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Ta k e 5 a n d t r y A B M P F i v e - M i n u t e M u s c l e s a t w w w. a b m p . c o m / f i v e - m i n u t e - m u s c l e s . 93 How does homework relate to the social level of our biopsychosocial progression? Factors affecting "compliance," the client or patient's adherence to the practitioner's homework, prescriptions, or recommendations (Image 4), have been extensively studied in both physical and behavioral medicine. Influences, such as client knowledge about their condition, social support 6 (family or social group awareness of practitioner recommendations), and client/ practitioner rapport 7 all significantly increase the likelihood that homework recommendations will be followed. While most manual therapy practitioners probably see social support as being outside their typical scope of practice or sphere of influence, simply suggesting that clients share impressions of their sessions, or teach their homework to a friend, spouse, or family member, can help leverage the powerful social-support effect, and is likely to increase the integration of the hands-on work into the client's habits and daily life. Whether we're thinking about an individual technique, a session, or a series of sessions, paying attention to how we end and complete our work helps the client make the results their own. When the client has this kind of ownership of their sessions' results, the benefits of your work together become integrated into the client's new sense of somatic normal, and become habitual, sustainable, and enduring. This article is excerpted from Volume 2 of Advanced Myofascial Techniques (Handspring, 2016). Notes 1. For more information, see the cervical core/sleeve technique in "Working with Whiplash, Part II" (Massage & Bodywork, May/June 2010, page 109). 2. For more information, see "Working with the Sacrum" in Massage & Bodywork (November/December 2015, page 90). 3. For more information, see "The Sympathetic Sacrum" in Massage & Bodywork (March/April 2017, page 96). 4. As in the core point technique in "Working with Bone" in Massage & Bodywork (November/December 2013, page 114). 5. For examples, see the psoas technique (Massage & Bodywork, July/August 2015, page 108) or breath motility technique (Massage & Bodywork, March/April 2010, page 109). 6. M. Robin DiMatteo, "Social Support and Patient Adherence to Medical Treatment: A Meta-Analysis," Health Psychology 23, no. 2 (2004): 207–18, 7. Irene M. Howgego et al., "The Therapeutic Alliance: The Key To Effective Patient Outcome? A Descriptive Review of the Evidence in Community Mental Health Case Management," Australian and New Zealand Journal of Psychiatry 37, no 2 (2003): 169–83, Til Luchau is the author of Advanced Myofascial Techniques (Handspring Publishing, 2016), a Certified Advanced Rolfer, and a member of the faculty, which offers online learning and in-person seminars throughout the United States and abroad. He invites questions or comments via or @TilLuchau on Facebook, Twitter, or Instagram. Clients are statistically more likely to integrate practitioner recommendations and take-home exercises into their daily life when they (a) have a sense of rapport with their practitioner, (b) have supportive social or family connections, or, especially (c) when they teach their take- home practices to another person. Image: Bibiana Badenes, used by permission. Guiding the client's inner body awareness can be another way to foster a sense of whole-body connections, as in the Breath Motility Technique (from "Working with Whiplash, Part I," Massage & Bodywork, March/April 2010, page 109). 3 4 Watch "Integration and Massage" Watch Til Luchau's technique videos and read his past articles in Massage & Bodywork's digital edition, available at,, and on's YouTube channel. Watch Til's ABMP video playlist where all his videos have been compiled.

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