this is weird but it seems to work....

[nari]

We have all seen the unfortunate low-amplitude, low frequency head nodding and shaking exhibited mostly with Parkinsonian symptoms.

I had someone last week whose cervical spine and shoulders were so tense and painful that I had trouble working out her homework plan. It was an exacerbation of an old neck injury arising from an MVA 20 years ago. ROM was quite limited and movements were awkward and quite inefficient. I thought of passive mobilisation and PPIVMS, but she didn't like the idea of me fiddling with her neck, so I asked her to 'copy' the head oscillations of the Parkinsonian tremor. She knew exactly what I meant, and gave it a go.
Within a few minutes her neck relaxed, ROM increased and when she came to a dead end, oscillated for a few moments and then ROM increased. It seemed to relieve pain.

I have yet to see her again, but she left quite comfortable and relaxed.
Her mood and demeanour were significantly altered, and she cracked a joke about shakers and movers.

Has anyone else come across weird inspirational ideas like this one???

Nari

[Diane]

Sounds like you put her back in charge of her own "ideomotor movement"... (as per BD...) smart idea!
Diane

[nari]

Uhohhh...

Do I know what I'm doing? Nope!

Intuition is a misleading bit of brain work.


Nari

[Diane]

It's ok if it seems intuitive at first. Go ahead and fly in fog. Use your radar and try not to bump into anything too drastic. Build on your success. Later it will be clearer what happened. Above all do no harm. And as long as you aren't jumping all over her joints, and she's doing the moving herself, what's to worry over? Motion is lotion.
:),
Diane

[nari]

Thanks Diane

But I was thinking more of wandering unwittingly into the Simple Contact area, which jon has quite nicely summarised on RE, and not knowing I am there, and making the most of it.

That probably doesn't make much sense; but I also have visions of people around the traps doing tiny head shakes and nods with friends saying they are developing Parkinson's...

Am interested in seeing her again for reviewing any substantial benefit.


Nari

[Diane]

Ditto that Bernard, also ease, grace, economy of effort... amount of energy..
Those things are for free.

I got the impression Nari that you were surprised at yourself for coming up with this.. I don't think we need to have such outcomes studied up in a RCT to take them on as treatment goals. And intuition itself is just speeded up thinking, isn't it?
:),
Diane

[nari]

Diane,

I tend to take notice of RCTs only if they suit my purpose - eg electrotherapy, rotator cuff rehab (shown to be rather ineffective compared with a home program only), and so on.
That can be a bit naughty, but there it is.

What surprised me is that I came up with the idea - more going on in the subconscious than we give credit for.

Intuition = speeded up thinking....good point.

But the conservatives amongst the profession would not approve, maybe, and that does not ever worry me.


Nari

[bernard]

Hi Somasimplers,

I put a comment on this topic =>
structural variatiion (http://www.somasimple.com/forums3/viewtopic.php?t=602)

But omitted to explain how I did the change. :oops:
This tip is for the hip and some internal rotated knees.
The patient is lying on the table and we are acting on one side at the time.

1/The treated leg is bended around 90° comfortably and slowly with one hand I do an internal and external oscillation, firstly with very low amplitude and increasing it with repeats.
2/ In the same position, we want now an active movement inward to the opposite side. A strong but slow movement, and the patient then relax slowly the contracted led and I help him to return to an external position!

I hope that it is clear for you? :oops: