Facilitation of movement: New perspectives provide expanded insights to guide clinical practice

Physiotherapy Theory and Practice
Britt Normann

Abstract

Hands-on therapeutic interactions are essential to neurological physiotherapy. Facilitation of movement is a particular aspect of such interactions that potentiates self-initiation of movement. This process involves interactions between the physiotherapist and the patient through three integrated phases: (1) "make movement possible;" (2) "make movement necessary;" and (3) "let movement happen," in which communicative aspects are considered important. The purpose of this paper is to explore a theoretical foundation for this approach by utilizing an extended framework. Dynamic systems theory clarifies the physiotherapist's handling as the adjusted manipulation of the patient's constraints upon movement complemented by tailoring of the specific attributes of the task and environment; however, this theory provides inadequate coverage of the involved communicative aspects. Phenomenology, which perceives the body as the center of experience and expression, offers a path to understanding such hands-on interactions as a form of communication. Enactive theory clarifies these physical interactions of the physiotherapist and the patient as essential in co-construction of meaning that evolves as an interactive and dynamic process within a ...Continue Reading

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Jul 3, 2013·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Britt NormannSiri Moe
Jul 16, 2013·Physiotherapy Theory and Practice·Gunn Kristin ØbergAud Obstfelder
Nov 29, 2014·Physiotherapy Theory and Practice·Marianne Sivertsen, Britt Normann
Jan 15, 2015·Physiotherapy Theory and Practice·Gunn Kristin ØbergShaun Gallagher
Oct 7, 2016·Physiotherapy Theory and Practice·Julie Vaughan-Graham, Cheryl Cott

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Citations

Jul 4, 2019·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Ellen Christin ArntzenBritt Normann
Feb 14, 2020·Physiotherapy Theory and Practice·Meriel Norris, Emma Wainwright
Aug 21, 2019·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Tori Smedal, Bente Elisabeth Bassøe Gjelsvik
Dec 29, 2019·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Andreas Falck LahelleBritt Normann

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