Active Care

Manual care can create a short-term window for less painful movement practice. Active care acceptance improves when recommended behaviors are tied to patient goals. The clinician is framed as a guide rather than a fixer. Patients should be told from the start that care is collaborative and depends partly on home work and response. Passive intervention should not be the entire plan after manipulation. Long-term care should include exercise, movement variability, conditioning, or lifestyle guidance. The preferred model guides patients toward behaviors and movement strategies that reduce reliance on the healthcare system. Passive care can be used when appropriate, especially when a patient initially cannot tolerate much else.