In message <[log in to unmask]>, Henry Tsao
<[log in to unmask]> writes
>To all:
>
>The studies on TA is still a relatively new field, but I believe like
>anything in Physiotherapy, it is only part of the entire theory on what is
>happening around the lumbar spine. However, unlike what Gwen Jull says, TA
>weakness is an effect and not a cause of back pain, and I agree that when
>you do get back pain, you get reflex inhibition of the TA (my belief is that
>the psoas muscles become active and inhibit the TA - a handful of physio's
>in Australia have embraced this theory; this explains why TA training can
>not be done initially, but down the track in the "rehabilitation" process).
>
>TA re-training therefore can not be used in isolation to treat back pain,
>because it will not work... it is more or less as an aid to treatment and
>for prevention down the track. Therefore, we should not ignore TA retraining
>altogether, but open the mind and embrace the fact that physiotherapy is
>moving ahead and more research needs to be done in this field in the future.
>
>Henry***
>
>>From: [log in to unmask]
>>Reply-To: [log in to unmask]
>>To: [log in to unmask]
>>Subject: TA & Stabilisation
>>Date: Fri, 6 Oct 2000 00:09:12 EDT
>>
Henry
A few issues here.
Does Jull talk about 'weakness', maybe she does but I would love to see
a quote.
Similarly the research is equivocal on whether TA dysfunction is chicken
or egg in relation to back pain. To be sure we would have to do a
massive prospective study in a non-LBP population, assess their TA
function and see who goes onto get LBP.
The Brisbane researchers seem to argue that TA retraining can and should
start as soon as possible after injury, not somewhere down the line. On
the other hand they don't suggest it is done in isolation (ie without
the benefit of other techniques to ease pain).
What do you mean by Psoas becoming 'active'? Surely, that it is an
'active' muscle is normal. Do you mean overactive? Do you mean active
trigger points?
--
John Spencer
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|