|14-06-2007, 05:15 PM||#1|
Join Date: Jun 2007
Thanked 0 Times in 0 Posts
Hello, and intro
Hi everyone. My name is Julie Roth and I am the PT Coordinator at a national headache center in the US. I attended Barrett's course in Toledo last week and I've been reading on the site daily since, and thought I should de-lurk.
It's been fun (mostly) processing what I heard. The truth is, the concepts were not a huge paradigm shift for me, as I've been nestled in the neurology community for some time (I've been at the headache institute for nearly 10 years now). I come from a very osteopathic manual medicine type training prior to coming here. And it seems that the longer I practice, the more I talk, listen and educate, and the less I "do." I have also found over the years that the "indirect" approaches, those that seem likely to be more specifically accessing the nervous system by design, are those that are most satisfying to do, have quick (immediate) results, and make me feel like a genius (I am not, I assure you). I am thinking about techniques such as kinesiotape (which uses the skin receptors to access the NS -- anyone tried it? I love it), positional releases and recipricol inhibition. Even some of the PRRT stuff (though I haven't taken a whole course there). Since taking the course, I conceive of myself using the "handles" of the musculoskeletal system to access the NS. I monitor neural tension in my patients a la Butler (I took his course ages ago), but I don't find great success in using the "threading/flossing" techniques I learned (and I certainly wouldn't do a "stretch"), and I'm not sure why. But I do find the positions to be useful for monitoring and pre and post tests.
I still haven't decided what to do about ideomotor activity. I just sigh every time I think about it. It took me years to gain the confidence of the neurologists I work with, and I can just imagine my patients telling them about the weird dance their therapist is doing with them..... I know I can't start it with patients until I can get more comfortable myself. Perhaps I'll begin with a select few, and see what happens.
I guess that's it for now.
|14-06-2007, 05:18 PM||#2|
Writer and Clinician
Join Date: Nov 2005
Location: Cuyahoga Falls, Ohio
Thanked 3,003 Times in 1,709 Posts
Thank you for posting. I certainly remember you.
Your comments will generate some discussion, I'm sure.
Barrett L. Dorko P.T.
|14-06-2007, 08:30 PM||#3|
Human Primate Social Groomer and Neuroelastician
Join Date: Mar 2004
Location: Weyburn Sask.
Thanked 6,194 Times in 2,809 Posts
Julie, you sound just like me. Apart from working at a headache center I should add. Welcome to somasimple.
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Canadian Physiotherapy Pain Science Division (Archived newsletters, paincasts)
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|14-06-2007, 10:34 PM||#4|
Join Date: Mar 2004
Location: ACT Aust
Thanked 586 Times in 420 Posts
Hi Julie and welcome.
You're in good company - the more one thinks and educates, the less needed to be 'done' ot the patient. I agree taping is excellent for talking to the nervous system, and have used it for a few years now. I have also found instinctive movement a bit of magic for headaches, but convincing others of the importance of instinctive movement/ideomotion for pain resolution is no simple task. I appreciate your position with neurologists re hard-won goodwill.
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