Myra has a good point
Although I am not a lover of the McKenzie system, the concept of a patient
taking responsibility for their own health is a good one. Our job is to
point out to them what is required for them to potentially recover from
their syndrome. Yes we should be switched on to compliance issues, but we
should not be trying to do everything for them. It should be a joint
contract where both parties unstand their part in the process.
I feel people sometimes mix up the difference between general and
therapeutic exercise. General exercise is good for you generally.
Therapeutic exercise is specific to a condition or syndrome. This mix up
leads some people who are versed in general exercise to believe they are
competent to treat conditions with their knowledge. The missing link in
their armoury is the understanding of basic medical concepts eg anatomy,
physiology pathology etc.
The same confusion exists in massage therapy where very technically adept
masseurs, without a medical (or allied) background attempt to treat
conditions. This could be injurious to the patient or delay important
treatment when undiagnosed conditions are apparant.
So the rambling point I am trying to make is the patient needs to be
encouraged to participate and take responisibility for their own problems
when possible. Plus understand the difference between the therapeutic and
general applications of well known and used modalities.
Warm Regards Kevin Reese PT
----- Original Message -----
From: Robert Michie <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, April 21, 2001 9:32 PM
Subject: Re: compliance with home exercises
> In-Reply-To: <[log in to unmask]>
>
> -------- Original Message --------
>
> Are you serious?
> Our job as far as I am concerned is to teach and enable the patient to
> be in control of their own ongoing health. Certainly, if the condition
> flares up beyond their control more physio time could be given, but not
> as a continuous input.
> Or have I mistaken what you meant?
> Myra Michie
>
> --------- Answer -----------------
> Myra,
> You have mistaken my meaning. ..... People just will not do them if we
> don't reduce it or make it interesting for the client. So in a sense, it
> is our responsibility also to maximize the potential that these clients
> are compliant with exercises after discharge.
>
> --------- Reply -------------------------
>
> Beg your pardon Henry.
>
> I work in the area of 'women's health'.
> Having made sure that they have seen some improvement it is easier for
> them to take control with a workable regime. I agree, especially when
> they know what the outcome is if they do not comply.
>
> Myra.
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