While presented as science-informed, much of our work is based on adaptations of accepted science, reinforced and twisted a bit by experiences \u2013 our own and our clients’.<\/p>\n
The Hierarchical-Based Model<\/strong><\/h6>\n(Excuse the generalising that follows \u2013 Walt.)<\/p>\n
![\"\"](\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/08\/IMG_0726-225x300.jpg?resize=225%2C300\")
The norm in manual therapy is a hierarchical-based model that fosters a relationship that elevates the experience and opinions of the clinician over the views and feedback of the client. The client comes to the expert for help and gives up power in the hope that the clinician can help. The client becomes quite willing (some might say gullible) to believe what the clinician states as their findings and recommendations, in hopes of being relieved of their pain or movement issues. The opinions of the clinician become the determinant in treatment decisions, though hopefully framed by client goals. While listening to the client\u2019s story happens during intake, the power shift from client to therapist occurs quickly as the initial session progresses, with the opinions of the therapist becoming more important than the client. The experience (ego) of the clinician takes hold quickly, driving the agenda.<\/p>\n
While this model can be useful, I wish to offer an alternative.<\/p>\n
A Place For Placebo?<\/strong><\/h6>\nBrian Fulton, RMT, in his excellent book, The Placebo Effect in Manual Therapy2<\/sup> speaks to the power of the story we tell and that as our skill in telling that believable tale rises, so does the potential of placebo effects. Believing our story, on the part of the client, makes sense, as if we sound credible then we tend to be believed. To me, one problem with placebo effects rising as our story improves is that there is no provision in the scientific research that the story has to be true. The potential placebo effect increases as we become better storytellers. In short, we become beacons of believability, with, at times, grandiose claims and beliefs regarding what is wrong with our clients, based on evaluation methods that may lack validity across the full spectrum of manual therapy and medicine, with conclusions drawn based on those narrow beliefs.<\/p>\nMy own MFR training framed problems to be a result of the fascial restriction and how it impacted the client\u2019s function, regardless of how these beliefs conflicted with alternate models of manual therapy. My clinical outcomes seemed reasonable, but confirmation bias clouds objectivity in regards to these matters. As I gained experience, I tended to listen less to my client and more to what I thought I had uncovered. I saw their story as less important, as they didn\u2019t understand the power of a fascial restriction as I did. And over time, I listened less. <\/em><\/p><\/blockquote>\nNow I listen more.<\/p>\n
What changed? <\/strong><\/h6>\nI had many years of experience under my belt, both as a physical therapist as well as a MFR therapist, but I saw that something was missing from my past.<\/p>\n
My myofascial release treatment became entirely based on my vast experience and perceived knowledge, but no matter the level of my education and experience, there was a piece missing: I did not know what my client felt unless I asked. <\/em><\/p><\/blockquote>\nSure, I asked for feedback, \u201chow\u2019s my pressure?\u201d etc., but it was merely an aspect of assuring that my treatment was not too aggressive. Feedback from my client had little to do with how I arrived upon a treatment plan.<\/p>\n
![\"\"](\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/08\/Walt-Fritz-Listening-300x300.png?resize=300%2C300\")
Over the past few years, listening to my clients has become my passion, so much so that it has become my chief strategy in moving from evaluation into treatment. Not just listening to them during the intake but listening to them as I progress through evaluation and into treatment, allowing feedback to be the determinant for treatment decisions. Client feedback has become the primary means of how I frame the decision-making process for what and where to treat. It aligns well with the emerging trends in medicine and offers what I believe to be a more respectful perspective on the weighting in the therapeutic relationship between my client and myself.<\/p>\n
Many clients baulk at being offered the chance to participate in treatment decisions fully, but over time I\u2019ve become more adept at handing over power to them. To some therapists, handing over control to the client may seem as if they are admitting a lack of knowledge, but there is wisdom in knowing and realising what one does not know. We cannot understand what our clients are feeling, what they think might feel helpful or harmful, with no input of subtle or overt coercion, unless we ask.<\/p>\n
Are you willing to ask? <\/strong><\/h6>\nBeing willing to ask for input in decisions, to ask your client to partner with you in determining treatment decisions takes practice and can seem entirely foreign, both to the clinician as well as the client, but with practice becomes quite easy. Being comfortable with silence is vital. Ask, \u201cwhat are you feeling\u201d and allow them to process. Below is a current version of my process as I move from evaluation into treatment. Can you see this working?<\/p>\n
![\"\"](\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/08\/Walt-Fritz-List.jpg?resize=491%2C425\")
<\/p>\n
(From Walt Fritz blog post \u201cSynopsis in Synopsis of the Foundations Seminar Approach to Manual Care<\/a>\u201d July 2018.)<\/p>\nThis video goes through my process<\/a>. If exploring this approach appeals to you, I suggest you watch it more than once. My MFR methods, which use static engagement vs. movement, may make the process seem remote, but I see it as applicable to any massage\/manual therapy style of engagement.<\/p>\n <\/p>\n
References<\/strong><\/h6>\n\n- Naming What We Do, by Brian Broom, MBChB MSc FRACP<\/a><\/li>\n
- The Placebo Effect in Manual Therapy: Improving Clinical Outcomes in your Practice, By Brian Fulton, RMT<\/a><\/li>\n<\/ol>\n
About the Author<\/h6>\n
![\"\"](\"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2017\/11\/MG_0209-150x150.jpg?resize=150%2C150\")
Walt Fritz, PT owns the Pain Relief Center in Rochester, NY, USA and travels worldwide to teach his science-informed version of MFR, Foundations in Myofascial Release Seminars. His audiences include massage therapists, speech-language pathologists, voice professionals, physical therapists, and occupational therapists. He will be teaching his client-centered, science-informed version of myofascial release in August of 2019 in Bondi Junction through Terra Rosa, with MFR for The Upper Body and Lower Body<\/a>. Each of these seminars is 2-days with some wonderful hands-on content presented in a context not typically seen in fascial trainings. You can learn more at www.FoundationsinMFR.com<\/a> and his accompanying blog<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"US based Physical Therapist and educator, Walt Fritz discusses the move to client-centred model of care and why massage therapists, and manual therapists, should embrace this move. Walt returns to Australia in August 2019 to present his excellent seminars.<\/p>\n","protected":false},"author":1,"featured_media":1046,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[110],"tags":[274,128],"class_list":["post-1040","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-practice","tag-client-centred-treatment","tag-walt-fritz"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/08\/LOWER-BODY-WEBSITE-GRAPHIC.png?fit=1400%2C425&ssl=1","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack-related-posts":[{"id":1369,"url":"https:\/\/blog.amt.org.au\/index.php\/2019\/02\/13\/the-vocal-athlete\/","url_meta":{"origin":1040,"position":0},"title":"The Vocal Athlete","author":"admin","date":"13\/02\/2019","format":false,"excerpt":"What is a vocal athlete? What can massage, manual therapy, or myofascial release offer the patient with voice, swallowing, or related disorders? US-based Physical Therapist and Educator, Walt Fritz discusses the vocal athlete ahead of his Australian seminar tour in August 2019.","rel":"","context":"In "Clinical Practice"","block_context":{"text":"Clinical Practice","link":"https:\/\/blog.amt.org.au\/index.php\/category\/clinical-practice\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/02\/microphone-1209816_1920.jpg?fit=1200%2C800&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/02\/microphone-1209816_1920.jpg?fit=1200%2C800&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/02\/microphone-1209816_1920.jpg?fit=1200%2C800&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/02\/microphone-1209816_1920.jpg?fit=1200%2C800&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/02\/microphone-1209816_1920.jpg?fit=1200%2C800&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":3803,"url":"https:\/\/blog.amt.org.au\/index.php\/2023\/09\/28\/keeping-on-top-of-client-records\/","url_meta":{"origin":1040,"position":1},"title":"Keeping on top of client records","author":"admin","date":"28\/09\/2023","format":false,"excerpt":"Client records are not just something required for health funds. Every treatment, regardless of the type or duration must be appropriately documented. Find out more about what is required in this blog.","rel":"","context":"In "AMT"","block_context":{"text":"AMT","link":"https:\/\/blog.amt.org.au\/index.php\/category\/amt\/"},"img":{"alt_text":"file cabinet","src":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2023\/09\/cabinet-1293245_1280.png?fit=1200%2C975&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2023\/09\/cabinet-1293245_1280.png?fit=1200%2C975&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2023\/09\/cabinet-1293245_1280.png?fit=1200%2C975&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2023\/09\/cabinet-1293245_1280.png?fit=1200%2C975&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2023\/09\/cabinet-1293245_1280.png?fit=1200%2C975&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":4010,"url":"https:\/\/blog.amt.org.au\/index.php\/2025\/04\/03\/is-massage-having-its-subluxation-moment\/","url_meta":{"origin":1040,"position":2},"title":"Is massage having its subluxation moment?","author":"admin","date":"03\/04\/2025","format":false,"excerpt":"We asked AI to write a janky poem about the latest AMT blog. The result is jankier than we expected. 10\/10 recommend that you just skip straight to our latest blog post by Aran Bright. If it doesn\u2019t hurt, it\u2019s just a rub, A gentle tickle at the pub. But\u2026","rel":"","context":"In "Clinical Practice"","block_context":{"text":"Clinical Practice","link":"https:\/\/blog.amt.org.au\/index.php\/category\/clinical-practice\/"},"img":{"alt_text":"Butterfly perched below a row of chrysalises.","src":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2025\/04\/Butterly--scaled.jpg?fit=1200%2C795&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2025\/04\/Butterly--scaled.jpg?fit=1200%2C795&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2025\/04\/Butterly--scaled.jpg?fit=1200%2C795&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2025\/04\/Butterly--scaled.jpg?fit=1200%2C795&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2025\/04\/Butterly--scaled.jpg?fit=1200%2C795&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":470,"url":"https:\/\/blog.amt.org.au\/index.php\/2018\/01\/10\/the-case-against-pathologising\/","url_meta":{"origin":1040,"position":3},"title":"The Case Against Pathologising","author":"admin","date":"10\/01\/2018","format":false,"excerpt":"US Physical Therapist Walt Fritz shares his thoughts on why he's moved away from his modality empire, and pathologising his clients, and why you should too.","rel":"","context":"In "AMT"","block_context":{"text":"AMT","link":"https:\/\/blog.amt.org.au\/index.php\/category\/amt\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/01\/anatomy-3042569_1920.png?fit=1200%2C764&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/01\/anatomy-3042569_1920.png?fit=1200%2C764&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/01\/anatomy-3042569_1920.png?fit=1200%2C764&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/01\/anatomy-3042569_1920.png?fit=1200%2C764&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/01\/anatomy-3042569_1920.png?fit=1200%2C764&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":156,"url":"https:\/\/blog.amt.org.au\/index.php\/2017\/10\/04\/what-is-interoception-and-why-does-it-matter\/","url_meta":{"origin":1040,"position":4},"title":"What is interoception (and why does it matter)?","author":"admin","date":"04\/10\/2017","format":false,"excerpt":"Massage Therapist and Educator, Aran Bright introduces the concept of interoception ahead of the one-day workshop he is co-presenting at the AMT Mini Conference 2017.","rel":"","context":"In "News and events"","block_context":{"text":"News and events","link":"https:\/\/blog.amt.org.au\/index.php\/category\/news-and-events\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2017\/09\/amt-conf-2016_1.jpg?fit=1024%2C683&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2017\/09\/amt-conf-2016_1.jpg?fit=1024%2C683&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2017\/09\/amt-conf-2016_1.jpg?fit=1024%2C683&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2017\/09\/amt-conf-2016_1.jpg?fit=1024%2C683&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":1293,"url":"https:\/\/blog.amt.org.au\/index.php\/2018\/12\/19\/the-best-of-2018\/","url_meta":{"origin":1040,"position":5},"title":"The Best of 2018","author":"admin","date":"19\/12\/2018","format":false,"excerpt":"As the sun sets on 2018, we take a look back at some of the most read articles from AMT's blog over the last 12 months. What was your favourite?","rel":"","context":"In "AMT"","block_context":{"text":"AMT","link":"https:\/\/blog.amt.org.au\/index.php\/category\/amt\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/12\/Best-of-2018.png?fit=560%2C315&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/12\/Best-of-2018.png?fit=560%2C315&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/12\/Best-of-2018.png?fit=560%2C315&ssl=1&resize=525%2C300 1.5x"},"classes":[]}],"_links":{"self":[{"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/posts\/1040","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/comments?post=1040"}],"version-history":[{"count":5,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/posts\/1040\/revisions"}],"predecessor-version":[{"id":1098,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/posts\/1040\/revisions\/1098"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/media\/1046"}],"wp:attachment":[{"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/media?parent=1040"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/categories?post=1040"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/tags?post=1040"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
The norm in manual therapy is a hierarchical-based model that fosters a relationship that elevates the experience and opinions of the clinician over the views and feedback of the client. The client comes to the expert for help and gives up power in the hope that the clinician can help. The client becomes quite willing (some might say gullible) to believe what the clinician states as their findings and recommendations, in hopes of being relieved of their pain or movement issues. The opinions of the clinician become the determinant in treatment decisions, though hopefully framed by client goals. While listening to the client\u2019s story happens during intake, the power shift from client to therapist occurs quickly as the initial session progresses, with the opinions of the therapist becoming more important than the client. The experience (ego) of the clinician takes hold quickly, driving the agenda.<\/p>\nBrian Fulton, RMT, in his excellent book, The Placebo Effect in Manual Therapy2<\/sup> speaks to the power of the story we tell and that as our skill in telling that believable tale rises, so does the potential of placebo effects. Believing our story, on the part of the client, makes sense, as if we sound credible then we tend to be believed. To me, one problem with placebo effects rising as our story improves is that there is no provision in the scientific research that the story has to be true. The potential placebo effect increases as we become better storytellers. In short, we become beacons of believability, with, at times, grandiose claims and beliefs regarding what is wrong with our clients, based on evaluation methods that may lack validity across the full spectrum of manual therapy and medicine, with conclusions drawn based on those narrow beliefs.<\/p>\n My own MFR training framed problems to be a result of the fascial restriction and how it impacted the client\u2019s function, regardless of how these beliefs conflicted with alternate models of manual therapy. My clinical outcomes seemed reasonable, but confirmation bias clouds objectivity in regards to these matters. As I gained experience, I tended to listen less to my client and more to what I thought I had uncovered. I saw their story as less important, as they didn\u2019t understand the power of a fascial restriction as I did. And over time, I listened less. <\/em><\/p><\/blockquote>\n Now I listen more.<\/p>\n I had many years of experience under my belt, both as a physical therapist as well as a MFR therapist, but I saw that something was missing from my past.<\/p>\n My myofascial release treatment became entirely based on my vast experience and perceived knowledge, but no matter the level of my education and experience, there was a piece missing: I did not know what my client felt unless I asked. <\/em><\/p><\/blockquote>\n Sure, I asked for feedback, \u201chow\u2019s my pressure?\u201d etc., but it was merely an aspect of assuring that my treatment was not too aggressive. Feedback from my client had little to do with how I arrived upon a treatment plan.<\/p>\n Many clients baulk at being offered the chance to participate in treatment decisions fully, but over time I\u2019ve become more adept at handing over power to them. To some therapists, handing over control to the client may seem as if they are admitting a lack of knowledge, but there is wisdom in knowing and realising what one does not know. We cannot understand what our clients are feeling, what they think might feel helpful or harmful, with no input of subtle or overt coercion, unless we ask.<\/p>\n Being willing to ask for input in decisions, to ask your client to partner with you in determining treatment decisions takes practice and can seem entirely foreign, both to the clinician as well as the client, but with practice becomes quite easy. Being comfortable with silence is vital. Ask, \u201cwhat are you feeling\u201d and allow them to process. Below is a current version of my process as I move from evaluation into treatment. Can you see this working?<\/p>\n (From Walt Fritz blog post \u201cSynopsis in Synopsis of the Foundations Seminar Approach to Manual Care<\/a>\u201d July 2018.)<\/p>\n This video goes through my process<\/a>. If exploring this approach appeals to you, I suggest you watch it more than once. My MFR methods, which use static engagement vs. movement, may make the process seem remote, but I see it as applicable to any massage\/manual therapy style of engagement.<\/p>\n <\/p>\n US based Physical Therapist and educator, Walt Fritz discusses the move to client-centred model of care and why massage therapists, and manual therapists, should embrace this move. Walt returns to Australia in August 2019 to present his excellent seminars.<\/p>\n","protected":false},"author":1,"featured_media":1046,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[110],"tags":[274,128],"class_list":["post-1040","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-practice","tag-client-centred-treatment","tag-walt-fritz"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/08\/LOWER-BODY-WEBSITE-GRAPHIC.png?fit=1400%2C425&ssl=1","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack-related-posts":[{"id":1369,"url":"https:\/\/blog.amt.org.au\/index.php\/2019\/02\/13\/the-vocal-athlete\/","url_meta":{"origin":1040,"position":0},"title":"The Vocal Athlete","author":"admin","date":"13\/02\/2019","format":false,"excerpt":"What is a vocal athlete? What can massage, manual therapy, or myofascial release offer the patient with voice, swallowing, or related disorders? US-based Physical Therapist and Educator, Walt Fritz discusses the vocal athlete ahead of his Australian seminar tour in August 2019.","rel":"","context":"In "Clinical Practice"","block_context":{"text":"Clinical Practice","link":"https:\/\/blog.amt.org.au\/index.php\/category\/clinical-practice\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/02\/microphone-1209816_1920.jpg?fit=1200%2C800&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/02\/microphone-1209816_1920.jpg?fit=1200%2C800&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/02\/microphone-1209816_1920.jpg?fit=1200%2C800&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/02\/microphone-1209816_1920.jpg?fit=1200%2C800&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2019\/02\/microphone-1209816_1920.jpg?fit=1200%2C800&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":3803,"url":"https:\/\/blog.amt.org.au\/index.php\/2023\/09\/28\/keeping-on-top-of-client-records\/","url_meta":{"origin":1040,"position":1},"title":"Keeping on top of client records","author":"admin","date":"28\/09\/2023","format":false,"excerpt":"Client records are not just something required for health funds. Every treatment, regardless of the type or duration must be appropriately documented. 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The result is jankier than we expected. 10\/10 recommend that you just skip straight to our latest blog post by Aran Bright. If it doesn\u2019t hurt, it\u2019s just a rub, A gentle tickle at the pub. 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What was your favourite?","rel":"","context":"In "AMT"","block_context":{"text":"AMT","link":"https:\/\/blog.amt.org.au\/index.php\/category\/amt\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/12\/Best-of-2018.png?fit=560%2C315&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/12\/Best-of-2018.png?fit=560%2C315&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/blog.amt.org.au\/wp-content\/uploads\/2018\/12\/Best-of-2018.png?fit=560%2C315&ssl=1&resize=525%2C300 1.5x"},"classes":[]}],"_links":{"self":[{"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/posts\/1040","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/comments?post=1040"}],"version-history":[{"count":5,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/posts\/1040\/revisions"}],"predecessor-version":[{"id":1098,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/posts\/1040\/revisions\/1098"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/media\/1046"}],"wp:attachment":[{"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/media?parent=1040"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/categories?post=1040"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.amt.org.au\/index.php\/wp-json\/wp\/v2\/tags?post=1040"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}What changed? <\/strong><\/h6>\n
Over the past few years, listening to my clients has become my passion, so much so that it has become my chief strategy in moving from evaluation into treatment. Not just listening to them during the intake but listening to them as I progress through evaluation and into treatment, allowing feedback to be the determinant for treatment decisions. Client feedback has become the primary means of how I frame the decision-making process for what and where to treat. It aligns well with the emerging trends in medicine and offers what I believe to be a more respectful perspective on the weighting in the therapeutic relationship between my client and myself.<\/p>\nAre you willing to ask? <\/strong><\/h6>\n
<\/p>\nReferences<\/strong><\/h6>\n
\n
About the Author<\/h6>\n
Walt Fritz, PT owns the Pain Relief Center in Rochester, NY, USA and travels worldwide to teach his science-informed version of MFR, Foundations in Myofascial Release Seminars. His audiences include massage therapists, speech-language pathologists, voice professionals, physical therapists, and occupational therapists. He will be teaching his client-centered, science-informed version of myofascial release in August of 2019 in Bondi Junction through Terra Rosa, with MFR for The Upper Body and Lower Body<\/a>. Each of these seminars is 2-days with some wonderful hands-on content presented in a context not typically seen in fascial trainings. You can learn more at www.FoundationsinMFR.com<\/a> and his accompanying blog<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"