I hope PTs will stop managing people away from load & DCs will stop promoting dependency.
Beginning in our 30s focusing on nocebos is iatrogenic as it brings us towards a tipping point since most people are a) not meeting physical activity guidelines & b) muscle atrophy is a natural aging process. #biologicalage
Why would we scare people into assuming activity is harmful or every hurt = harm? “Hurt is an alarm, but not every hurt = harm” @benedsmith @Prof_Littlewood @JanHartvigsen @GLAD_Denmark @GLADCanada @GLAD_Australia @GLADSwitzerland
Ideally we will stop scaring people away from activity. Instead give evidence-based MSP care by offering reassurance & reactivation advice. We’ve known this since the 1980s but #knowledgetranslation is too slow @jeubanksMD @CGMMaher @MaryOKeeffe007 @RachelleBuchbin @jpcaneiro
“It’s not the load that breaks you down but the load you’re not prepared for” @TimGabbett
By finding a person’s floor we can measure & then manage the landmarks associated w/ sustainable resilence. This is regardless of not knowing the exact timelines. @PfaffSC @StuartMcMillan1 It’s about finding the low hanging fruit of poor programming & movement foundation gaps.
Education is a big part of it. @RodWhiteley Not only of our patients, but ourselves too.
Changing you’re #healthspan requires addressing the natural atrophy process of aging. Unfortunately this takes time. Most people want immediate symptom relief & they chase the latest “fix it” hype of #vestedinterests @OsteloR
Often the clinic can participate in what is called “the tyranny of the visit” because of patient expectations surrounding us “fixing it”. Reducing dependency & showing people what they can do for themselves is 🔑 #firstprinciplesofmovement
It starts w/ realizing its time to #LevelUp Learn the value & safety of activity & how to change behavior. @ClinicalAthlete Give a positive experience w: movement. Tangible hope & an achievable plan. Find the hardest thing a person does well to trigger adaptation & self-efficacy
The HCP needs scalable principles rather than a rigid system or protocol to finding a precision, relatable solution for each person. Every environment is unique. The expert is more generalist than specialist & as a result agile in chaos.
❇️ Know the person 1st then make suggestions
❇️ Keep an open mind that you could be wrong
❇️ Listen w/ empathy
❇️ Guide w/ compassion
❇️ Humility to handle uncertainty & pivot to Plan B. @_Tyson_Beach @PainRevolution Daniela Vaz person-centered paradigm https://www.researchgate.net/publication/313470762_Towards_an_ecologically_grounded_functional_practice_in_rehabilitation …
You can follow @CraigLiebenson.
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