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In this episode we're in conversation with Samantha Hewitt, a qualified Physiotherapist and Mindfulness Coach based in Manchester, UK. Sam works part-time in the NHS where she works with a variety of patients including those with complex and chronic health conditions.
When she's not working in the NHS, she runs her own business called, Move More Mindfully Physiotherapy. Sam incorporates tai chi and qigong into her clinical practice as part of mindful movement and functional movement coaching. She finds that Tai chi complements both her Physiotherapy and Mindfulness Coaching practice.
Website: www.movemoremindfullyphysiotherapy.co.uk
Instagram/Facebook: @physiomovemoremindfully
Highlights from our conversation with Samantha Hewitt:
- Samantha (Sam) is a physiotherapist in Manchester who works in the NHS and runs her own practice called "Move More Mindfully Physiotherapy".
- Sam combines traditional physiotherapy with mindfulness coaching and Tai Chi, creating an integrated approach to patient care.
- As someone living with autoimmune conditions (thyroid condition and endometriosis), Sam brings valuable lived experience to her practice, helping her empathise with patients facing chronic conditions.
- Sam highlights how fear can potentially create a vicious cycle for patients living with chronic health conditions where they avoid movement due to pain or anxiety which can worsen how they experience their condition.
- Mindfulness coaching doesn't necessarily mean sitting cross-legged and meditating. It can be incorporated into functional movements and daily activities, making it more accessible to patients who struggle with traditional meditation.
- Tai Chi serves as a natural bridge between physiotherapy and mindfulness, offering a "moving mindfulness" practice that addresses both physical and mental aspects of health.
- The approach can be individualised and simplified based on patient needs - Sam often introduces Tai Chi principles without labelling them as such, focusing instead on gentle, curious movement exploration.
- Visual imagery and metaphors (like "being on a little boat that won't capsize") help patients connect with their bodies in new ways.
- For some patients with chronic pain, traditional body scan meditations can be triggering. Tai Chi's mindful movement approach can offer a better alternative by providing distraction while still promoting mindfulness.
- Patients are often surprised by how physically engaging Tai Chi can be, despite its gentle appearance. The standing postures, weight-shifting, and extended arm positions provide effective exercise.
- Sam advises other physiotherapists interested in incorporating Tai Chi to keep it simple rather than feeling they need to learn complex sequences.
- Tai Chi principles can be integrated into standard physiotherapy practice through clinically reasoned exercises that address range of motion, balance and strength.
- Tai Chi aligns well with the biopsychosocial model of healthcare, addressing physical needs while supporting mental wellbeing.
- Sam aims to expand her practice to include more group classes, bringing this holistic approach to more patients.
This podcast highlights how integrating mindful movement practices like Tai Chi into physiotherapy can provide patients with tools for self-management, particularly those living with chronic conditions, whilst supporting both physical rehabilitation and mental wellbeing.
Have you enjoyed this episode? Please take a moment to rate and subscribe, it really helps us keep the podcast going.
Would you like to find out more about our class leading CPD course for health professionals: Tai Chi for Therapists.
We created this course for all registered allied health professionals, clinicians, and other rehabilitation professionals who would like to learn how to implement evidence-based tai chi and qigong movements into their clinical practice.
If you’re a physiotherapist, physical therapist, occupational therapist, occupational or physiotherapy assistant, or other allied health professional visit our course page to find out more.
We look forward to seeing you,
Phil & Helen
Website: www.taichifortherapists.com
Welcome to episode six of the Tai Chi for Therapists podcast. In this episode we talk with Ali Leigh, an Occupational Therapist based in Sussex.
In Ali's own words,
“I am deeply passionate about my role as an Occupational Therapist. It’s a privilege to use the therapeutic power of movement to enhance the mental and physical wellbeing of my clients. I also offer Yoga (both full and seated practices) and Tai Chi in NHS hospitals, schools, and private practice settings.
As a Return to Practice OT, I’ve embarked on an incredible journey to carve out my niche—integrating Occupational Therapy with the transformative benefits of Yoga and Tai Chi.
I’m also passionate about empowering fellow OTs to confidently incorporate movement-based activities into their clinical practice. If you’d like to explore how we can work together or if I can support you in any way, please don’t hesitate to reach out.”
Instgram: @alison.otandyoga
LinkedIn Ali Leigh
1. Integration of Tai Chi and Yoga in Occupational Therapy (OT):
2. Benefits of Movement-Based Therapies:
3. Application in Different Settings:
4. Embodiment and Reconnection:
5. Non-Threatening and Accessible:
6. Professional Collaboration and Evidence-Based Practice:
7. Future Directions:
8. Advice for Health Professionals:
Applicability for Health Professionals:
Ali highlights the practical applications and benefits of Tai Chi and Yoga in various healthcare settings, offering actionable insights for health professionals interested in integrating these practices into their work.
Have you enjoyed this episode? Please take a moment to rate and subscribe, it really helps us keep the podcast going.
Would you like to find out more about our class leading CPD course for health professionals: Tai Chi for Therapists.
We created this course for all registered allied health professionals, clinicians, and other rehabilitation professionals who would like to learn how to implement evidence-based tai chi and qigong movements into their clinical practice.
If you’re a physiotherapist, physical therapist, occupational therapist, occupational or physiotherapy assistant, or other allied health professional visit our course page to find out more.
We look forward to seeing you,
Phil & Helen
Website: www.taichifortherapists.com
Welcome to episode 5. In a slight departure from previous episodes we talk with Lisa Westhorpe, Occupational Therapist and National Lead with the social enterprise, Sport For Confidence.
Profile
Lisa is passionate about promoting health through meaningful occupation, and ensuring physical activity is accessible for all. Having gained experience as a support worker and rehabilitation assistant, and various occupational therapy roles across school based practice, maternal health, learning disability, and community and acute settings in the UK and USA,
Connecting and working alongside partners across the health, sport and leisure industries, Lisa shares Sport for Confidence’s work in addressing health inequalities through access to meaningful physical activity, underscoring the importance of an occupational therapy perspective across different settings.
Links:
Physical Activity and Mental Health Infographic (White et al 2024) https://www.westernsydney.edu.au/content/dam/digital/pdf/health-sciences/White-et-al-(2024)-Mediator-Moderator-Systematic-Review-Results.png
Physical Activity and Mental Health Paper (White et al 2024) DOI: https://doi.org/10.1186/s12966-024-01676-6
Sport for Confidence website: https://www.sportforconfidence.com/
Information on how to join our MovingOTs Community of Practice, where occupational therapy practitioners and students can connect and learn about integrating physical activity into their practice: https://www.sportforconfidence.com/our-services/sport-england-system-partner/
Prevention & Enablement Model – demonstrating how voluntary sector organisations can support the work of statutory services, and move towards a more preventative, whole systems approach: https://www.sportforconfidence.com/our-services/prevention-enablement-model/
Resources to support OTs to use physical activity within their everyday work: https://www.sportforconfidence.com/resources/
Sport for Confidence’s YouTube channel, including recordings of trainings and Community of Practice sessions:
https://www.youtube.com/@sportforconfidence405/videos
1. Holistic Approach to Physical Activity
2. Breaking Down Barriers to Physical Activity
3. Psychological Mechanisms of Physical Activity
4. OT's Unique Contribution
5. Future of Occupational Therapy
Practical Recommendations:
Resources for Further Exploration:
In this episode our conversation with Lisa highlights the message that physical activity is not just about physical health, but a powerful tool for comprehensive well-being, with occupational therapists playing a crucial role in making it accessible and meaningful for all individuals.
Have you enjoyed this episode? Please take a moment to rate and subscribe, it really helps us keep the podcast going.
Would you like to find out more about our class leading CPD course for health professionals: Tai Chi for Therapists.
We created this course for all registered allied health professionals, clinicians, and other rehabilitation professionals who would like to learn how to implement evidence-based tai chi and qigong movements into their clinical practice.
If you’re a physiotherapist, physical therapist, occupational therapist, occupational or physiotherapy assistant, or other allied health professional visit our course page to find out more.
We look forward to seeing you,
Phil & Helen
Website: www.taichifortherapists.com
In this episode we talk with Richard Leigh, a physiotherapist based in a small rural practice in Shaftesbury, Dorset, in the UK.
Richard implements tai chi and qigong movements into his private practice with a diverse range of patients.
Neurodynamics
Can prove more effective than traditional nerve stretches due to:
Have you enjoyed this episode? Then you may like to rate and subscribe so that you can enjoy more podcasts as we release them.
Would you like to find out more about our class leading CPD course for health professionals: Tai Chi for Therapists.
We created this course for all registered allied health professionals, clinicians, and other rehabilitation professionals who would like to learn how to implement evidence-based tai chi and qigong movements into their clinical practice.
If you’re a physiotherapist, physical therapist, occupational therapist, occupational or physiotherapy assistant, or other allied health professional visit our course page to find out more.
We look forward to seeing you,
Phil & Helen
Website: www.taichifortherapists.com
In this podcast we interview Carole Edin, an Occupational Therapist based in Leeds. Carole implements tai chi and qigong movements into her clinical practice with patients in a local chronic pain service.
1. Chronic Pain Management Approach:
2. Introduction of Tai Chi in Pain Management:
3. Benefits of Tai Chi for Chronic Pain Patients:
4. Implementation Strategies:
5. Group vs. Individual Sessions:
6. Practitioner Benefits:
7. Evidence-Based Practice:
8. Patient-Centered Outcomes:
9. Professional Development:
Health professionals should consider integrating Tai Chi as a complementary approach in chronic pain management, focusing on gradual introduction, individualisation, and combining it with other evidence-based strategies for optimal patient outcomes.
Bonus downloads kindly provided by Carole.
Have you enjoyed this episode? Then you may like to rate and subscribe so that you can enjoy more podcasts as we release them.
Would you like to find out more about our class leading CPD course for health professionals: Tai Chi for Therapists.
We created this course for all registered allied health professionals, clinicians, and other rehabilitation professionals who would like to learn how to implement evidence-based tai chi and qigong movements into their clinical practice.
If you’re a physiotherapist, physical therapist, occupational therapist, occupational or physiotherapy assistant, or other allied health professional visit our course page to find out more.
We look forward to seeing you,
Phil & Helen
Website: www.taichifortherapists.com
In this podcast we interview Charlotte Rondel, an Occupational Therapist based in Jersey. Charlotte implements tai chi and qigong movements into her clinical practice with patients in a primary care mental health service.
Charlotte Rondel qualified as an Occupational Therapist in 2006 from Southampton University. Also a qualified fitness instructor, she finds meaningful ways to support people to be more physically active and confident in how they move in everyday activity. Charlotte has worked in a range of settings including reablement, general medical and orthopaedic inpatients, community mental health and primary care mental health.
Charlotte, an occupational therapist, incorporates Tai Chi into her practice in a primary care mental health team in Jersey.
Tai Chi is used to address anxiety, mood difficulties, and depression.
Tai Chi's holistic approach aligns well with occupational therapy principles.
Charlotte introduced Tai Chi gradually, starting with staff wellbeing sessions.
A simple 1-10 mood scale is used before and after sessions to track improvements.
Charlotte references the "Eight Active Ingredients" model from Peter Wayne's book, The Harvard Medical School Guide to Tai Chi.
Dealing with varying patient speeds and interpretations of instructions.
Importance of regular personal practice to improve confidence and skill in teaching.
Recognizing that patients may benefit even if they don't perform movements "perfectly".
Can be used as both a rehabilitation tool and a wellness practice.
Tai Chi can be effectively integrated into mental health services, offering a holistic approach that aligns well with occupational therapy and other health professions. It emphasizes the practical aspects of implementation, potential benefits for patients, and the importance of adaptability in clinical practice.
If you have enjoyed this episode please do subscribe for more. Please do give us a rating and a review as well.
Are you a rehabilitation professional? Then you may like to join our class leading CPD course, Tai Chi for Therapists.
Created for all registered allied health professionals, clinicians, and other rehabilitation professionals who would like to learn how to implement evidence-based tai chi and qigong movements into their clinical practice.
If you’re a physiotherapist, physical therapist, occupational therapist, occupational or physiotherapy assistant, or other allied health professional do get in touch, we’re here to help.
Visit our course page to find out more: https://www.discovertaichi.uk/courses
Thank you for visiting, all the best,
Phil & Helen
Website: https://www.discovertaichi.uk/
In this podcast we interview Occupational Therapists, Vicky Jones and Liz Smith based in Leek and Biddulph Primary Care Network Occupational Therapy Service.
In 2023 they, along with their colleague, Beth Jackson-Dale, developed an early intervention service focusing on disease prevention and supporting the management of newly-diagnosed long-term mental and physical health conditions.
They utilised both acupuncture along with tailored tai chi and qigong movements for the patient groups.
The February 2024 edition of OT News features an article about the project.
Vicky Jones qualified 2012 from Brunel University. She has worked in a range of settings including acute mental health, community dementia services, emergency medicine, community rehab, Autism services and is now working in Primary Care Occupational Therapy alongside Liz Smith.
Email: [email protected]
Liz Smith, qualified from The University of Derby in 2004. She has worked in both acute and community settings, working in both physical and mental health areas before joining Primary Care Occupational Therapy in 2021.
Email: [email protected]
Occupational therapists Vicky Jones and Liz Smith established a Tai Chi project in a primary care setting in 2021.
They focused on early intervention and proactive approaches for new conditions or existing health conditions.
The project aimed to support both mental wellbeing and physical health.
The team gathered evidence on Tai Chi as a health intervention for various conditions, including mental health, chronic pain, and falls prevention.
They used this evidence to support their training request and protocol development.
Developed inclusion/exclusion criteria for participants.
Created risk assessments for the environments used.
Initially ran a 10-week project, later adjusted based on outcomes.
Provided participants with personal copies of movements for self-directed learning.
Used the MYMOP (Measure Yourself Medical Outcome Profile) to assess baseline symptoms and functioning, repeating at the end of the project.
https://www.meaningfulmeasures.co.uk/mymop
Collected additional feedback through surveys and verbal responses.
Improvements in pain management, balance, mental wellbeing, and overall confidence.
Reduced medication use, particularly for pain management.
Enhanced social interactions and community engagement.
A 61-year-old man with chronic pain after significant polytrauma showed significant improvements self-reported symptoms (+ 50%), wellbeing (+ 75%), and daily activities (+ 50%) after completing the project.
Participants formed social connections, continuing to meet outside of the project.
Some patients challenged their own perceptions of their capabilities such as increased sense of autonomy and self-efficacy.
Prepare visual aids (photos, videos) of movements before starting the project.
Liaise with other practitioners using Tai Chi in their practice.
Explore various training options.
Set clear boundaries and criteria for project access.
Planning to create video resources for patients unable to attend in-person sessions.
Presenting at conferences to share their experiences and outcomes.
Considering publishing research on their findings.
This project demonstrates the potential for integrating holistic, evidence-based practices into primary care settings, offering an alternative or complement to traditional medical approaches for managing chronic conditions and promoting overall wellbeing.
1. Kong, L. J. et al. Tai Chi for Chronic Pain Conditions: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Sci. Rep. 6, 25325; doi: 10.1038/srep25325 (2016).
2. Juan Pablo Castro, Marie Kierkegaard, Manuel Zeitelhofer. A Call to Use the Multicomponent Exercise Tai Chi to Improve Recovery From COVID-19 and Long COVID, 2022 Feb 28;10:827645. Collection 2022.
3. Ryan Abbott, MD, JD, MTOMa and Helen Lavretsky, MD, MSb,* Tai Chi and Qigong for the Treatment and Prevention of Mental Disorders, Southwestern Law School, 3050 Wilshire Boulevard, Los Angeles, California Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, Psychiatr Clin North Am. 2013 March ; 36(1): 109–119.
4. Chenchen Wang, Jean Paul Collet, Joseph Lau. 2004 Mar 8;164(5):493-501.
MYMOP - Measure Yourself Medical Outcomes Profile
Leek and Biddulph Primary Care Facebook Page
http://www.nhs.uk/Livewell/fitness/Pages/taichi
http://www.sdhct.nhs.uk/aboutus/services/painservice/improvinghealthandfitness/4_taichi
If you’re a rehabilitation professional you may like to join our class leading course, Tai Chi for Therapists.
Tai Chi for Therapists is designed for all registered allied health professionals, clinicians, and other rehabilitation professionals who would like to learn how to implement evidence-based tai chi and qigong movements into their practice.
If you’re a physiotherapist, physical therapist, occupational therapist, occupational or physiotherapy assistant, or other allied health professional get in touch, we’re here to help.
Visit our course page to find out more: https://www.discovertaichi.uk/courses
Thank you for visiting, all the best,
Phil & Helen
Website: https://www.discovertaichi.uk/
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