|
srcase -> Re: Functional Manual Reaction (November 19, 2005 3:59:00 AM)
|
I've been to both seminars and I don't see many similarities. Gary Gray's approach is strictly biomechanical, focusing on triplane loading and unloading of segments (eccentric and concentric contractions) in functional positions to facilitate proprioception/motor learning. His manual techniques are "functional" and he doesn't advocate moving one bone on another "fixed" bone to mobilize a joint (aka Kaltenborn) because that is not how the joint acts in real life. He has categorized movements into a functional profile (excursions, reaches, lunges, steps, jumps, and balance) in an attempt to provide reliable and valid functional tests which are then used to create functional exrcises. He extrapolates methods and theories from current research, but has not conducted any of his own that I am aware of. Overall, I think Gray has done much to move the profession into the "functional" realm. He also invented the BAPS board and some lesser known PT tools.
Barrett's approach is not biomechanical, but neurophysiological. He doesn't care what direction a joint is moving in as long as it is moving ideomotorically (driven by an unconscious self-corrective system). Simple Contact aims to teach the patient how to increase his/her adaptive potential (ability of a system to tolerate a repetitive movement, forceful blow, or a prolonged position). It is based on the deep model that pain originates from adverse neural tension. He also bases his work on past and present research and scientific inquiry, but has not conducted any of his own research specifically. Barrett has done much to educate therapists about pain mechanisms and neurophysiology, as well as provide a new paradigm of thought regarding musculoskeletal problems.
Hope this helps!
Sarah
|
|
|
|