Cuevas MEDEK Exercises (CME) is a pediatric physiotherapy technique which was developed by Ramon Cuevas. It is used to stimulate postural and dynamic motor control in children who have, or are at risk for, developmental abnormalities or delays. Among the children who may benefit are premature babies, children with cerebral palsy, hypotonia, motor delays caused by any non-degenerative disease and children with global developmental delay or with a brain injury.
By gradually exposing the child to gravity via specific exercises, CME tries to provoke the absent but normally automatic motor responses. Treatment may start as young as three months of age to many years after birth.
Depending on the type of distal and full body holds the CME therapist needs to use, this therapy may be limited by the child’s size and weight.
The child’s cooperation and motivation are not requisites in CME physical therapy. Muscles are trained in postural and functional tasks rather than in isolation, and tight muscles are stretched in dynamic situations. The motor developmental sequence is not used as Medek assumes that different skills require different movement strategies.