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Well, I finally got it.
I met Barrett at the APTA conference last week, and he was nice enough to not only buy my wife and I breakfast, but also demonstrate handling and correction on both of us. Now I see why his workshop is not so popular. He must be a jerk.
I really couldn't help but start to laugh when my ideomotor motion started, and was amazed that it truly was as he said it was. Not that I doubted, but I did have trouble getting it to work.
Well, today, it worked on two patients of mine, with disparate areas of pain, who improved immediately in their autonomic state, pain complaints, and even findings on neurodynamic exam!
In the interest of full disclosure, I did have two patients that sort of stood/sat there, clearling stopping their isometric activity and holding themselves in a certain posture, preventing correction. So not exactly 100%, buy surely better than I was doing before.
I mention all this not to brag or take up forum space, but just to help make clear what I was NOT doing earlier, in the hopes I could help others.
1. I was pushing too hard earlier. I was very surprised how light of a contact required, and clearly was resting too heavily on patients before, which might have inhibited their movement.
2. I was doing a lot of explanation and "scene-setting" when I probably should just jump into it. I know Barrett doesn't like to tell us what to say or do exactly, but it helps to get me started sometimes, and after that my therapeutic metaphors develop. So my "lead-in" was quite short today.
In one case, my patient had had a R shoulder Rotator Cuff repair in FEB06, and was now recently having more and more pain in the shoulder, which she couldn't understand. The shoulder mobilization and RC and periscapular strengthening I was doing wasn't working to make it better. A shocker, I know. Anyway, she had also had a carpal tunnel release on the same side, and complained of "trigger points" in her neck on that R side. Her ULNT median was short and painful. After about 10 minutes of correction, her ULNT was normalized and her shoulder ROM was immediately significantly improved.
The other patient I had for first visit, and she had chronic buttock and leg pain. She had had multiple epidural steroid injections and an SIJ injection, which had helped and she said had "diagnosed" her problem as an SIJ problem. She had reported temporary relief with manipulation and massage before. There were 2/5 manipulation criteria (not a good candidate), no centralization with repeated motion, weakness of hip muscles in single leg stance, and TTP at her L SIJ area, and 3/6 SIJ provocative testing. Previously, I would call her a good candidate for lumbar stabilization exercise, and preliminary CPR for success with this made her a good candidate. But, I was fresh off my success with my patient with shoulder pain, so I tried SC first.
This patient actually leaned forward and walked her hands out in front on all fours with knees bent before saying "ahh...that's the spot." She felt warmer immediately, had no pain with lumbar extension where previously there was some, and a negative slump test where previously she had about jumped off the table.
I could get used to this...
J
I met Barrett at the APTA conference last week, and he was nice enough to not only buy my wife and I breakfast, but also demonstrate handling and correction on both of us. Now I see why his workshop is not so popular. He must be a jerk.
I really couldn't help but start to laugh when my ideomotor motion started, and was amazed that it truly was as he said it was. Not that I doubted, but I did have trouble getting it to work.
Well, today, it worked on two patients of mine, with disparate areas of pain, who improved immediately in their autonomic state, pain complaints, and even findings on neurodynamic exam!
In the interest of full disclosure, I did have two patients that sort of stood/sat there, clearling stopping their isometric activity and holding themselves in a certain posture, preventing correction. So not exactly 100%, buy surely better than I was doing before.
I mention all this not to brag or take up forum space, but just to help make clear what I was NOT doing earlier, in the hopes I could help others.
1. I was pushing too hard earlier. I was very surprised how light of a contact required, and clearly was resting too heavily on patients before, which might have inhibited their movement.
2. I was doing a lot of explanation and "scene-setting" when I probably should just jump into it. I know Barrett doesn't like to tell us what to say or do exactly, but it helps to get me started sometimes, and after that my therapeutic metaphors develop. So my "lead-in" was quite short today.
In one case, my patient had had a R shoulder Rotator Cuff repair in FEB06, and was now recently having more and more pain in the shoulder, which she couldn't understand. The shoulder mobilization and RC and periscapular strengthening I was doing wasn't working to make it better. A shocker, I know. Anyway, she had also had a carpal tunnel release on the same side, and complained of "trigger points" in her neck on that R side. Her ULNT median was short and painful. After about 10 minutes of correction, her ULNT was normalized and her shoulder ROM was immediately significantly improved.
The other patient I had for first visit, and she had chronic buttock and leg pain. She had had multiple epidural steroid injections and an SIJ injection, which had helped and she said had "diagnosed" her problem as an SIJ problem. She had reported temporary relief with manipulation and massage before. There were 2/5 manipulation criteria (not a good candidate), no centralization with repeated motion, weakness of hip muscles in single leg stance, and TTP at her L SIJ area, and 3/6 SIJ provocative testing. Previously, I would call her a good candidate for lumbar stabilization exercise, and preliminary CPR for success with this made her a good candidate. But, I was fresh off my success with my patient with shoulder pain, so I tried SC first.
This patient actually leaned forward and walked her hands out in front on all fours with knees bent before saying "ahh...that's the spot." She felt warmer immediately, had no pain with lumbar extension where previously there was some, and a negative slump test where previously she had about jumped off the table.
I could get used to this...
J
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