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Thanks you all for your contribution.
Don’t forget to download your Learning with Others certificate from here:

http://www.cpdoathome.com/certificate

Looking forward to meeting you on future forums.
Season’s greetings and best wishes for the New Year
Eyal

any more questions / thoughts?

Falling is multi dimensional, vision, hearing, proprioceptive, motor control, weakness, blood pressure.. + cognitions, ability to focus/multitask, fatigue, LEX weakness and lack of coordination.. to name but a few..

Not sure about Benign Postional Vertigo.
Falling is multi dimensional, vision, hearing, proprioceptive, motor control, weakness, blood pressure..

Hi Andrew, welcome to the forum. Gald you found the workshop useful. Any questions? thoughts?

This is something that I keep thinking about – how proprioception and sensory memory are inseparable. We often think of proprioception as a “stand alone” component. However, the information collect by proprioception is continuously compared to past experience of the similar tasks, i.e. the stored sensory experience..
That is why it is so important to rehabilitate proprioception within task..
Also in normal movement proprioception and other sensory modalities are highly integrated, i.e. vision, hearing vestibular.. Focusing just on proprioception seems to be a physiological dead end, as far as enhancing performance, rehabilitation of movement or motor learning

Hi All
We are approaching the end of this sessionThis has been a great discussion. Hope you found it useful albeit a bit challenging.
Don’t forget to download your Learning with Others certificate from here:

http://www.cpdoathome.com

There will another forum about this topic later this year, will inform you in advance.
Please let your colleagues know about this website.
Looking forward to meeting you future forums.
Regards
Eyal

“I agree that some degree of active involvement is essential for rehabilitation but passive mobilisation techniques have a massive role in enabling a patient to get to that point where they can function sufficiently to perform the right active techniques.”

Yes, but it’s by their effect on repair processes and psychological reassurance. This is what the Process Approach suggests..

Re: if I showed a patient’s partner what to do, then his treatment would be as effective as mine?

Yes! But he wouldn’t arrive at this point without all your knowledge!!
Management is more than the sum of you techniques!
(ask yourself what is the difference between what I do and the partner’s care)

Structural change is unlikely to be driven by passive movement/forces. For adaptation you need 3 conditions:
1. the forces imposed must be equal or exceed the forces of daily activities (otherwise our normal daily activity would turn us in a squashy mess)
2. Exposure dependant – have to be repeated many times
3. Specific – they have to resemble the activity the person aim to recover
Think of some going to the gym. In order to bring about a structural change they will have to fulfil these conditions for adaptation. It will not happen with passive movement

Hope you are all still there:-))
To suzeaustin:
Yes, the touch effects have not been invented by osteopaths; they are part of evolution and human “social physiology”. We utilise this biological phenomenon in our treatment. Layman also stretch and move, but it doesn’t mean that there is no longer professional need for these therapeutic modalities. Remember that your clinical knowledge is more than the sum of your techniques!
Just because active movement is essential for adaptation does not mean that it is physiotherapy. They also have serious lack of understanding about various principles in movement and structural adaptation. I know this because I teach this to physios all over the world!

Yes, there are problems with the models used in teaching for all manual therapy disciplines. For that reason we need a new model such as the proposed Process Approach.

Concerning the Achilles tendon, change was possible only through active exercise that exceed the forces of daily activities.