身为临床的物理治疗师，我们一直被被教导中立位置的重要性，从脊椎中立一直到关节的中心化，几乎所有的评价治疗运动，都是遵循这个原则
As a clinical physical therapist，I was always taught that the importance of the neutral position.From neutral spine to joint centration，almost all evaluations treatments，and exercises are follow this rule.
但有些时候我们在临床上也会发现，即便个案能够维持中立位置，他的疼痛依旧存在或者没有办法根除，特别对于新毕业的治疗师来说，这是一个相当大的关卡
But sometime we might found that，even the client can maintain neutral position，the pain is still existed.，It's a huge WHY，especially for new grad therapists.
为什么病人对称中立但还是会感到疼痛呢？
Why the patient is still hurting after I did everything to make them neutral？
如果可以我很希望在更早的时候就能了解这个重要观念“中立位置只是治疗的起点”
I wish I could know this important concept earlier“Neutral is just the starting point”
打个比方来说，你要去的方向是纽约城但却意外的到了波士顿，这时单纯回原点无法解决问题，而是要从你的起点重新出发
Let's make it more solid.If you want to get to NYC，but somehow you go to the Boston，then back to where you began can not make you to the goal.You have to START FROM THE ORIGIN
同样的道理，如果遇到了一个下背痛屈曲耐受不足的个案，你不单单要把他带回脊椎中立的位置，同时需要让脊椎能够重新正确的体验伸展/屈曲的动作，单纯中立而缺乏正确的训练只会让身体重新反复错误的使用模式
So in the clinic，if you meet a client who is suffer from LBP with flexion intolerance，you can't just bring them back to the neutral spine.They need to experience the real flexion/extension movement.Simply put them back the the neutral without proper training can only lead to the repetitive problem.
Dr. Dooley说过，“到达他们所在的位置，然后带领他们到需要的地方”我们要抵达的地方不该只是半路的中立位置，而是在更远那一端的动作
Dr. Dooley has some amazing words“Meet them where they are，bring them where they are not”We shouldn't stop at the neutral，we should guide them to where they truly should be.
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