Kjartan Vibe Fersum is a postdoctoral researcher at the University of Bergen, Norway, and was the lead author on the original CFT paper in 2012, with co-authors Peter O’Sullivan, Skouen, Smith, & Kvåle.
In addition to his teaching and research at the University of Bergen, he works in clinical practice as a Specialist Musculoskeletal Physiotherapist in Bergen, and a contributor to the Pain-Ed project, where his mission is to inform both the public and health care practitioners about the latest pain research, and to dispel common myths about pain and provide hope for change.
Kjartan is incredibly well-read, but his true genius seems to lie in combining his rich and nuanced understanding of the research with a flexible, person-centred worldview.
This interview has too many gems and insights to list – you must listen to it if you work with people in pain.
Synnott et al., (2015) Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review
Greg Lehman http://www.greglehman.ca/ is a Canadian physiotherapist, chiropractor and strength and conditioning specialist treating musculoskeletal disorders within a biopsychosocial model. He is incredibly well-read, a highly skilled educator. And he’s funny.
Before his clinical career, Greg received a Natural Sciences and Engineering Research Council MSc graduate scholarship and became one of only two students each year to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory, subsequently published more than 20 peer-reviewed papers in the manual therapy and exercise biomechanics field. He was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate-level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students.
Greg has lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience. His courses Reconciling Biomechanics with Pain Science and Running Resiliency have been taught more than 60 times in more than 40 locations worldwide.
In this conversation, Greg and I talk about how the biomechanics research invalidates the idea of ‘dysfunction’ as a cause of pain or disability, why scapular dyskinesis (aka poor scapular positioning and movement) is not a thing, knee valgus during a squat is nothing to worry about and several other interesting topics.
Greg shares his approach of movement optimism, and his basic framework for working within a biopsychosocial model.
I was inspired to write this by Jenna Zaffino’s story in episode 52 of Pilates Unfiltered – I don’t want to put words in Jenna’s mouth so you should listen to the episode after reading this if you’re interested to understand her point of view.
As movement teachers – Pilates professionals, exercise physiologists, physiotherapists – for years we have operated on the assumption that understanding anatomy, physiology and biomechanics are foundational to being an effective practitioner and teacher.
I think this assumption is wrong. You don’t need to know anything about anatomy, physiology OR biomechanics to effectively teach Pilates or help people rehabilitate.
Yep. Anatomy is not important when teaching Pilates. In fact, I think it gets in the way of good teaching.
I will even go so far as to say, you don’t need to know ANY anatomy, physiology or biomechanics in order to be a great teacher and practitioner. The less the better.
Lars Avemarie is one of the most well-read, clear-thinking people I have come across in the fields of pain science and rehabilitation. Born in Denmark, he currently works in Sweden. He is a physiotherapist and personal trainer, and a prolific blogger, educator and public figure on social media.
In this conversation, Lars shares his experiences going back to university at the age of 39 to study physiotherapy, his advice on learning to think critically and challenge your own beliefs, and how to develop your confidence to effectively apply the biopsychosocial approach to pain rehabilitation.
During my masters, I did my clinical placement with Brendan Mouatt and his business partner Luke Postlethwaite at their clinic The Biomechanics in Footscray, Melbourne Australia.
Like me, Brendan is a clinical exercise physiologist, and we enjoy talking about evidence-based practice and pain science in particular.
This is a free-ranging conversation where we think about whether we should provide clients with the treatment they expect, and how to navigate professional relationships with people who are not up to date with current best practice.
Brendan also has a thoughtful blog on all things rehabilitation.
Nick Hannah is a Canadian physiotherapist who has been taking social media by storm with his funny, poignant and scientifically sound memes advocating a biopsychosocial or whole-person approach to rehabilitation.
Nick’s Facebook page Hannah Moves has over 6,500 likes a the time of recording this interview, and his posts are shared by leading researchers and clinicians around the globe.
Nick’s Instagram page is also a source of much wisdom.
Nick talks frankly about his education, his approach to clinical assessment and treatment and his goals with the meme thing.
Ben Cormack’s business Cor-Kinetic delivers evidence-based rehabilitation courses based on cutting-edge neuroscience, pain science and exercise science. Ben regularly travels the world, delivering courses to health professionals in Europe, North America and Asia each year.
He has presented at the San Diego Pain Summit, guested on many PT podcasts and is a prolific blogger on all things exercise, rehabilitation and pain science.
Ben shares his thoughts on the current best practice in rehabilitation, how to interpret evidence, and how to navigate the tricky relationships with colleagues or bosses who are still working within a biomedical framework.
Since the early 2000’s the notion of cueing pre-engagement of transversus abdominis (TrA) and lumbar multifidus has been widely accepted as standard practice in the physiotherapy, exercise and Pilates worlds.
Sadly it is not an evidence-based practice.
In this video, Raphael Bender from Breathe Education reviews the evidence on ‘motor control’ training (retraining of TrA and lumbar multifidus).