The Coordinative Locomotor Training Concept was developed from the PNF concept as an innovation by Britta Dietz, IPNFA® Advanced Instructor. She linked her sports experiences with the PNF concept and body locomotion in gait. The CLT concept is working with the PNF patterns together with the sprinter/skater coordinations and with combinations of them – i.e. chopping, lifting.
CLT® is a hands-on (and/or hands-off) approach used as a tool by Certified Specialists in a personalized client session to restore the client's stability, strength, mobility, and to relieve pain.
A coordinated movement requires the effective manipulation of the multiple muscle groups and the joints controlling each limb involved in the action. It could be best achieved with a combination of resources: the assembly of various muscle response synergies into functional units of action, exploitation of the mechanical properties of limbs and muscles, and a continuous stream of sensory information triggered by the performance of the movement itself (Lee Moonkyu).
The objective of the CLT® is to address the coordinated structures. As early as 1967 Nikola Bernstein proposed the existence of muscle synergies as a neural strategy of simplifying the control of multiple degrees of freedom to support motor control in goal-directed actions (and Bosch, 2015).
We can find that the support for this is based on The Dynamic Engine Theory (Gracovetsky, 1988) where coordinated movement is always a result of an interplay integrating all body segments, with each segment playing a specific role throughout the process of self-organization (Williams et al., 1999).
The CLT® works with muscle synergies in Sprinter/Skater Coordinations by controlling the key points (position of tuber ossis ischii and angulus inferior scapulae) to help address and correct muscular imbalances. This is connected with a neurological response and an efficient contracting of all body muscles for a normal movement.
The Sprinter/Skater Patterns activate the whole body, when, for example, with one leg in the closed chain (one foot on the ground or on the wall), therapists can predict the direction and a degree of the patient’s responses and maximize the desired effects.
Changing the function of a single segment in rehabilitation re-coordinates the whole system.
Facilitation has an influence on the whole person and the aim is to achieve antigravity locomotion in every position. The client recognizes and acquires fast, desirable movements as a result of using implicit patterns of normal movements in gait which are registered in the motor cortex (Dietz, B. 2009, 2017.)
Shepherd and Carr (2005) suggested that gaiting exercises on individual parts are ineffective and that it is necessary to implement weight-bearing exercise followed by a lower limb control and muscle and muscle enhancement regimens.
During the treatment, we provide Security lines ® which immediately catch the inner and outer core muscles. When core stability and strength are provided the whole body reacts with a better balance and movement.