Moving Beyond Technique: A Conceptual Perspective for the Cuevas Medek Exercise Aligned with Modern Neuroscience.

Highlights: What are the main findings? Cuevas Medek Exercise can be conceptually aligned with contemporary frameworks of motor control, developmental neuroscience, and neuroplasticity. Its core principles can be understood as structured sensorimotor opportunities that may support adaptive motor dev...

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Publicado en:Children Vol. 13; no. 6; pp. 769 - 780
Autores principales: Becker, Cristiano, Goulardins, Juliana Barbosa, Marques, Juliana Cristina Fernandes Bilhar, Gajardo, Ramon Jeronimo Cuevas
Formato: tables/charts Journal Article
Publicado: MDPI Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
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      pub: MDPI
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        atl: Moving Beyond Technique: A Conceptual Perspective for the Cuevas Medek Exercise Aligned with Modern Neuroscience.
      aug:
        au:
          Becker, Cristiano
          Goulardins, Juliana Barbosa
          Marques, Juliana Cristina Fernandes Bilhar
          Gajardo, Ramon Jeronimo Cuevas
        affil: CB Center Therapies and CME Courses, Cunha Porã 89890-000, SC, Brazil
      sug:
        subj:
          Pediatric Physical Therapy
          Therapeutic Exercise
          Neurosciences
          Motor Skills Evaluation
          Rehabilitation, Pediatric
          Conceptual Framework
          Child Development
          Motor Skills Disorders Rehabilitation
          Psychomotor Performance
          Cerebral Palsy Rehabilitation
          Posture
          Neuronal Plasticity
          Task Performance and Analysis
          Sensory Stimulation
          Self Concept
          Clinical Reasoning
          Models, Theoretical
          Child
          Patient Safety
          Physical Mobility
          Stretching
          Emotional Regulation
          Family Centered Care
          Therapeutic Alliance
          Muscle Hypertonia
          Muscle Hypotonia Rehabilitation
          Child: 6-12 years
      ab: Highlights: What are the main findings? Cuevas Medek Exercise can be conceptually aligned with contemporary frameworks of motor control, developmental neuroscience, and neuroplasticity. Its core principles can be understood as structured sensorimotor opportunities that may support adaptive motor development. What are the implications of the main findings? This conceptual reframing may support clearer clinical reasoning and provide a theoretical basis for future investigation of CME within contemporary pediatric rehabilitation frameworks. It provides a theoretical foundation to guide future research on mechanisms, intervention fidelity, and clinical effectiveness. Despite its increasing use in pediatric neurorehabilitation, Cuevas Medek Exercise (CME) remains rooted in clinical tradition, with limited theoretical articulation in relation to contemporary models of motor development, control, and learning. While clinical observations and reports from practice suggest possible functional benefits in children with motor delays, the absence of a conceptual framework limits its integration into evidence-informed physical therapy practice and education. This perspective proposes a conceptual model for CME that aligns its core principles with current theoretical constructs in motor behavior and developmental neuroscience. By examining key elements of CME—such as distal initiation, postural challenge, and task variability—through the lens of affordances, self-organization, and experience-dependent plasticity, the article presents CME not merely as a technique, but as a conceptual developmental approach informed by embodied action. We argue that such reframing may support more rigorous clinical reasoning, contribute to interdisciplinary dialogue, and inform a theoretical basis for future research exploring the proposed mechanisms and potential effects of CME. More broadly, this perspective contributes to ongoing discussions on how clinically derived interventions can be conceptually integrated within contemporary rehabilitation science. While the present article does not provide empirical validation, it offers a theoretical framework intended to inform future investigation and critical reflection in pediatric physical therapy.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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