The Lyon method is the
oldest PSSE (Physiotherapy Scoliosis Specific Exercises).
This course will provide delegates with the knowledge, skill and technique
required to identify current challenges and take the kind of action which will
significantly improve operational effectiveness and drive business success.
Pre Course Contact
Delegates are contacted
before attending the course to discuss specific development needs, identify
training objectives and agree appropriate content areas for the training course.
1. Description and
concept for 2-days training – Lyon Method course
common physiotherapeutic principles the Lyon Method was founded by Charles
Gabriel Pravaz in 1827 and continuously refined through the experience of
Lyon Scoliosis Centres such as the Centre des Massues”. “Centre” means the
patient is in the centre and all the specialists: MD, PT, CPO are around.
The use of
postural exercises for scoliosis therapy is grounded in scientific
principles like chaos theory and tensegrity concept that relate directly to
spinal deformity. Culture is a fundamental element of the Lyon method which
combines mechanical and postural neuro-motor correction. Verticality of homo
sapiens, chaos theory, tensegrity, coupled movements of the spine give
meaning to the pathology and its treatment.
extrapyramidal system is a part of the motor system network causing
involuntary actions. The tecto-spinal tract is stimulated by the use of the
mirror (awareness). The reticulo-spinal tract manages the trunk posture. The
sensors are located at the posterior arch of the vertebral bodies. Massages
and mobilization stimulate sensors sensitive to stretching. The vestibulo-spinal
tract manages proprioception. As early as Charles Pravaz, the patient's feet
were placed on a tilting tray called "swing". The rubro-spinal tract manages
automatic global movements. This is why the exercises must be repeated every
day at home.
movement is based on the coupled law of motion. The derotation is the result
of a correction in the sagittal plane with restoration of an isokinetic
balance and a secondary correction in the frontal plane in "shift" at the
lumbar level (translation) and in "bending" at the thoracic level (frontal
indicated and prescribed, are included in the therapeutic process helping
patients to accept this useful therapeutic tool and use it also as
therapeutic equipment to improve the quality of exercises, especially for
the home exercise program.
In the 2-days - training
we will enlighten various scoliosis specific theoretical aspects in combination
with functional parts of the therapeutic approach.
The course leads from the surface of scoliosis understanding to a more
sophisticated and comprehensive clinical reasoning regarding the conservative
management of scoliosis.
2. Goals and Summary
The Lyon method training
enables MD, PT & CPO to provide a sufficient conservative treatment for patients
with spinal deviations mainly for idiopathic scoliosis, kyphosis and
The goal is to prevent surgery, decelerate or stop the progression and develop
effective coping strategies for the patients to improve their social
participation and activities in their daily living. The most recent correction
techniques can improve by 30% on average, the angulation of scoliosis at the end
This has also a positive
effect on the general HQL (health related quality of life) for children, adults
and elderly patients suffering from scoliosis and kyphosis.
The training enables to understand the biomechanical conditions of the
asymmetric postural aspects and asymmetric loading of the spine leading to
functional and structural adaptations and a further risk of progression.
PSSE is also indicated for patients in a brace and patients reported for surgery
or after surgery.
MD, PT & CPO learn to define their role as team players in an interdisciplinary
network of physicians, surgeons, orthopaedic technicians (orthotists), parents,
Verticality of homo sapiens: Scoliosis is a consequence of verticality
Biomechanics of the
spine: tensegrity concept, the spiral line, scoliosis vicious circle,
kyphosis and deep front line, spondylolisthesis
lombo-pelvic parameters, sitting position, conservative treatment and sport
and psychological status, assessment, classification, Scheuermann,
3D nature of AIS:
Anatomical & functional planes, coupled movements
chaos theory: Genetics, melatonin, chaos & linearity
Scoliosis on a
lifespan: from Early Onset Scoliosis to Pisa syndrome
The Lyon method of
physiotherapy: History, 12 basic exercises, Dynamic beam, examples of
typical sessions, breathing, sport activity
Lyon brace & new
ARTbrace: History, CAD/CAM, bracing biomechanics, Very high rigidity of
Europlex’O, digital transformation, Results
scoliosis: Risser 5 bracing management, AIS natural history, de novo
scoliosis, Physiotherapy & Corrective bracing
3. Eligibility to attend the 2-days training course
Lyon Method historically
is a physical therapy and bracing management, and therefore the certification
courses will be offered exclusively to PT and therapists working in the same
function, MD & Orthotists working in the field of scoliosis.
SOSORT (The International Society of Orthopaedic Scoliosis Rehabilitation and
Treatment) formed in 2004, with the key members of the leading European clinics
as founding members. Since then, Lyon method has always been intimately involved
in and follows the consensus recommendations of SOSORT.
The 2016 SOSORT consensus on treatment guidelines for conservative scoliosis
treatment define the leading members of the multidisciplinary team as MD,
orthotist, and physical therapist. The exercise methods being carried out under
SOSORT treatment guidelines referred to “Physiotherapy Scoliosis Specific
Exercises” (PSSE), which is inclusive of the Lyon Method.
4. e-learning & 2-days Training Course
E-learning programs are recommended, but not essential for residential 2-days
Many elements used in other methods can also be integrated into the Lyon method
according to skills and knowledge. The knowledge of the Lyon method allows from
the basic ingredients to "bring up the mayonnaise".
The presentation of the deviations of the spine, the basic exercises, the
realization of the braces constitute the core of the 2 – days program.
Since 10 years all treatments are evaluated with EOS 3D, which allowed to better
specify the technology, especially in the sagittal and horizontal plane. The
measurement of the lombo-pelvic parameters allows the achievement of a
personalized isokinetic balance for each patient.
Participants learn to adapt the physiological progression of the exercises
during the session and throughout the treatment. This progression takes into
account multiple factors such as the flexibility of the spine, the usual posture
and the practice of a sporting activity. We do not treat an X-ray, but a
5. Ethics and Certification process
The certification 2 –
days training Lyon Method authorizes for practice of physiotherapy according to
the concept of Lyon Method but does not permit to teach other professionals the
method (which requires coaching).