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Biopsychosocial care Archives - Breathe Education

Do we really need to individualize Pilates programs for back pain? With Mitch Gibbs PhD and Raphael Bender

By Become a better instructor

In this episode, Mitch and Raph discuss the research Mitch did for his PhD, comparing individualized care with a generic program for low back pain.

 Resources mentioned in the episode:

  • Purchase Raph’s book: Strengthen The Person, Not Just the Body Part here
  • ‘Buy In For Back Pain – Does Individualization Matter?’ here
  • Connect with Mitch Gibbs on IG here
  • Find Rethink Movement on Facebook here and on IG here
About Raphael Bender:

Raph believes everyone deserves the opportunity to transform into a better version of themselves. His main strength as a teacher and movement professional is the ability to distill complex research findings into a simple, science-based approach to help people move fearlessly, thoughtlessly, and painlessly. He LOVES running, weights, cycling, and Contrology.

Raph holds a Master’s degree in Clinical Exercise Physiology (Rehabilitation), a Bachelor’s degree in Exercise and Sports Science, Diploma of Pilates Movement Therapy, and STOTT PILATES full certification.

How to Connect with Raphael:

Purchase Raph’s new book:

  • Strengthen The Person Not Just The Body Part here
About Mitch Gibbs PhD:
Mitchell is a Lecturer in the School of Health Sciences, Discipline of Exercise Physiology. Mitchell’s research aims at helping people with chronic pain by understanding how to best design biopsychosocial exercise interventions, and how to disseminate these approaches into practice.

How to Connect with Mitch:

  • Follow Mitch on IG here
  • Find Rethink Movement on Facebook here and on IG here
Looking for Pilates mastery?

Here are four ways we can help you really know your stuff.

1) Subscribe to our Pilates Elephants podcast and learn why most Pilates education is decades out of date at best, and at worst, just plain pseudoscientific. This inconvenient disconnect means there are many topics in Pilates that are “Elephants in the Room” – things we don’t question because it’s a bit heretical to do so. We’re here to change that.

2) Download our free report: “3 Myths about Posture in Pilates“. Ditch the myths and get the facts on posture. For Pilates instructors and movement enthusiasts alike.

3) Join us in our FREE live, open-mic Community Sessions. We start each session by sharing one of our latest insights that you can take and apply with your clients. And then we’ll go open-mic for the remaining 45-minutes — ask whatever questions you have so you can leave the session equipped to really know your stuff. Details here.

4) Or — our next intake for our Diploma in Clinical Pilates is open NOW. We have limited places for this in-depth, world-leading course. For a limited time — get a free 20-minute Discovery Call with one of our Pilates Trainers. This is not a high-pressure sales call – you’ll be talking with a Pilates instructor, and we’ll answer all your questions to find out if the course is a perfect fit for you. Go here to schedule

Pregnancy, continence and how to do a proper pelvic floor contraction with Sarah Haag

By Become a better instructor

 

Sarah is a women’s health physiotherapist, and co-owner of Entropy Physiotherapy and Wellness in Chicago, Illinois. Sarah graduated from Marquette University in 2002 with a Master’s of Physical Therapy. She went on to get a Masters of Science in Women’s Health and a Doctorate of Physical Therapy from Rosalind Franklin University in 2008.

In 2009 Sarah was awarded the Certificate of Achievement in Pelvic Physical Therapy (CAPP) from the Section on Women’s Health, and Board Certification as a specialist in women’s health (WCS).

Sarah and I talk about pregnancy and exercise, what you should and shouldn’t do with a pregnant client, pregnancy-related pelvic girdle pain, and what you as a group exercise instructor can do for your clients with pelvic girdle pain. We talk about diastasis recti abdominis or abdominal separation, and finally we spend quite a bit of time on Sarah’s favourite topic, urinary incontinence, on which she has recently published a book.

Towards the end of the interview Sarah gives in-depth instructions on how to do a pelvic floor contraction, and how to cue one. And, when to cue pelvic floor and when not to mention it!

You can follow Sarah on Facebook and Twitter @SarahHaagPT.

You can purchase the Elvie Kegel Trainer here

The Female Athlete with Antony Lo

By Become a better instructor

 

Antony Lo is a Sydney based physiotherapist who specialises in female athletes, and in particular female Crossfit athletes.

Having successfully grown 2 private practices, Antony sold these to concentrate on his Specialisation Training Program and developing educational courses for health professionals and the general public. He still consults at 2 locations in Sydney seeing everyone from children to the elderly, as well as his sports-specific patients. He also travels around Australia to deliver seminar information for his course The Female Athlete, and to provide consultations for those interested in his approach.

I have been friends with Antony since 2006 when we worked together. Every time I talk with Antony I learn something valuable, he is one of the practitioners I admire the most, and who I have learned the most from.

In this conversation we talk about pelvic health, urinary incontinence, low back pain, making quick changes and Antony’s approach to evidence-based practice.

Read More..

Pelvic Instability – Not A Thing

By Become a better instructor

Read the Research:

Relaxin levels during pregnancy are not related to pelvic pain

  1. Pregnancy-related pelvic girdle pain and its relationship with relaxin levels during pregnancy: a systematic review (Aldabe et al., 2012)
  2. Association between the serum levels of relaxin and responses to the active straight leg raise test in pregnancy (Vøllestad et al., 2012)

The sacroiliac joint basically doesn’t move – even in people with diagnosed “pelvic instability”

  1. Movement of the sacroiliac joint during the Active Straight Leg Raise test in patients with long-lasting severe sacroiliac joint pain (Kibsgård et al., 2017)
  2. A radiostereometric analysis of movements of the sacroiliac joints during the standing hip flexion test (Sturesson et al., 2000)

Pregnancy is characterised by widespread tissue hypersensitivity

  1. Pregnancy is characterized by widespread deep-tissue hypersensitivity independent of lumbopelvic pain intensity, a facilitated response to manual orthopedic tests, and poorer self-reported health (Palsson et al., 2015)

You can’t palpate movement of the pelvic joints (even if you think you can)

  1. Manual palpation of lumbo-pelvic landmarks: a validity study (Kilby et al., 2012)
  2. Inter-examiner reliability of four static palpation tests used for assessing pelvic dysfunction (Holmgren et al, 2008)
  3. Clinical tests of the sacroiliac joint: a systematic methodological review. Part 1: reliability (van der Wurff et al., 2000)(a)
  4. Clinical tests of the sacroiliac joint: a systematic methodological review. Part 2: validity (van der Wurff et al., 2000)(b)

The biggest predictor of recovery from pelvic pain is – belief that you will recover

  1. Prognostic factors for recovery from postpartum pelvic girdle pain (Vøllestad et al., 2009)

A person-centred approach to pain with Kjartan Vibe Fersum

By Become a better instructor

Kjartan Vibe Fersum is a postdoctoral researcher at the University of Bergen, Norway, and was the lead author on the original CFT paper in 2012, with co-authors Peter O’Sullivan, Skouen,  Smith, & Kvåle.

In addition to his teaching and research at the University of Bergen, he works in clinical practice as a Specialist Musculoskeletal Physiotherapist in Bergen, and a contributor to the Pain-Ed project, where his mission is to inform both the public and health care practitioners about the latest pain research, and to dispel common myths about pain and provide hope for change.

Kjartan is incredibly well-read, but his true genius seems to lie in combining his rich and nuanced understanding of the research with a flexible, person-centred worldview.

This interview has too many gems and insights to list – you must listen to it if you work with people in pain.

Resources

  • Synnott et al., (2015) Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review
  • Kamper et al., (2017) What Do Patients with Chronic Spinal Pain Expect from Their Physiotherapist?
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