Predicting the outcome of patient specific exercise interventions. Do we need conscious input to make motor control changes? Craig Phillips B.App.Sc (Phty) MPhysio (Sports).A.P.A.M Director - DMA Clinical Pilates & Physiotherapy • Recent research validates the predictability of directionally biased exercise interventions (Tulloch 2012) • Near perfect inter rater reliability k = .87 (Yu 2013 - in press) • Within session within subject changes consistently reproducible pre intervention post intervention Patient self report of ability - n/5 test L pre R post pre post SLS 4 4 1.5 3.5 SHR 4 4 2.5 3.5 HOP 3 3.5 1 3.5 73% 76% 33% 70% Intervention exercises based on movement based classification subgrouping model Matched to directional subgroup Directional intervention model has level 1 evidence Directional subgrouping - Right extension bias • applying directional bias to exercises • no conscious input required to change aberrant motor pattern – – – – ? Sub cortical ? Decerebate ? Mechanical neural change ? intrafasicular pressure – WHY ?