Abstract
In recent years, a number of leading thinkers within manual and physical therapies have questioned traditional models of care. Professor Eyal Lederman DO PhD is one such critic, of what he has termed the postural-structural-biomechanical (PSB) model. Using low back pain as a focus he has asserted that the PSB model is not viable e in fact that there is no reliably proven relationship between low back pain and posture, structure or biomechanical features. e and by implication, that attempts to treat and normalize such features, are meaningless, and a waste of time and resources. Lederman asserts: “We can no longer justify the use of manual techniques to readjust, correct or balanceout the misaligned structure.” The suggestion is that rehabilitation strategies, motor re-education approaches, behaviorally focused methodologies e are the best means of achieving resolution and prevention of dysfunctional states such as low back pain, and that manual modalities have at most short-term effects, and are largely redundant (Lederman, 2010)
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