Challenging the impairment model of exercise prescription and regional interdependence.  What is the alternative? episode artwork

EPISODE · Aug 27, 2025 · 15 MIN

Challenging the impairment model of exercise prescription and regional interdependence. What is the alternative?

from Movement Optimism · host Gregory Lehman

Solo mini show today.  We often hear that hip bone is connected to the knee bone and pain in one area is a victim of a "dysfunction" somewhere else. Its a foundation of the kinesiopathological model and lead to the idea that if someone has joint pain you should train at a joint around that pain.  Eg. If your knee hurts you train the hips as well. And we have plenty of pragmatic evidence that it helps.  Hip exercises should be added to knee exercises when you have knee pain.  The problem is that we don't know why.  Hence, I reject the impairment correction model of this and offer another way to prescribe exercise and give different opinions on how to tailor you exercise prescriptions to people in pain.  Providing options should be a foundation of person centred care.

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Challenging the impairment model of exercise prescription and regional interdependence. What is the alternative?

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