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critical physiotherapy network
a positive force for an otherwise physiotherapy
Niels Hermannsson says
I don’t grasp how the arrows of old and new ways are supposed to link with the text in between them. But that text is a delightful display of a very old problem in the theory of medical intervention, a problem pertinent to physiotherapy. Crudely, one could ask the questions; at what rate we expect our interventions to change the stage of a negative or unhealthy process of development? And secondly; at what point in a presumably gradual process of change for the better, do we have a new situation calling for a different intervention? In effect, we both change in magnitude, as for instance when we increase resistance or repetitions in exercise therapy, and we change the task, as for instance in going from walking to running. The second statement refers to the rate of expected improvement and the third to both the relevance of what we do and how much we do. As a practicing physiotherapist I certainly share the frustrations of the ancient medical practitioners. Any intervention calls for great care, including the the thought that different underlying pathological processes have different temporal aspects, calling for different evaluation of when a critical point is reached. And furthermore that these temporal aspects can vary substantially between age-groups. At any rate, I don’t think these forces will yield to the demands of the market, as some seem to think.