Threshold Physical Therapy and Performance

Reposted from 💥The first game-changing concept is that pain is not a signal that originates from bodily tissues. Rather, pain is now thought to be a highly motivating perceptual experience that seems to be generated on the basis of a perceived need to protect bodily tissue from harm.
💥The second game-changing concept is that pain is not a dependable indicator of tissue state. In contrast, somatosensory signalling is only one of the many, varied factors that influence the likelihood and features of pain. Furthermore, afferent signalling from peripheral tissues is subject to modulation at multiple points along its route to the brain, such that even the somatosensory signalling that arrives at the brain is a product of the nervous system’s plasticity.
💥The third game-changing concept arises from the second: the plasticity that is inherent to bodily systems supports a reversal of sensitisation processes and represents a viable target of treatment. This is particularly important for physiotherapy, precisely because physiotherapists are experts in using movement and learning to alter and train neural pathways, thus harnessing plasticity for clinical benefit.
☝🏻It is of paramount importance clinicians to understand these 3 concepts and learn about pain in order to provide better services and truly help others.
Picture on the third slide is from
http://www.greglehman.ca/blog/2018/5/1/do-our-patients-need-fixing