Evidence base for my philosophy
MovingTherapy is the fruit of many years of reading, innovative thinking and hands-on experience in my practice as a physiotherapist, as well as reading and thinking which covers every aspect of life. The goal, to recover flourishing human life as it should be lived, nurturing it at every turn. By respecting our own bodies and person-hood, and the bodies and person-hood of others, we will care for those bodies.
As a practising physiotherapist for over 50 years, clinical reasoning, used in reflective practice and based on evidenced- knowledge, has contributed to my Continual Professional Development. In the early days physiotherapists did not use that language but our practice was the same. Now these terms are the accepted language of professional practice.
Since my qualification I have made every effort to keep up to date, reading my journals with discrimination. During my years in South Africa I developed my knowledge, pursuing study in the fields of Ante and Postnatal care, giving classes for a couple of years, together with many books on breast feeding and other aspects of childcare. There were regular meetings of our clinical speciality.
I went on to increase my knowledge in musculoskeletal practice including Maitland Mobilisations and Trigger Point therapy. My practice was general so kept me up to date in all fields of care. I also developed a new approach to treating neurological conditions based on the newly discovered fact of the plasticity of the brain.
Since coming to the UK in 1996 I continued in this way, regularly attending in-service training and workshops on a wide field of physiotherapy practice. I also did self study in Neurology, Respiratory and Musculoskeletal conditions, which led to setting up community groups in these conditions. I also set up a strategy based on research done in Israel to manage the needs of the older population, particularly in nursing and residential homes. This included extensive training of Health Support Workers as a fully qualified NVQ assessor.
My main focus has always been on health promotion and prevention of health decline and I adapted all my intervention accordingly. I was becoming increasingly aware of the need to empower patients to care for themselves, using technology to inform and support them in doing so.
I attended ICMCC conference in 2008 which set me on the course I now take using technology in health care. It is sometimes called 'Information Therapy' or Telecoaching. I also monitored developments in health care over the years through information given by the Kings Fund and NHS Alliance.
In 2008, shortly before I retired, I attended a 4 day masterclass taught by Sarah Key on the Five Points of Spinal Breakdown which formulated my approach in this field.
I also qualified as an Otago instructor in preventing falls.
Since retiring from the NHS in 2008 I actively pursued CPD, reading my jouranls and accessing weekly networks and other publications, amongst which are those from the Department of Health ( Dementia strategy) Arthritis UK and Alzheimer's Society,
Prof Field, Chairman of the NHS Forum reconsidering the NHS Reforms, gave a talk at the NHS Alliance which confirmed the strategy I promote. A particularly helpful publication from the Health Foundation,'Helping People Help Themselves' documents the results of over 500 reviews of aspects of self-care. It has become foundational to my thinking in this subject.
A further skill I have learnt and put into practice, was to write a script and present it on our local radio station..It covered a general chat about health, interspersed with music for the older generation (happy memories, happy feelings) and was followed by chair-based exercises for the house-bound. There are podcasts of these programms available else on the site under SiverLining, the name chosen for our show.
I attended the Physiotherapy Congresses in 2009 and 2011, Presentations I found particularly relevant and helpful in 2009, include those given by Dr Harry Burns,( Determinants in Well-being. Hopelessness greatest stressor) papers from Prof Adrian Taylor,(Changing Multiple life-styles), Prof Jeff French ( Social marketing) and Dr Matthew Copehorm ( Obesity). In 2011 presentations were given by Dr David Butler ( Moving Therapy to the Brain), and Prof John Rothwell. ( Electrical Stimulation of the Brain prior to Rehabilitation )
I have attended three conferences on the subjects of Smarthealth Care, where Prof John Oldham set out the future course of health care corresponding with my strategy. Efficiency in Public Healthcare sector, and Long Term Conditions where Dame Sally Davies once again set out the future much as I perceive it and am attempting to turn into a reality through MovingTherapy.
My life has been shaped by my reading, particularly books influential in creating MovingTherapy. Reading and thinking has always formed the basis of my practice, shaping what I do and why I do it in the way I do. Many of these books carry their own internal findings from research and trials. I was intrigued by research by Dr Mick Thacker, awarded a fellowship by the CSP, on the subject of movement affecting the immune system and indeed therapy.
On Public Health issues, I received a warm recommendation from Prof Phil Hanlon, emeritis Professor of Public Health Glasgow. His postion is that only that which is true, beautifil and good will inspire changes in lifestyle. His book, The Future Public Health, written in conjunction with other experts, is well worth reading.
in 2013 I commenced a chair-based exercise group for the older people in our village of Waterbeach The aim is to keep them on their feet, living as independently a possibe, preferably in their own homes. At all coss I aimed to keep them out of hospital. For the next 4 years there has been only one admission for a UTI, a couple of falls and no broken bones. The socialising around a cup of tea afterwards was the highlight of the morning. They formed a close-knit group who cared greatly for and about each other, surely the essence of community.
The group is now held on the local ex-military barracks and, after leaving for Scotland in March 2017, has been led by my colleagues. From reports the numbers have almost doubed and two groups are now planned. Together with the strategic planners for the site, Urban and Civic, it is hoped that it will expand into a fully fledged day centre for the area where all vulnerable people will be welcomed and cared for. A place of fun yet at the same time productive in as many ways as possible.. A day centre in Kiryat Ono in Israel, the place of the original research that has undergirded my professional practice,
I would sum up my approach to all of life by saying I make ‘every moment, learning, sharing and caring’ a comment made by philosopher, Ivan Illich, whose thinking on the subject of professionalism and the value of the body undergirds much of my thinking.
Sometimes personal experience of medical conditions constitutes the best evidence for a sucessful approach. To read about my experiences of suffering from multiple Long Term Conditions click on this link.
My bibliography ranges from Theology to Anatomy, Psychology to the Arts. From Politics to Public Health and perhaps most important of all, personal stories.