- This topic has 27 replies, 5 voices, and was last updated 8 years, 5 months ago by .
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I find the article useful and helpful.’ That said, I think that working structurally can also ’support recovery processes’.
I have a couple of questions :
re the model of the ‘three recovery processes’ – (repair, alleviation of symptoms, and adaptation) I understand what you mean by ‘repair’ and ‘alleviation of symptoms’, but am having difficulty grasping what you mean by the ‘adaptation process’ and how one works with it. For example, page 3 of your article refers to a pt immobilised following an ankle fracture and after subsequent removal of the cast ‘functional recovery would be dependant on adaptive tissue changes and CNS plasticity……..(and) in this example a functional recovery is associated primarily with adaptive processes ’
It may be obvious, but would you mind just spelling out briefly what you mean here, thanks. Do you mean the therapist works to encourage any useful adaptations and to remedy/ change those adaptations that are not useful/ no longer useful?page 4 of your article , referring to the diagram – ‘the recovery associated with alleviation of chronic pain is represented by the overlap between alleviation of symptoms and adaptation. Often chronic pain is associated with central sensitisation, a process related to neural plasticity and adaptation’ — is the ‘desensitisation’ process what you are calling ‘adaptation’?
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Do you find you are met with a lot of opposition from other health care professionals (who come from a biomechanic background) when describing the process approach?
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Do you mean the therapist works to encourage any useful adaptations and to remedy/ change those adaptations that are not useful/ no longer useful? – e.g. muscle hypertrophy?
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Do you mean the therapist works to encourage any useful adaptations and to remedy/ change those adaptations that are not useful/ no longer useful? – e.g. muscle hypertrophy?
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To me, process approach seems to be mainly what I do and physios do but maybe with one exception which is we mobilise and reposition joint muscle fascia to allow it to heal. With out this step How can the self healing occur. just mobilization of all forms ,met, cs fascial ect alone equally will not produce long term results. Is this paper designed to help us reflect our practices? To provoke discussion?
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By the way there seems to be a delay in my receiving your responses. re ‘implausible forms of management’ – I get your point. However, I think it is often difficult to define what is and isnt ‘plausible’ given that science is not (yet?) always able to explain why things work or not.
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I am curious about your usage of the word process. This would have a specific set of meanings within psychotherapy did that approach inform your choice of terminology?
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re ‘Yes, to a point. Process to me is something about multiple sequences of events that are interrelated, complexity, uncertainty, no start or ending, etc’
reminds me of the chinese medicine book ‘the web with no weaver’ -
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Hi do we get a response?
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Sorry, there is a delayed in downloading on our side.
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It seems a shame not to use structural approaches within process approach.
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- The topic ‘A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM 3’ is closed to new replies.