These was sent in by Ellen Buckley and is often a fantastic rebuttal to yesterday's article entitled "Is Posture Important"
Know some individuals would like this? (Or someone who needs to take a hint?!)
The following was sent in by Ellen Buckley it truly is a fantastic rebuttal to yesterdays article entitled Is Posture Important. I suggest you read yesterdays article first followed by come back here to get all sides of the spectrum and come to your own conclusions.
I normally find your articles great but I think like youve missed the mark on this page. I think youve misinterpreted a lot for this literature and missed the point of a bunch of other things too. Just putting this out there that Im a physiotherapist so while you could imagine that means Im biased (and I probably am), I also went to uni for 4 years to be allowed to say what Im about to feel that.
Im going to spend time visiting point by point through your article which may seem tedious but Believe that its important looks of what you said is discussed.
Firstly a massage therapist is not an actual therapist and they shouldnt be doing those kinds of assessments as theyre not appropriately taught to.
You cant predict wholl have a biceps tear and anyone who thinks they can hasnt studied enough. I just think leg length discrepancies arent important and I personally rarely assess them in practice unless there is at this moment to and minor ones dont make a difference anyway.
Ive done a great bit of training and never arrive at those postural assessments I think its possibly different in Australia as compared to the US. Anyone who needs a grid to assess someones posture shouldnt be going after it when you are trained you can manage it just searching. Maybe trainers should be better trained at assessing position?
I do match what you say in that is usually to make clients feel disheartened by doing a movement assessment or postural assessment but that doesnt mean theres a issue with the idea of postural assessment itself, it means there happens to be problem with a new information is presented to the client. You may phrase it in a positive way as an example (and this is an activity like what I believe that multiple times a day) you possess a slightly rounded back, but by doing a little exercises and avoiding slouching for long periods, you can improve it.
Youre right that you have people with bad posture with no pain, and together with good posture with pain (as there will be exceptions to any rule), but from my clinical experience there is a stronger correlation between poor posture and discomfort.
Poor sitting posture has been consistently shown to regarded as strong predictor of low back pain . Moreover indicates say that there are studies which are discovering no correlation will help you true, more recent surveys have found that back pain and posture can be subgrouped, so there is a subgroup who hold themselves actively into extension who have pain, and a subgroup who are currently in excessive flexion with pain (but a person's look at the group as a whole, without subgrouping, if feels like there is no difference to people without pain) .
It is only by being more specific about types of back pain, and subgroups, that find these differences. Furthermore a correlation has been shown between asymmetric posture and low lumbar pain .
I agree that clients have got a chance to be committed to postural change, and often they wont be, but you cant write off everyone as not being committed to it without trying.
Espresso that I often do is get yourself a patient out of some bad posture and into better posture, and demonstrate in that their pain goes away with this. That is a powerful motivator for a lot patients and they get it that the their posture thats causing (or largely contributing to) their pain.
However, you do not own to change everything you do, or be cognizant of your posture all period to change they. I know this myself as I once had terrible posture (and a lot more back pain) and while there is a primary period where you will be reminded, like anything, it gets easier with time and definitely dont want to change what youre doing, you simply need to change how you use your body when youre doing it.
You mention pelvic tilts Identified that normally perform affect pain and performance, but it effects everyone differently. If youre not sure, why dont you search? If they have an anterior tilt, make them a neutral tilt and re-assess their movement.
Does it make a alternative? That gives you an answer as as to if its important for the client.
Also re: research you mentioned, in the event you look at asymptomatic patients, there are very few way to determine if they develop mid back pain down the track because of their posture. Just they dont have pain at the time of the study doesnt tell you whether their posture will contribute to their pain down the track.
Onto the pec I are unsure of if youve cherry-picked these studies, however the vast majority of clinical protocols (based on clinical trials) for all shoulder issues recommend postural assessment and treating of major postural deviations ( is a story for one issue but there are countless others).
Now this isnt to say posture is everything I think sitting posture is important, and standing posture is less important. I also believe that neuromuscular control is more important than standing posture, and that is not something that (as far as Im aware) personal trainers are qualified to assess/should be assessing (articles [5, 6, 7] have some info on this).
I also think that poor posture and pain can be a little like high cholesterol and heart issues (if you ignore all current debate inside of relevance of cholesterol) even though you don't possess pain yet doesnt imply you shouldnt do in order to address your posture now, before you develop ailments.
Its important to understand that lot for the literature with this in mind is pretty poor high quality. Recently the literature on lower back pain has focussed regarding subgrouping this where you see more conclusive evidence, looking into still significantly of research that must be be over.
I think you likewise need to ask yourself, just what the point of trainers providing these tests? If there is often a thoracic kyphosis, do perception how to reverse it effectively? Are you trained to provide corrective exercises for stance? Ive noticed your most recent post for this issue (havent had possibility to make out the print yet), and i also think solution is completely. I think that running without shoes should only go to the extent of oh hey plus fix this oh you cant well either a) get it checked out or b) if its only minor and not causing you issues dont worry, but let me know prone to develop any pain.
I merely want to finish with saying I love most of the your post but I dont think this article should have fun without the right rebuttal.
Very happy continue this conversation.
From Jon: Thanks to Ellen to do this fantastic rebuttal. My main goal is to begin a conversation about these subjects. Nothing that we publish is right or totally. If we receive high-quality and well designed arguments provide you with more publish it even if it goes against existing dogma.
If youve looked the particular body of research and come to your own conclusion, thats great with regards to would never tell you to do it any other way.
Unfortunately its more readily available place for new and advanced trainers to buy into a system without exploring any quality information into the contrary. A new consequence of that, we publish different opinions..