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FC2O Episode 22 – Eyal Lederman Show Notes

2:08. Introduction – Eyal’s background

Eyal teaching his Process Approach
  • Yoga teacher
  • Trained in Osteopathy, London ‘82-‘86
  • Research: PhD
  • Centre for Professional Development for Manual & Physical Therapies
    • http://www.cpdo.net
  • PhD Supervisor: Functional Rehabilitation Post-Knee replacement
  • Books:
    • Fundamentals of Manual Therapy 
      • Do manual techniques have an effect on the motor control of the human body?  … “No”
    • Harmonic Technique
    • Neuromuscular Re-Abilitation
    • Functional Stretching
    • Functional Exercise Prescription 
      • How to exercise without exercising

7:37. Identifying the meaningful task

8:14. Active vs Passive Rehabilitation

  • Osteopathy almost 100% passive historically
  • All manual therapies needed an update
  • You can’t learn / enhance / improve movement if you’re not actively doing it
  • Passive techniques = input (sensory), but need to be coupled with output (motor)

12:22. Process Approach

Image borrowed from Eyal’s paper, “A Process Approach in manual and physical therapies: beyond the structural model”. Available on www.cpdo.net
Here, Eyal presents the examples of an acute back injury (top left), a person with persistent back pain (top right), and someone who has been immobilised – such as in a splint or cast. The amount of focus given to each of the 3 components of the Process of returning to a functional status vary from case to case.
  • What is a process approach?
  • Self-capacity, self-recovery
  • Functional Recovery – the ability to return to daily activity in some level of comfort
  • 3 overal processes:
    • Repair
    • Adaptation
    • Modulation / Alleviation of Symptoms
  • By which process will the person best recover?
    • Stimulation for repair / adaptation / modulation
  • Environment
  • Examples
    • Acute Disc Injury o/s 2/52
      • How will they recover function?
      • Repair will be focus
  • Limb immobilised – coming out of plaster cast
  • How will they recover function
  • Adaptation will be focus

 18:49. If repair is focus… do you recommend nutrition / lifestyle etc?

  • Repair process is robust
  • Malnourished?
  • 80% of patient advice is forgotten or remembered erroneously
  • Avoid complexity… 

20:31. If plaster cast is off – we’re more focused on:

  • Adaptation / Remodelling
  • Mimicking the motor action as closely as possible
  • “Breaking down a task to its components does not transfer back into integrated movement”  
  • Balance specificity is not transferable
  • Exposure is key – repetition & specificity

24:05. MET versus Squat in improving ROM in ankle dorsiflexion

  • Adaptation is driven by exposure
  • 1998 Stretching Research Paper: 
    • CORRECTION in the podcast I describe a paper from 1998… but this was it (from 1997)!
    • Gleim G, McHugh M 1997. Flexibility and its effects on sports injury and performance. Sports Medicine E1 24(5):289–299 
    • Stretching as adaptive load

28:15. Moving from Isolation to Integration

  • Task specific learning: 2 components:
    • Goal
    • Movement to achieve goal
  • These 2 are fully integrated
  • Isolation is disintegration
  • External focus (goal)
  • Internal focus (e.g. arm)
  • External focus results in 
    • more efficiency
    • lower EMG
    • greater transfer
  • Integrate in order to co-ordinate

32:59. Shirley Sahrmann:

  • Winging of scapula due to serratus anterior inhibition / weakness
  • Push-up with a plus does not help scapula winging
  • Functional exercises?  Or extra-functional movement?

34:52. Modulation of Symptoms: the 3rdcomponent of the Process Approach

  • We often have “pathologies” we’re unaware of
  • Can happen reflexively, spinal, higher centres
  • Game of Thrones analogy: when it comes to pain it is fantasy land… if you believe it, it’s quite likely to work well!
  • Next decade: understanding how people experience pain

37:22. Do we need to focus inwardly our outwardly?

  • It’s Fantasy Land so self-care can work for some, but not for all
  • Identify the process by which people can get themselves better… then amplify that process

40:01. How far do you go into Psychological Factors in your model?

  • Reassurance / cognitive tools / attentive to emotional & psychological state
  • Not depth psychology / psychotherapy

41:13. How to find Dr Eyal Lederman

  • Eyal’s papers, books and courses can all be found at www.cpdo.net

FC2O Podcast

The new FC2O (from chaos to order) Podcast with Matt Wallden & Guests is designed to help you cut a path of simplicity through the complexity – arriving at useful solutions from the chaotic nature of information overload in today’s world.

Coming up we have our first solo podcasts with Matt just chatting to you, one to one. If you’d like to request a specific topic, please jump in and answer the following survey:

To get some insights into the kinds of topics we’ll be covering and the various master’s of the craft we will be interviewing, listen to our Preview here.

Episodes already available can be heard here or on Apple Podcasts, Spotify or Stitcher (search “FC2O”).

Listen here to:

Living 4D with Paul Chek

It isn’t often you get to chat with a master of his craft; so I was delighted to have the opportunity to chat just recently with Paul Chek on his new podcast “Living 4D” episode 12, which is out today!

In this podcast we explore human function through the lens of evolution – a favourite topic of mine, and of Paul’s; which is a key part of what attracted me to his work in the first instance.

One of the concepts we cover is the idea that, while the Paleo approach to healthy living is built on solid foundations, there are other considerations we have to bear in mind if we are to be prudent in our advice or approach…  and that is, to strike the balance between phylogeny and ontogeny.  Here is the image I mention in the podcast to convey this:

As part of this concept, we mention how the recent trend in barefoot running and training is great example of where phylogeny (evolutionary principles) do not always match up with ontogeny (the development of the individual), and that this can lead to injury.  If you’re interested in making a transition to barefoot running or training, but want to avoid getting injured, we have a free Transition Calculator and guidelines available here.

We discuss how Paul’s concept of Primal Movement Patterns(TM) integrates beautifully with Phill Beach’s concept of Archetypal Rest Postures and Michael Tetley’s concept of Instinctive Sleep Postures.  In a chapter I wrote for Leon Chaitow’s Natural Medicine textbook in 2006, I synthesised these three concepts into an integrated model I termed Biomechanical Attractors.  Sadly the textbook (RRP £43.99) is now out of print but, if you’re keen to learn more about these concepts; the neurophysiology and the application to everyday life, you’re in luck!  You can still access an eCopy pdf here for the amazing investment of only £10!  This concept is also explored further in a recent webinar from my 2016 series 2016 series.

One of the beauties of evolutionary principles that struck me perhaps a decade, or so, back is what I term “the Star Wars principle”.  As many will recall, the opening scene of the original Star Wars movie, “A New Hope”, starts with an image of space and the words:

The genius of this is that, unlike other 20th Century Sci-Fi movies that tended to be set in the year 2000, or 2020, because Star Wars was set in the past it can never go “out of date”.  In a similar way, primal understandings of health are different from the latest technological trend (such as air pads, fixed-axis weights machines, or scientifically isolated whey proteins) as they will never go “out of date” – they’re how we got here and what our physiology has moulded itself to function around.  The notion of Biomechanical Attractors as an evolutionary principle seems to be sticking around too – and will  form part of an upcoming Editorial, co-authored with Primal Blueprint pioneer, Mark Sisson, in the Journal of Bodywork & Movement Therapies (April 2019).

Paul and I go on to discuss Darwin’s theory of evolution and how, controversially, it has not only influenced our thinking around biology, but also our approach to psychology and society itself.  A true “biopsychosocial” exploration of evolution!

We finish with discussions on the evolution of consciousness and highlight the point that the prevailing scientific/materialist view of the world is not grounded in the lived experience, but requires an abstract line of reasoning which must pre-suppose a reality outside of consciousness.

The standard Scientific/Materialist view of Evolution… but no one has been able to solve “how” brains produce consciousness.

This is interesting as we know, at the most fundamental level of life’s building blocks, it is consciousness that determines outcome.  The point is that no one can – and no one has – ever experienced a reality outside of consciousness.  Yet, the leading scientific/materialist view asserts that matter (outside of consciousness), or that which is never experienced is the fundamental reality, while consciousness, or that which is always experienced, is an “accident” of evolution!  Sound deep?  It is!  It goes all the way down to the bottom!!

Physical Matter requires consciousness to determine its existence, without consciousness it remains indeterminate; this is the bedrock of quantum science. The question, then, is how could we even have physical matter without consciousness?

To hear more about these topics, you can access this and all of Paul’s other great Podcasts here:


…or on  Apple iTunes Podcasts, Spotify, Stitcher or on Google Podcasts (accessible on the link above or by clicking on the image below).