Postural Treatment Model

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A friend of mine was asking me about global postural re-education. First, I thought postural exercises with cognitive multimodal treatment model. Then searching in the literature I found a very effective, special treatment model. Global Postural Reeducation (GPR) is a physical therapy method developed in France by Philippe-Emmanuel Souchard. This therapeutic approach is based on an integrated idea of the muscular system as formed by muscle chains, which can face shortening resulting from constitutional, behavioral, and psychological factors. The aim of GPR is to stretch the shortened muscles using the creep property of viscoelastic tissue and to enhance contraction of the antagonist muscles, thus avoiding postural asymmetry. Conventional …show more content…

suggests that a GPR intervention in subjects with persistent LBP induces a greater improvement on pain and disability as compared to a stabilization exercise program (2). This study showed a significant improvement on disability and intensity of pain employing a GPR program, using these three postures in particular, as compared to a conventional physical therapy regimen, in patients with persistent LBP. Another clinical trial study assessed the effectiveness of global postural reeducation (GPR) relative to segmental exercises (stretching) in the treatment of scapular dyskinesis (SD) associated with neck pain (3). The study found that GPR and stretching exercise had similar effects on function of the neck and upper extremity in patients with SD associated with neck pain. When comparing groups, GPR was superior to streching in improving pain and quality of …show more content…

With 94 patients, 72 women and 22 men, average age 47.5 ± 11.3 years, with chronic nonspecific NP were randomly assigned to receive a GPR or a MT treatment. The experimental group received GPR, whereas the reference group received MT. Both groups received nine 60-minutes long sessions with one-to-one supervision from physical therapists as the care providers. All subjects were asked to follow ergonomic advice and to perform home exercises. Measures were assessed at pre-treatment, at post-treatment and at a 6-months follow-up. Pain intensity [Visual Analogue Scale (VAS)], disability [Neck Disability Index (NDI)], cervical Range of Motion (ROM), and kinesiophobia [Tampa Scale of Kinesiophobia (TSK)] were assessed. Subjects in the experimental GPR group exhibited a statistically significant reduction in pain at post-treatment (P=0.0043), and disability at six months after the intervention (P=0.0113), compared to the reference group (MT). In conclusion, GPR was more effective than MT for improving pain at post-treatment and disability at 6-month follow-up in patients with chronic nonspecific

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