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    Using the concept of ideomotor therapy in the treatment of a patient with chronic neck pain: A single system research design

    Journal: International Journal of Osteopathic Medicine 10 (2007) 104-112

    Authors: Sam McCarthy, Luke D. Rickards and Nicholas Lucas

    Abstract

    Background

    A contemporary understanding of pain neurophysiology describes the experience of pain as a multi-system output mechanism in which the perception and localisation of pain sensations cannot be separated from concurrent motor output responses generated to resolve a perceived threat to tissues. It has been suggested that the resolution of pain is dependant on an appropriate motor response, and that such a response should proceed as the result of instinctive, in-built mechanisms. Ideomotor movements constitute the prevailing expression of instinctive movement response in humans. The enhancement of corrective ideomotor movement expression may lead to improvements in pain intensity and disability in symptomatic patients whose instinctive responses have been suppressed. A manual technique can be employed therapeutically to elicit fuller expression of ideomotor movement in patients suffering pain.
    Objectives

    To document the outcome of short-term pain and disability in a patient with chronic neck and shoulder girdle pain treated with ideomotor-based manual therapy and self-management exercise using a single system experimental design.
    Methods

    A prospective A–B–C single system experimental design consisting of a 3-week baseline data collection phase (A), a 3-week treatment and self-management phase (B), and a 3-week self-management phase (C). Treatment and self-management were provided using a light touch technique based on ideomotor principles. Five validated outcome measures were recorded weekly and displayed graphically for visual inspection and analysis.

    Results

    Visual analysis of the plotted outcome measures as a function of time indicated a reduction in pain intensity and perceived disability concurrent with the introduction of treatment (Phase B). These changes appear to be clinically relevant.

    Conclusions

    The results imply a relationship between the introduction of ideomotor-based manual therapy and self-management, and clinically relevant reductions in pain intensity and perceived disability in a patient suffering severe chronic neck and shoulder girdle pain. It is hoped that this study will provoke further interest in this concept and draw attention to a possible mechanism and explanation for some of the effects of commonly used indirect manual therapy techniques.

    The full paper is located here;
    http://www.somasimple.com/forums/showthread.php?t=4654
    Simplicity is the ultimate sophistication. L VINCI
    We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

    Everything should be made as simple as possible, but not a bit simpler.
    If you can't explain it simply, you don't understand it well enough. Albert Einstein
    bernard

  • #2
    Hi Luke!

    I have a question for you.

    Could you elaborate on how much and what kind of information regarding the method (simple contact) the subject was given prior to agreeing to participate?

    Thanks again for a great paper, looking forward to future studies.

    Anders.
    Anders.
    "There is nothing so practical as a good theory." -Kurt Lewin

    Comment


    • #3
      Help

      I am not able to access this paper and an editorial posted for me on another thread. Is it because I haven't posted enough yet?

      Comment


      • #4
        Originally posted by JimA
        Is it because I haven't posted enough yet?
        Just yes. You need, at least, 10 posts.
        This number helps moderators to see if you're a good boy/girl. :angel:
        Simplicity is the ultimate sophistication. L VINCI
        We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

        Everything should be made as simple as possible, but not a bit simpler.
        If you can't explain it simply, you don't understand it well enough. Albert Einstein
        bernard

        Comment


        • #5
          Hi Jim,

          Just a few more posts to go and you'll be there. :thumbs_up

          It's not so much about bad or good, the rule is in place because it encourages participation/ discourages lurking/passivity. Accessing the treasure trove is a privilege extended to active participants, not a right attained through merely registering.
          Diane
          www.dermoneuromodulation.com
          SensibleSolutionsPhysiotherapy
          HumanAntiGravitySuit blog
          Neurotonics PT Teamblog
          Canadian Physiotherapy Pain Science Division (Archived newsletters, paincasts)
          Canadian Physiotherapy Association Pain Science Division Facebook page
          @PainPhysiosCan
          WCPT PhysiotherapyPainNetwork on Facebook
          @WCPTPTPN
          Neuroscience and Pain Science for Manual PTs Facebook page

          @dfjpt
          SomaSimple on Facebook
          @somasimple

          "Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley

          “Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial

          “If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis

          "In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth

          "Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire

          Comment


          • #6
            O.K. I will try harder to be a good boy Bernard!!

            Comment


            • #7
              Originally posted by Diane
              It's not so much about bad or good
              That's mad! These moderators are ever contesting my rules.
              Simplicity is the ultimate sophistication. L VINCI
              We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON

              Everything should be made as simple as possible, but not a bit simpler.
              If you can't explain it simply, you don't understand it well enough. Albert Einstein
              bernard

              Comment


              • #8
                Jim,

                Diane's got it. It's very easy to calculate a therapist's true interest in this material. All we ask is a few of your thoughts and opinions, and I know you, Jim, will provide them. Others will make their own choice in the matter.
                Barrett L. Dorko

                Comment


                • #9
                  Hi Anders,

                  I'll ask Sam for the specifics on this.
                  Luke Rickards
                  Osteopath

                  Comment


                  • #10
                    Thanks for the support Barrett, I am very interested in ideomotion. While I've been lurking,passively around this site I have soaked up lots of info about it. I am keen to try the approach but, with no hope of getting to your course I don't think it would be wise to try.
                    I gave some info about ideomtion and corrective movement to a physio colleage of mine, who has chronic back pain after 3 failed surgeries, she has tried everything else. She hasn't mentioned it since!! Guess she will keep having her nerve blocks every 3 months.
                    So theres my first tentative failed attempt at ideomotion, great start!

                    Comment


                    • #11
                      welcome JimA. We Jims like to lurk, well, i speak for myself as i still feel a bit inhibited about posting mostly because i often feel ignorant relative to the posts i read. i am slowly coming up to speed and feel this is largely due to reading barrett's newsletters and then doggidly following the threads he includes as links. by doggidly i mean i also follow and read any sub links (and their further sub links) i find in these threads which often can get quite lengthy. This "yellow thread road" (perhaps better read as yellwo thread root system) is finally getting me to where i think i have more of value to post/offer here at SOMA. I disagree about not trying to use simple contact because you have not taken a course (i do agree that would be an awsome way to explore it) because as i said previously, following the threads really does help. Just from spending time at SOMA, I am starting to "get" it and most importantly, realize that because i have always been so patient's welfare oriented that i already have a modicom of the skills (albeit clumsy/rusty) already in my repetoire. I think if you truly want what is best for the patient it can even help you "disengage" the "personal" need to make things happen which is a big part of SC.

                      Comment


                      • #12
                        I just found a book online discussing higher order motor problems, quite recent, 2005. I've ordered it.. hoping it will make me smarter about ideomotor movement (.. one can hope). At the very least, the book discusses ideomotor movement at some considerable length and makes clear that there is a difference between sensorymotor and ideomotor. I found it by googling 'Prinz ideomotor'.

                        Enjoy.
                        Diane
                        www.dermoneuromodulation.com
                        SensibleSolutionsPhysiotherapy
                        HumanAntiGravitySuit blog
                        Neurotonics PT Teamblog
                        Canadian Physiotherapy Pain Science Division (Archived newsletters, paincasts)
                        Canadian Physiotherapy Association Pain Science Division Facebook page
                        @PainPhysiosCan
                        WCPT PhysiotherapyPainNetwork on Facebook
                        @WCPTPTPN
                        Neuroscience and Pain Science for Manual PTs Facebook page

                        @dfjpt
                        SomaSimple on Facebook
                        @somasimple

                        "Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley

                        “Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial

                        “If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis

                        "In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth

                        "Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire

                        Comment


                        • #13
                          I see Jeannerod is an author. I believe he is of "end state comfort effect" fame.
                          Cory Blickenstaff, PT, OCS

                          Pain Science and Sensibility Podcast
                          Leaps and Bounds Blog
                          My youtube channel

                          Comment


                          • #14
                            Diane,

                            This looks like a gold mine. :thumbs_up

                            I loved the rephrasing of the James quote that Barrett uses in "Without Volition"-
                            Any representation of a perceivable event that goes along with, or follows from, a particular movement will exhibit the power to trigger the movement that will make this event appear in the perceptual input
                            If it's not too much to ask, I'd love chapter 5 when you get it.
                            Luke Rickards
                            Osteopath

                            Comment


                            • #15
                              Luke, it will be my pleasure.
                              Diane
                              www.dermoneuromodulation.com
                              SensibleSolutionsPhysiotherapy
                              HumanAntiGravitySuit blog
                              Neurotonics PT Teamblog
                              Canadian Physiotherapy Pain Science Division (Archived newsletters, paincasts)
                              Canadian Physiotherapy Association Pain Science Division Facebook page
                              @PainPhysiosCan
                              WCPT PhysiotherapyPainNetwork on Facebook
                              @WCPTPTPN
                              Neuroscience and Pain Science for Manual PTs Facebook page

                              @dfjpt
                              SomaSimple on Facebook
                              @somasimple

                              "Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley

                              “Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial

                              “If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis

                              "In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth

                              "Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire

                              Comment

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