Janda’s approach is a method of examination that helps to identify the underlying causes of pain. It is a thorough study of your posture and muscle activity during motion, called “functional evaluation”.
It is based on the premise that joints, muscles and nervous system work together, and that changes in one area will be reflected by compensatory changes elsewhere in the body.
Janda shows that many chronic injuries/pain results from improper motor learning, i.e. your body incorrectly learning to engage certain muscles
Difference between Traditional Exam and Janda's Approach
Key Differentiating factors:
1. Structural Exam Vs. Functional Approach Traditional evaluation/exam is structurally based with a focus on goniometer measures, strength, and/or imaging such as MRI, CTscan, Xrays, etc… But Janda’s approach focuses on interactions between groups of muscles.
For Example, your complaint of chronic knee pain. With a structural approach, the exam identifies limitations in range/strength/activity limitation, followed by treatment to fix those limitations. But note, this system is inherently flawed. The exam identified limitations due to knee pain not why the pain occurred in the first place. This is where Janda’s approach varies. This functional focus looks to determine why the knee pain occurred in the first place and includes a thorough exam of your posture, head to toe.
2. Evaluates the changes in the sensorimotor system Evidence shows chronic pain is a product of changes at the muscles as well as the nerves making it an interdependent system, i.e. sensorimotor system. On exam/assessment, the site of the pain will not be the source of the pain. Janda’s approach evaluates for changes in the central nervous system and its impact on muscle imbalance and pain.
3. Chain Reactions He developed theories of chain reactions to help identify the true cause of pain. The three independent chains are; the articular, muscular, and neurological chains. All 3 chains comprise the “neuro-muscular-skeletal” model.
a. Simply put, our joints are interconnected. Consider a case of elbow pain. With Janda’s approach, your clinician will evaluate the relationship from the neck to shoulder to elbow to wrist and vice-versa. Once an imbalance is identified, it's corrected to reduce complaints of elbow pain.
b. Consider another case of low back pain. Janda was the first one to identify the chronic weakness of transverse abdominal muscles being the cause of low back pain.
In all of the above scenarios, a localized exam of the knee or elbow or low back would have failed to show the true cause of pain and/or injury. Only with a detailed look at the chains of movements, we see the true cause of pain.
Whom does it help?
Janda’s approach is universally applicable to those who have a musculoskeletal injury, including, but not limited to, o chronic neck pain, chronic back pain
o Shoulder impingement
o Hip conditions
o Knee pain
o Muscle imbalance syndromes.
o Posture related dysfunctions
o Balance and gait-related problems
o SI joint dysfunctions
o Repetitive stress injury
o Sports Performance/Injuries
Important facts and clinical considerations about Janda’s approach
During the exam, your clinician will begin with postural observation of the pelvis, regardless of the area of primary complaint, to identify asymmetries.
Your Clinician will evaluate the quality, sequencing/timing, and degree of individual muscle activation during a movement, to assess the coordination of all involved muscles in the movement.
Any type of neuromuscular or skeletal injury in one area of our body can have its manifold effects on other body parts causing pain or restricted movements. If this is not attended to appropriately on time and in a right manner, such pain or impaired movement may possibly last for a long period of time and may even cause a degenerative effect on other areas of our body.Well, here’s where Dr. Pandya's expertise and excellence as a physical therapist comes into action. His treatment techniques such as DNS, Vojta therapy, Lewit method, Janda's approach, Hesch Method, Sahrmann's approach are just the few of the many that comes into play.Since Dr. Pandya received his Masters in Advanced Athletic Training and Sport Science and his Doctorate in Physical Therapy, he has had extreme hands-on experience of successfully treating hundreds of patients at various physical therapy clinics.
Dr. Mohamed Abdelmegeed, PT, DPT, MSc, DSc, OCS is Board a certified Orthopedic Clinical Specialist (OCS) by the American Physical Therapy Association (APTA) and has an active Physical Therapy license in the states of NY, CA.
Dr. Tom Oddo is an affiliate practitioner and chiropractor at our grand central location. He believes that the key to solving musculoskeletal conditions is to combine cutting edge rehab techniques with comprehensive patient education to create a treatment plan that addresses everything from the way you use your body to the way you understand it. His goal is to obtain fast, lasting results that empower his patients to help themselves to be free to move and live better every day.
Board-certified in Acupuncture from the National Certification Commission of Acupuncture and Oriental Medicine (NCCAOM) and licensed to practice in the State is New York, Robyn received her Masters in Science in Acupuncture from Pacific College of Health and Science, where she is currently studying for her Doctorate in Acupuncture. She is also an adjunct faculty at the New York College of Health Professions.