Dear Julie
How can we be certain/precise about something that is uncertain and
imprecise?. Is it not better to recognise this and create our own
rationale/reasoning peculiar to manual therapy, rather than superimpose an
over simplified/flawed philosophy from the medical profession ?.
If there is uncertainty about what a specific technique is doing, how do you
monitor its efficacy other than the way I have suggested ?. IE if we do not
even know what tissue it is addressing how can you accurately monitor it?
I hope this does not sound curt and I am genuinely interested in the reply.
Warm Regards Kevin Reese PT UK.
-----Original Message-----
From: [log in to unmask] <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 31 October 1999 19:43
Subject: Re: Piriformis stretch
>I agree with you about the outcome. This is ultimately what the goal of
>therapeutic intervention should be.
> What I am saying though, is that those measures of our outcomes (crease
in
>rom, improvement in function) and are highly subjective and difficult to
>assess as a result of One Specific treatment technique. This in turn is
>what makes our techniques, difficult to gain an accuratement assessment
or
>picture of what changes or system we are treating. Therefore I think it is
>IMPERATIVE for us as therapists to be as accurate as we can be when we
>address a system so that we can measure the change and not say...." Well
i'm
>treating this segment...it may be an accupressure point, it may be a tender
>point it may be a chapmans reflex, it may be a facet". If we treat the
>system with a specific technique then we can better measure its change. I
do
>agree with you that just because there is not change with a specific
>technique does not mean that there is not a problem, but rather, we as
>therapists are the problem as we are not addressing the correct system.
>
>Julie
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