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Thank you!
I think that as a practitioner who myself is so interested in different movement disciplines and have a lot of experience of these, it’s easy to forget that the patient may have no interest in such things.
And to make things overly complicated. It’s good to be reminded to keep things “simple” ie. not introduce unfamiliar movement concepts as this will be more of a hindrance than a help when it comes to movement recovery!How do you go about finding out as much as you can about the persons own “movement repertoire”? I don’t have a large treatment room… do you ever get people to film themselves?
Would you mind expanding a little on what you mean when you say self-regulation?
just got another one
Yes I am here! Sorry. Thank you for clarifying in your responses. However, as I only had a reply on two out of my five posts I thought maybe you were still writing. Technically this doesn’t seem to work very well for me… :( Can you see my other posts?
Hey :)
Great, thank you!! No stress.I’ll be logging out in a minute if nothing happens
Hmm…either something is wrong here on my end, or I am all alone! All I can see is my own posts…
I know you don’t talk specifically about external vs internal focus in this article, but can I still ask you something about it?
I have done a rehabilitation course with you once, and I have your book so I am aware of your approach, which has been extremely useful for me!!
However, I am also very attracted to different types of movement therapy for example Body Mind Centering, Klein technique and active feldenkrais based exercises (e.g Todd Hardgrove’s work)As I have so much respect for your opinion, I would love to know if you think there is any value internal focus type work, with the aim of affecting ‘cortical body maps’? Could it not be seen as part of a Process Approach, if the goal is to promote adaptation and/or alleviation of symptoms? For example for patients with fear behaviour? Or do you consider all exploration of movement which is not pedestrian or part of the individuals functional movement repertoire to be redundant? What about facilitating an individual to expand what they can feel/experience in their body and explore beyond their current movement vocabulary (if this is of interest to them)?
I quite often get people who are not coming to me for recovery, but who simply adore having bodywork and want “treatment” so support their general health and well-being.
Do you ever work with patients who are asymptomatic? Could a Process Approach be used here too? What would it mean? Identifying and amplifying behavioural traits that are beneficial to general health?What is your opinion about using hands-on treatment to meet patient expectations?
What about the placebo effect of having been touched where it hurts? Do you consider this to have any value?I am not getting any updates…
Hoping I’m not the only one here, I will keep posting.You write that obstacles are “often complex bio-psychosocial processes and
rarely structural or postural”. But what about the link between these two areas? Isn’t the point of osteopathy to use the body as the way in/access point to support positive change in the person?
If these obstacles are truly separate, wouldn’t that mean that we should refer most of our patients to non-manual therapists?!Hello!
And thank you so much for taking the time to organise and do this!You state that research shows that there is no correlation between back pain and postural factors. I totally accept that.
BUT I am not sure what to do about my own personal experience that such a correlation does exist.When I stand (or for that matter walk etc) in a certain way- I feel pain. I change my posture subtly (for example changing the degree of lumbar lordosis, and of course subsequently a whole load of other things then changes)- and the pain instantly goes away or is greatly diminished!
When I ask certain patients to explore the same ideas they often also have positive experiences- less, or no pain, more sense of freedom in movement etc.
What to do with this information?
Are you not working with/addressing postural factors at all?
Do you believe it is fair to claim that even though a certain posture does not necessarily cause back pain, once back pain is there, altering the posture can improve the symptoms?
(My approach is supporting patients to actively explore themselves what postural changes help them/make a difference to their symptoms).