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9 July 2015 at 18:57 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1129[email protected]Keymaster
Osteosam
Yes you see that a lot in clinic. Many chronic neck patients have no history of neck trauma, structural deviations or remarkable imaging findings. Treatment that encompasses the psychosocial dimension seems to produce better long term results. Touch is used for its supportive, comforting, self-regulation function.9 July 2015 at 18:52 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1127[email protected]Keymasterluciferbox
The advantage of a process approach is that it seeks to identify what can positively help the patient recover; taking the focus away from the pathology. Imagine a patient with an acute disc problem. If we think about the pathology, the pressure on the nerve, etc it impedes us therapeutically. However, if we think how it will recover, say by repair primarily, we can readily identify the environment which will support this process..9 July 2015 at 18:43 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1123[email protected]KeymasterLumac108
A structural model can be integrated within a process approach. Personally, I feel that the structural model has run its course and is now impeding progress in MT professions.
Interestingly, some recovery processes are autonomous. For example, repair. It could still take place in a person in coma. Of course, psychology and behaviour have important influences on the recovery processes. But for that we don’t really need a structural model.. ??9 July 2015 at 18:33 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1119[email protected]KeymasterOnce we can name this process we can co-create with the patient the environment that can support it?
9 July 2015 at 18:20 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1116[email protected]KeymasterAsk a simple question – by which process is a patient with FM likely to recover?
9 July 2015 at 18:15 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1114[email protected]KeymasterWhat is a normal posture? What is the reference point?
9 July 2015 at 18:14 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1113[email protected]KeymasterAnother problem is that by focusing on PBS factors we are pathologising normality/variablity!
9 July 2015 at 18:07 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1112[email protected]KeymasterSploutarchou
I would think these PSB changes would have to be quite extreme to influence health. So, if they are too small they don’t matter, because of the body/person’s reserve capacity. However, If they are too large they would be outside the remit of a physical therapist as we are unlikely to be able to change them..??9 July 2015 at 18:02 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1111[email protected]KeymasterTouch is part of the patient’s narrative of recovery
9 July 2015 at 17:54 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1109[email protected]Keymasterlumac
I agree. Human seek physical safe, comforting contact that help self regulation. Patient that are given hands-off treatment are not engaged in the management in the same way. Of course some patients prefer just exercise.9 July 2015 at 17:50 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1108[email protected]KeymasterJohn
can you expand yor question about manual therapy (MT)9 July 2015 at 17:49 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1106[email protected]KeymasterOstesam
Have a look at the fall of the structural model article (in the CPD Resources section). It is difficult to name a known condition which is caused by a postural related structural obstacle9 July 2015 at 17:31 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1101[email protected]KeymasterTo luciferbox
This glorified cuddle is consistently underestimated in manual therapies. There has been extensive research about the physiology and necessity of touch in infant development (animals and humans). These mechanisms are at work throughout the life cycle. Touch intention plays an important role in the therapeutic relationship and potentially recuperation. Have a look at my book The Science and Practice of Manual Therapy. Section 3 deals specifically with the therapeutic aspects of touch.
However it’s not all about touch effects (affects?). All manual techniques have a physiological effect of some kind. However, how strong or how long these effects last is another matter.9 July 2015 at 17:27 in reply to: A PROCESS APPROACH IN MANUAL AND PHYSICAL THERAPIES BEYOND THE STRUCTURAL MODEL – FORUM #1100[email protected]KeymasterHi all and welcome.. at the end of the forum I will provide you with a link to download your certificate of attendance (1.5 CPD credits learning with others)..
Please feel free to share your thoughts3 June 2015 at 18:33 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1038[email protected]KeymasterOff to dinner!
Communicate soon
Don’t forget to get the CPD certificate for this session
eyal3 June 2015 at 18:32 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1037[email protected]KeymasterAS. AS
Yes, your observation is correct. I am sure that if Ian played a piano before his cord damage he could probably play with visual feedback. However, I woudn’t want to spend an evening listing to him playing3 June 2015 at 18:30 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1033[email protected]KeymasterTasha
You are right it is about representation not order of importance3 June 2015 at 18:28 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1031[email protected]KeymasterBefore we end the session I would like to thanks you for attending, very enjoyable good questions. Please let your colleagues know about this educational project. We are now working on the how to manage Frozen Shoulder… The duration of this condition can be reduced form many months/years to several weeks!
Hope you have enjoyed this forum too
Regards
Eyal3 June 2015 at 18:23 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1028[email protected]KeymasterLet me rephrase that, not more important but larger presentation in the cortex
3 June 2015 at 18:22 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1027[email protected]KeymasterAre there areas that are more proprioceptively important than others? Yes, have a look at the homunculus – hands, face…
3 June 2015 at 18:19 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1025[email protected]KeymasterAs long as the animal has the motor programme undamaged they can still carry out the movement. As with Ian they replace proprioception with visual feedback. Some individual with such losses wear stocking. This gives them thermal feedback which they use for movement…amazing stuff the body can do
3 June 2015 at 18:15 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1022[email protected]KeymasterSarah
If you are still there. A study found that musicians have hearing losses associated with the volume of music in the orchestra. However, they perform better on hearing speech in a crowded noisy room because they can focus their attention and be more selective to the audio information.3 June 2015 at 18:12 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1019[email protected]KeymasterI didn’t realise that I could type that quick..
3 June 2015 at 18:11 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1018[email protected]KeymasterHi Suzanne
Thanks for that step by step example. Will get my IT person to put on the website..3 June 2015 at 18:10 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1017[email protected]KeymasterIn the 1970’s there were studies on primates where they surgically removed all proprioception inputs. Surprisingly it had little effect on the animal’s movement. They only lost the capacity for fine, moment to moment refinement of movement
3 June 2015 at 18:06 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1016[email protected]KeymasterHi Sarah
If you have the learned the movement you can get away (to a point) without proprioception. Muscle or motor tone is maintained by motor command not proprioception. That’s why Ian can still function (unless you turn the light off, and yes it will hurt him a lot…)3 June 2015 at 18:03 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1015[email protected]KeymasterHi Kim
It is not possible to increase proprioception. It is always in proportion to the task at hand. There isn’t a situation where the task would require more proprioception. There in analogy here to other senses: You can’t increase sight by seeing, hearing by listening, taste by tasting or proprioception by “feeling. What is possible is to increase you awareness to one stream of information by focus of attention, e.g. if you concentrate on the tip of your nose now you will tune in to that stream of proprioceptive information3 June 2015 at 17:57 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1013[email protected]KeymasterTo YayliffeTo Yayliffeost
The lecture is pre recorded. You watch it at your leisure. This forum is live (you learning with others CPD credits).. Have a look at the pre-recorded lecture and join the next forum. If there is enough interest we can run another live soon.3 June 2015 at 17:54 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1010[email protected]KeymasterHi Deborah
welocme.. Yes, have a look at the vid. The next forum will be in September (as far as I remember)3 June 2015 at 17:53 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1008[email protected]KeymasterWhat I found important while researching the topic is 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..3 June 2015 at 17:46 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1006[email protected]KeymasterIf you had a chance to view the lecture, are there parts which you would have liked to be explained better? Missing information?
3 June 2015 at 17:44 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1005[email protected]KeymasterProprioception is a fascinating area in motor control and body image, sense of self. V important for all bodywork therapists..
3 June 2015 at 17:42 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1004[email protected]KeymasterI would value your comments, thoughts or ideas for future online workshops
3 June 2015 at 17:28 in reply to: Proprioception: facts, myths and therapeutic implications 1 – Dr.Eyal Lederman #1002[email protected]KeymasterHi All
Welcome to the first CPDO at Home online live forum. Please feel free to ask any question regarding the proprioception workshop. Remember that at the end of the session you can claim 1 CPD credit learning with other.
Eyal -
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