The Dynamic Method of Kinetic Stimulation, MEDEK, was developed by Chilean physical therapist, Ramon Cuevas. MEDEK focuses on stimulation of the automatic movements that contribute to postural control.
The inability to move at an early age limits the development of the brain structures and causes muscle weakness and deformities leading to more severe motor deficits. MEDEK encourages early assessment and treatment, as it has been well documented that brain development is affected by activity. Intervention within the first six months of life is ideal.
The MEDEK approach focuses on training movements that lead to sitting, standing and walking. Muscles are trained in postural and functional tasks rather in a developmental sequence (rolling, sitting, crawling, etc.) or by strengthening muscles in isolation.
MEDEK has a unique evaluation protocol. After the initial evaluation, an eight-week trial program is designed and includes; a once-twice weekly 45-minute treatment session with the therapist, and a home exercise program of approximately eight exercises that are taught to the parents to be performed twice daily. The home program is an essential part of the MEDEK program. These exercises do not require the child’s attention, conscious thought or cooperation.
The efficacy of the MEDEK program for a particular child is evaluated during the trial period. If no changes are made, the parents are advised to pursue another avenue of therapy. If the child is showing positive changes, the program is continued.Parents report that they enjoy doing the exercises with their children and benefit from a structured plan with clear goals. For a brief review of Medek go to http://cms.tc.columbia.edu/i/a/919_medekwebback-up.pdf or http://www.medek.ca/about.htm.