Butler, Moseley & Thacker Explain Pain in York, UK

[Diane]

Check it out. Looks like it will be good.

[JimA]

I am going to this course and looking forward to what should be an interesting 2 days.

[JimA]

This course was excellent! First time I have had the chance to hear Dave Butler, he is very inspirational and makes all his information clinically relevant. Highly recommended.

[Diane]

Besides being inspirational, what is he saying these days? :)

[nari]

Jim,

What did you find particularly enlightening? It's been 4 years since I last listened to David Butler speak and I'd like to hear a bit of a synopsis from you, if you could.

Nari

[JimA]

I don't think he was saying anything new for anyone on this site, but my main take home messages from the course were:
The importance of education - not only that you need to know your stuff bu, we must be good at getting the right messages across to patients and be adaptable with it. The education given must link with the patients story and therefore meet them at their representation of the problem.
Reconceptualisation that pain is a multiple system output constructed by an individual specific neurosignature activated whenever the brain concludes that body tissues are threatened and action is required.
Aim to get freedom of movement rather than controlled movement.
Make therapy fun!!

[Diane]

Thanks Jim, it's nice to hear such a succinct synposis.

[christophb]

Aim to get freedom of movement rather than controlled movement

I really like hearing this. I think this should carry over to the core stabilization discussion.

[Pete]

The education given must link with the patients story and therefore meet them at their representation of the problem.


I really like this. Reminds me of Jason Silvernail's 'Watering the Grass' metaphor. Hearing a therapist's explanation that fitted my 'story' has often been important and helpful to me.

[nari]

Thanks, Jim. When I first heard about the concept of the neurosignature, it seemed to be almost too sensible to be true.

Freedom of movement vs choreographed precision is also what Barrett has been saying for years, and that very thought seems to be anathema to so many PTs in the world. But things might be starting to change....

Nari

[christophb]

Nari, I really don't think things are changing with the whole controlled movement thing. Core strength is replaced with "motor control" and it's the rage, at least where I work. Pain education is barely adequate, IMHO and PT's argue with me all the time stating that our disagreements are semantic only, meanwhile the patients get confused and suffer because of it.

But then again I seem to be more of a glass half empty sort of fellow these days... or perhaps a realist?

[nari]

Chris,

I fluctuate between being a realist and an optimist, and always have. Now that I am away from the daily contact with PTs who feel obliged to run with motor control for everything from flat feet to stiff necks, I guess I am more optimistic. Probably an illusion.

The fact that only 1 other person in Australia (Sarah) keeps tabs on this site, is definitely half-empty glass stuff. Sometimes it surprises me that we are such hidebound traditionalists - sometimes it doesn't. But I had, over the years, expected more interest in new stuff, especially from Oz physios.

Oh well. Keep on keeping on, Chris.

Nari