Rodolfo Castillo Morales

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Rodolfo Castillo Morales (* 1940 or 1941; † October 1, 2011 in Córdoba , Argentina ) was an Argentine therapist, rehabilitation doctor and creator of the therapeutic concept named after him.

Life

Rodolfo Castillo Morales was born in Argentina in 1940 or 1941 (the place and date of birth are not known) as one of nine children to an Italian- Creole mother and a Spanish father. He spent his youth in the province of Entre Ríos , where he came into contact with the problems of local workers at an early age. He observed the ways of life and behavior, the customs and worldviews of the various indigenous ethnic groups living in northern Argentina. He paid special attention to personal contacts in their families. He also performed as a pantomime, which was characteristic of his interests in the methodology of interpersonal communication.

Castillo Morales completed a medical degree in Córdoba in 1968 and was trained in therapeutic support for rehabilitation. After completing his studies, he first worked in Morocco, and then trained as a specialist in rehabilitation at the University of Madrid. He studied and applied many therapeutic methods, in particular the Bobath concept (1965 in Brazil), which for him became an inspiration for laying the foundations of his own therapeutic methodology. After completing his specialist training, he opened his own rehabilitation center in Córdoba in 1972, the "Centro Modelo de Reeducación".

In Europe in 1977 he first presented his own ideas and methods based on the massage of motor body and facial areas for children with hypotension . He spent a year in Munich in the children's center there, where he improved his method and deepened his knowledge. The center in Córdoba was systematically expanded until 2006 thanks to the support of Aktion Sonnenschein München .

He died on October 1, 2011 in Cordoba.

Castillo Morales concept

The concept developed by Castillo Morales was initially called "Orofacial Regulation Therapy". Later the improvement of the posture of the whole body was included under the term “neuromotor development therapy”. Today both are summarized under the term “Castillo Morales Concept”.

Work within this concept focuses on the treatment of

The main goal of the therapeutic work is to improve the participation of the patients in their everyday life through the greatest possible self-determination and independence. Castillo Morales tried to achieve this through

  • Improvements in communication options
  • Promotion of the body's own perception to support sensorimotor development
  • Regulation of muscle tone through touch, stroke, pressure, pull and vibration
  • Improving orofacial functions for activities such as sucking, swallowing, chewing, and controlling saliva flow
  • Support of posture, position and movement in order to be able to act
  • Designing food and drink as a social experience
  • Improving breathing

His theory is based on the observation of the social interaction he had made among the indigenous people of Argentina. Communication is essential for this . The first task of the therapist is to perceive, in addition to verbal communication, tactile or visual signals (gaze, facial expressions or gestures), for example to offer people with severe disabilities or infants opportunities to communicate in order to promote their communication options.

In addition, the concept consists of six main features in order to achieve the stated goal:

  • In-depth knowledge of the therapist about the functional anatomy of humans and biomechanical relationships, especially of the orofacial complex, is a prerequisite. Castillo Morales has observed that even minor changes in posture can affect the activity of the orofacial area.
  • Elements from the upbringing and coexistence of the people from Castillo Morales' homeland, such as close physical contact, also in therapy, find their way into the term Latin American anthropology .
  • Current knowledge of neurophysiology , in particular about motor learning, posture and movement, perception physiology and the physiological processes of sucking, chewing and swallowing, create the prerequisites for creating a therapy concept.
  • Both the individual social and the spatial environment of the patient are considered under the heading of ecology .
  • In his philosophy, Castillo Morales calls for a humanistic image of man that is based on the respectful treatment of therapists and doctors with patients (and their caregivers). The therapists and doctors should not look at the patient in a deficit-oriented manner, but rather in a resource-oriented manner: existing abilities of the patient should be recognized and strengthened in order to improve self-motivation.
  • His pedagogy aims to motivate the patient and enable him to develop his abilities and skills independently. To this end, the therapist creates the environment and provides assistance and impulses, which are increasingly withdrawn as skills improve in order to promote independence and improve participation.

Different medical and therapeutic disciplines should work closely together in order to achieve the greatest possible progress for the patient through a uniform and coordinated approach.

criticism

Users of the concept report that children can become more motivated, attentive and sociable because they can establish good contact with their caregivers. However, the success of the concept is only documented through follow-up observations or case reports. An independent systematic evaluation is not yet available.

Distribution in Germany

Therapy based on the Castillo Morales concept is currently mainly used in Argentina and Germany, but also in Austria, Poland and Switzerland. There are currently around 900 trained therapists in Germany, 16 of them who are qualified as teaching therapists to train others.

The training to become a Castillo Morales therapist is aimed at physiotherapists, speech therapists and occupational therapists as well as doctors. So-called "basic courses", the successful completion of which are the prerequisite for the use of the title "Castillo Morales Therapist", have existed in Germany since 1997, initially under the leadership of Castillo Morales, later under the responsibility of the Castillo Morales Association. This has held the naming rights since 2011 in the form of utility model protection.

Individual evidence

  1. Türk, Christiane; Brockmöller, Katrin et al .: The Castillo Morales Concept. Thieme, Stuttgart 2012, ISBN 978-3-13-160431-6 .
  2. Obituary for Dr. Rodolfo Castillo Morales (1940-2011). Website of the German Federal Association for Speech Therapy. Accessed on November 12, 2018.
  3. Dr. Rodolfo Castillo Morales (1941-2011). Website of the Castillo Morales Association e. V. Accessed November 12, 2018.
  4. "infantile cerebral palsy - treatment options and support resources for parents and the disabled child." . Diploma thesis by Andrietta Isabella van Saanen at the University of Vienna. Page 38ff. 2011. Accessed November 21, 2018.
  5. Opinion on Orofacial regulation therapy Castillo Morales of the Society for Pediatric Neurology . D. Karch, G. Gross-Selbeck, J. Pietz, HG. Slag. November 2005. Retrieved November 21, 2018.
  6. ↑ Searching for therapists on the website of the Castillo Morales Association. Retrieved November 12, 2018.

literature

  • Castillo Morales, Rodolfo: The orofacial regulation therapy. Pflaum, Munich 1998, ISBN 978-3-7905-0778-4 .
  • Türk, Christiane; Brockmöller, Katrin et al .: The Castillo Morales Concept. Thieme, Stuttgart 2012, ISBN 978-3-13-160431-6 .

Web links