CUEVAS MEDEK EXERCISE
Cuevas MEDEK Exercise (CME) / MEDEK is a form of physiotherapy treatment used to treat children with Motor Delay. Children whose birth history may place them at risk for Motor Delay (e.g. premature birth) or children diagnosed with Down Syndrome, Cerebral palsy, global developmental delay, hypotonia, chromosomal abnormalities, spinal cord lesions or acquired brain injury may benefit from this form of therapy.
CME was created by Ramon Cuevas in Caracas, Venezuela between 1971 and 1973. MEDEK comes from the Spanish acronym that means dynamic method for motor stimulation.
The basic CME assumption is that in a gravitational environment, we require postural control and the ability to pull up against gravity, to stabilize our body in space. Gravity is considered the main stimulus that triggers the neuromuscular system to react. CME relies strongly on the vestibular and proprioceptor systems. Children who receive CME therapy are known to have strong postures and core strength.
CME provokes automatic motor movements – no verbal instruction or physical guidance is required – only physical provocation.Although movement is learned, we are not conscience of all the detailed, coordinated movements we make all day. Our brains automatically react to our environment. We live in a world with gravity and our brain is designed with many automatic responses to gravity, as well as adjustments in tone.
In CME therapy we place the child in a position where gravity is requiring a response, and then we wait for them to complete it, with gradually less assistance over time. In this way the brain practices these normal automatic responses and develops the appropriate synapses to make the response a consistent reaction.