Meziere (Mézières) Technique.

[somasimple]

Physioaz,

It is very easy to "porduce" a peer review paper.
Unfortunately a "good" theory behind Mezieres and Co is yet missing and the explanations do not fit with actual concepts of PT.

Writing a book is not a guaranty of efficiency neither a prove of scientific rationale.

[physioaz]

Somasimple,

In fact writting a book don´t prove anything, but all authors do it even those we think they got "good theories" (Cyriax, Maitland, etc..) and sometimes before they can prove their theories with scientific papers. As you know in manual therapy still very difficult prove things and are not only PT's working the area. Good or bad theories should be proven in both ways. (We can´t say something is bad because nothing proves it's good). If anyone says that a pencil in a ear cures cancer, I probably w'll be very ceptic, but we never knows... And remember, evidence-based practice is not science, is only the final product. Much of we call science born by mistake...

Best regards

[somasimple]

I'll will not not the pencil and we are waiting for evidences since 1950.

[physioaz]

Ok! I just understand your point, but it's quite amazing that something with no evidence can remains by 70 years among maybe hundreds of PT's...

[somasimple]

physioaz,

In the same vein: It's amazing that man believes to politics since thousand years; There is so much evidence that often promises remain... promises. despite of this, many parties have supporters that are believing that they are the only solution and hold the "truth".

Why such a miraculous method that saves so much people is just unable to make a single digest that may be seen by their peers?

That's is incredible. Mankind is suffering and Mezieres refuses to help it! That is a sufficent proof that the method is unable... at all.

[physiok]

Guys you're tiring!
Firstly Mezieres doesn't heal everything and doesn't pretend to. It's not all about LBP as well, and saying so tends to prove that you know absolutely nothing on what you're talking about.
Secondly when someone gives you links about evidence and research, maybe you could read them. Here's another one http://depulp.u-strasbg.fr/stage/page541117.html , with the University of Strasbourg that provides the training in Postural reconstruction, with a curriculum leading to a diploma approved by French State, and I would be surprised if they hadn't be provided with strong scientific evidence (not only RCT) in order to get that approval.
If you contact the University they can give you access to the thesis about postural reconstruction, and that may include RCT, case studies, MRI and EMG studies. As you don't seem to know, thesis are NOT referenced on Medline, but it doesn't mean they have no value!

Proving the efficacy of a technic is not all about RCT, as they are statistic results and you can make statistics say anything you want.
That's as well about knowing how and why it works, and on what, which includes doing it on volunteers under Xrays, doing comparative EMG , MRI before and after treatment to investigate what really happens.
That is the scientific approach, and I've been very shocked when Bernard asked me what was the relationship between pain and biomechanics, I learned that in my first year of studies!

Anyway I don't want to convince anybody, I know what i'm doing, why, and what i can't do, and as most physios I don't have time to do RCTs, nor enough patients presenting with the exact same LBP or else to give statistically significant results.
I keep thinking that muscles chains are a fantastic tool for assessment and treatment of any biomechanical disorders, perfectly consistent to use with PNF, Bobath, Maitland, Reflextherapies, Feldenkrais, electrotherapie and even acupuncture but that's just my own opinion, and will be my last post on the subject as I have patients to treat.

[somasimple]

Firstly Mezieres doesn't heal everything and doesn't pretend to.

Thanks to confirm that it does... Nothing.

BTW, a postural reconstruction is already a nonsense.
We do not change posture neither reconstruct them.

More, I found a French scientific rationale that confirms that universities are mandatory providing "good" courses as you seem to think it.
http://cura.free.fr/cura-en.html

[somasimple]

and I would be surprised if they hadn't be provided with strong scientific evidence (not only RCT) in order to get that approval.

Sorry, but they don't and It seems that France and many countries are able to provide the courses that consummers "need"; Just a money affair, nothing to see with science.