Introducing the Human Rehabilitation Framework (HRF)™

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Rehabilitation has undergone a major transformation in the last few decades, and it can be challenging to see the bigger picture and provide evidence-based care. Often, research doesn't match the specific needs of the patient, leading to pressure…

Stepping Back Part III

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If you are still with us and are more confused now than before, this is good. Keep in mind, it gets harder before it gets easier. Now that we have discussed some of the limitations with our root beliefs and began the discussion of shifting into…

Stepping Back Part II

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In Part I of this series, I discussed the limitations that exist with our current beliefs and theories we hold when it comes to dealing with pain. For most of us, this involves having theories rooted in a mechanistic worldview believing that…

Stepping Back Part I

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When it comes to the science of pain, I would say that I remain agnostic about many of the interventions employed in rehab. Social media often displays a dichotomous view where people are either for or against certain interventions, however,…

How to tell the difference between fairytale/snake oil science and good human science?

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How can one tell the difference between fairytale/snake oil science and good human science? This question is as relevant today as when Nikolaas (Niko) Tinbergen first proposed the need for critical questions determining the plausibility of biologic…

Human Movement Deserves Better!

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There are thousands of ways to reach up into a cabinet to grab a cup. Each action is made up of a complex interaction of intention, attention, multisystem rules and behaviors, context, execution, feedback and response across multiple joints…

Process-Based Rehabilitation – The Way Forward

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Rehabilitation, and much of healthcare, has reached a point of reckoning. We are stuck in a world where we operate in "protocol-driven clown suits", putting on an entertaining simplified show for the world to watch. These suits ultimately relegate…

Relational Frame Theory and the Movement & Rehabilitation Professional

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“Learn it in one, derive it in two, put it in networks, change what you do” - Steven Hayes summarizing 30 years of his work related to Relational Frame Theory.   ***Please note new content was added at end of post as of 4/15/2020 Inherently,…

Coherence (Part 4 of 4): Bringing worldviews into practice

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COHERENCE (PART 4 OF 4): BRINGING WORLDVIEWS INTO PRACTICE Part 1 is available [here],part 2 [here], and part 3 [here]. By now a good chunk of you are wondering, where does this fit in the movement and pain science realm? I will attempt…

Coherence (Part 3 of 4): Drawing lines in the sand

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COHERENCE (Part 3 of 4): DRAWING LINES IN THE SAND Part 1 is available [here] and part 2 [here]. ...Disclaimer: The depth and scale of Stephen Peppers work is in many ways an understanding of philosophy that is beyond my pay-grade and will…

Coherence (Part 2 of 4): Something isn’t right!

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COHERENCE (Part 2 of 4): SOMETHING ISN’T RIGHT! Part 1 is available [here]. Something deep in me (and many of you) has driven a pursuit of knowledge, yet with every new thing I learn, there is this underlying feeling, urge, that recognizes…

Coherence (Part 1 of 4): What is the sense of all this?

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This is a long overdue follow-up series on a post on “Confident Ambiguity” from 2016. ---- Most of you reading this post will have some background in the biopsychosocial model, pain science, and movement science. Based on this premise,…