The methodology
The therapist supports the child only from a distal point — a foot, a shin — and grades the exposure to gravity. With less support to rely on, the child's own nervous system is provoked into producing postural responses.
Method · CME
A distal-support technique that exposes the child to gravity and provokes the nervous system to call up automatic postural and standing reactions — the body learning to hold itself up.
What it is & why
CME — Cuevas Medek Exercises — is a psychomotor approach using gravity-influenced, distal-support exercises that provoke a child’s own automatic postural and movement responses.
Why we use it. ORCA reaches for CME to wake up missing antigravity control in young children, building the postural foundation other methods then load.
The how & the why
The therapist supports the child only from a distal point — a foot, a shin — and grades the exposure to gravity. With less support to rely on, the child's own nervous system is provoked into producing postural responses.
CME targets the antigravity skills underneath every milestone — head and trunk control, standing and the first independent steps — by making the child do the work, actively.
Candidacy
Children working on postural control and antigravity milestones — many with cerebral palsy, hypotonia, genetic syndromes and developmental delay.
From infancy upward — exposure and support are scaled precisely to the child's size and stage.
Against postural and motor milestones with recognised tools — see assessment & tracking.
"CME asks the child's own nervous system to answer gravity — and that's exactly where postural control is built."
— Lead physiotherapist, Apexa QLA
Part of The ORCA Method
Every method at Apexa is one instrument in a larger whole — see how Cuevas Medek Exercise (CME) fits the overall ORCA architecture.
Part of one architecture
CME works at its best inside the ORCA structure — applied at the right time, for the right goal, alongside loading, alignment and activation for your child.