Posted by: Tina | November 21, 2011

Feldenkrais / Anat Baniel Method – demanding tough decisions in an already difficult situation

This week I finally took my kids for their evaluation by an Anat Baniel Method / Feldenkrais Therapist. My first experience was last spring (Click here to read). I had a wonderful movement class – I left feeling very relaxed and elongated. I saw the real benefit in this therapy. So, I could not wait to get my kids in to see what might be able to be done about their Scoliosis. I pre-read an article online, written by Anat Baniel, called “Movement and learning based approach to working with Scoliosis” (Click here to read article). However, I did not realize before arriving the tough decision that would be presented to me: it’s the Movement Therapy or the Brace, but NOT BOTH! I was shocked. Every therapy we’ve participated in up to this point have been able to work together – I felt we had the best of all non-surgical worlds. So, I naturally thought that this therapy would be the same. But, the therapist, who I credit as being a wonderful, caring, professional, who has progressed herself through her work in this method from a near crippled existence to being able to function normally, told me that she wouldn’t move forward and work with my kids if they were braced. She claimed that bracing (as well as the ARC3D/Pettibon work we do) and the Anat Baniel/Feldenkrais/Movement Therapy work in opposition to each other. She claimed that my kids would be free after doing her therapy, that they would move uninhibited and that their brains would reprogram their bodies in how to move (and, ultimately, align) properly. She said that a brace “forces” the body in opposition to the way it wishes to move. And, that this “forcing” somehow programs the brain to try harder to move further in the direction we are pushing against. Interesting theory, but scary and, even though I have not read as much as I hope to on the subject (Anat’s Book, which I hope to read soon), the theory does not seem founded. For instance, in the article, Anat Baniel claims that Scoliosis is caused by muscles contracting on one side of the spine, causing the curvature. Well, I always stop and say “hmmm” when someone claims to know the cause of Idiopathic Scoliosis. The theory makes sense from a physics standpoint, but, to the best of my knowledge, a cause of Scoliosis has not been discovered, hence the term “idiopathic”.   There are MANY theories, which will probably eventually turn into a known cause, but for now it is unknown.  Also, there is not much talk of curve numbers (which is only ONE measurement of severity of Scoliosis, but not a measurement to be abandoned completely).

Back to the evaluation session: my son did ok with his “sample” hour of therapy – but, it was pretty tough for a rambunctious 7-year-old to lay and concentrate for so long. This surprised me, as the practitioner told me that the earlier the kids work on these skills, the better. But, it was tough for a young person to do what was entailed. My daughter loved it, thouh – she said “this is a therapy that I could really enjoy”. But, when she heard that she would have to “throw out” her brace, she looked panic-stricken. She probably had the same look that I did when I heard the news!

Well, after the appointment I felt truly conflicted. Not only did I have to make a choice between the two therapies, but if I stuck with bracing, I would be, according to this theory, doing the worst thing possible for my kids! Could it be that I’ve been off base this entire time?  At one point in the session, the therapist looked at me a bit “knowingly” and said, “You also have a business surrounding bracing, right?” The tone was more sympathetic – as if I would soon realize that my entire last three years was exactly in opposition to what I should be doing and that I would promptly need to reform my life. But, I felt a bit on the defensive – after all, if I felt I needed to change direction for my kids, my business would not factor into it. We do what is best for our kids, period. So, I knew I would be able to make this decision independent of my business, but I felt overwhelmed and emotional, so I came home and laid it out for my husband. His response was quicker. He quickly pointed out all the potential holes in this therapy and just said, “It doesn’t seem like this is the therapy that OUR kids need right now.” Well, I thought that was incredibly well-put. It’s ok that this therapy is incredibly effective for many people with movement issues (including Scoliosis patients), but our kids don’t have movement issues. They are very comfortable, flexible, and capable. Their midsections are not very used to moving because they are braced, but it’s the same rigidity that will, in my opinion, keep their curves from getting worse in their fast-growing years.  And, they love their braces. So, it wasn’t like we had unhappy kids on our hands that needed a change of pace. Also, quoting a couple case studies is not enough scientific proof to sway 2 Engineers from their methodology. And, throwing out the discussion of angles all together is not a comfort. Because, a person may be able to move freely and properly, but their spine may then decide to freely move in the direction you DON’T want. The therapist said that every Scoliosis patient that she’s heard of doing treatment does “better” afterward – but, “better” was only defined in terms of how well they can move, not in terms of angle improvement. Now, I’m all for thinking outside of the box, but I like to have some sort of measurement scale to work with. The most important thing that my husband said, though, was that it wasn’t right for them NOW. Maybe when they are out of their brace, if they need to re-educate their bodies in how to move, they might want to try it. Maybe if we get to a point where they are less mobile or lithe or if they suddenly are unable to tolerate their braces. But, not now – NOW they are healthy, happy, and in a routine that they can handle. Their curves are holding or improving. So, for NOW, we’ll stay the course.

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Responses

  1. H Tina. Wow, what a hard-nosed person! Does she practice therapy? This is something I’m not familiar with–our feldenkrais teacher only does feldenkrais method, which she is careful to explain is *not* therapy. She doesn’t like the brace, but she is definitely not practicing medicine, and not giving us any ultimatum or either/or scenarios. I would absolutely stay away from that therapist, or any one who doesn’t respect that you are the lead on this team! It is good you were exploring new ideas to help your kids, but as you already know, there will sometimes be things that you hve to reject. Good call on this one.

    • Yes, it did seem a bit harsh, but I have to applaud her for sticking to her beliefs – she did it out of the genuine belief that my kids will be better off. That is why I am blessed to be a discerning parent, with a great support team (including parents like you) to help me figure out which way to go. Plus, read above – I got a direct response from Anat Baniel herself, which I think will help many people clarify the issues I presented. Blessings!

  2. Read this with great interest! I have a niece with scoliosis and would like to ask the Anat Baniel Method / Feldenkrais practitioner a few questions about scoliosis and braces. Would you mind sharing the contact information?

    Regards,

    Cate Montana

    • Make sure you read Anat Baniel’s response to this post – I am very fortunate to have her direct feedback on this issue. Given her response, I would recommend contacting them directly to get a practitioner who is very familiar with working with Scoliosis patients. Blessings!

  3. Dear Tina

    Thank you for your detailed report of your experience with the Feldenkrais/ABM work for your children (and your own experience too). I happened to come across it and would like to provide you with additional information regarding the Anat Baniel Method (I can’t speak to Feldenkrais, that is not what I train people in)and working with children with Scoliosis.

    First and foremost, if your children are doing well, and especially if their scoliosis is decreasing, or not progressing with the help of the brace and other therapies you employ, I think this is wonderful and I agree fully with you and your husband to continue doing what works.

    As for ABM and scoliosis, I would like to clarify a few things. We absolutely look at the curvature/s ⎯ the degrees associated with the scoliosis ⎯ with my clients. I ask the parents to continue monitoring with the child’s physician and I ask to be informed whether the curvature is stable, is lessening or increasing. This is incredibly important information. After all, if it weren’t for the curvature and the risks associated with increased curvature, we wouldn’t be having this conversation.

    As for the brace, when I work with children who have scoliosis I ask the parent/child to not wear the brace for a limited period of time in the beginning of the process, usually between 1-3 months. It is low risk because of the limited amount of time. That gives all concerned the opportunity to see whether the sessions help the child and the child’s brain organize the back and the musculature in a way that either does not increase the curvature, or decreases it. If yes, which usually it does, then we know that the brace is not necessary but we keep checking every few months (usually the x-rays are taken every six months). If not, there is plenty opportunity to go back to bracing. I never tell parents to give up on the braces forever up front. Only if they see sufficient positive changes, including reduction or no change in the degree of curvature. On the contrary.
    What we very often see is that not only the child’s movement coordination and their strength increase, but they breathe better and some even find their academic performance improving. The child needn’t have “problems” with movement or cognitive function to get better at those, just like all of us. And when they do, they tend to feel better, have a better sense of self and increased self esteem – all side benefits.

    I do NOTclaim to know the cause of scoliosis, by any means. When I talk about the muscles on one side of the spine contacting more powerfully than on the other, I am not describing the cause for the scoliosis, but the manifestation of the condition. With ABM knowing the cause is not always necessary in order to find a solution. In this case developing the child’s (non verbal, subconcious) ability to discern and feel more acutely fine differences and changes in the way they move, gives their brain more information to work with and better organize their spine, the way they bear weight on the spine, and the quality in which they move in general. In that respect the practitioner you went to was accurate.

    I hope you find this helpful. I would also appreciate if you are willing to email me the name of the practitioner you worked with. (claire@anatbanielmethod.com-my assistant) In the ABM community of teachers we all sign up to lifelong learning and are committed to doing the best we can for our clients. I would love to give the practitioner an opportunity to refine her understanding and to empower her and the results she could have with her clients in the future. Good luck with everything. It sounds like you have fabulous kids!

    Anat Baniel.

    • Anat – thank you so much for taking the time to respond and clarify the issue of your methodology. I very much appreciate the work you are doing and am greatly relieved by your responses. In particular, the clarification you made to your paper and the potential “cause” of Scoliosis being more of a manifestation of symptoms. That is the difficulty of Scoliosis – without a clear cause, it’s tough to take the solution back to the root – everyone has to treat symptoms to the best of their ability and do a lot of trial and error. I am happy that this CAN be a therapy that we can integrate into our existing regimen, given that we work with someone who is VERY versed in the treatment Also, versed in effective ways to work with energetic young boys! :) This will give my readers the opportunity to gain a greater understanding of the work you do. I will send you a separate email, but I purposefully did not name the practitioner in this because I have respect for her and don’t want to attack anyone, just present my viewpoint and the positives and negatives as I see them. Again, thank-you for taking the time to responde and for all that you do to help the sick and suffering.

  4. you are very welcome, Tina. thank you for your positive approach and again, good luck with your kids. Anat

  5. Dear Tina,
    I hope you get to retry the Anat Baniel Method in the future for your children. In truth there is no dogma attached to it. Anat would always hope to avoid surgery but, depending on the size of the curve, if a brace is necessary it is necessary. Ideally it would be used dynamically, with time spent out of the brace when possible because movement IS very important in the prevention and management of scoliosis. As engineers you will know that rigidity in any structure is not a good idea. This is especially so with a human system. It is the supreme expression of a complex dynamic system.
    Anat and her method have had good results with scoliosis, particularly in terms of maintaining and recovering strength and flexibility. It is, however, terribly important to have scoliosis monitored and she would never suggest walking away from conventional management in that sense. That being said, some therapeutic approaches are in opposition to the way ABM works. Once you get and read Anat’s book you will get more of an idea of her approach and see the principles whereby you as a parent can assess whether what you are doing with your child is in line with ABM. As an MD I am aware of the need for scientific rigor and the lack of it in so much of what is done in the name of medicine. In terms of the scientific method vis-a-vis making an observation, forming a hypothesis, testing that hypothesis and observing the results and evolving that hypothesis in line with the results then further testing, I know of no therapeutic method that is as scientific as ABM. In many ways this IS ABM. With regard to scoliosis, you are correct that in many cases there is no known cause, hence the name idiopathic, however, whatever the cause, if there is a curve in the spine, the muscles on one side of the spine will be shorter than on the other. This is not a cause but an expression of the bodies/brains response to whatever the cause was. The solution will lie in changing the signals the brain sends to those muscles in organizing the movements of the body as a whole in a functional way. Hence, it is not a question of straightening the curve, ie achieving structural symmetry, but learning to move in a symmetrical way, ie functional symmetry.
    With all of this said, if your practitioner is not willing to work with you and your brace, in a dynamic way, then I think you should try another practitioner not wait a few years during your children’s growth and development before trying an approach which could impact the rest of their lives so powerfully.
    Best wishes,
    Neil

    • Thank you for your perspective. I am happy to hear such positive outlooks as it seemed at first glance to be a really beneficial therapy/technique, and my experience left me disappointed. I will probably seek to learn more by reading her book and possibly searching for other practitioners. It’s also nice to see an MD with such high regards for a technique that seems a bit “out of the box”.

      • Thanks Tina,
        Yes, it is “out of the box”, but, given it is so in line with the way a healthy nervous system operates I am confident that the box is being blown apart! (Not before time!) One of the reasons medicine has lagged behind is because, until recently, brain imaging technology has not been able to corroborate the changes seen by skilled practitioners such as Anat during years of hands on experience. Pioneers such as Michael Merzenich, the professor emeritus of neuroscience at UCSF have shaken up neurology by proving the plasticity of the adult brain and they are now searching for ways of capitalizing on it. He believes that Anat has the tools and endorses it to the extent has written the foreword for her book on her work with children that will be published in March. It is, as he says, the medicine of the future.
        One of the reasons I believe in it so much is because I experienced it for myself in my own body before I saw what Anat was doing with children which at first seemed beyond what was possible from a medical perspective. I decided to train with her to satisfy my curiosity about something which, although I knew it to be real and working with my nervous system, was way beyond my experience in conventional medicine. There was no teaching of brain plasticity in medicine in the 80′s! It is very exciting to contemplate the progress that will be made in the coming decades.
        As for your children, I am thrilled that you are open to the possibility of trying the work again with the extra information that
        you are putting together.
        Best,
        Neil

      • Fascinating! You’ve definitely spurred me on to read that book when it comes out! And, write a review, of course. :) I think if more “traditional” docs open their eyes to some of the “out of the box” therapies, then we can get some really great collaboration going and, in turn, wonderful solutions. Keep doing what you’re doing, is all I can say! :)

  6. I find this discussion so interesting given the new research done by Texas Scottish Rite hospital that has suggested idiopathic scoliosis is more of a neurological condition than an orthopeadic one as the current thinking goes. I was hopeful that with this “new” knowledge more therapies would become available to our kids.

    • Thanks for sharing, Sue. Is there any way you can include a link to this research? I would love to read up on it. I agree that I need to spend more time researching this topic – it is fascinating and I feel there is a lot of potential here.


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