@DerekGriffin86 LBP is complex & the social of BPS the code breaker between the dichotomization of pain science & biomechanics. I never got it when Waddell introduced Engel’s BPS model only focusing on biomechanics or YFs. Now I see social/environmental context as Job 1 to unmask. @_Tyson_Beach
@DerekGriffin86@_Tyson_Beach “Kind Care Requires Unhurried Conversations
Health care providers must have time to know their patients in “high definition” to best meet their needs.”
@DerekGriffin86@_Tyson_Beach “psychological factors are only the tip of the iceberg. Social & contextual factors,which have largely been overlooked in sports medicine, directly impact health outcomes,well-being & sport injury recovery by facilitating or impeding health & health behaviour change” @LKTphysio
@DerekGriffin86@_Tyson_Beach@LKTphysio@jpcaneiro@JanHartvigsen@PeteOSullivanPT@chadcookpt “Despite the development of critical thinking about PT, the assumptions of the still-dominant positivistic biomedical paradigm that values objective science above any other approach & sees the body-as-machine as a problem to be fixed, go unchallenged in the mainstream.”
@DerekGriffin86@_Tyson_Beach@LKTphysio@jpcaneiro@JanHartvigsen@PeteOSullivanPT@chadcookpt “person-centeredness entails listening and ‘being with’ rather than ‘doing to’ patients.” “effective person-centered practice means that “the clients expect from the professional to be an authority with regard to biomedical issues & to be a partner with regard to PS issues.”
@DerekGriffin86@_Tyson_Beach@LKTphysio@jpcaneiro@JanHartvigsen@PeteOSullivanPT@chadcookpt “it is not the person alone at its center, because rehabilitation is a social complex of practices that involves both the immediate stakeholders—patients, practitioners, family,& friends—and the macro-level of hospitals, politics, economics & taken-for-granted norms.”
@Peter_Stilwell work termed enactive gives a fresh scientific honest perspective on the Bio vs Pain Sci dichotomization. It’s not just blaming a disc or an output of brain but taking a broader approach.
1.Theres a lot of debate today in the LBP field specifically & musculoskeletal pain in general about manual therapy vs exercise. Motor control vs strength training. The role of patient education, etc. @JeremyLewisPT pubmed.ncbi.nlm.nih.gov/34102533/
2. The issue of client preferences is a no brainer to me as I’m in the trenches & validate my clients #livedexperience. I seek interaction & collaboration. @MyCuppaJo
3. This way I’m able to guide by the side & be an Alfred rather than a “fix it” Batman Superhero for them. @jasonsilvernail@MKargelaDPT