CME is a dynamic technique used in physical and occupational therapy aimed at provoking improved postural responses in patients to promote progress toward developmental milestones.
Cuevas Medek Exercise is a technique developed by Ramón Cuevas in 1972 while he was working with several young children. The basic goal of CME is “to create a method of exercises that will provoke the automatic postural responses from the motor delayed children, in spite of their neurological damage and level of awareness.”
During CME, the therapist physically manipulates the child to stretch out tight muscles and train the muscles in groups. These manipulations eventually allow the child to gain 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 seven 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 required to keep its balance.
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