The Feldenkrais Fix

July 26, 2012 at 2:45 pm | Posted in Fitness, tips | Leave a comment
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Athletes and people with injuries are (finally) discovering the Feldenkrais Method: a gentle rehabilitation system that teaches the body to move as it should.

 

By Andrew Heffernan

In 1999, John Dumas, a 52-year-old writer and karate enthusiast from Los Angeles, sat in a doctor’s office and heard four words no active person ever wants to hear: “You’ve blown your ACL.”

The scalpel-shy Dumas wanted to avoid surgery, so the doctor referred him to Stacy Barrows, PT, GCFT, CPI, a physical therapist, Pilates instructor and practitioner of the Feldenkrais Method, a gentle, simple system of teaching and reinforcing healthy, efficient movement patterns. After working with Dumas for three months, Barrows cleared him to return to karate.

A few years later, Dumas found himself in the hospital with an injury to his opposite knee. For comparison’s sake, the doctor performed a “drawer” test — which checks the integrity of the ACL — on Dumas’s previously rehabbed knee. “See, this is how a healthy knee should respond to this test,” the doctor told him, unaware of the prior injury. “There’s no give in your ACL.”

“But I don’t have an ACL on that knee,” Dumas protested.

Skeptical, the doctor repeated the test and got the same result. Only when he saw Dumas’s prior injury on an MRI was he willing to believe that the knee — which seemed to function perfectly — was missing its ACL.

Dumas’s ligament hadn’t magically regrown. Rather, through a combination of physical therapy and Feldenkrais lessons, his body had relearned how to move. His remaining muscles and ligaments were taking up the slack for the missing ACL so effectively that he fooled the doctor’s test. Twice.

Felden-WHAT?

Moshé Feldenkrais was a Ukrainian-born physicist and mechanical and electrical engineer who initially devised his system to rehabilitate a recurring knee injury aggravated by years spent practicing judo and playing soccer. Over time, he found that certain precise, effortless movements performed with focus and awareness could have profound effects on healing, on movement efficiency and on health in general.

Feldenkrais is considered a form of somatic education, or a way of learning through and with the body, rather than a passive form of treatment. “The primary focus in Feldenkrais is the brain and its capacity to learn,” says Staffan Elgelid, PhD, PT, GCFT, who practices in Pittsford, N.Y. “You’re constantly learning about your habits and finding other options.”

Feldenkrais movement has been shown to enhance the plasticity of the neuromuscular system, forging new neural pathways throughout the brain, spinal column and muscles. Essentially, the brain and body learn to communicate better, resulting in smoother, more coordinated movements, better posture and, oftentimes, a greater sense of well-being.

“It’s like doing crossword puzzles for the body,” says Barrows, the Los Angeles practitioner who treated Dumas. Just as working the Sunday crossword increases your language fluency by exposing you to new words and subtle shadings of meaning, Barrows suggests, doing Feldenkrais improves your physical functioning and athleticism by introducing the body to nuanced ways of moving.

Exercise in Awareness

We may think we’re experts in moving our own bodies, but physical awareness and learning are noticeably absent in most adult lives: After a childhood spent running, jumping, climbing and exploring, most of us spend the majority of our time engaged in habitual, repetitive movements and rigid postures. We stand, walk, sit at computers. Even diligent exercisers — such as runners, cyclists and swimmers — often repeat the same physical patterns for many hours in a single week.

Feldenkrais practitioners believe that if you do this long enough, your body stops learning. Your swimming stroke, golf swing and bench press no longer improve. Everyday activities like walking, sitting or chopping vegetables become unconscious and habitual. Your body begins to resemble a piano player with a limited repertoire, always pulling out the same old standards.

Previous injuries can compound the problem. “When you get injured, you limit movement to stop the pain. Once the pain is gone, though, you don’t start to move as if you were never injured — the brain still remembers the injury and protects the area,” says Elgelid. Such compensation can lead to further problems. “Unless you retrain those movement abilities, you limit yourself more and more.”

From Pain to Performance

Feldenkrais is not meant to be a substitute for conventional medicine or physical therapy, which remain the preferred avenues for treating the acute stages of injury. But once severe symptoms have subsided, a Feldenkrais practitioner can supply the missing link between the initial healing stages of an injury and normal (or even improved) function and performance.

The applications of Feldenkrais go beyond pain management. Top athletes will often consult a Feldenkrais practitioner when they’ve hit a wall in their training. “Many athletes plateau after five or 10 years in their sport,” says Elgelid. “They’ve taken their individual movement patterns as far as they can. But Feldenkrais work can subtly tweak those patterns and make you even more efficient.”

Movement efficiency is often what separates elite athletes from their competition. They perform their sport with maximum control and efficiency every time: The right muscles fire with the right amount of effort in the right sequence; simultaneously, other muscles lengthen and relax with equal precision.

Elite athletes are usually born with a natural aptitude for streamlined movement, but, according to Barrows, Feldenkrais “brings movement mastery to the masses.”

Sensory Sessions

Unlike standard-issue gym workouts, Feldenkrais lessons almost never involve sweating, straining or pain. Many of the movements are almost imperceptible; some even involve no movement at all, requiring that a client only visualizemoving. And, because these movements are unfamiliar and hard to describe, Feldenkrais is best done under a practitioner’s supervision.

A session usually consists of both a hands-on and a hands-off component: Functional Integration (FI) resembles a gentle but highly specialized massage, with the instructor manipulating the client’s body on a padded table. In Awareness Through Movement (ATM), the practitioner leads the client through a series of movements done while lying, sitting or standing. FI is typically done one-on-one; ATM is presented both privately and in classes.

During table work, the practitioner may stay clear of the injured area itself. But the pain at the site of injury will often subside significantly, regardless. “The brain doesn’t understand the concept of isolation,” says Barrows. “The brain understands movements, not muscles. Whatever you do to one part of the body affects the system as a whole.” Studies have shown that when a person just thinks about lifting his arms, for example, the muscles at the front of the shins turn off in preparation for the weight shift. This is as true for bodywork as it is for exercise.

In ATM, clients perform movement “puzzles” applicable to their specific problem or goal. A client with an ankle problem, for example, may lie prone on a mat with a book balanced on the sole of his elevated foot. He then attempts to circle his lower leg while keeping the book level, like a waiter holding a tray of drinks. This is done while attending to small movements in the other parts of the body. Upon standing, his foot and ankle will have greater sensitivity to the floor, to weight and directional shifts, and to movement in general.

Results vary based on the duration and severity of the injury, and on the client’s willingness and ability to learn, practitioners say. But most people will see marked improvement in pain and functioning after two or three sessions, and many will sense an easing of their symptoms right away.

As for clients seeking improved athleticism, results are immediate. “I don’t think anything improves athletic performance as quickly or effectively as Feldenkrais,” says Elgelid. A long-distance runner himself, he’s careful to add that Feldenkrais isn’t a substitute for a good training plan, which will likely be grueling, regardless: “If you want to run a marathon in 2:10, it’s going to hurt; I don’t care how much Feldenkrais you do.”

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