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Re: New Study
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Re: New Study - May 6, 2005 10:07:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
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I gotcha, jben...
I was trying to provide possible mechanisms or tests for that.
Or at least discuss them...
:)
J
_____________________________
Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: New Study - May 6, 2005 11:07:00 AM
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jbeneciuk
Posts: 112
Joined: November 26, 2004
From: Jacksonville, FL
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the only tests I am aware of are the US tests you mentioned....however that is not a very clinically applicable technique....I know thw old "pelvic stabilizer" or BP cuff technique can be used....I still question "if a muscle fires normal, then it is normal"...especially in this area....nice comments Jsilvernail
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Re: New Study - May 6, 2005 1:51:00 PM
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srcase
Posts: 551
Joined: November 30, 2004
From: Michigan
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jbeneciuk: I think it comes down to when the muscle is firing, in what sequence, and how much (in relation to agonists, antagonists and synergists. The problem with stabilization is that it is just not simple. I think the ortho world needs to take a big step back and look at neuro principles again, namely motor control theories.
Jason,
I finally got the Richardson, Hodges, Hides book and my coworker has already stolen it! (ok, borrowed it). I was pleased to see that a lot of it was already familiar (from other reading I have done), but I especially liked the progression from local segmental training to closed chain to open chain stabilization and the rationale behind it. I only do the local training with a select few as well, but tend to address the core from many different avenues at once, which may not be the best way to go about it, because I never really know what exactly worked!
As for the original topic of the thread, read the article a while back, and thought it was fairly well done. However, I also wondered about the true difference between the two groups....didn't seem like "generalized exercise" to me. The stabilization approach does take a lot more time and energy on the part of the PT, but for some people, I think it is necessary.
Sarah
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Re: New Study - May 6, 2005 6:22:00 PM
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jbeneciuk
Posts: 112
Joined: November 26, 2004
From: Jacksonville, FL
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Sarah:
I agree with the "motor control theories"...especially when dealing with this topic...I have a few selected texts from school, however I am in the process of looking for a good text regarding these issues of motor control...."Pathophysiology of the Motor Systems"
by Fredericks & Salidin..is a text I came across while rummaging through my wife's bookcase...I guess I never purchased the book while we were in school...i'm in the process of getting started with it, however like many others of you...i'm in the process of reading about 3 different texts...do you have any other good suggestions regarding motor control ??
Thanks
jbeneciuk
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Re: New Study - May 6, 2005 6:41:00 PM
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srcase
Posts: 551
Joined: November 30, 2004
From: Michigan
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J,
Fredricks and Salidin is the book I have, plus the Richardson one I mentioned above, if you don't have it already, I would recommend it. I don't claim to know that much about it myself. Anyone else have recommendations??
Sarah
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Re: New Study - May 12, 2005 5:59:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
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I think the Richardson book is in a new edition now. As far as back pain and motor control, that's more than enough for me.
Sarah-
I think your comments are right on target. Some people I think really do need the local stabilization approach, whereas some people can do quite well with a general stabilization approach that is not as labor-intensive.
J
_____________________________
Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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