CME(Cuevas MEDEK Exercise) or the Dynamic Method of Kinetic Stimulation (MEDEK) is a physical therapy approach created and developed by Chilean physical therapist, Ramon Cuevas, in the 1970s. This approach focuses on:
Improving the gross motor skills of young children with physical disabilities and movement disorders from the age of 4 months and up.
Exposing the child to the natural influence of the force of gravity with gradual progression to distal support.
Provoking automatic postural reactions that contribute to the postural control needed for functional tasks.
Training movements that lead to sitting, standing, and walking.
During CME or MEDEK, the therapist physically manipulates the child to stretch out tight muscles and train the muscles in groups. These manipulations eventually lead to the child gaining control over his or her trunk, which is necessary to perform basic gross motor activities such as sitting, standing, and walking. Sessions begin on a table. Then, if the child is able to stand with ankle support, the floor is used. Floor exercises involve 7 pieces of equipment, which can be configured in various ways to challenge the child’s sense of balance. Exercises are repeated until the reaction of the brain becomes automatic and the body reacts normally to situations where it is required to keep its balance.