Welcome to the new Motori-kal (Motorikal) website, The Center for Motor Disorders, Postural, Orthopedic disorders & Obesity in Children, Adolescents and Adults (Ra'anana & Tel-aviv, Israel).
*Please note:
1. most pages in the menu, appear only in Hebrew version at that time. We're still making an effort in Transferring dozens of Hebrew pages from our old website. Once we're done with that, we will translate all pages to English. We are Sorry for the inconvenience. Please use Google Translate in the meanwhile.
2. Few English pages are available in our old site. Access to those pages is only through links throughout this page at this time.
3. English menu appears only at current (English) page. Return to this page in order to see the menu.
Motori-kal*, The Center for Motor disorders, Posture, Orthopedic disorders and Obesity in Children, Adolescents and Adults, was established in 1997 by Eyal Tzioni¹. We work on a Start-up in Pediatric Physical Therapy¹, an innovative treatment method designed for a wide spectrum of disorders that are a by-product of today's modern life.
¹Eyal Tzioni is a specialist in Sports Medicine (further info appears further down the page).
As recently as 30 years ago, children spent much of their free time playing outdoors. Through outdoor play, children develop their motor skills, coordination, balance, posture and general fitness. Outside, physical play also helps children to develop socially. Today, however, children spend more time indoors, engaged in sedentary activities. As a result, there has been a significant decrease in the critical contributions of motor activity and development. Unfortunately, many children today prefer to lounge in front of the television, or sit playing computer games/ online smartphone games. This has diminished their overall level of physical activity, causing a negative effect on their motor performance at school or afternoon sports activities. The far-reaching impact is seen in their posture, social opportunities and their overall sense of well-being.
At Motori-kal, our goal is to give your children a chance to fulfill their potential and to let them discover their talent in any sport, using our novel ‘Adaptive-Load’ treatment method developed by Eyal Tzioni.
*The definition of Motori-kal in Hebrew reflects our philosophy. It means overcoming a child's everyday motor challenges into an easy, pleasant and positive experience.
Wondering why we are not connected to WhatsApp? The reason for that is simple. In our opinion, any prolonged typing action on a smartphone is considered particularly destructive to your posture and spine. Over the years, many patients (both children and high-tech persons) have been referred to us with poor posture, and severe symptoms of neck pain/ neck and shoulder pain due to (even reasonable) use of applications based on typing messages.
You can find an important information on this issue at the Correct ergonomics page (Hebrew version, at this time).
What makes Motori-kal a leading center on a global level?
As mentioned above, Motori-kal is an Israeli 'start-up' in Pediatric Physical Therapy¹, offering an innovative 'Adaptive-Load' treatment method, which has been developed over the last two decades by Eyal Tzioni, based on various scientific disciplines (Anatomy, Kinesiology , Biomechanics, Physics and more..).
The Adaptive-Load method was developed thanks to an extensive scientific knowledge coupled with rich clinical experience. Eyal was determined to create the precise answer for a wide range of Motor-Postural and Orthopedic disorders as well as Attention-Deficit/ Hyperactivity disorders and Obesity among children, adolescents and adults.
Rich experience in teaching a variety of sports and movement skills, such as skipping, bouncing a basketball, jump rope, riding a bicycle and much more, backed up with our new perceptions in Motor Learning have enabled Eyal developing best tools for this important necessity too.
Our treatment method offers wide scientific innovation (new perceptions/ new approaches) in each of our fields of intervention, in addition to thousands of nobel, creative and innovative treatment tools.
Our method was studied in the Academic College at Wingate and was published in the Israeli Journal of Pediatrics (Nov., 2004).
¹Eyal Tzioni, developer of the treatment method and a specialist in Motor, Postural/ Orthopedics disorders, has acquired his knowledge in 'Sports Medicine', with a specific specialization in Motor and Posture disorders in the Sports Medicine Department, the Academic College at Wingate, in addition to Kinesiology and Pathokinesiology² studies in the Department of Physical Therapy at Haifa University as well as a Child Development studies at the School of Medicine, Tel Aviv University (continuing studies in medicine).
²Kinesiology and pathokinesiology – Studies of human movement, performance, and function, movement theory and defects/ pathologies in the skeleton and connective tissues in motor, postural and orthopedic aspects.
In addition to his clinical practice, Eyal lectures on his method for different medical forums, in addition to lecturing on ergonomics and posture for high-tech companies, organizations, government institutions, and more.
In light of the great interest of parties abroad, including families who attend our clinic from time to time with their children for treatment (mainly from North America), we intend to start transferring knowledge abroad in the near future (the USA as the first destination) and make the 'Adaptive-Load' method international.
We will be happy to offer your child/yourself the most ADVANCED TREATMENT TOOLS, in order to improve physical function in many aspects of life!
Please note, a rich information about our new methods is available in Hebrew for now, on more than 100 pages (at both our new and old website). Please use Google translate, in order to have a wider look of what we really offer!
We will provide children with the tools to help them choose the kinds of physical activities they are interested in and succeed in performing them.
The relationship between ability & choice…
'My son doesn’t enjoy playing soccer. He says that running endlessly after a stupid ball is boring. That's why he prefers spending his time in front of the computer, he seems to enjoy it so much more. Is there anything wrong with that?'
Both our research and clinical experience reveals that many children have gaps between high verbal IQ and low performance IQ. These children are quite bright and very aware of their low motor ability as compared to their peers. They are able to articulate various reasons for avoiding physical activity.
We believe that physical capability gives a child freedom to choose. In short, the real reason for a child’s avoidance is an inability to make a choice.
Normally, a child with the physical abilities… Read more (old website at this time).
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…).
Introducing 'Adaptive- Load' treatment method on 'Specialists Gallery' TV Program, 11/2004 (subtitles are available in English)
נגן וידאו אודות הצגת שיטת מוטוריקל בתכנית הבריאות "גלריית המומחים" ערוץ 2
נגן וידאו אודות הצגת שיטת מוטוריקל בתכנית הבריאות "גלריית המומחים" ערוץ 2
Introducing 'Adaptive- Load' treatment method for obesity in children on "Diet from now on" TV program (1/2017)
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About our unique ‘Adaptive-Load’ treatment method: Eyal Tzioni has 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 (Links refer to our old website) because they are rejected by their peer group.
We, at Motori-Kal, are committed for results, committed for your child. A picture is worth a thousand words
It's Magical, It'sMotori-kal
The ‘Adaptive-Load’ treatment method is composed of four main elements:
1. Novel exercises for muscular strength and endurance (without using weights!) for gross/ fine motor disorders due to muscle weakness and Hypotonia/ low muscle tone (links refer to pages in Hebrew at that time) 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!
Strengthening shoulder girdle for children/ strengthening hand muscles for children? Muscle strengthening in a functional context: an amazing 5-year-old boy (the redhead child) a motori-kal graduate", literally gives his friends a lesson (not to mention amazing his peers) in the judo class. Just judge for yourself…
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2. As a clinical practitioner, Eyal has developed more than 4,500 novel and exciting exercises to improve every component of motor function, including; coordination (see next title for details..), balance, motor planning, spatial orientation, sensory-motor integration, tactile (touch) and (deep) 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 well being…).
3. 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/ rollerblading (click to watch video clips) 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!
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4. Acquiring new unfamiliar posture habits (using novel exercises), especially for computer kids, who spend hours each day slouching in front of a computer, smartphone or TV.
Left photo (upper photo on a mobile device): 14 years old adolescent with poor posture/ kyphosis. Right photo:(lower photo on a mobile device):Same teenager, 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 (upper photo on a mobile device): 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 (lower photo on a mobile device): 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.
An Importantl 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 relief and did not achieve significant postural change (the cause for pain and discomfort).
Not only Postural disorders… Innovative treatment of common orthopedic problems (mainly lower limbs) such as On toeing gait (walking on tip toes) and Short achilles, Intoeing gait (feet turned inward), Flat foot (fallen arches of feet), Knock knees (genu valgum), Hyperextended knees and more…
Please note the unusual position of the toes, due to increased stretching over the years of the tendons of the flexor muscles of the toes (and accompanying shortening of the tendons in the antagonistic/opposite muscles), in addition to the need to spread the toes apart as much as possible, in order to reach balance* and stability during years of walking on tiptoes before being reffered to treatment in our innovative method.
*Stance of toes also represents the biomechanical forces during the years, which pushed the toes away from each other.
► In addition to a huge variety of the finest treatment tools, Adaptive Load method development has contributed some significant insights to physical therapy/ occupational therapy, based on scientific research combined with rich clinical experience. Some of our new perceptions were presented in Eyal's article published in the Israeli Journal of Pediatrics.
Among our new perceptions:
1. Motor disorders: New rationale for treatment of DCD in children (alongside criticism of the conservative treatment of physiotherapy and occupational therapy) and a window of opportunity which remains open to a relatively older age group.
Treatment of DCD in Motori-kal is integrated and compound of 3 main elements:
Improving coordination for children, with respect to its various components, using a huge variety of original, sophisticated, creative and fun tools.
Learning sports and movement skills (including daily skills), with a new scientific approach to motor learning,
Muscle strengthening for children, also with innovative approach and exclusive tools,
2. Orthopedics: Direct relationship between the presence of Pronated feet (fallen arches) and consequently the difficulty in getting off the ground (e.g. to hop, skip etc.) and sometimes even balance disorders. critical importance in enabling the child acquire these fundamental skills in early childhood, and a variety of innovative, remarkable treatment tools developed even for children with severe Pronated feet!
3. Orthopedics: Stillabout 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 (while 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 hops, runs or skips using a proper movement patterns, he recruits and strengthens important muscle groups such as Tibialis posterior, muscles that will play an important biomechanical role in maintaining balance.
4. Postural disorders: Most important scientific achievement in both understanding and treatment of sagittal postural disorders (kyphosis/ hunch back/ Lordosis/ Swayback posture and more…) is our 'Three Steering Wheels principle', an advanced biomechanical model developed in order to address today's most common postural disorders. The Three Steering Wheels principle enables therapists remodel patients' spinal curves/ spinal alignment in order to achieve correct posture . Our model also helps patients understand the mechanism underlying their faulty posture, the meaning of correct posture and helps in achieving a simple, independent and efficient body alignment by both children/ adolescents and adults. Strengthening deep and distinct postural muscles (which can hardly be targeted in other methods) along with innovative flexibility exercises for problematic areas (such as the lower back and neck) these, among others make treatment efficient even in a relatively old age.
5. Postural disorders: New concept in posture treatment, 'Postural Coordination', the ability to coordinate between the alignment of different segments of your spine, your head, shoulders and hips in order to easily achieve and maintain correct Posture in space. Eyal has developed dozens of exercises to improve Postural coordination and allow better understanding of what ideal posture really means for any individual with poor posture/ faulty posture.
We also found a strong correlation between poor motor coordination in children and adults and a consequent poor postural coordination. That is to say, that both DCD children and adults may find it harder to organize (plan ahead) for achieving correct posture.
6. Motor disorders: A new scientific rationale for treatment of DCD (Developmental Coordination Disorder) in children/ adults (combined with criticism of the conservative treatment in physical therapy and occupational therapy) and a window of opportunity that remains open even in adulthood (again, contrary to the common perception).
Developmental coordination disorder enjoys systemic and integrated treatment at Motori-Kal:
I. Improving each component of coordination for children/ adults with a huge variety of original, sophisticated, creative and fun (!) tools
II. Learning sports and movement skills (including everyday skills), with a new scientific approach in motor learning,
III. Muscle strengthening for children/ (each muscle group) also with an innovative approach and exclusive tools!
7. Postural disorders: Similar to the concept of Sway back posture in physical therapy, which characterized by a relaxed posture with Kyphosis and shifting of the pelvis forward, we coined another important concept: Sway Chin Posture ("shifting the chin forward"), a faulty posture with increased proportion in the population. Sway chin posture is most seen in children and adults engagging smartphones and tablets. Shifting the chin forward is a distinct consequence of increased thoracic kyphosis.
8. Obesity: Integrative approach (a real breakthrough) in treatment of Obesity in children and adolescents (Physiological, Postural, Orthopedics & Motor aspects, all combined in treatment).
9. Motor learning: 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 (Developmental Coordination Disorders) combined with ADHD.
10. ADHD: Innovative treatment for ADHD children. New, practical meaning for 'Motor Working Memory' concept both in children and adolescents. Treatment uses hundreds of fun and challenging exercises, which develop in addition to working memory, a set of Executive Functions (planning and organizing in space, self monitoring, problem solving and more…).
11. Muscle strengthening: A new concept in strengthening muscles for children and adolescents. We've developed a kind of physiological sensor, which enables us to know on a scientific and precise basis during muscle strengthening, how much effort your child is really making at any given moment, and to which extent remarks such as "the excersise is too hard for me"/ "I can't do it" etc. are statements expressing a lack of motivation, or your kid is really doing his best (maybe he didn't get enough sleep the night before/ maybe he has skipped lunch or came exhasted from a previes activity etc.). Your kid doesn't haave to tell us anything, we can detect any kind of tiredness automatically and adjust the applied ressistent to fit your child's true ability. The same physiological sensor also allows us to absolutely strengthen muscles and maximize the results of the treatment, without the risk of injuris!
Furthermore, the same physiological sensor, gives us the capacity to increase level of difficulti automatically, whenever your child is getting stronger, and in return, acheieve our goal, strong muscles in the most rapid way.
*Please note: Dozens more new perceptions appear at the moment at Hebrewfollowing that link.
It'sallaboutinnovation!
Do you want to acquire advanced knowledge of our methods? Click here to learn more (old website at that time).
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 smartphone without losing balance etc.
Let us surprise your children (and you), and challenge them with hundreds of unique coordination exercises, developed and chosen especially for them, to improve all aspects of their coordination, plus having a great fun.
The coordination exercises we offer do have many advantages, here are just few of them:
Exercises are very challenging. Kids enjoy practicing,
Exercises are novel. Your child has never tried them before…
Variety of tasks with a gradual increase in 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.
Exercises are 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.
We offer a wide variety of high quality exercises, that enable us to give your child uncompromised professional treatment, at the highest level.
Following video: The 'eights in the air' exercise for the benefit of improving spatial coordination and improving control of the ball (soccer). The children move (jump) in a figure of eight between the rings and move the ball in an inverted figure of eight (a total of 2 figures of eight)! The exercise includes improving a set of motor components, such as: general coordination, orientation in space (directions in space), organization in space, balance, crossing midline with legs, eye-foot coordination, sequence of movements, bilateral coordination of legs, movement planning/praxis and movement timing, motor working memory and more… all these motor components are combined in one challenging and fun exercise!
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Six years old Assaf, shows an excellent balance, leg-eye coordination, hand-eye coordination, bouncing control, movement isolation, muscle co-contraction: a well tuned orchestra 😊
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Major fields of intervention at Motori-Kal:
Muscle weakness (including Hypotonia/ BCH) in any body part or any muscle group (including shoulder girdle, back muscles, thighs, abdominals etc.).
Low endurance while performing simple tasks requiring some effort, (heavy breathing or kids reporting muscle soreness after short runs or climbing stairs).
High muscle tone/ stiffens body/ tight or stiff muscles due to hypertonia in children,
Poor motor planning: performing tasks slowly, difficulty with object manipulation, monotonous and ineffective body usage in movement tasks and constant need of interventionת
Clumsiness (DCD- Developmental Coordination Disorder): being accident prone, poor performance of daily tasks (gross/ fine motor) poor movement isolation, avoid crossing midline, balance difficulty and others…
A kid cannot hop/ inability to jump, 3 year old can't jump with both feet/ why can't my child jump?
Poor spatial orientation & organization (directions in space, laterality, motor planning regarding the surrounding space…)
Improving running technique/ improving child's running technique/ how to teach a child to run properly/
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, poor agility 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…
Bad posture such as kyphosis, (hunchback), Lordosis and swayback.
Orthopedic problems/ disorders such as knocked knees, hyperextended knee, toe in position/ toe out position, short achilles tendon, pronared feet, flatfoot and many others…
Obesity (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.
dyspraxia in children/ dyspraxia in autism, dyspraxia running child…
preparing children for 1st grade, every aspect of gross/ fine motor ability…
Coaching children without any (organic) disability, who want to improve in sports and improve their achievements …
Teaching various sports skills like: bouncing a ball, jumping rope, bicycle-riding (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 shoe tying and others…
How far, according to our philosophy, a child with Hypotonia and Developmental Coordination Disorder can reach?
Correct, as far as he wishes, even to a real World Champion! 🥇
You can find an exciting letter, sent to us lately by Kafir's mother who was treated at Motori-Kal as a child (now 15 years old) due to muscle weakness and motor clumsiness. The letter (written in Hebrew) appears at our reviews page.
About Eyal Tzioni, founder of Motori-kal and developer of Adaptive-Load treatment method
Academic background:
Master's degree in Learning Disabilities, a program included many courses in brain sciences (Graduation cum laude), University of Haifa, Israel.
Eyal 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 2005). click here to view the poster presented (using Adobe Acrobat reader)
Diploma in Child Development at Infancy, School of Continuing Medical Education, Sackler Faculty of Medicine, Tel-Aviv University, Israel.
Kineziology and patokinesiology studies, Department of Physical Therapy, Faculty of Social Welfare and Health sciences at the University of Haifa.
B.A. with two Specialties: Motor & Posture disorders among children and adolescents. Sports Medicine Department of The Academic College at Wingate (Israel).
Diploma in Basketball Coaching, The Academic College at Wingate (Israel).
Professional experience:
Development of a novel and exclusive treatment method ('Adaptive-Load') with new scientific perceptions, for a wide spectrum of Motor disorders, Posture, Orthopedics and obesity among children, adolescents and adults. Pediatricians, pediatric neurologists, physical therapists, occupational therapists and others have adopted our method…
Eyal has Treated hundreds of children, adolescents and adults with motor and developmental disorders, posture disorder, orthopedic and obesity using his method over the years.
Eyal has lectured on his treatment method at the The Academic College at Wingate (Israel).
Eyal has Initiated a program of instruction, especially designed for therapists with related specialties (i.e. Physical Therapists. Occupational Therapists etc.), Physical education teachers and others. Read more.
Eyal Lectures on his method and the link between motor disorders and learning disabilities, to pediatricians, physical therapists, occupational therapists, psychologists, kindergarten teachers and other professionals.
Wrote an article (in Hebrew) introducing Adaptive-Load method in the Israeli Journal of Pediatrics, Published in Feb. 2011 (click to read).
Wrote articles and newspaper columns (in Hebrew, which appear online at this website) about various aspects of 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 running, bike riding, rollerblading and basketball). He hopes this will inspire and challenge them to get active too.
Contact info
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 18:00 pm, local Israeli time)