Evidence for the Effectiveness of the Feldenkrais Method

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The Feldenkrais method (FM) is a process that uses verbally and manually guided exploration of novel movements to improve individuals’ self-awareness and coordination. This paper reviews recent literature evaluating the therapeutic value of the FM for improving balance, mobility, and coordination and its effectiveness for management of chronic pain. The authors also explore and discuss studies that have investigated some of the other bodily effects and possible mechanisms of action, such as (a) the process of learning itself, (b) focus of attention during motor learning, (c) autonomic regulation, and (d) body image. They found that research clearly supports the effectiveness of the FM for improvement of balance and chronic pain management. The exploration into mechanisms of action raises interesting questions and possibilities for further investigation.

Stephens is with Movement Learning and Rehabilitation, Havertown, PA, USA. Hillier is with the University of South Australia, Adelaide, Australia.

Stephens (james.stephens@comcast.net) is corresponding author.
  • Arumugam, S., Ayyadurai, P., Perumal, S., Janani, G., Dhillon, S., & Thiagarajan, K.A. (2020). Rowing injuries in elite athletes: A review of incidence with risk factors and the role of biomechanics in its management. Indian Journal of Orthopaedics, 54(3), 246255. PubMed ID: 32399142 doi:10.1007/s43465-020-00044-3

    • Search Google Scholar
    • Export Citation
  • Assaiante, C., Barlaam, F., Cignetti, F., & Vaugoyeau, M. (2014). Body schema building during childhood and adolescence: A neurosensory approach. Neurophysiologie Clinique, 44(1), 312. PubMed ID: 24502900 doi:10.1016/j.neucli.2013.10.125

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Barnes, D.E., Mehling, W., Wu, E., Beristianos, M., Yaffe, K., Skultety, K., … Chesney, M.A. (2015). Preventing loss of independence through exercise (PLIE): A pilot clinical trial in older adults with dementia. PLoS ONE, 10(2), e0113367. PubMed ID: 25671576 doi:10.1371/journal.pone.0113367

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bearman, D., & Shafarman, S. (1999). The Feldenkrais method in the treatment of chronic pain. American Journal of Pain Management, 9, 2227.

    • Search Google Scholar
    • Export Citation
  • Bitter, F., Hillier, S., & Civetta, L. (2011). Change in dexterity with sensory awareness training: A randomized controlled trial. Perceptual Motor Skills, 112(3), 783798. PubMed ID: 21853767 doi:10.2466/15.22.PMS.112.3.783-798

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Brummer, M., Walach, H., & Schmidt, S. (2018). Feldenkrais ‘functional integration’ increases body contact surface in the supine position: A randomized-controlled experimental study. Frontiers in Psychology, 9, 2023. PubMed ID: 30405500 doi:10.3389/fpsyg.2018.02023

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Causby, R.S., McDonnell, M.N., Reed, L., & Hillier, S.L. (2016). A randomised controlled trial of sensory awareness training and additional motor practice for learning scalpel skills in podiatry students. BMC Medical Education, 16(1), 309. PubMed ID: 27919251 doi:10.1186/s12909-016-0817-8

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Connors, K.A., Galea, M.P., Said, C.M., & Remedios, L.J. (2010). Feldenkrais method balance classes are based on principles of motor learning and postural control retraining: A qualitative research study. Physiotherapy, 96(4), 324336. PubMed ID: 21056168 doi:10.1016/j.physio.2010.01.004

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cook, S.B., LaRoche, D.P., Swartz, E.E., Hammond, P.R., & King, M.A. (2014). A novel sensorimotor movement and walking intervention to improve balance and gait in women. Complementary Therapies in Clinical Practice, 20(4), 311316. PubMed ID: 25456024 doi:10.1016/j.ctcp.2014.09.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Corbetta, D., DiMercurio, A., Wiener, R.F., Connell, J.P., & Clark, M. (2018). How perception and action fosters exploration and selection in infant skill acquisition. In J.M. Plumert (Ed.), Advances in child development and behavior: Studying the perception–action system as a model system for understanding development (Vol. 55, pp. 129). Elsevier Academic Press.

    • Search Google Scholar
    • Export Citation
  • Cote, J.N. (2012). A critical review of physical factors and functional characteristics that may explain a sex/gender difference in work-related neck/shoulder disorders. Ergonomics, 55(2), 173182. PubMed ID: 21846285 doi:10.1080/00140139.2011.586061

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dhawale, A.K., Smith, M.A., & Olveczky, B.P. (2017). Role of variability in motor learning. Annual Review of Neuroscience, 40(1), 479498. PubMed ID: 28489490 doi:10.1146/annurev-neuro-072116-031548

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Elgelid, H.S. (1999). Feldenkrais and body image [Master’s thesis]. University of Central Arkansas, Conway, AK.

  • Ernst, E., & Canter, P.H. (2005). The Feldenkrais method—A systematic review of randomised clinical trials. Physikalische Medizin Rehabilitationsmedizin Kurortmedizin, 15(3), 151156. doi:10.1055/s-2004-834763

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Feldenkrais, M. (1972). Awareness through movement. New York, NY: Harper & Row.

  • Hall, C., & Pongrac, A. (1983). Movement imagery questionnaire. London, ON, Canada: University of Western Ontario.

  • Hillier, S., & Worley, A. (2015). The effectiveness of the Feldenkrais method: A systematic review of the evidence. Evidence-Based Complementary and Alternative Medicine, 2015, 752160. PubMed ID: 25949266 doi:10.1155/2015/752160

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hordacre, B., Immink, M.A., Ridding, M.C., & Hillier, S. (2016). Perceptual–motor learning benefits from increased stress and anxiety. Human Movement Science, 49, 3646. PubMed ID: 27309494 doi:10.1016/j.humov.2016.06.002

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ives, J.C., & Shelley, G.A. (1998). The Feldenkrais method in rehabilitation: A review. Work, 11(1), 7590. PubMed ID: 24441485 doi:10.3233/WOR-1998-11109

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Johnson, S.K., Frederick, J., Kaufman, M., & Mountjoy, B. (1999). A controlled investigation of bodywork in multiple sclerosis. Journal of Alternative and Complementary Medicine, 5(3), 237243. PubMed ID: 10381247 doi:10.1089/acm.1999.5.237

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kerr, G A., Kotynia, F., & Kolt, G.S. (2002). Feldenkrais awareness through movement and state anxiety. Journal of Bodywork and Movement Therapies, 6(2), 102107. doi:10.1054/jbmt.2001.0274

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kibler, W.B., Wilkes, T., & Sciascia, A. (2013). Mechanics and pathomechanics of the overhead athlete. Clinics in Sports Medicine, 32(4), 637651. PubMed ID: 24079426 doi:10.1016/j.csm.2013.07.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Klintberg, I.H., Cools, A.M.J., Holmgren, T.M., Holzhausen, A.-C.G., Johansson, K., Maenhout, A.G., … Ginn, K. (2015). Consensus for physiotherapy for shoulder pain. International Orthopaedics, 39(4), 715720. PubMed ID: 25548127 doi:10.1007/s00264-014-2639-9

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kluzik, J., Fetters, L., & Coryell, J. (1990). Quantification of control: A preliminary study of the effects of neurodevelopmental training on children with spastic cerebral palsy. Physical Therapy, 70(2), 6576. PubMed ID: 2296614 doi:10.1093/ptj/70.2.65

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kolt, G.S., & McConville, J.C. (2000). Effects of a Feldenkrais Awareness Through Movement program on state anxiety. Journal of Bodywork and Movement Therapies, 4(3), 216220. doi:10.1054/jbmt.2000.0179

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lake, B. (1985). Acute back pain: Treatment by the application of Feldenkrais principles. Australian Family Physician, 14(11), 11751178. PubMed ID: 2935132

    • Search Google Scholar
    • Export Citation
  • Lefevre-Coulau, M.-M., Nguyen, C., Palazzo, C., Srour, F., Paris, G., Vuillemin, V., … Roren, A. (2018). Kinematic patterns in normal and degenerative shoulders. Part II: Review of 3-D scapular kinematic patterns in patients with shoulder pain and clinical implications. Annals of Physical and Rehabilitation Medicine, 61(1), 4653. PubMed ID: 28987866 doi:10.1016/j.rehab.2017.09.002

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lundblad, I., Elert, J., & Gerdle, B. (1999). Randomized controlled trial of physiotherapy and Feldenkrais interventions in female workers with neck/shoulder complaints. Journal of Occupational Rehabilitation, 9(3), 179194. doi:10.1023/A:1021301801292

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lundqvist, L-O., Zetterlund, C., & Richter, H.O. (2014). Effects of Feldenkrais method on chronic neck/scapular pain in People with visual impairment: A randomized controlled trial with one-year follow-up. Archives of Physical Medicine and Rehabilitation, 95(9), 16561661. PubMed ID: 24907640 doi:10.1016/j.apmr.2014.05.013

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Magill, R.A., & Anderson, D.I. (2017). Motor learning and control: Concepts and applications (11th ed.). New York, NY: McGraw-Hill.

  • Malmgren-Olsen, E-B., Armelius, B-A., & Armelius, K. (2001). A comparative outcome study of body awareness therapy, Feldenkrais, and conventional physiotherapy for patients with nonspecific musculoskeletal disorders: Changes in psychological symptoms, pain, and self-image. Physiotherapy Theory and Practice, 17(2), 7795. doi:10.1080/095939801750334167

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Manchikanti, L., & Hirsh, J.A. (2015). What can be done about the increasing prevalence of low back pain and associated comorbid factors? Pain Management, 5(3), 149152. PubMed ID: 25971636 doi:10.2217/pmt.15.10

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mattes, J. (2016). Attentional focus in motor learning, the Feldenkrais method, and mindful movement. Perceptual and Motor Skills, 123(1), 258276. PubMed ID: 27502242 doi:10.1177/0031512516661275

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mehling, W.E. (2020). If it all comes down to bodily awareness, how do we know? Assessing bodily awareness. Kinesiology Review, 9(3). doi:10.1123/KR.2020-0021

    • Search Google Scholar
    • Export Citation
  • Mehling, W.E., Daubenmier, J., Price, C.J., Acree, M., Bartmess, E., & Stewart, A.L. (2013). Self-reported interoceptive awareness in primary care patients with past or current low back pain. Journal of Pain Research, 6, 403418. PubMed ID: 23766657 doi:10.2147/JPR.S42418

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Morgan, W.P., & Pollock, M.L. (1977). Psychologic characterization of the elite distance runner. Annals of the New York Academy of Sciences, 301(1), 382403. PubMed ID: 270929 doi:10.1111/j.1749-6632.1977.tb38215.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Myers, L.K. (2016). Application of neuroplasticity theory through the use of the Feldenkrais method(®) with a runner with scoliosis and hip and lumbar pain: A case report. Journal of Bodywork and Movement Therapies, 20(2), 300309. PubMed ID: 27210847 doi:10.1016/j.jbmt.2015.06.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nijs, J., Meeus, M., Cagnie, B., Roussel, N.A., Dolphens, M., Van Oosterwijck, J., … Danneels, L. (2014). A modern neuroscience approach to chronic spinal pain: Combining pain neuroscience education with cognition-targeted motor control training. Physical Therapy, 94(5), 730738. PubMed ID: 24481595 doi:10.2522/ptj.20130258

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Palmer C.F. (2017). Feldenkrais movement lessons improve older adults’ awareness, comfort, and function. Gerontology and Geriatric Medicine, 3, 2333721417724014. PubMed ID: 28840179 doi:10.1177/2333721417724014

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Paolucci, T., Attanasi, C., Cecchini, W., Marazzi, A., Capobianco, S., & Santilli, V. (2018). Chronic low back pain and postural rehabilitation exercise: A literature review. Journal of Pain Research, 12, 95107. PubMed ID: 30588084 doi:10.2147/JPR.S171729

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Paolucci, T., Zangrando, F., Iosa, M., De Angelis, S., Marzoli, C., Piccinini, G., … Saraseni, V.M. (2017). Improved interoceptive awareness in chronic low back pain: A comparison of back school and Feldenkrais method. Disability and Rehabilitation, 39(10), 9941001. PubMed ID: 27215948 doi:10.1080/09638288.2016.1175035

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Parenmark, G., Engvall, B., & Malmkvist, A.-K. (1988). Ergonomic on-the-job training of assembly workers: Arm-neck-shoulder complaints drastically reduced amongst beginners. Applied Ergonomics, 19(2), 143146. PubMed ID: 15676656 doi:10.1016/0003-6870(88)90008-7

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pugh, J.D., & Williams, A.M. (2014). Feldenkrais method empowers adults with chronic back pain. Holistic Nursing Practice, 28(3), 171183. PubMed ID: 24722612 doi:10.1097/HNP.0000000000000026

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Quaseem, A., Wilt, T.J., McLean, R.M., & Forciea, M.A. (2017). Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 166(7), 514530. PubMed ID: 28192789 doi:10.7326/M16-2367

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rowley, K.M., Smith, J.A., & Kulig, K. (2019). Reduced trunk coupling in persons with recurrent low back pain is associated with greater deep-to-superficial trunk muscle activation ratios during the balance-dexterity task. Journal of Orthopaedic & Sports Physical Therapy, 49(12), 887898. PubMed ID: 31092122 doi:10.2519/jospt.2019.8756

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Russell, R. (2020). Perspectives on the Feldenkrais method. Kinesiology Review, 9(3). doi:10.1123/KR.2020-0028

  • Salamh, P., & Lewis, J. (2020). It’s time to put special tests for rotator cuff-related shoulder pain out to pasture. Journal of Orthopaedic & Sports Physical Therapy, 50(5), 222225. PubMed ID: 32272031 doi:10.2519/jospt.2020.0606

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Schmalzl, L., & Kerr, C.E. (2016). Editorial: Neural mechanisms underlying movement-based embodied contemplative practices. Frontiers in Human Neuroscience, 10, 169. PubMed ID: 27199700 doi:10.3389/fnhum.2016.00169

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Schmidt, R.A., & Lee, T.D. (2011). Motor control and learning: A behavioral emphasis (5th ed.). Champaign, IL: Human Kinetics.

  • Smith, A.L., Kolt, G.S., & McConville, J.C. (2001). The effect of Feldenkrais method on pain and anxiety in people experiencing chronic low back pain. New Zealand Journal of Physiotherapy, 29(1), 19.

    • Search Google Scholar
    • Export Citation
  • Sobie, T. (2019). Body schema acuity training and Feldenkrais movements compared to core stabilization biofeedback and motor control exercises: Comparative effects on chronic non-specific low back pain in an outpatient clinical setting: A randomized controlled comparative efficacy study [Doctoral dissertation]. Saybrook University, Oakland, CA.

    • Search Google Scholar
    • Export Citation
  • Stephens, J., Batson, G., Deutsch, J.E., & McAndrew, P. (2018, July). Awareness through movement improves movement imagery and balance in adults post stroke: Preliminary findings. Poster presented at Harvard Movement Conference: Brain Body Cognition, Boston MA.

    • Search Google Scholar
    • Export Citation
  • Stephens, J., Call, S., Evans, K., Glass, M., Gould, C., & Lowe, J. (1999). Responses to ten Feldenkrais Awareness Through Movement lessons by four women with multiple sclerosis: Improved quality of life. Physical Therapy Case Reports, 2(2), 5869.

    • Search Google Scholar
    • Export Citation
  • Stephens, J., Davidson, J., DeRosa, J., Kriz, M., & Saltzman, N. (2006). Lengthening the hamstring muscles without stretching using “awareness through movement.” Physical Therapy, 86(12), 16411650. PubMed ID: 17033041 doi:10.2522/ptj.20040208

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stephens, J., Pendergast, C., Roller, B.A., & Weiskittle, R.S. (2005). Learning to improve mobility and quality of life in a well elderly population: The benefits of awareness through movement. Feldenkrais Research Journal, 2, 17. http://iffresearchjournal.org/volume/2/stephens

    • Search Google Scholar
    • Export Citation
  • Teixera-Machado, L., Araújo, F.M., Cunha, F.A., Menezes, M., Menezes, T., & DeSantana, J.M. (2015). Feldenkrais method exercise improves quality of life in individuals with Parkinson’s disease: A controlled, randomized clinical trial. Alternative Therapies in Health and Medicine, 21(1), 814. PubMed ID: 25599428

    • Search Google Scholar
    • Export Citation
  • Toner, J., & Moran, A. (2015). Enhancing performance proficiency at the expert level: Considering the role of ‘somasthetic awareness.’ Psychology of Sport and Exercise, 16(Part 1), 110117. doi:10.1016/j.psychsport.2014.07.006

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Torres-Unda, J., Polo, V., Dunabeitia, I., Bidaurrazaga-Letona, I., Garcia-Gill, M., Rodriguez-Larrad, A., … Irazusta, J. (2017). The Feldenkrais method improves functioning and body balance in people with intellectual disability in supported employment: A randomized clinical trial. Research in Developmental Disabilities, 70, 104112. PubMed ID: 28923375 doi:10.1016/j.ridd.2017.08.012

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ulmann, G. (2016). Case report: Outcome of Feldenkrais movements on self-reported cognitive decline in older adults. Advances in Mind–Body Medicine, 30(2), 1923. PubMed ID: 27250213

    • Search Google Scholar
    • Export Citation
  • Vereijken, B., & Whiting, H.T.A. (1990). In defence of discovery learning. Canadian Journal of Sport Sciences, 15(2), 99106. PubMed ID: 2383829

    • Search Google Scholar
    • Export Citation
  • Verrel, J., Almagor, E., Schumann, F., Lindenberger, U., & Kuhn, S. (2015). Changes in neural resting state activity in primary and higher-order motor areas induced by a short sensorimotor intervention based on the Feldenkrais method. Frontiers in Human Neurosciences, 9, 232. PubMed ID: 25972804 doi:10.3389/fnhum.2015.00232

    • Search Google Scholar
    • Export Citation
  • Wu, E., Barnes, D.E., Ackerman, S.L., Lee, J., Chesney, M., & Mehling, W.E. (2015). Preventing loss of independence through exercise (PLIE): Qualitative analysis of a clinical trial in older adults with dementia. Aging & Mental Health, 19(4), 353362. PubMed ID: 25022459 doi:10.1080/13607863.2014.935290

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Wulf, G. (2013), Attentional focus and motor learning: A review of 15 years. International Review of Sport and Exercise Psychology, 6(1), 77104. doi:10.1080/1750984X.2012.723728

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Wulf, G., & Lewthwaite, R. (2016). Optimizing performance through intrinsic motivation and attention for learning: The OPTIMAL theory of motor learning. Psychonomic Bulletin & Review, 23(5), 13821414. PubMed ID: 26833314 doi:10.3758/s13423-015-0999-9

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Wulf, G., McNevin, N.H., & Shea, C.H. (2001). The automaticity of complex motor skill learning as a function of attentional focus. Quarterly Journal of Experimental Psychology Section A, Human Experimental Psychology, 54(4), 11431154. PubMed ID: 11765737 doi:10.1080/713756012

    • Crossref
    • Search Google Scholar
    • Export Citation
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