Seeing the Big Picture in Back Pain
Apart from the 'feel good' aspects of massage, practitioners are increasingly being required to provide symptom relief. Complaints invariably involve the spine and symptoms related to it. Effective interventions and optimal outcomes rely upon aptitude in clinical reasoning, the clinical wisdom and experience of the practitioner, informed by the contemporary evidence base while also meeting the client's expectations. There is growing evidence that neuromuscular function is altered in people with back pain with imbalanced activity between the more superficial muscles and those more deeply placed. This altered function in the posturo-movement system is clinically observable in the way we relate to gravity. Certain common patterns of response appear to prevail. Reading the somatic clues helps identify these patterns and the likely remedial needs of the client. This presentation will integrate the latest developments in posturo- movement science with clinical practice relevant to massage therapists.
Josephine Key is a musculoskeletal therapist who has been in practice for over 40 years. She is the principle and founder of Edge Cliff Physiotherapy Sports and Spinal Centre in Australia. Her 2 part paper on A Model of Movement Dysfunction and Spinal Pain and Related Disorders was published in 2008 in Bodywork and Movement Therapies. She is also the author of Back Pain - A Movement Problem, A clinical Approach Incorporating Relevant Research and Practice