Dan: Yes, we want to be cautious but you also have to be aware that being too cautious has pitfalls as well, because there's this whole problem of people developing chronic pain because they start avoiding activity, because they're afraid of pain, because they're afraid of doing more damage.
And so I think if we can be we can all be part of helping people confront those fears about what they can do safely and gradually increasing that. And most times when people have a persistent pain problem, they would have already had a health professional somewhere along the line saying, it's safe for you to move, you're not in danger. But if not, then maybe they need to get that so they can confidently start working through it. You could also be that first step from people feeling like they're not sick anymore.
I think people, when they're doing their Pilates or whatever in a physio practice, they're still a patient. I think it's just so healthy for people to get out, even when they're not finished their rehab and get amongst healthy people who are just doing fitness for fitness because they'll absorb that energy of fit people getting fit and they'll stop feeling like a patient which has its own pitfalls. I'm doing this in a group context.
Alicia: Doing the same thing, but maybe slightly differently is where where we exercise our skills. So if it's a core exercise how can we modify to include them and in a group context, going to the simplest option is always the best one.
So first of all, can we reduce the load? So if they've got weights in a scenario, holding some weights and if there's no load or they're going deep we'd add more load, then they can reduce the load by a...
Dan: reduced range, reduced load, reduced range
Alicia: reduce rotation.
Dan: The three; resistance, range, rotation. I think sometimes we take more responsibility than we need to. It's also okay to say, if that doesn't feel good.
Pick something you want to do. Stretch something you want to stretch and then join back in after. Because you also don't always have time to think through. So if you're on the fly, you know, just put it back to them.
You know, that they know their bodies. This is what I've learned as well. I'd like not sure where to go. What? What do you feel your body needs? Is often a question I would ask. And then in a clinic, if I'm not sure what direction to go, with someone.
And then that also shares the responsibility for getting them better. Like, tell me what you think you need.