DataPoint: Spinal pain is associated with posture.
From the article: “The orientation of gross body segments with respect to the gravity line appear superior to local spinopelvic features in terms of clinical importance, at least in the current pre-PHV cohort. Opportunities may exist for postural subgrouping strategies to begin with global alignment parameters in order to gain further insight in the relationship between sagittal alignment and the relative risk of developing spinal pain/seeking medical consultation for this pain.”
Implication: The PostureZone® model of assessing and retraining body mass segments is clinically superior to old school assessment models of high shoulder/high hip/etc.
Sagittal Standing Posture and Its Association With Spinal Pain: A School-Based Epidemiological Study of 1196 Flemish Adolescents Before Age at Peak Height Velocity, Mieke, Dolphens PT; Barbara, Cagnie PhD; Pascal, Coorevits PhD; Guy, Vanderstraeten PhD; Greet, Cardon PhD; Roseline, D’hooge PT; Lieven, Danneels PhD Spine:19 November 2011 doi: 10.1097/BRS.0b013e3182408053
DataPoint: Increasing body awareness and correlating improved awareness with reality helps relieve pain and reduce disability.
From the article: “The group treated with perceptive surfaces (PRG) achieved the highest reduction of pain and a disability reduction similar to that obtained by BSG. The health improvement in PRG was probably related to a more correct standing posture, as highlighted by instrumented analysis. The Center of Pressure (CoP) oscillations were in fact reduced in terms of length and velocity and also the trunk arrows and frontal angles were found reduced after treatment.”
Implication:Integrating body awareness training with rehab is likely one of the reasons the StrongPosture® protocol progressions are so effective.
Perceptive rehabilitation in patients with chronic aspecific low back pain, M. Iosa1, G. Morone1, T. Paolucci2, R. Alcuri2, A. Fusco1, E. Spadini3, V.M. Saraceni4, S. Paolucci, Gait & Posture, Volume 33, Supplement 1, April 2011, Pages S29, XIth Congress of the Italian Society of Clinical Movement Analysis, doi:10.1016/j.gaitpost.2010.10.036
DataPoint: 3D, Controlled Exercise Improves Balance
94 controlled studies of 9,917 people looking at balance and exercise were reviewed by Cochrane, the recognized resource for evidence-based health care. The studies showed evidence that exercise improves clinical balance and gait and balance, with 3D exercise such as Tai Chi, qi gong, yoga and dance being especially effective at improving clinical balance outcomes in older people.
Implication: And another explanation for clinical effectiveness–The StrongPosture® exercises Motion track (ball) progressively train coupled, 3d core controlled motion.
Cochrane Database of Systematic Reviews 2011, Issue 11. Art. No.: CD004963 (November 9, 2011)
Giving thanks, in memory of our friend Charles Harbin