• Keaton Worland

Movement, Intervention, and Gratification

The rehab industry is a revolving door of ideas, old ideas resurface while new “innovative” techniques continue to rapidly be developed. Which of these ideas gain the interest of the community is dependent upon the upcoming era of clinicians, who tend to make the most noise. However I caution listening to this noise without the filter of your model to help guide your clinical application. Clinician’s tend to seek continuing education courses to add another “tool” to their tool box to “fix their patients”. The current trend is to pursue the techniques or models that can yield instant gratification and allow them the ability to “show off” their most recent magic trick on a social media platform. The ability to restore ROM, flexibility, or create acute movement competency means nothing without context or meaning to a patient. These non-contextual improvements tend to leave patients with transient results.

Problem: Clinicians seeking instant gratification.

  1. Acute patient mobility, flexibility, or movement pattern improvements

  2. Social media presence.

Need: Better understanding.

  1. Application of technique/model of thinking.

  2. Importance/role of DELAYED gratification

Solution: Focus your Lense

  1. Find a mentor and ask questions

  2. Recognize and prioritize your patient’s wants and needs over your own

So remember repositioning exercises, movement resets, or the alike are all aimed at recapturing movement, however; they are only a transient unless followed by repeated exposures of mechanical stress to create lasting adaptations. Fundamentally these types of exercise can be seen as low barrier activities attempting to improve the internal awareness of one’s system. They provide information on how the body contracts (compresses) and relaxes (expands) musculature to alter pressure and fluid dynamics, but do very little for creating true movement competency and confidence for sustained adaptation.

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