Mel Siff wrote
At 19:08 26/10/98 EST, you wrote:
>The apparent ineffectiveness of Manipulation Under Anaesthesia raises some
>interesting questions about manipulation in general, besides the obvious
>difference of patient feedback and pain in the conscious state. Since
>anaesthesia eliminates the possibility of patient-therapist interaction and
>any placebo effects,
Does it?
Is this to assume that if one is in a state of unconsciousness that no
interaction occurs?
There has been many accounts of patients who were curarised while in an
intensive care unit who recalled complete dialogues of loved ones speaking
beside the bed.
> does this mean that these factors are critical in
>ensuring that manipulation actually has some beneficial effects?
>
>Does this imply that the mechanical adjustments inherent in mobilisation and
>manipulation have less to do with resolution of pain and dysfunction than we
>hitherto have thought?
Use of a metaphysical biomedical model certainly shows its cracks in this
situation. Cartesian dualism is outmoded and the quicker we switch to a
model that not only recognises the relationship but also the
inseparableness of the body/mind phenomena the more likely we are to begin
true understanding of ourselves and our patients.
********************************************
Erik Dombroski, Clinical Educator, School of Physiotherapy
Auckland Institute of Technology, New Zealand
E-Mail: [log in to unmask]
URL: www.ait.ac.nz/depts/physio/
Fight Spam! Join CAUCE! http://www.cauce.org/
*********************************************
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|