Redefining Rehabilitation: A Deep Dive into the Human Rehabilitation Framework

Jul 17, 2023

A clinician’s journey from academia to founding a research-driven clinic and a new rehabilitation framework. A critique of the biopsychosocial model and a push for a coherent, process-based scientific philosophy. Exploration of nine rehabilitation dimensions, movement experiments that target multiple processes, and the case for individual-level, longitudinal research methods.

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ANECDOTE

Clinician Turns Practice Into Research Hub

Leonard left stable work to start a clinic and education arm aiming to combine clinical care with research.
He grew Dynamic Movement and Recovery and launched a nonprofit to advance a contextualist approach to rehabilitation.

INSIGHT

Worldviews Drive Clinical Philosophy

Worldviews shape how we interpret problems; mechanism (machine) and contextualism (historical act) lead to different scopes.
Leonard argues functional contextualism lets clinicians set practical goals and borrow mechanistic tools when useful.

INSIGHT

Coherence Is Missing In Biopsychosocial Care

Lack of a coherent scientific philosophy made the biopsychosocial model chaotic and eclectic.
Choosing a contextualist, functional lens restores coherence and practical scientific validity.

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Are you ready to broaden your perspective on healthcare and rehabilitation? We've got the perfect episode for you. Join us on an enlightening journey with Leonard, a clinician, educator, and pioneer in the pain rehabilitation space. We travel through Leonard's inspiring journey from academia to establishing his own clinic, Dynamic Movement and Recovery. We also unpack the limitations of the biopsychosocial framework, and how Leonard's Human Rehabilitation Framework remedies these shortcomings.

As we navigate this complex terrain, we turn our lens towards the importance of developing a coherent scientific philosophy. Understanding and challenging our biases, we delve into the intricacies of the biopsychosocial model and propose a process-based solution. Leonard illuminates how a comprehensive understanding of these complex issues can help us move beyond pre-set protocols, and develop more nuanced, individualized care strategies.

In the final phase of our discussion, we delve into the multi-dimensional factors that shape an individual's pain experience. Ranging from the neuroendocrine immune axis to movement behavior variability and even the influence of family roles on cognition and emotion, we dissect the complex web of factors contributing to pain. Through Leonard's insights, we underscore the significance of Ergadocity and the potential of idionomic analysis in enhancing our understanding of individuals. We wrap up by highlighting Leonard's education work and where you can learn more about the Human Rehabilitation Framework. This is one episode you won't want to miss.

https://hrfhome.com

https://www.pnas.org/doi/10.1073/pnas.1711978115

https://www.sciencedirect.com/science/article/abs/pii/S0005796722001267

https://pubmed.ncbi.nlm.nih.gov/33621638/

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