Fra fagdagen som ble holdt på MSK-Klinikken/FRIM i Fredrikstad.

1. #FysioFuture
Disclaimer
• The scope of physical
therapy is not limited to
the treatment of pain
• The following presentation is
framed within ”management
of musculoskeletal disorders”
FYSIOTERAPI INN I FREMTIDEN

2. BOB THE BUILDER
THE PHYSICAL THERAPIST
OR SIR ALEX FERGUSON

3. THE PHYSICAL THERAPIST
AS A MECHANIC AS A STRATEGIST

4. THE PHYSICAL THERAPIST
AS A MECHANIC
• Have we tried to
understand and treat
pain by navigating with
The Wrong Set of Rules?
• Find it, fix it?
• If ”all roads lead to Rome”
someone is full of BS…

5. THE PHYSICAL THERAPIST
AS A MECHANIC
• Similar outcomes despite
widely different
explanations
• Yet we do much the same
• Look, Listen, Touch, Talk
• (Bio)mechanical reasoning
does not explain this

6. WHO & WHAT ARE WE?
Bob the Builder
fixing machines?
Strategists managing
ecosystems?

7. CONCEPTUAL ACCEPTANCE
1) Hands on
2) Prescriptions
3) Reasoning models
4) EBM
= haptics
= load management
= meaningful narratives
= informed probability

8. THE PHYSICAL THERAPIST
AS A STRATEGIST
• Mirrors an approach to
calculate dynamic
interactions in complex
phenomenons
• Different Set of Rules
Different hiarchy
Different ontology
Different epistemology

9. IT’S NOT ABOUT THE BALL!

10. THE PHYSICAL THERAPIST
AS A STRATEGIST
• Starts with S. Kierkegaard
• Who is the enemy?
• Empirical reasoning
strategies should match
enemy and context
• Predictions based on
tendencies (epidem. data)

11. • Everything can’t be fixed and difficult is still difficult
• As good as it gets-scenario:
Cure sometimes, often treat, comfort always
• Most important job is to prevent chronification
• Do the basics even better! Mind your language!
• Focus on meaning, culture & healing narratives
• Stand up against professional disservice
• Take the leap from Mechanics to Strategies
PREMISES FOR THE #FysioFuture

12. THANK YA’ ALL!
Machines Ecosystems