The Feldenkrais Method is a form of
somatic education[1][2][3][4][5][6][7] "that integrates the body, mind and psyche through an educational model in which a trained Feldenkrais practitioner guides a client (the ‘student’) through movements with hands-on and verbally administered cues," according to Clinical Sports Medicine.[8] Also studied as an
exercise therapy, it was devised by Israeli
Moshé Feldenkrais during the mid-20th century. The method is claimed to reorganize connections between the brain and body and so improve body movement and psychological state.[9][10]
There is limited
medical evidence that the Feldenkrais Method improves health outcomes in rehabilitation of people with upper limb complaints[11] and lower back pain.[12] For other conditions, "there is no solid evidence base on which to make recommendations", and the cost-effectiveness is unknown.[13] Researchers do not believe it poses serious risks.[14]
Description
Students at the San Francisco Feldenkrais Practitioner Training doing an Awareness Through Movement lesson (1975)
The Feldenkrais Method is a type of alternative exercise therapy that proponents claim can repair impaired connections between the
motor cortex and the body, so benefiting the quality of body movement and improving
wellbeing.[9][15] The Feldenkrais Guild of North America claims that the Feldenkrais method allows people to "rediscover [their] innate capacity for graceful, efficient movement" and that "These improvements will often generalize to enhance functioning in other aspects of [their] life".[16]
The Oxford Handbook of Music Performance describes FM as "an experiential learning process that uses movement and guided attention to develop and refine self-awareness." It notes that FM is "increasingly used among high-level performers, such as musicians, actors, dancers, and athletes." [17]
Feldenkrais lessons have two types, one verbally guided and practiced in groups called Awareness Through Movement, and one hands-on and practiced one-to-one called Functional Integration.[18] Moshé Feldenkrais wrote, "The purpose of these sensorimotor lessons is to refine one’s ability to make perceptual distinctions between movements that are easy and pleasurable and those that are strained and uncomfortable, which results in the discovery of new movement possibilities as well as potential for further improvements."[17]
Learning is a process: "relies on sensory and kinesthetic information that one experiences through interactions with the environment"
Posture as dynamic equilibrium: "the ability to regain equilibrium after a large disturbance"
Exploratory versus performative movement:" the ability to make distinctions in the ease and quality of movement and to try out movements that may be unfamiliar"
Whole versus part learning: "exploring component parts of an action as well as the whole"
Repetition and variation: "introducing novelty in learning in order to expand possibilities for choice"
Effectiveness
In 2015, the
Australian Government's Department of Health published the results of a review of 17 natural therapies that sought to determine which would continue being covered by
health insurance; the Feldenkrais Method was one of 16 therapies for which no clear evidence of effectiveness was found. [13] Accordingly in 2017 the Australian government identified the Feldenkrais Method as a practice that would not qualify for insurance subsidy, saying this step would "ensure taxpayer funds are expended appropriately and not directed to therapies lacking evidence".[19]
Proponents claim that the Feldenkrais Method can benefit people with a number of medical conditions, including children with
autism, and people with
multiple sclerosis. However, no studies in which participants were clearly identified as having an autism spectrum disorder or developmental disabilities have been presented to back these claims.[20]
A 2017 systematic review in the Polish Annals of Medicine found that a: "positive effect following FM among neck and [
low back pain] disorders was reported by all of the studies, some of good quality, it is concluded that FM proved to be effective, but not in all people with musculoskeletal disorders."[12]
There is limited evidence that workplace-based use of the Feldenkrais Method may help aid rehabilitation of people with upper limb complaints.[11]
Criticism
David Gorski has written that the Method bears similarities to
faith healing, is like "glorified
yoga", and that it "borders on
quackery".[16]Quackwatch places the Feldenkrais Method on its list of "Unnaturalistic methods".[21]
From the 1950s till his death in 1984, Feldenkrais taught in his home city of Tel Aviv. He gained recognition in part through media accounts of his work with prominent individuals, including Israeli Prime Minister
David Ben-Gurion.[22][23]
In David Kaetz's biography, Making Connections: Roots and Resonance in the Life of Moshe Feldenkrais (2007), he argues many lines of influence can be found between the Judaism of Feldenkrais's upbringing and the Feldenkrais Method – for instance, the use of paradox as a pedagogical tool.[24]
Making Connections described Feldenkrais' approach:
Feldenkrais was critical of the appropriation of the term 'energy' to express immeasurable phenomena or to label experiences that people had trouble describing ... He was impatient when someone invoked energy in pseudoscientific 'explanations' that masked a lack of understanding. In such cases he urged skepticism and scientific discourse. He encouraged empirical and phenomenological narratives that could lead to insights.[24]
Beginning in the late 1950s, Feldenkrais made trips to teach in Europe and America. Several hundred people became certified Feldenkrais practitioners through trainings he held in
San Francisco from 1975 to 1978 and in
Amherst, Massachusetts, from 1980 to 1984.[25]Cybernetics, also known as dynamic systems theory, continued to influence the Feldenkrais Method in the 1990s through the work of human development researcher
Esther Thelen.[26]:1535
^
abStalker D, Glymour C, eds. (1989). Examining Holistic Medicine. Prometheus Books. p.
373.
ISBN9780879755539. a system of exercise therapy developed in the 1940s by former judo instructor Moshe Feldenkrais
^Collet-Klingenberg, Lana (31 October 2014).
"Treatment Intervention Advisory Committee Review and Determination"(PDF). Wisconsin Department of Health Services.
Archived(PDF) from the original on 31 January 2017. Retrieved 8 October 2020. In sum, it is the decision of the committee that Feldenkrais Therapy does not have a study in which participants were clearly identified as having an autism spectrum disorder or developmental disability and no authoritative bodies have recognized the treatment as having emerging evidence...
^
abKaetz, David (2014). Making Connections: Roots and Resonance in the Life and Teachings of Moshe Feldenkrais (2nd ed.). Hornby Island, Canada: River Centre Publishing. pp. 13–15, 27–28.
ISBN978-0-9784014-2-9.