Lessons for the future

Lewit, K

doi:10.1179/175361408x293425

Cited by 9 publications

(3 citation statements)

References 11 publications

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“…Secondly, these studies provide evidence of the outcome that can be expected with each session of the treatment, at least for the first treatment. Further, Lewit (2008) suggests that musculoskeletal dysfunctions such as manipulable lesions and TrPs are reversible and, therefore, usually react immediately. This suggests that if the treatment effect is large enough one treatment should be adequate to demonstrate a difference between the groups.…”

Section: Discussionmentioning

confidence: 98%

Immediate effect of electric point stimulation (TENS) in treating latent upper trapezius trigger points: A double blind randomised placebo-controlled trial

Gemmell

Hilland

2011

Journal of Bodywork and Movement Therapies

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Section: Discussionmentioning

confidence: 98%

Immediate effect of electric point stimulation (TENS) in treating latent upper trapezius trigger points: A double blind randomised placebo-controlled trial

Gemmell

Hilland

2011

Journal of Bodywork and Movement Therapies

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“…69 Trunk muscles, in particular the transversus abdominus and the diaphragm, may play a key role in stabilising the spine. 70 It is not just wasting and deconditioning that are important, but features of a clearly disordered neuromuscular control of movement have been discovered. Patients with back pain had delayed contraction of these muscles in anticipation of arm movements compared with normal controls.…”

Section: Muscle Inhibition and Wastingmentioning

confidence: 99%

Can we be more specific about back and neck pain?

Williams¹

2009

International Musculoskeletal Medicine

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The initial clinical assessment of spinal pain consists of diagnostic triage into: (i) serious spinal pathology; (ii) other pathological entities; and (iii) non-specific symptoms. The non-specific group comprises the major burden of spinal illness. There are two broad approaches to the diagnostic challenge of non-specific spinal pain. One approach is to split the group into sub-groups explained by separate pathophysiological abnormalities. The focus of this work is to describe these proposed abnormalities in greater detail and to discover which clinical features distinguish them. The other approach is to 'lump' all of those with non-specific features into one group, and consider the common psychosocial factors that are relevant to the whole group. A variety of pathological and non-pathological models have been proposed. Pathological models include ligament laxity, facet syndrome, discogenic pain, spondylosis and instability; non-pathological models include a pain-spasm-pain cycle, muscle inhibition and deconditioning and somatic dysfunction. All of these models are problematic and do not fully account for all of non-specific spinal pain. Another approach is to consider these two different approaches together and to consider this non-specific category as orthogonal dimensions of pathology and dysfunction.

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“…Different conceptual elements are used within different schools of thought. Some physiotherapists speak generally of a ‘functional approach’ (Helders 2009) or a ‘physiotherapy of function’ (Lewit 2013; Lewit 2016a; Lewit 2016b), while others refer to ‘functional motor disorders’ (Nielsen et al . 2015; Pringsheim and Edwards 2017) or ‘cognitive functional therapy’ (O’Sullivan et al .…”

Section: A Phenomenological Critique Of Psychophysical Dualism and It...mentioning

confidence: 99%

Phenomenological physiotherapy: extending the concept of bodily intentionality

Halák

Kříž

2022

Med Humanities

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This study clarifies the need for a renewed account of the body in physiotherapy to fill sizable gaps between physiotherapeutical theory and practice. Physiotherapists are trained to approach bodily functioning from an objectivist perspective; however, their therapeutic interactions with patients are not limited to the provision of natural-scientific explanations. Physiotherapists’ practice corresponds well to theorisation of the body as the bearer of original bodily intentionality, as outlined by Merleau-Ponty and elaborated upon by enactivists. We clarify how physiotherapeutical practice corroborates Merleau-Ponty’s critical arguments against objectivist interpretations of the body; particularly, his analyses demonstrate that norms of optimal corporeal functioning are highly individual and variable in time and thus do not directly depend on generic physiological structures. In practice, objectively measurable physical deviations rarely correspond to specific subjective difficulties and, similarly, patients’ reflective insights into their own motor deficiencies do not necessarily produce meaningful motor improvements. Physiotherapeutical procedures can be understood neither as mechanical manipulations of patients’ machine-like bodies by experts nor as a process of such manipulation by way of instructing patients’ explicit conscious awareness. Rather, physiotherapeutical practice and theory can benefit from the philosophical interpretation of motor disorders as modifications of bodily intentionality. Consequently, motor performances addressed in physiotherapy are interpreted as relational features of a living organism coupled with its environment, and motor disorders are approached as failures to optimally manage the motor requirements of a given situation owing to a relative loss of the capacity to structure one’s relation with their environment through motor action. Building on this, we argue that the process of physiotherapy is most effective when understood as a bodily interaction to guide patients towards discovering better ways of grasping a situation as meaningful through bodily postures and movements.

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Lessons for the future

Abstract: Manipulative techniques and the deep stabilisation system are reviewed with respect to rehabilitation.

Cited by 9 publications

References 11 publications

Immediate effect of electric point stimulation (TENS) in treating latent upper trapezius trigger points: A double blind randomised placebo-controlled trial

Immediate effect of electric point stimulation (TENS) in treating latent upper trapezius trigger points: A double blind randomised placebo-controlled trial

Can we be more specific about back and neck pain?

Phenomenological physiotherapy: extending the concept of bodily intentionality

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