Upload
sigurd-mikkelsen
View
168
Download
2
Embed Size (px)
Citation preview
#FysioFuture
Disclaimer
• The scope of physical therapy is not limited to the treatment of pain
• The following presentation is framed within ”management of musculoskeletal disorders”
FYSIOTERAPI INN I FREMTIDEN
BOB THE BUILDER
THE PHYSICAL THERAPIST
OR SIR ALEX FERGUSON
THE PHYSICAL THERAPIST
AS A MECHANIC AS A STRATEGIST
THE PHYSICAL THERAPIST
AS A MECHANIC
• Have we tried to understand and treat pain by navigating with The Wrong Set of Rules?
• Find it, fix it?
• If ”all roads lead to Rome” someone is full of BS…
THE PHYSICAL THERAPIST
AS A MECHANIC
• Similar outcomes despite widely different explanations
• Yet we do much the same
• Look, Listen, Touch, Talk
• (Bio)mechanical reasoning does not explain this
WHO & WHAT ARE WE?
Bob the Builder fixing machines?
Strategists managing ecosystems?
CONCEPTUAL ACCEPTANCE
1) Hands on
2) Prescriptions
3) Reasoning models
4) EBM
= haptics
= load management
= meaningful narratives
= informed probability
THE PHYSICAL THERAPIST
AS A STRATEGIST • Mirrors an approach to
calculate dynamic interactions in complex phenomenons
• Different Set of Rules Different hiarchy Different ontology Different epistemology
IT’S NOT ABOUT THE BALL!
THE PHYSICAL THERAPIST
AS A STRATEGIST • Starts with S. Kierkegaard
• Who is the enemy?
• Empirical reasoning strategies should match enemy and context
• Predictions based on tendencies (epidem. data)
• Everything can’t be fixed and difficult is still difficult
• As good as it gets-scenario: Cure sometimes, often treat, comfort always
• Most important job is to prevent chronification
• Do the basics even better! Mind your language!
• Focus on meaning, culture & healing narratives
• Stand up against professional disservice
• Take the leap from Mechanics to Strategies
PREMISES FOR THE #FysioFuture
THANK YA’ ALL!
Machines Ecosystems