Study on Integrated Movement from University of Gothenburg, Sweden:
A new study from the university discussed the concept of integrated movement- a process where patients are encouraged to have more body awareness in an effort to reduce their pain. I touched upon this concept in my book, Back Together, in the chapter discussing the learned neurologic response.
It is widely known that injured patients will subconsciously limit their range of motion on certain movements following an injury in an effort to find less painful ways to accomplish various tasks and activities. Unfortunately, these self imposed modifications become learned, and the altered body mechanics remain even after the injury has resolved. This can lead to further problems down the road because of irregular wear & tear on joints, as well as a higher likelihood of being re-injured.
This study focused on the use of Sensory Motor Learning, which is an extension of the concepts of the Feldenkrais Method (A widely utilized modality which encourages body awareness, and focuses on postural stability.) Basically, they found that patients who focused on these body skills had better control over their back pain and improved their mechanics.
Again, I love it when a study reinforces what I see clinically. When I have patients recovering from back or neck injury, I often have them address the learned neurological response as part of their recovery. Basically, if a patient has pain performing a specific movement, I will ask them to look at their daily activities and try to identify and analogous, or mechanically similar movement which does not cause them pain. I will encourage them to take time from their day to do repetitions of the non-pain inducing movements followed by a few repetitions of the pain inducing movement- paying attention to the mechanical similarities and differences between them. Over the course of days or sometimes weeks, they will gradually shift the balance towards the movement which was originally causing them pain- but with progressively less discomfort, undoing the altered, damaged body mechanics established following their injury.
Follow up on the sex furniture piece from yesterday…
Thank you so much for all of the great feedback on yesterday’s piece on products to help find comfortable positions for sexual activity. As happened with the previous post on this topic, I received several emails where people shared their successes and failures in this regard. Some folks were very grateful for the information, and were also glad to find that they were not alone with this difficulty. As I suspected, this is a really neglected issue for back pain sufferers.
A quick note about Back Together:
I created Back Together in an effort to provide a useful resource for people and their partners or spouses whose lives have been adversely affected by back pain. I hope to help as many people as I can to rid their lives of back pain. You may have noticed that I go to great lengths to use egalitarian language wherever possible, and I do this to underscore that back together is here for EVERYONE. In the past month I have received about ten emails from individuals asking me to refrain from using the word ‘partner’ in addition to spouse. Again, Back Together is for EVERYONE- And I want to be very clear that I do not and will not discriminate against anyone based on race, religion, sexual orientation, age- or anything else for that matter.
My wish is to slowly develop a community of people who are finding ways to lead pain-free lives- and that everyone is included and welcome, so you really don’t need to send me any more of these emails. Thanks.
Coming up:
-A new ‘One Thing’ segment with Pilates instructor, Amanda Mitchell.
-Some thoughts on preventing back injuries relating to falls.
-Reviews of two new studies regarding back pain and medications.
-As always, new Tips o’ the Day.
- And a whole lot more.
Thanks for visiting. Be well!
-Andy
Cynwyd Elementary participating in Treats for Troops- sending care packages to U.S. troops stationed in Afghanistan.
