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Jason, I used McKenzie's statement to emphasis the push towards progressing in low back pain management and not simply spinning around in a circle going nowhere. HOwever, I do agree with you on McKenzie's lack of insight when it comes to muscles... but I guess with the emphasis on EBM and the amount of contradictory articles, who knows?? The more I read, the less I know :D Henry*** Subject: Re: Core Guru Cognitive Dissonance Date: Wed, 12 Dec 2001 07:15:24 -0500 I don't know Henry, I think that finding out the motor dysfunctions of muscle related to back pain as well as learning how to train the muscles functionally (for endurance and not strength) is a strong advancement. This is something that we didn't know before and it has changed my own practice of physical therapy. This has been around for the last 10 years or so, but hasn't spread until recently. McKenzie still thinks that muscles will come back "on their own with resuming regular activity"....the advances are there, he just doesn't seem to be changing along with them. Jason Steffe, PT, MS, MTC Physiotherapy Associates 1901 Phoenix Blvd, Suite 205 College Park, GA. 30349 Ph: 770-907-1023 Fax:770-907-5608 Sent: Tuesday, December 11, 2001 8:36 PM Subject: Re: Core Guru Cognitive Dissonance I agree with what Patrick and Graeme are saying... disproving a theory or concept and showing flaws in it is good, but it doesn't get us anyway. As Robin Mckenzie mentioned in "Physical therapy for the low back," the management of low back pain in physiotherapy has not progressed too much at all despite all the studies that are coming out. I like Patrick's use of "what is "not" versus what could "be"." Sort of sums up many things about Physiotherapy concepts. Henry***