A world known chiropractor and revalidation specialist is coming to the Netherlands during the Functional Movement Summit 2013. One who have great influence in the principles of (sport) physiotherapy and rehabilitation. At Oktober 9 and 10, Craig Liebenson is giving his Faulty Movement Pattern course. In this course he will explain more about the basic principles of functional research and training. In his programs he will focus more on the functional pathology of the motor system, rather than the treatment of pain. But what is so unique about this functional paradigm in the first place? In a series of six upcoming blogs we will go deeper into the matter of functional pathology and why this has been of great influence in the clinical (sport) revalidation.
Craig Liebenson is a real pioneer from the start of his career and is actively engaged in ongoing research on areas of functional diagnostics and musculoskeletal care. To give an answer to the question ‘what makes functional paradigm so unique?’ we first have to make a clear distinguish between the approach of functional- and structural pathology of the motor system. In this first blog you will find a short introduction on this subject.
Difference between functional and structural pathology
Within orthopedics and neurology the use of traditional biomedical models has focused too much on structural pathology. This has caused a worldwide overload on diagnostic based tests, over-treatment, too much use of medication and even surgeries. Research has shown that in most cases the ‘chronic’ structural laesies are not the primary cause of pain, but the functional changes in the motor system are.
Fortunately things are changing and more and more treatments are based on restoring dysfunction in the motor system. There is no longer a single focus on treatment of pain but more on how it limits the activities of the patient in everyday life. An experience in activity intolerance in hobbies, sports or work is by most patient’s graduated as worse than pain. It is an interesting and yet logical approach.
The functional diagnosis determines the therapy even when the ‘diagnosis’ is not clear. By setting goals you stimulate the self-care management of the patient. The patient is more likely to work on resuming normal activities. This is the single most important key to a successful therapy and recovery, emotionally and physically.
In conclusion we can say that within the functional paradigm we make a differentiation between pain and dysfunction. Even though those two often go hand in hand, in modern care the treatment is on dysfunction where we focus on the patient’s functional goals and not only the treatment of pain.
Course Faulty Movement Patterns
Craig Liebenson will give you during his basic course insight in the treatment and training based on the functional patterns of the motor system. In the “Faulty Movement Pattern” courses functional evaluation is a key. There are no protocols only principles to give you handles to study every patient and its functions individually. The course:
All the Liebenson programs are interactive, problem-solving workshops. You can start with any course, but “Faulty Movement Patterns” is the foundation for all other programs. The other programs are Rehab of the Athlete – From the Ground Up and the Rehab Continuum - Stability to Performance from Head to Toe.
In a next blog we will continue with the importance of Functional Pathology in treating (chronic) back pain patients.
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