Experience and assessment report of the MBT from a GPs point of view (specialising in manual therapy and sports medicine)
I have been using MBT for 2 months as personal rehabilitation. For 2 years, 3 times a week, I have been doing a medical training therapy for a lumbospondylogenic syndrome (as a result of the spondylarthrosis L5/S1 and a small medio-lateral intervertebral disc hernia L5/S1). Although I recommended MBT to my patients for over a year, I did not wear them myself. My lumbalgia persisted. Since I have started to wear MBT daily(start 4/02) for work at the hospital (approx. 8h/d) and also 3 times per week in the evenings for a 30 minute roll-trot/roll jog, the remaining problems of my lumbar spine have reduced by 50%. In addition, I have a simple assistive device (following specialist instruction in the beginning) that I can use to rid me of the tension in my spine. During the work in the hospital/practice it is much less effort to balance whilst standing and is even fun. The MBT reminds me, through it’s instability, to walk upright (imagine carrying a buck of water on your head). Following sports such as wind surfing, climbing or strength training, I use MBT for regeneration and passive stretching (calf and ischiocrurale muscles), and to reduce lumbo-sacral pain.
In the near future, I will be the doctor for the cross-country ski B-team of Switzerland and will apply MBT for strength training, posture correction, proprioceptive training, regeneration and as an alternative to stretching. The biomechanics of the muscles of the body is like a spiral, which acts to stabilise the joints. In this sense, the MBT equally activates the foot, stabilising muscles and producing a forefoot load release through the increase mid-foot load, which, for example, for regeneration, is often a wish of cross-country skiers and amateur long-distance runners. It is possible that changed tensional relationships on the tendinous insertion reactivate tendinous pathologies. In these cases the wear time per day must be somewhat reduced and/or gait education again carried out.
With achillodynia (also e.g. heel spurs), in my experience it is recommended to carry out a stepped application of MBT. Only 10 minutes in the first week, then successively increase in accordance with the complaints and reactions. A control carried out by a doctor (an MBT trained doctor) is recommended every 2 weeks.
The MBT is a medical assistive device, that in the presence of complaints and in discussion with a doctor or physiotherapist (and additional support such as the introduction course lead by trained individuals), can serve as a sensible alternative in the rehabilitation of the musculo-skeletal system. This feedback comes from my professional and personal experience.
Using MBT is also recommended as a preventative measure. However, it is important to receive regular repetitions of the instructions by trained individuals, in order to correct any mistakes.
Dr. med. Michael Fierz
Dr. med. Michael Fierz
English