At 07:14 PM 7/31/02 +0100, you wrote:
>Any other thoughts on the idea of a "recipe book" method of physiotherapy?
John,
There are certainly conditions that conform fairly well to predictable
patterns of recovery over time given proper position and metabolic economy.
Protocols for things like post-op rotator cuff repair and a variety of knee
problems come to mind and a "recipe" for the care provided in such a
circumstance is well known and, I think, justifiable. However, conditions
that involve the nervous system to the extent that spinal pain does will
never respond in a predictable manner because of the geometry of the
system, the mercurial nature of its response to provocation and the simple
fact that complex systems like this (as opposed to the connective and
contractile tissue) universally defy prediction. An interesting book
regarding such things is "Ubiquity: The Science of History or Why The World
is Simpler Than We Think" by Mark Buchanan. At least I think that's what
it's about. It's the main reference for my essay "The End of Evaluation?"
on my web site <http://barrettdorko.com>.
Recipes make some sense to me but not when it comes to the most common type
of painful problem: abnormal neurodynamics.
Barrett L. Dorko, P.T.
<http://barrettdorko.com>
Also <http://rehabedge.com>
|