Dance: integration of automatic and conscious, random motor control leads to impressive motor control (© konradbak/Fotolia)


From the aspect of control, automatic motor activity can be distinguished from planning target motor activity.
Scientific studies show that more than 90% of everyday motor activities are based on automated or reflex motor processes. When circumstances require it, a large part of the automated motor activity can also be consciously controlled. Conscious control of new motor activity is difficult and requires focus. It always competes with unconscious motor activity, which must eventually be overcome.
For efficient motor control, automatic neuromuscular control mechanisms of joints (feedforward motor control), cortical plasticity and task orientation are important issues. Conscious and unconscious motor processes complement each other and peripheral (articular) sensorimotor information is automatically integrated into the coordination of complex global motor skills. This results in a balanced, automated and goal-directed motor system. 

Hip-spine-syndrome --- shoulder-spine-syndrome
Dysfunctions of the shoulder and/or hip joints directly and automatically trigger arthromyogenic motor inhibition processes that alter the stabilising motor feedforward of the scapula and/or pelvis. Cortical plasticity ensures that this altered feedforward motor function is automatically integrated into the coordination of dynamic, complex arm and/or leg movements so that their goal is maintained. The spinal motor system also automatically adapts to this altered feedforward motor system of the pelvis and/or scapula. This adaptive motor system can lead to excessive loading of the less weight-bearing segments of the spine when the load of the arms and legs is transferred to the spine, ultimately leading to back pain.  
Hip-spine syndrome and shoulder-spine syndrome are examples of these motor compensation strategies and their possible clinical symptoms.

Force Couple
Muscles or muscle groups never work alone, but always in pairs at the joint level (force couple). The force vectors of these muscles or muscle groups act parallel to each other but in opposite directions, thus providing optimal neuromuscular stability of a joint. Several well-functioning force couples form movement chains that load the spine correctly. 
Arthromyogenic inhibition as a result of arthrogenic dysfunction of the schoulder- and/or hip joints leads to a disruption in the relationship of these force vectors and thus to reduced motor stability of the scapula and/or pelvis, resulting in motor compensation.

PhysioNovo - True strength is first seen in coordinative performance, not in outward appearance.
Restoration of the reduced neuromuscular stability of the joint is based on reducing or eliminating the local motor consequences of arthromyogenic inhibition through targeted strength training. This involves learning new, conscious motor skills that must overcome the unconscious, reflexively inhibited motor skills.  In addition, the global motor function of the spine must be corrected.