Recurrent musculoskeletal pain has a significant impact on health care costs, employee productivity and quality of life. Improving aberrant movement patterns is key to maintaining a healthy lifestyle. Everyone has the ability to improve the way they function on a day-to-day basis. Uncontrolled movement can be identified by observation, and corrective retraining of this uncontrolled movement may have an influence on the onset and recurrence of musculoskeletal pain. The key is in the assessment and analysis of movement patterns, identifying the risks, and addressing these risks through training of the correct muscles.
For the majority of people, an initial injury may not cause impairment, however, recurrence of an injury can lead to impairment and potentially disability. Physiotherapists are experts in treating initial injuries, however, it is not as widely known that they are also highly-trained in addressing underlying biomechanical injuries, which stem from the way a person moves, and predictors of injury (such as bad movement patterns that will eventually result in injury). The best predictor of an injury, or pain episode, is a previous episode. However, in order to effectively treat pain and minimise the likeness of its recurrence, it is important to beyond the injury itself and investigate movement restrictions and movement patterns.
What is normal movement?
This is difficult to define. There is no one correct way to move. It is normal to be able to perform any functional task in a variety of different ways, with a variety of different recruitment strategies. Optimal movement ensures that functional tasks and postural control activities are able to be performed in an efficient way and in a way that minimises and controls physiological stresses. This requires the integration of many elements of neuromuscular control including sensory feedback, central nervous system processing and motor coordination. If this can be achieved, efficient and pain-free postural control and movement function can be maintained during normal activities of daily living occupational and leisure activities and in sporting performance throughout many years of a person’s life.
The key to managing movement dysfunction is a thorough assessment. Identifying and classifying movement faults is fast becoming the cornerstone of contemporary rehabilitative neuromusculoskeletal practice Analysis of faulty movement is what physiotherapist train to do. A physiotherapist who is experienced in using movement training will manage faults well due to their training and understanding of what is required to move well.
How can Pilates help?
In their book “Kinetic Control – The Management of Uncontrolled Movement”, Comerford and Mottram suggest that exercise therapy such as Pilates are useful for the management of movement dysfunction. This kind of therapy is great for movement dysfunction because it encourages:
- multi-joint movements,
- slow movements,
- low force movements,
- large range movements,
- coordination and control of rotation,
- smooth transition of concentric–eccentric movement,
- awareness of gravity,
- a concept of a ‘core’,
- coordinated breathing,
- awareness of posture,
- intermittent static hold of position,
- control of the centre of mass of one body segment with respect to adjacent segments,
- proximal control for distal movement,? and
- positive mental attitude
The Body Refinery Online’s physiotherapists have drawn on the latest evidence in movement to create 3 online Pilates programs that provide exercise therapies that will allow you to move well, stay well, and enjoy life to the fullest.
_ _ _
Start one of our online Pilates programs and you will feel your body moving better in all the activities you do in your daily life.