Why we develop back pain | Amy Selinger | TEDxUniversityofNevada
Вставка
- Опубліковано 10 лют 2016
- Physical therapist Amy Selinger describes how growing up in our modern society, sitting and cumulative trauma may lead us to develop muscle imbalances that lead to musculoskeletal pain; particularly back pain.
With 30 years of experience specializing in back, hip and pelvic pain, Amy Selinger appreciates that many treatment techniques thought to be standard approaches to back pain don't always work. Using the Movement System Balance approach she evaluates individuals with musculoskeletal pain syndromes to determine how they move their bodies in ways that contribute to their imbalance.
This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at ted.com/tedx
A lot of people saying that this is nonsense information. If you could please offer up your own information on back pain that would be great! All of this ladies suggestions to help are all great ideas. Move more, vary movement, squat instead of bend, don't sit for too long - all good tried and tested ideas
this talk is spot on! the bend in our spine also comes from the habit of bending as we write at our school desk. As a ex-backpain sufferer i think this talk needs to be shown in every school
Great! I'm working on computer about 8 hours every day with maybe two pauses. After this video I'm thinking more about sitting pauses and its really helpful. Stiffness in shoulders and lowerback is almost gone. Thanks
A very underrated talk. Thank you.
Thank you Doctor Amy. I appreciate your inquiry, curiosity and personal experience that has lead to your research. Thank you for sharing in such a approachable and applicable way. I look forward to sharing your video with clients!
This is amazing! I love my fantastic PT Amy!!
Fantastic information! Thanks!
Wonderful information on how to activate the deep core muscles (rather than the superficial core muscles) and how to re-learn how our body naturally protects the spine when we have back pain. I do think that the title of this talk may be a bit misleading though. It's a bold statement to say "why we develop back pain" then attributing it all to postural imbalances and neuromuscular sequencing dysfunction. I'm a huge fan of Shirley Sahrmann's work and starting nearly any back pain program with teaching diaphragm breathing but a different title may be better. My suggestion would be, "one of the many reasons why we develop back pain and what we can do to protect our spine." I'd love to give this video a thumbs up once this happens.
Tanpinkids Videos mate you've lost it
Wow, a sign of hope. Thank you for the insight. Six packs do really have a purpose not just aesthetics. I need to incorporate them and activate them firt when I move!!
I’ve been living with severe chronic back pain for 26 years! I’m a tuff male, but the don’t give me enough pain meds! I take it 1 day at a time, have no choice! Keep moving, hit the gym 5 days a week!
Thank you, very logical presentation! Never understood the separation of core before, will try it. Best wishes from CCU Sam in ChasWV
What she's done is similar to Pranayama, a yogic breathing exercises that has several health benefits. One of them, Anulom Vilom Pranayama, is simple and highly recommended.
Superb
Nice your presentation
Have you ever think that, we are working with presure and long hours... more that our body feels comfortable...
Have you ever think that is not so correct the work policy presure that we are facing every day
And we stay silent pressing our body because we are afraid to talk and loosing our work ?
Fear+silence=pressing our body ourselves more than is healthy
Have you ever think about that?
Just wonder...
With respect
Very interesting revelation.
This makes so much sense. Thank you for this brilliant talk, Amy!
Oh my God I found myself doing that this morning in the garden and I have terrible back pain
Would you mind to post related research in the video?
Our data gleaned from conducting hundreds of home office ergonomic assessments during Covid & work from home, finds employees are sitting an average of 48 min more each day. This is leading to the development of DVT's, musculoskeletal injuries and pain. This will cost employers millions of dollars in health benefits, insurance and compensation costs and lowered productivity. This Tedx is a great review about the need to move, move and move more not sit. JESleeth PT
There is no evidence that a weak core causes back pain. In fact low back pain is associated with more core activity. Way too prescriptive and biomedical. Back pain is more complex than 1 muscle not working well. Relaxing the core, normal movement, comfortable postures, relaxed lifting and reducing fear all will help to reduce pain.
Hello. I would like to add that food related inflammation causes me terrible back pain for years. Thnks.
If anyone has chronic pain they might also find interesting the books and work of Dr. John S a r n o and Dr. Howard Schubiner.
YES. I was just about to post the same thing!!!
@@rlabarbera 1¹111111¹1111111⁰⁰⁰⁰1⁰⁰⁰⁰⁰0
@@rlabarbera 1
@@rlabarbera qq¹1q
Q
I am not in total agreement with the abdominal muscle activation exercise. One of the reasons those abdominal s are never exercised in our culture is because far too many people are chest breathers and not diaphragm breathers. Amy is assuming that everyone is a diaphragm breather. But if you are using your upper chest to inhale and exhale, that means your abdominal s aren't even in the picture anymore. So first, you need to determine what kind of a breather you are and if you are a chest, become a stomach breather. Then you can do all the abdominal contraction exercises you so desire. Take up swimming if you are a chest breather.
I wish I had a pic of how my family sits...older brother in particular. 6 ft 6 inches tall and always squats like a praying mantis. I know it's weird to some but almost 40 and is the most physically fit person I've encountered. Never has pain and If he does uses k tap only.
I should also mention we all have super strong stomach muscles too. Squat people.
My alma mater...
Some nice debate around old VS new models of back pain. I'm also a physical therapist/physiotherpaist and would love to offer my opinion...
The speaker hypothesizes that LBP starts during our adolescent years and is caused by poor posture. There is no evidence to suggest that there is a high prevelance of LBP in an adolescent population and, more importantly that there is no evidence to suggest that poor posture and movement patterns cause LBP.
What I can agree with is that repetitive movements Without time for adaption can cause pain we do know is that stress to part of the body without adequate adaptation may cause pain but, importantly chronic pain will always occur in the presence of psychosocial factors/yellow flags.
The speaker does not adequately address the psychosocial factors at play in LBP (which usually occur later in life, not at our school desks) nor does she appreciate the pain mechanisms and sensitization.
Her treatment however of increased movement will work to improve LBP in many individuals but we must be careful about what we credit the improvement our treatment delivers. Are we making our muscle stronger and decreasing pain or are we decreasing our fear of movement and increasing the bodies threshold to nociception etc etc thereby decreasing our perception of pain.
This becomes especially important when we credit homeopathy with improvements. Is it because the homeopath has properly listened to you and given you empathy and belief or is it because there sugar pills have done the same when VS your GP/neurosurgoen has told you that your x-ray/MRI was terrible and you probably won't be able to walk if you carry on bending your back so much....
Side not, MRI without clinical grounds worsens patient outcomes and MR's are especially poor at predicting a patients pain or lack thereof.
Go watch Lorimer Moseley for your mind to be set free.
Cheers
Best comment to this video. Thank you for educating!
6:56
These chairs an unhappy memory about 60 plus yrs ago
Perhaps this talk may help someone but don't forget ankylosing spondylitis what I have inherited dealt with since 13 to 43 and only 2 years ago was diagnosed with and with only two places in my spine not fused together. The whole time before I was diagnosed I was told all of this BS and so much more. Oh and back cancer - good luck getting a diagnosis if you have that before it kills you or cripples you. Because of the dismissive approach to back pain and pain in general by doctors and many of the general public, people are being crippled, committing suicide, and given antidepressants they don't need and dying.
🤯
11 to end
yikeess... apart from increase your activity and movement this talk does nothing but propagate fear and negative beliefs about back pain.
+Kesha Shah
I find no propagation of fear nor negative beliefs about back pain in this talk. In fact, I find the opposite. There is great understanding and hope here: a plausible explanation for back pain, a plausible way of intervening in back pain, two real-life examples of healed back pain, and a practical exercise that the audience could participate in on the spot.
Additionally, the speaker says something much more developed than “increase your activity and movement”. In addition to suggesting increased activity (with specific examples of how to do so), she suggests
- engaging the core (and gives a less in how to do this correctly, and how to practice it daily).
- avoiding bending, and squatting instead
- varying your movement, instead of continuing patterns of habitual ways of moving (and gives examples)
It’s a great talk! Thanks Dr. Amy Selinger!
I'm surprised you are the only one commenting along those lines. You are so right, large scale studies have completely debunked the whole "core stability" "bracing / protection" models! Motion is lotion. Core is merely one set of muscles amongst others!
Agreed... So much progress is currently being made on the link between back pain and our beliefs about pain. This video is a backwards step.
Offer up an alternative??
I'll stick to Lorimer Moseley for now, thank you very much. Also, he is funnier.
Pretty much a bunch of nonsense. Bending does not lead to back pain. Dr John Sarno - a man years ahead of his time.
This is the second Ted talk that truly disappointed me....I think they need to be a bit more selective about their speakers.
Biomedical nocebic nonsense
14
Or how to make people even more vulnerable to pain, by making them worry about every harmless thing in their life.
I remember when I thought TED was a warrant of quality... that was a long time ago.
So true... Imagine spouting outdated biomedical Nocebo on a Ted Stage 😢
Practice doing asian squat
Very disappointing, this talk is almost verbatim what I used to preach 5 years ago. Unfortunately whilst this muscle imbalance, breathing dysfunction idea will help some people it will be no more beneficial than any other good placebo. Unfortunately the highly technical, convincing rhetoric that goes into constructing this nice logical idea will give some people disastrous beliefs and paranoia about muscle imbalances maintaining their back pain. Imagine thinking your back pain is because you're not breathing properly and you still can't fix your back pain... It's like a recipe for anxiety (for some people.) I know this to be true because I have learnt from my mistakes... crucially I've also read the evidence which is starting to come out debunking the idea of core stability and muscle imbalance.... something I think the speaker ought to do.
Lace Market Clinic Sounds like you may have read Dr Eyal Lederman's 'Myth of Core Stability Paper'?
Make your own UA-cam vid..I'd watch it. I'm open to all advice on back pain prevention especially where exercise isn't an option ☹️
Agree 100%
@ZodiacGuesser Agree with what you say Zodiac
So you are saying core stability has nothing to do with back pain? Or fixing your core has no effect on the back? Please sir offer up your fix to back pain? I need all the help I can get
This is rubbish, there is now no link between turning, bending or upright movement that can cause back pain, core muscles also have no effect on back pain.
boring
The most monotonous Ted Ex talk ever!