Allan Besselink ... Physical therapist, endurance sports coach, author, educator, thinker

       

Rehabilitation

Roadblocks To Care
Monday, 12 March 2007 19:00

There seems to be a growing aversion to the medical system in recent times. Why are people so hesitant and apprehensive about accessing medical care for anything other than chronic or life-threatening conditions? I certainly see it regularly when interacting with active people. Why is this so?

I am not sure I have that answer completely - but let me propose a few potential reasons.

Just like any other enterprise, there needs to be a value added benefit to going to a clinician for care. The "customer experience" starts from the moment they contact the office. You're on hold waiting for the next customer service representative. A frustrating start, for sure. Let's say you get lucky - and don't have to wait to schedule an appointment. Is the provider of your choice on your insurance plan? Or will this be an (oftentimes exhorbitant and inflated) out-of-pocket expense? Now I have to balance the potential cost-to-benefit ratio of the experience.


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Life On Planet Earth - Part II
Thursday, 25 January 2007 13:00

When I was last in this neighborhood, we were discussing the amazing adaptability of the human machine. Incredible as it may sound, human physiology and anatomy will consistently adapt to the world - and if unable to do so, will give us warning signs (such as pain) and then show us that it is unable to do so - by way of injury. 

Lest we forget, the body aims for homeostasis - which is, implicitly, "balance". So at any given time, we are in homeostasis and thus always "in balance" relative to the demands on the system at that given point in time. Homeostasis is a wonderful thing. Our cellular mechanisms are constantly seeking homeostasis. We are always trying to find a balance - between stimulus and response, between training and recovery.

But here's the twist ...


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Life On Planet Earth - Part I
Wednesday, 17 January 2007 13:00

To live on planet earth, humans are constantly adapting to the demands of their surroundings. As I am always saying (to anyone who will listen) - Form Follows Function. Our anatomical form evolves depending upon the functional demands that we face. Throughout the evolutionary process, the human form has changed to allow it to better adapt to the world around it.

Let's take a look at a few basic examples. An astronaut traveling to the moon adapts to the inherent decrease in gravitational force by having less muscle mass and a decrease in bone density. Why? There is no functional need for these - and thus the body adapts accordingly. On return to earth, there is a gradual return of bone density and muscle mass. Why? Because there is a functional demand placed on the body - and it adapts accordingly. Form follows function. Along the same lines, the average sedentary American, the "couch potato" if you will, has become very finely tuned anatomically to deal with the imposed demands of "couch-potato-dom" - a perfect slouch into the big puffy couch and very strong thumb musculature for the use of the TV remote!

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