The relationship between
ability & choice (cont.)...
Normally, a child with the physical abilities to actively
participate in games, will naturally choose to join in sports play.
Like humans, animals spend their time involved sensory-motor
experiences. If we look for instance at a domestic pet, like a
kitten, we can easily see that it is constantly engaged in games,
(such as moving objects and chasing them, climbing, rolling,
jumping, etc.). The innate purpose of these games is to equip the
cat with motor and perceptual skills that are critical for its
development and survival, (hunting, for instance, requires speed,
quick and accurate timing and good eye-limb coordination).
Humans are born
with a small number of primitive reflexes. As a result of our
perceptual-motor experiences, we build up a mature body scheme,
learning to “know” our bodies, and constantly enhancing our
movements. The feedback from these motor experiences enriches us
physically, perceptually and cognitively, which in turn affect us
emotionally and socially.
Therefore, active physical games and movement during childhood
are extremely important evolutionary components for proper
motor-perception, cognitive, social and emotional development.
In the case of
the “avoiding child”, because the child senses that he/she doesn’t
have the motor ability to perform the necessary skills involved in
playing an outdoor game, he/she chooses not to play and instead
chooses the TV or computer. Typically, even a single failure at
physical play can stop a child.
In the paradox
of a high verbal IQ/low performance IQ, high
intelligence was acting against the child. The child created
his own various scenarios of, “what could happen if…?”, (‘If I pass
inaccurately, if I miss a shot’, etc). This puts off any chance of
being motivated to take part in a ball game.
For a highly intelligent child, even
one negative experience is often enough to decide that playing
sports with friends is out of the question. It only takes one
stumble while trying to score, or an insult for having missed an
easy shot, to convince a child to seek refuge in front of a computer
screen. It makes no difference how much time has passed since the
blunder; a child’s episodic memory concerning such
Parents can help their children to acquire coordination and
sports skills. When children have the necessary physical
skills to participate in games, they will have the freedom to
choose which games to play. The child will no longer feel
the need to avoid joining in a game. That ability gives
the child freedom to make a choice, and it is the parent's
obligation to enable their child to acquire various sports
skills, improve their coordination, etc. The child can
then choose between playing basketball, soccer, tennis or any
other team game. The choice will be made among many
defaults, avoidance not being one of them. If the
child prefers to stay home and watch television, it's a
legitimate choice (maybe he's tired at that moment and doesn't
wish to play outside...).
our unique ‘Adaptive-Load’ treatment method:
began to develop his novel and creative treatment method after
discovering a lack of existing appropriate treatment tools
available to physical and occupational therapists.
Eyal’s treatment method is based on scientific principles in
anatomy, kinesiology, physiology, biomechanics and physics.
He was determined to create the finest tools for giving some
hope to so many children and adolescents who feel or are labeled
clumsy, weak, or even disabled. These children often
suffer from low self-esteem and poor body image because they are
rejected by their peer group.
The ‘Adaptive-Load’ treatment method is composed of four main
Novel exercises for muscular strength and endurance (without
using weights!) for gross/ fine motor disorders due to muscle
weakness and Hypotonia (low muscle tone), building muscles
(every muscles group), supporting posture (body alignment), and
raising B.M.R (basal metabolic rate), in obese children. The
exercises are safe and use manual resistance applied by the
therapist. Your child will work hard but have fun, seeing
results after just a few treatment sessions! (Demonstrations are
provided for parents before commencing work with the child…).
2. As a clinical practitioner, Eyal has developed more
than 2,500 new and exciting exercises to improve every component
of motor function, including; coordination (see next
title for details..), balance, motor planning, spatial
organization, sensory-motor integration, tactile (touch) and
movement sensation, movement isolation, crossing midline and
many others. Dozens of them were designed for children who
can't hop or jump (due to various reasons, such
as hypotonia and pronated feet*, poor balance or poor
coordination). Hopping and jumping according to our
philosophy, are considered
a Critical key for acquiring some fundamental motor
skills, such as galloping, skipping, running, jump rope and
others (skills that have a huge contribution to emotional,
social, cognitive and motor development, and an overall sense of
years old hypotonic
child, with Pronated feet (noticeable),
and consequent difficulty to jump, hop etc. (alignment of
Achilles tendon is marked. normal alignment is vertical)
for a comprehensive exercise in 'AL' method, which
serves many psycho-motor interests such as:
Balance, leg-eye (double) coordination, movement
isolation (one hand is mobile while the other remains
fixed), arm-leg (the one wearing the stilt) coordination
, motor planning, spatial organization, movement
sensation in holding the 'ice-cream' without letting the
ball fall down, as well as the need to lift each foot to
a different height (because only one foot is wearing the
stilt..), muscle co-contraction and others... (we've
marked the stick in the lower photo, just to make it
more visible to you).
Children will quickly acquire skills using a unique,
multidimensional approach. Exercises incorporate a variety
of activities used in daily life (such as shoe tying) as well as
sports skills such as: bouncing a ball, jumping rope,
teaching children bicycle riding
(click to watch a video clip), rollerblading, as well as,
improving fundamental motor skills like running, galloping,
hopping, skipping and many others.
Teaching jump rop:
5 years old Amit (the boy) and Tamar (the girl) show a
remarkable performance after acquisition of jump rope in the
most professional and enjoyable way!
Acquiring new unfamiliar posture habits (using novel exercises),
especially for computer kids, who spend hours each day slouching
in front of a computer or TV.
Treating 12 years old
girl, who suffers from kyphosis (hunchback) and very poor body
awareness (using 'Adaptive-Load' tools). Treatment focuses on
both thoracic spine and cervical spine (chest and neck)
Left photo: 14 years old boy
with poor posture\ kyphosis Right photo: Same boy, after a short treatment period (just
few months) at Motorikal, demonstratting a new pattern of body
alignment while standing. This boy is now able to maintain an
upright posture easily and naturally for a long period of time.
Left photo: a 36 years old
high-tech patient, with structural kyphosis (chest and neck) and
asymmetrical standing, accompanied by degenerative changes in the
vertebral column and intervertebral discs (lumbar disk herniation)
and leg numbness. These all made it difficult to perform basic
and essential functions such as standing , walking, sitting and even
sleeping (paraesthesia during sleep). The clear asymmetrical
postural alignment in this photo (center of gravity and weight
loading shift to the left side) accompanied her for a long time and
was forced on her mainly due to a significant back pain when trying
to maintain an upright posture.
Right photo: Same patient, during treatment period (just
five months from the begining) at Motorikal, demonstratting a new,
IMPROVED pattern of body
alignment while standing. all symptoms mentionned above where gone.
note: The woman described above, like many of our patients, had been
previously treated with Physical Therapy and Acupuncture (treatment by
these disciplines focused primarily on symptoms\ pain and did not
achieve significant postural change).
In addition to a huge variety of the finest
treatment tools, Adaptive Load method development has
contributed some significant insights, based on
scientific research combined with rich clinical
experience, to physical therapy/ occupational therapy.
Some of the findings were presented in Eyal's article published in the Israeli
Journal of Pediatrics.
Among our new findings:
1. New rationale for treatment of DCD in children and the
window of opportunity which remains open to a relatively older age
2. Direct relationship between the presence of
Pronated feet and consequently the difficulty in getting off the ground (e.g. to
hop, skip etc.) and sometimes even balance disorders. critical importance in enable the child acquiring
these fundamental skills in early childhood, and a variety of
innovative, remarkable treatment tools developed for children with
severe Pronated feet!
3. Still about Pronated
feet, we found a strong relation between the extent of
difficulty in maintaining balance, and the level of
difficulty to hop. Therefore, when we improve the
ability to hop (using a proper movement patterns) we
also reach a significant improvement in balance (double
profit). According to our scientific perception, when a
child with pronated feet who hop or run or skip using a
proper movement patterns, recruits and strengthen
important muscle groups such as Tibialis posterior,
muscles that will play an important biomechanical role
in maintaining balance.
4. Integrative approach (a real
breakthrough) in treatment of Obesity in children
(Physiological, Postural & Motor aspects, all combined
5. New, systematic approach for treatment of Hypotonia in children (Benign
6.New rationale for effective
motor learning: Learning in a hierarchical, multi-dimensional approach,
using advanced tools which give the therapist the capacity to teach
a wide variety of skills within treatment of children with
severe clumsiness, combined with ADHD.
7. New perception regarding Muscle strengthening.
We offer innovative and finest tools for strengthening
each muscle or muscle group, in the fastest and safest
8. Innovative treatment for ADHD
practical meaning for 'Motor Working Memory' concept,
in children and adolescents. Treatment uses hundreds of
exercises that are fun and challenging, which develop in
addition to Working Memory, a set of Executive
Functions (planning and organizing in space, self monitoring,
problem solving and more...).
9. New, practical
meaning for 'Postural coordination' concept in children
and adolescents with poor posture/ faulty posture. Eyal
has developed dozens of exercises to improve Postural
coordination and allow better understanding of what
ideal posture really means.
We also found a strong
relation between a poor motor coordination in children and a poor
postural coordination. That is to say, that DCD
children may find it harder to organize for (planning) or
achieve correct posture.
More new finding will be
published soon (The full list is available in Hebrew). Please use Google Translate to view the
full list at This
Coordination is the
name of the game. Physical
coordination is indeed, a part of almost every function of our
daily lives, and one that most of us take as for granted.
For example, slamming the car door without getting your other
hand caught, climbing up the stairs while glancing at your watch
or reading a text message on your cell phone without losing
surprise your children, (and you), and challenge them with
hundreds of unique coordination exercises, developed
and chosen just for them, to improve all aspects of their
coordination, while having fun.
coordination exercises we offer have many advantages:
are very challenging. Kids enjoy practicing.
novel. Your child has never tried them before...
·Variety of tasks
with a gradual increase in the level of difficulty gives your
children a constant sense of success, keeping them motivated and
focused. Each exercise is constructed so that even kids with
severe motor disorders can benefit.
·Exercises serve all
aspects of coordination, including bilateral integration,
hand-eye coordination, timing, dexterity etc.
oriented towards ball games, so that children will not only
improve their coordination, but gradually perform better in
basketball, soccer etc.
·The equipment used
in the clinic is readily available (balls, ropes etc.). Children
are encouraged to practice at home also.
offer a wide variety of high quality exercises, that enable
us to give your child uncompromised professional treatment,
at the highest level.
Six years old Assaf, shows an excellent balance,
leg-eye coordination, hand-eye coordination, bouncing
movement isolation, muscle co-contraction: a well tuned orchestra!!
Major fields of
intervention in Motori-Kal:
(including Hypotonia/ BCH) in
any body part or any muscle group (including shoulder
girdle, back muscles, thighs, abdominals etc.).
while performing simple tasks requiring some effort, (heavy
breathing or suffering from muscle soreness after short runs
or climbing stairs).
Poor motor planning:
performing tasks slowly, difficulty with object
manipulation, monotonous and ineffective body usage in
movement tasks and constant need of intervention...
Developmental Coordination Disorder):
being accident prone, poor performance of daily tasks
(gross/ fine motor), poor movement isolation, avoid crossing
midline, balance difficulty and others...
orientation & organization
(directions in space, laterality, motor planning regarding
the surrounding space...)
Avoidance of using
playground structures and
preferring to watch from the sidelines.
Fear of a ball
and/or choosing to be a goalie (goal keeper) or referee (as
a constant default), or avoiding participation in ball games
at school and after school, because of poor bilateral
integration (hands coordination), hand-eye coordination,
motor timing etc.
Preference to find a
secure shelter in front of the computer/
television etc., rather than 'taking the risk' of playing
outdoors with friends.
Poor body image and low
self esteem, feeling inferior
compared to peer group...
Fine motor disorders:
poor handwriting, pencil grip, cutting, threading beads...
such as kyphosis, (hunchback), Lordosis and swayback.
disorders such as knocked knees, hyperextended
knee, toe in position/ toe out position, short achilles
tendon, pronared feet, flatfoot and more...
(a result of low activity level, low body metabolism, low
overall muscle tissue).
ADHD/ ADD children,
with difficulties in Executive Functions: self management,
decision making, time management, self regulation, ability
to ignore irrelevant variables or distracting factors,
ability to maintain attention, short attention span.
Coachingchildren without any (organic) disability, who want to
improve in sports and improve their
Teaching various sports skills
like: bouncing a ball, jumping rope,
(click to watch a video clip), rollerblading, as well as,
improving or teaching fundamental motor skills like
running, galloping, hopping, skipping and many others...
Teaching ADL skills like how to tie shoes and
For further information about our treatment method,
fields of intervention or to arrange a lecture (local or abroad)
or any other requirement, please do not hesitate to contact Eyal Tzioni at:
+972 54 44 66 848 (usually from 13:00 pm, local Israeli
Motori-kal clinic is located in Ra'anana (Israel) at 2
Ha'Tikva st. (kir'yat sharate neighborhood).
Home visit service is also available in
Tel Aviv District (with an additional fee, and depending
friend about us:
About Eyal Tzioni:
about to begin his Phd. Studies (University of Haifa), based on
his treatment method.
Master's degree in Learning Disabilities (Graduation cum laude),
University of Haifa, Israel.
was awarded a scholarship for his study dealing with Hypotonia
(benign congenital hypotonia) in school age children ('Fine
motor learning ability of school age children diagnosed in
infancy as BCH' ), and presented his findings in two important
conferences: 1. (Lecture) The Annual Conference of the Israeli
Association for Child Development & Rehabilitation (Haifa,
2004), 2. (Poster session) ISPGR* Conference (*International
Society for Postural and Gait Research) (Marseille, France
click here to view the poster presented (using
Adobe Acrobat reader)
in Normal Child Development at Infancy, Sackler Faculty of
Medicine, Tel-Aviv University, Israel.
with two Specialties: Motor & Posture disorders among children
and adolescents. Sports Medicine Department of Zinman College of
Physical Education and Sport Sciences (Wingate) Israel.
in Basketball Coaching, Zinman College of Physical Education and
Sport Sciences (Wingate) Israel.
a novel and exclusive treatment method
('Adaptive-Load') with a clear scientific rationale, for a wide
spectrum of motor disorders, posture and obesity among children
and adolescents. Pediatricians, pediatric neurologists, physical
therapists, occupational therapists and others have adopted his
hundreds of children, and adolescents with motor and
developmental disorders, posture disorder and obesity using his
Lectured on his treatment method at the Zinman
College of Physical Education and Sport Sciences (Wingate)
a program of instruction, especially designed for therapists
with related specialties (i.e. occupational therapists, physical
therapists etc.), physical education teachers and others..
method and the link between motor disorders and learning
disabilities, to pediatricians, physical therapists,
occupational therapists, psychologists, kindergarten teachers
and other professionals.
articles and newspaper columns (in Hebrew, which appear online
at this website) about various issues in child development.
Developed and built the Motori-kal Website, with articles, media
files and more…
Eyal sets a good example for
children by being active in sports (including competitive
bike riding, rollerblading and
basketball). He hopes this will inspire and challenge them
to get active too.
Determination is an important key to success. Eyal sets a
good example for children...