Yoga as Therapeutic Exercise: A Practical Guide for Manual Therapists

(Jacob Rumans) #1

Practical measuresPractical measures Practical measuresPractical measures


You can also correct mistakes by pointing out
even the smallest changes that lead in the desired
direction, and affirming the patient’s progress.
Through a large number of small steps the patient
improves slowly but surely, and the feeling of
success persists.

Control of therapeutic behavior


Of course, you should be able to explain why an
exercise is performed. This rational explanation
helps patients strengthen their motivation.
You also need to ask patients whether they under-
stand an exercise to make sure they will practice
the exercise correctly. It is even more important
to let patients demonstrate all exercises while you
are watching. If patients are to work on their own,
write down the exercises or make a simple drawing
of them to help them remember.
Finally it is essential to inquire how patients have
got on while they were exercising on their own,
before asking them to demonstrate the exercises
once more. Then you can affirm the exercise behav-
ior by pointing out success and correcting mistakes
that have crept in. If a patient has failed to exercise,
ask what were the obstacles and what would help.
For some patients it is useful to keep a list of their
successes.

References


Abraham, C., Sheeran, P., 2000. Understanding and
changing health behaviour: from health beliefs to self-
regulation. In: Norman, P., Abraham, C., Conner, M.
(Eds.), Understanding and Changing Health Behaviour.
Harwood, Amsterdam, pp. 3–24.
Ainsli, G., 2005. Precis of breakdown of will. Behavioral
and Brain Sciences 28, 635–673.
Bandura, A., 1986. Social Foundations of Thought and
Action: A Social Cognitive Theory. Englewood Cliffs,
New York.
Bandura, A., 2000. Cultivate self-efficacy for personal
and organizational effectiveness. In: Locke, E.A. (Ed.),
Handbook of Principles of Organizational Behaviour.
Blackwell, Oxford.
Ekman, P., Levenson, R.W., Friesen, W.V., 1983.
Autonomic nervous system activity distinguishes among
emotions. Science 22, 1208–1210.

Gollwitzer, P.M., 1999. Implementation intentions: strong
effects of simple plans. Am. Psychol. 54, 493–503.
Hotz, A., 1988. Optimales Bewegungslernen: Anatomisch-
physiologische und bewegungspsychologische
Grundlagenaspekte des Techniktrainings. Perimed,
Erlangen, pp. 46.
Kuhl, J., 1985. Volitional mediators of cognitive-behavior
consistency: self-regulatory processes and actions versus
state of orientation. In: Kuhl, J., Beckmann, J. (Eds.),
Action Control: From Cognition to Behavior. Springer,
Berlin, pp. 101–128.
Lawlor, D.A., Hanratty, B., 2001. The effect of
physical activity advice given in routine primary care
consultations: a systematic review. J. Public Health
Med. 23, 219–226.
Lewis, B.A., Marcus, B.H., Pate, R.R., et al., 2002.
Psychosocial mediators of physical activity behavior
among adults and children. Am. J. Prev. Med. 23,
409–418.
Ludwig, P.H., 2000. Imagination. Leske+Budrich,
Opladen.
Marcus, B.H., Dubbert, P.M., Forsyth, L.H., et al., 2000.
Physical activity behavior change: issues in adoption and
maintenance. Health Psychol. 19, 32–41.
Mason, S., Butler, C., 1999. Health Behavior Change:
A Guide for Practitioners. Churchill Livingstone,
London.
Maurer, R., 2004. One Small Step can Change your Life:
the Kaizen Way. Workman, New York.
McClure, S.M., Laibson, D.I., Loewenstein, G., et al.,


  1. Separate neural systems value immediate and
    delayed monetary rewards. Science 306, 503–507.
    Premak, D., 1970. Mechanisms of self-control. In: Hunt,
    W.A. (Ed.), Learning Mechanisms in Smoking. Aldine,
    Chicago, pp. 107–123.
    Prochaska, J.O., DiClemente, C.C., 1983. Stages and
    processes of self-change of smoking: toward an
    integrative model of change. J. Consult. Clin. Psychol.
    51, 390–395.
    Rollnick, S., Miller, W., 1995. What is motivational
    interviewing?. Behavioural and Cognitive Psychotherapy
    23, 325–334.
    Rollnick, S., Miller, W.R., Butler, C.C., 2008. Motivational
    Interviewing in Health Care: Helping Patients Change
    Behavior. Guilford Press, New York.
    Smitherman, T., Kendzor, D.E., Grothe, K.B., et al., 2007.
    State of the art review: promoting physical activity
    in primary care settings: a review of cognitive and
    behavioral strategies. American Journal of Lifestyle
    Medicine 1, 397–409.

Free download pdf