Me, not believing this went to M-WOD and looked over everything I could about knee mobilizing. As usual, the book, Becoming a Supple Leopard, starts with an introduction and then goes into the cause of injury and pain. In almost every case what follows is an ego-driven diatribe. . Kelly has expressed his ideas in a public forum, through the release of this book. And here is a famous study. And I used to think like you 15 years back. It’s kinda a safety-net. You can find these examples in many occupational journals or by being involved in clinic work. Pain is very much linked to how you move, and compromised posture and has been shown to be an indicator of pain. Not trying to sound like all Biomechanical and no BPS. What we have instead is plenty of evidence going against the advice of emphasizing too much about ideal movement and posture in pain persistence. You can often predict the diagnosis by looking at a patients posture, and the tissue dysfunction causing pain could have been avoided by not being in this posture before. You have shifted to a topic I didn’t raise and didn’t address the one I did raise, which is that poor movement can be the root caues of pain for some people. And i hope it doesn’t stop. As Joe Brenece wote in the previous comment, if you want to get rid of pain, study pain, not biomechanics. After reading the book and watching some of his videos, I can say that there are some concepts that I don’t fully agree with. Thank you for your analysis and thoughtfulness. Thanks for the material on pain, a poorly understood element of our practice. And his shot of fame was all the mobility exercises with bands which improves pain and ROM. If something hurts, lets try moving as whole differently). And there are people who show lot more pain but not much on their MRI’s. I always figured I was doing something wrong and was missing the root cause. One point you seem to reiterate is that poor posture, biomechanical alterations and movement dysfunctions are not necessarily causative of PAIN. His system has changed my life and taught me how to move when there was nowhere else to turn to learn these things. Outside these basic guidelines, there isn’t anything out there in biomechanics that predicts injuries in lifting. 2. There are always exceptions to the exception to the exception (I lift a car off my daughter and rip all the muscles off my arm in doing so but save her life - i’d say i’d moved ideally even though i’d created tissue pathology). And there is nothing new when it comes to lifting technique. I can assume end range of motion without loading and be fine. So it is better to talk about movement errors and margin of erros to acute injuries. These professions included scaffolding, nursing, retail sales, podiatry, firefighting, etc. I did not give the marketing term “revolutionary approach” much relevance, as his book is just another resource for me to learn more about moving better, and I was not under the impression that he made new revolutionary discoveries. However in terms of ‘cause’ of pain a lot of what was earlier assumed to be a cause of pain is not clearcut or stereotypical. I cannot watch his videos where he is giving advice to laymen about how to live better. Maybe. | Sun May 18, 2014. do you know why the American College of Physicians have come forward with clinical guidelines saying” Clinicians should not routinely obtain imaging or other diagnostic tests in patients with nonspecific low back pain”. As you stated earlier, it is not that much ‘anecdotal’ techniques, it is basically some self-use of Mulligan, A.R.T, Rolfing, PNF, Sahrmann, Cook and the like’s movement approach and the sort. If you are a layperson/beginner, get a book from Mark Rippettoe or Dan Johns. I wish I would have started taking good care of myself when I started but better now than never. Third, in the studies on which the reviews were based, exposure to mechanical loading was incomplete—ie, not encompassing Thanks Duncan! It’s not hard to differentiate between biomechanics and neurophysiology or physics and psychology and yet a lot of the book seems to confuse the distinct but overlapping areas instead of clearing it up. Even for clinicians I believe it is a good reference tool for ideas for interventions. How far short of end range of motion is it advisable to stop? •Roffey DM, Wai EK, Bishop P. Causal assessment of awkward occupational postures and low back pain: results of a systematic review. For example, landing on side of your foot when it is twisted and at the extreme end of its normal ROM. Studies clearly have shown these herniations and degeneration are NOT related to the onset, severity, prognosis, or duration of low back pain. My only qualm Anoop (and it is a quibble amongst a way larger set of qualms) is that pain and certain pathologies (ACL ruptures etc) could possibly indicate that a particular person in a particular movement has fallen outside of THEIR particular ideal. Otherwise, I would be more of a psychologist vs a physical therapist lol. We clearly know that 40-50% of people who have no pain whatsoever do have some serious disc herniations/degenerations/abnormalities. I don’t mean to be rude but this website is about scientific methods and it is good to always challenge idea’s. I was wondering if you could explain what exactly you mean by avoiding loading at end range of motion? . We all need to avoid any “absolute” terminology. I know it is a different BIO. I don’t blame him for seeking compensation for his time and information packaging. Better range of motion, will allow anyone to put themselves in better positions when performing movements, and will thus reduce chance of injury. From what I have heard from others their mobility and flexibility have improved a lot since following steps in the book. But if there is ALSO un-treated soft-tissue restriction, capsular tightness/restriction and more underlying problems that remains + an overreactive nervous system that doesn’t know how to treat or manage pain. I wish he would have read the books and articles I gave the link and gave an educated opinion. We practiced bloodletting for 2500 years thinking it worked! Load on it blog and related debates closely in recent weeks to underline that stress/dysfunction! Yet to show that certain modalities indeed prevent injuries considering you get everything from.. Is about pain people discussing this topic are just regurgitating their work like extension, adduction and forth! 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