Craig Liebenson Profile picture
Dec 28, 2022 56 tweets 25 min read Read on X
PA affects life span as much as smoking
Image
Simple math Image
Image
6) We can make a tremendous impact Image
So much room for improvement Image
8) predictive processing errors lead to ⬇️ PA Image
10) @jpcaneiro Flares are opportunities to manage expectations & build resilence @JeremyLewisPT Image
11) Image
13) @WHO Image
14) Image
16) positive health promotion requires ongoing support. Image
19) Image
Image
20) Image
21) A new model of practice where we guide people towards positive health. It’s not a transactional relationship - focused on episodic pain relief - it’s a long-term collaboration where we provide ongoing support for self-management to enhance health, health span & performance. Image
22) positive health coaching Image
23) What is positive health? Image
24) We are bioplastic Image
25) @upstream_team The how! Image
Image
27) with NCDs, disabling OA, falls & frailty looming improving health span & focusing on bio markers of biological age is essential. The goal is to blow out the # of candles at your next birthday for your biological not your chronological age @davidasinclair Image
28) "Chronological age isn't how old we really are. It's a superficial number," said professor David Sinclair, co-director of the Paul F. Glenn Center for the Biology of Aging at Harvard Medical School.
29) "We all age biologically at different rates according to our genes, what we eat, how much we exercise and what environmental toxins we are exposed to. Biological age is what determines our health and ultimately our lifespan.
30) Biological age is number of candles we really should be blowing out. In the future, with advances in our ability to control biological age, we may have even fewer candles on our cake than the previous one."
31) Image
32) of exercise especially strength training benefits those over 85 then WHY do we manage people away from load w: MSK pain? Image
33) Image
34) Image
35) Image
36) Image
37) @TeamEXOS Image
38) Image
39) Why consistency & therefore support & accountability are so crucial @Gareth_Sandford @StephenSeiler @stevemagness Image
40) EBHC #everymovecounts Image
41) it is unethical not to help empower people towards maintaining #independentfunction @WHO Image
42) Let’s do this. Promoting #healthylongevity requires support, accountability, relatable goals, setting achievable targets, making it fun, community, activity > exercise, ongoing measurement, plateau & flare-up expectation. Image
43) Image
44) seeing how inactive our children are addressing PA throughout the lifespan is a crucial challenge we can all level up to together. It’s our mission statement at firstprinciplesofmovement.com to give a positive experience w/ movement & tackle “the tyranny of the mainstream”. #bowie Image
45) @hjluks In middle age people are told they have “wear & tear” which is not innocent. In fact words based on over-medicalized false + diagnostic labels hurt as much as “sticks & stones” by leading to negative health procedures/interventions. @CGMMaher Image
46) @doctorinigo What we invest in today determines our health in 10 years. Find a team that supports a positive health, long game mindset, rather than a negative health, transactional based “fix it” approach. Image
47) I’d love to see MSK health receive the same evidence-informed, positive health, risk mitigation attention as CV health. Image
48) @giovanni_ef @zadro_josh Physio is not alone in this. DC/DO/AT/MD all have to look at their own cognitive dissonance & vested interests creating a costly blind spot driving low value & evidence-discordant MSK interventions rather than person-centered ones. ImageImageImageImage
50) @hjluks Crucial to use the gift of injury to promote positive health habits for enhancing health span sustainably rather than turn it into a promotion of temporary pain relieving transactional services. Image
52) Our responsibility ImageImageImage
53) Yes, there are barriers. All the more reason to level up. ImageImage
54) The evidence just keeps coming. This is our why at First Principles of Movement. To challenge the status quo & vested interests to give people a positive experience with movement. Join us. It will take a collective effort to move this boulder uphill.

journals.lww.com/acsm-esm/fullt… ImageImageImage

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Craig Liebenson

Craig Liebenson Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @CraigLiebenson

Mar 25
“persistence of pain alters a person’s field of affordances: the unfolding set of action possibilities that a person perceives as available to them.” @Peter_Stilwell @MichaelTamePain @sconinxphil - 1
“Addressing chronic pain should involve more than just looking for & treating a ‘root cause’” - 2
“Patients often search for a medical diagnosis as a ‘holy grail’ which allows them to determine the cause of their pain, leads to a specific treatment, and also protects against social stigmatization as it proves that the pain is valid and not ‘all in their head’” - 3
Read 14 tweets
Mar 25
“Chronic pain constitutes a burden for those concerned because it limits the subject’s abilities to move towards an optimal grip in the interaction with the world.” @Pete_Stilwell @sconinxphil -1
“the rubber band is stretched for so long that the structure cannot return to a default stance: pain becomes a deep-rooted part of the person’s history, present, and future.” - 2
“negative predictions may be partly generated & reinforced through unhelpful social feedback loops. For example, others commonly transmit messages of rest & avoidance of usual activities beyond acute phases (e.g., ‘be careful’, ‘don’t hurt yourself’, ‘stop if you feel pain’)” - 3
Read 16 tweets
Mar 25
“there is increasing concern about low-back disability and its current medical management…
the role of medicine in that epidemic must be critically examined.” (1)
“The traditional medical model of disease is contrasted with a biopsychosocial model of illness…
This model is used to compare rest and active rehabilitation for low-back pain.” - 2
“Rest is the commonest treatment prescribed after analgesics but is based on a doubtful rationale, and there is little evidence of any lasting benefit. There is, however, little doubt about the harmful effects… - 3
Read 16 tweets
Dec 5, 2021
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

journals.lww.com/pain/fulltext/…
Read 32 tweets
Sep 25, 2021
1) A non-linear BPS approach for persistent MSP consists of an enactive reconceptualization designed to expand affordances & ⬇️ FABs associated w/ embodied past experiences. Such behavioral experimentation aims to support an ecologically valid positive experience w/ movement.
2) Here is an example of such a behavioral experiment w/ an AT I had never met before at a workshop in Winnipeg @MeganPomarensky This models what I learned from K Lewit, S Linton, G Waddell, Fordyce & others. Today it is best taught by @PeteOSullivanPT
3) @bunzli_s @jpcaneiro & Pete O have written w/ great clarity about the steps of “Guided behavioural experiments” here - much of this is about identifying & coaching clients to alter over-protective behavior like guarded movements or breath holding.

rbf-bjpt.org.br//en-beliefs-ab…
Read 64 tweets
Nov 21, 2020
@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.”

catalyst.nejm.org/kind-care-requ…
@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
Read 18 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(