ACT: Is it anything to get excited about?


Physiotherapists tend to have a bit of a reputation for jumping onto bandwagons. In writing this blog I am committing hypocrisy by admitting I am a strong proponent of Acceptance and Commitment Therapy (ACT). Yes, it’s true I can be accused of jumping onto a bandwagon. If I look up the meaning of bandwagon here’s [...]

We’ve been here before, we’re going in circles.


There’s a moment in the Lord of the Rings, where Frodo and Sam are walking in the rocky terrain of the Misty Mountains trying to head towards Mordor. Sam speaks about the familiarity of the terrain and Frodo, jaded, responds with, “That’s because we’ve been here before, we’re going in circles” Eventually, it is Golum, [...]

31 days project: ACT and Transcending Time, Space and Love


There’s a deeper philosophical perspective within Acceptance and Commitment Therapy (ACT). Clinicians can familiarize themselves with the strategies and techniques within ACT and use them as everyday clinical tools. Defusion, Acceptance, Values and Commitment sit on either side of the ACT Hexaflex within a clear delineation (see figure 1)and so these techniques could be seen [...]

Do you pace or do you persist (flexibly)?


“It’s important that you pace your activity, this is to minimize the risk of your pain increasing. Once you identify how long you can spend at a task before your pain increases, you will eventually be able to increase your time doing the task.” Pacing Activity pacing (AP) is a term widely used to describe [...]

Understanding self-efficacy and goal setting


A common experience for people living with pain is the enigmatic behavior of pain. People feel a lack of control due to the unpredictability, intensity or severity of pain. This can significantly affect a person’s ability to achieve a desired outcome, such as playing with their kids, being able to vacuum, being able to work, [...]

Concussion or Whiplash, which is it? Does it matter?


I’ve been sifting through the concussion and whiplash evidence for a good 4-5 months now and quite frankly it is complex. I understand the challenges the evidence demonstrates in determining the diagnostic nuances between each. For example, there are many symptoms that overlap between concussion and whiplash (Elkin, Elliott, & Siegmund, 2016; Rebbeck, Evans, & [...]