The fall of the postural-structural-biomechanical model in manual and physical therapies: exemplified by lower back pain
- PMID: 21419349
- DOI: 10.1016/j.jbmt.2011.01.011
The fall of the postural-structural-biomechanical model in manual and physical therapies: exemplified by lower back pain
Abstract
Manual and physical therapists often use a postural-structural-biomechanical (PSB) model to ascertain the causes of various musculoskeletal conditions. It is believed that postural deviations, body asymmetries and pathomechanics are the predisposing/maintaining factors for many musculoskeletal conditions. The PSB model also plays an important role in clinical assessment and management, including the choice of manual techniques and the exercise prescribed. However, the most important question is consistently being ignored--can a person's physical shape/posture/structure/biomechanics be the cause of their lower back pain?
Copyright © 2011 Elsevier Ltd. All rights reserved.
Comment in
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A rich seam.J Bodyw Mov Ther. 2011 Apr;15(2):129. doi: 10.1016/j.jbmt.2011.01.017. Epub 2011 Jan 26. J Bodyw Mov Ther. 2011. PMID: 21419347 No abstract available.
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Is a postural-structural-biomechanical model, within manual therapies, viable?: A JBMT debate.J Bodyw Mov Ther. 2011 Apr;15(2):130-52. doi: 10.1016/j.jbmt.2011.01.004. J Bodyw Mov Ther. 2011. PMID: 21419348 No abstract available.
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Invited response.J Bodyw Mov Ther. 2011 Apr;15(2):138-40. doi: 10.1016/j.jbmt.2011.01.012. J Bodyw Mov Ther. 2011. PMID: 21419350 No abstract available.
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Invited response: (without science, there must be art).J Bodyw Mov Ther. 2011 Apr;15(2):140-4. doi: 10.1016/j.jbmt.2011.01.013. J Bodyw Mov Ther. 2011. PMID: 21419351
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Invited response (the postural structural model, with boundary conditions).J Bodyw Mov Ther. 2011 Apr;15(2):144-8. doi: 10.1016/j.jbmt.2011.01.014. J Bodyw Mov Ther. 2011. PMID: 21419352 No abstract available.
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Invited response (evidence and clinical experience: the challenge when they conflict).J Bodyw Mov Ther. 2011 Apr;15(2):148-50. doi: 10.1016/j.jbmt.2011.01.015. J Bodyw Mov Ther. 2011. PMID: 21419353 No abstract available.
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Invited response.J Bodyw Mov Ther. 2011 Apr;15(2):150-2. doi: 10.1016/j.jbmt.2011.01.016. J Bodyw Mov Ther. 2011. PMID: 21419354 No abstract available.
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Re: The Fall of the postural-structural-biomechanical model in manual therapy: exemplified by lower back pain. A response to reviewers and further thoughts.J Bodyw Mov Ther. 2011 Jul;15(3):257-8. doi: 10.1016/j.jbmt.2011.03.001. Epub 2011 Apr 8. J Bodyw Mov Ther. 2011. PMID: 21665099 No abstract available.
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