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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’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.
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?
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?
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’?