Exam to get the Pass to the Certification Process (Level 1, 2, and 3 Courses)
- Level 1 Course (6 days) (In person) Summing Days 3 +6 = 9
Objective of the course: It is about learning the BSPTS-Concept, more specifically about Specific Principles of Correction and all the pre-definable Strategies of Correction for all the clinical types, G1, G2-3C, G2-4C, G2-N3N4 and G1-2, in the way they are applied in the 4-5 Basic Starting Positions (Semi-hanging, Supine, Prone-On-Knees, Prone-On-Stool and Side-Lying). General Principles of the BSPTS shall be all applied in the basic starting positions and once Correction-Expansion-Activation-Integration have been learned, Integration will be then brought into the sitting and upright position.
Participants will be treated by the Teacher in order to get the best possible feeling about the Concept. There will be practical sessions where the Teachers will teach, one by one, the participants, how to apply the General Principles as well as the Specific Principles of Correction. Participants will also practice alone and among them. There will be Demo Sessions with real patients but Participants shall not work on this step on a real patient (unless some participant has scoliosis). The end point of this course is like the current C1 but without any exercises in charge or any special exercises but just integration of the correction in both sitting and upright positions.
To go forward easily, all participants need to have sufficient comprehension of some topics from Basic Course:
- Anatomical terminology
- Scoliosis terminology
- Cobb angle
- BSPTS Clinical type and the schema of blocks
- BSPTS terminology
- Curve pattern terminology
- 3D nature of Scoliosis
As far as the Instructor will need a satisfactory evidence of that (aside of the previous pass from the IEC), the course will start optionally with a written test for all the participants (this is not part of the Official Evaluation, and it is just an option of the Teacher to get a feeling about the real level of all the participants, to see whether some participant will need extra-support). The Teacher will be able on that way to find those participants missing the essential knowledge. Participants under such a circumstances will be individually advised about it and will be invited to do overtime with the Instructor/or Instructor’s assistant, every day after the scheduled time in order to overcome the observed problem.
All the Participants will receive a Certification of Attendance after passing a written exam about the Concept (Second Evaluation) where no a single relevant mistake about the concept will be accepted. This has to be evaluated by the Instructor (but the exam will be developed by the IEC and will be the same for all the courses). Later on, they will need to work with their patients and afterwards pass a Third valuation: presenting a case report for the main clinical types – at least one 3C and one 4C, which will be sent to and evaluated by the IEC. This committee will send a ‘Level 2 Course Pass’ to the participant, which will allow him/her to register to Level 2 Course.
- 3D Nature of Idiopathic Scoliosis: Review
- General principle of scoliosis correction
- General principles of the BSPTS-Schroth based technique and description-diagnosis of the 5 Basis clinical types (G1; G2: 3C, 4C, N3N4; and G1-2) with their main radiological criteria and compatibility (The Algorithm)
- Terminology (T-Prom, W-Side, L-Prom, W-Point, Ventral-Prom, Ventral-Flat, Upper-flat)
- Exercises for physiotherapists – Integrating Directions and Terminology
- Exercises for physiotherapists – Touching Formats: Assisted Correction (passive-active), Feeling format, Expansion Format, Activation Format from Expansion or from Tension.
- Definition of the Specific Principles of Correction for Posture, Expansion and Activation
- Practicing: Importance of Self-Elongation from 3D Corrected and Stable pelvis (bringing the pelvis to a corrected position= Centered + Leveled + Non Rotated + Sagittal Neutral, from any observed wrong position (using Basic Starting Positions: Semi-Hanging- sitting on the Elastic Band, Prone-On-Knees and Supine)
- Naming the Predefined Strategies of Correction for all the Basic types G1 and G2 (3C + N3N4 and 4C + G1-2) (Weak-Side leg’s special position for 4C and G1-2 will be explained also here)
- 3C: Definition of Global Balance Over-Correction and Passive Corrections using Supine Basic Starting Position, emphasizing the correct performance of the ‘global balance Over-correction’ in 3C clinical type.
- 2 more Basic Starting positions (Prone on stool and Side-Lying). Describing the position and Passive Corrections for 3C and N3N4 (Analyzing or Comparing both Clinical Types 3C and N3N4)
- Practicing more about Semi-Hanging- sitting on the Elastic band, Prone-On-Knees, Supine, Prone-On-Stool and Side-Lying, for 3C and N3N4 (Analyzing or Comparing both Clinical Types 3C and N3N4)
- Importance of Expansion + Activation Principle emphasizing the correct performance of the Diagonal Line and the Shoulder-Counter-Traction at the T-Prom Side
- 2 more Basic Starting positions (Prone on stool and Side-Lying). Describing the position and Passive Corrections for 4C and C1-2 (Analyzing or Comparing both Clinical Types 4C and G1-2)
- Practicing more about Semi-Hanging- sitting on the Elastic band, Prone-On-Knees, Supine, Prone-On-Stool and Side-Lying, for 4C and G1-2 (Analyzing or Comparing both Clinical Types 3C and N3N4)
- Importance of Expansion + Activation Principle, emphasizing Shoulder-Counter-Traction at the Weak-Side and at the T-Prom Side
- Interactive Summary of the Concept
- Coordination exercises and Stabilization exercises in Supine (Participants must practice)
- Four General Principle: Integration.
- Integration in Sitting position
- Integration in Standing position
- Self-practice (Teacher/Therapist, Therapist Alone and Therapist/Therapist)
- Demo sessions with a real patient
- Guidelines to prepare Case reports for the Third Evaluation.
- Written exam as Second Evaluation
- Level 2 Course (6 days) (In person) Summing Days 9 + 6 = 15
Objective of the Course: It is about going more in-depth into the concept, using now not only the basic starting positions but some more exercises in those positions as well as new loading and special starting positions.
A very important part of this course is about demo, in other words, the instructor working under the observation of the participants. Participants will also work with real patients on this course but only the last two days. Instructors will basically observe participants to work on real patients in order to make a complete picture about the way the participant has got the concept. After the two days working with real patient, the Instructors should be able to say whether a participant has apprehended the concept or not. In positive case, participant will be asked to continue working and developing his/her technique in order to be prepared for the real practical exam, which will be made during Level 3, after presenting a ‘Work for Grade’ to the IEC. In the negative case, the participant will be asked to come to the clinic for some additional days of observation, and repeating later on the practice on real patient. Only after participant has got the Concept (at least in accordance to the Instructor’s perception), he/she will be asked to develop the technique in his/her place and be ready for the practical exam. The role of this Level 2 Course is about offering a refresh course about the concept, going more in detail with more exercises, and taking the place of an intermediate course between Level 1 Course and final Practical exam (the one which is represented in the current plan by C2), something that most of people participating nowadays in C2 demand (observing for a second time current C1 before coming to the exam in C2).
- Review of BSPTS Concept for G1: Importance of Stability and Activation.
- Review of BSPTS Concept for G2 and G1-2: Importance of Stability and Activation
- Review with Demo of the 5 Basic starting positions (Semi-hanging, Supine, Prone-on-knees, Prone-On-stool and Side Lying) for 3C and N3N4. Compared again.
- Review with Demo of the 5 Basic starting positions (Semi-hanging, Supine, Prone-on-knees, Prone-On-stool and Side Lying) for 4C and G1-2.
- Activation Technique with External Aids
- Special Exercises for Scheuermann (Including Supine with Two-Poles, Supine-Pushing with Elbows and Head, Iguana in Prone-On-Knees and Prone-On-Stool, Back to the Wall-Bars in Sitting, Variations of Sitting with Chairs)
- Some selected exercises according to the 5 Basic starting positions for 3C and N3N4 (Supine with Two Poles, Semi-Hanging with Elastic Band, Prone-On-Knees extended arms, Semi-Iguana, and with Two Poles, Prone-On-Stool SCT at the T-Prone Side with a Roll and Thera-band) – Practicing with Models
- Weak-Side Abduction in 4C and G1-2: Reviewing the mechanism.
- Some selected exercises according to the 5 Basic starting positions for 4C and G1-2 (Supine with Two Poles, Semi-Hanging with Elastic Band, Prone-On-Knees extended arms, Semi-Iguana and with Two Poles, Prone-On-Stool SCT at the Weak-Side with Thera-Band and SCT at the T-Prone Side with a Roll and Thera-band)
- Sitting position exercises for 3C and N3N4 (Facing the wall-bars, with Two Poles, Side-Sitting)
- Standing position exercises for 3C
- Sitting position exercises for 4C and G1-2 (Facing the wall-bars, with Two Poles, Side-Sitting)
- Standing position exercises for 4C and G1-2
- Special exercises for 3C with Demo
- Special exercises for 4C and G1-2 with Demo
- Importance of Integration and Task Oriented exercises
- Observing Therapy in Group
- Observing (Demo with Model) and Practicing all the positions with Models
- Self-practice (Teacher/Therapist and Therapist/Therapist)
- Demo sessions with Model
- Practice one to one with Model (passing to the next step or not, evaluated by the Instructor)
- Guidelines to prepare C3 access
- Level 3 Course (6 Days) (In person) Summing Days 15 + 6 = 21 Total Days
Objective of the Course: Main objective is Practical Exam and Final certification. Also learning more about adults, post-surgery complications, group sessions and bracing.
- Review of BSPTS Concept for all the groups
- More about Muscle Activation and Integration
- Adult Scoliosis (AdS)
- Technical modifications to work with painful AdS
- Post-surgical patients (Improving Stability and Expansion techniques)
- More about Activation Technique
- More versions for special exercises
- More about Group Sessions Demo
- Daily Practice on a real patient and Final Practical Exam (Evaluation by Instructor)
- More about Rigo-Chêneau Bracing Concept
- Scoliosis: State of the Art
- Certification Ceremony and Party
- Continue Education Course (1 Day and a Half course).
Objective of the Course: offering regularly the State of the Art of all the issues.
- Scoliosis State of the Art
- Evolution of the BSPTS concept by Rigo
- Evolution of Rigo-Chêneau Bracing Concept (An Orthotists expertize on Rigo-Chêneau Concept should be invited to give this lecture)
- Non idiopathic Scoliosis State of the Art (A doctor specialized on this issue should be invited to give this Lecture)
- Surgical Treatment: State of the Art (A recognized surgeon should be invited to give this lecture)