What is Functional Rehabilitation?

Bradley Muse  0:05 

In this video, we want to talk about something that’s a major Keystone at CCRC, and that’s functional rehabilitation. So, over the course of this video, we want to outline what that actually means. And we’re going to kick it off with Dr. Meyer talking a little bit about some of the opposing thoughts to functional rehabilitation.

 

Jordan Meyer  0:23 

Yeah. so, traditionally speaking, I would say, in terms of rehab, we would focus on just the site of an injury. So, if someone comes in, for example, and they’re like, “Man, my shoulder hurts,” and they just point to a global area around here, in the past, we would just be like, “Okay, we just need to treat the shoulder, we need to do things just right there at the shoulder.” But we’ve really, since that time, I’d say in the last probably good 20 years or so, we’ve been doing a lot better in the rehab community of focusing on, like, where else in someone’s system could be a problem or dysfunctional, where we need to rehab that to help his shoulder out. So, for example, it could be like a weak core could drive poor shoulder function. So, we try to look at the system more globally and look elsewhere on the body, as a whole to see, is there anything else that we’re missing.

 

Bradley Muse  1:10 

Yeah, that’s perfect. And sometimes the answer is treating the area of pain. We’re not saying that’s never the case, but what we see a lot in the clinic, and through the research, and from other practitioners is, very often, the site of pain is not actually the area of concern. Yes, that’s where you feel pain, but without a proper evaluation, we don’t really know if that’s the true causative factor. It could be coming from somewhere else. So, something that we do at CCRC is a very in-depth exam at the beginning of the treatment plan. And then we do follow up smaller evaluations through the course of care to make sure we’re actually making the changes we need to make. So, he used the shoulder. So, for example, in the shoulder, 48% of shoulder complaints are actually referring from the cervical spine. So, we’ve seen a number of cases where someone may come in, and maybe they’ve had a previous surgery on the shoulder, they’ve done the imaging, they’ve done the typical rehabilitation for the shoulder and just didn’t really get too far with that. And then through the exam, what we find out is this whole time it’s actually been coming from the neck. So, once we do maybe some exercises to restore proper function to the neck, we see shoulder function change.

 

Jordan Meyer  2:17 

Right. And that’s right along the lines you’re saying of imaging. Not that this is about imaging, but, yes, people will come in and they’re like, “Oh, my MRI says this.” And so, traditionally, people will go look at that site and try to look at that only, well, that’s not always the case. Sometimes we see things on imaging that is not actually correlated with what they’re presenting clinically.

 

Bradley Muse  2:34 

Right. And, in a way, I think a big part of the functional approach is doing a really good examination. So, we’ll talk about in some other videos about how the actual functional rehabilitation may be exercises meant to integrate the area of complaint into overall body function. But, in this case, we only know how to do that based off of our examination, and that’s more of the functional approach. So, once again, to wrap this up, there’s a time and place where maybe we do need to do something specific to the area of pain, but I would argue far more often the area of pain is not the area causing that pain experience. If you have any questions, comment below, reach out to us on Instagram, or even give our office a call.

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