Keep fit: marginal ideas in contemporary therapeutic exercise, Nicholls et al, 2018

Andy

Retired committee member
Exercise has a long history as a therapeutic modality and has existed, in some form, in all cultures throughout recorded history. In recent years, therapeutic exercise has taken on new significance as a relatively low cost medical intervention designed to improve people’s health and well-being and reduce the downstream effects of comorbidity. Drawing our inspiration from Foucault and Deleuze, we argue that seeing therapeutic exercise as primarily ‘medical’ carries with it consequences – some recognised, others unseen – that are problematic and worthy of consideration. Our focus is on the acts of marginalisation, exile and exclusion implicit in the quotidian practice of therapeutic exercise, and how these acts mediate people’s daily lives. In the paper we explore how therapeutic exercise is being instrumentalised, normalised and constrained, arguing for much greater critical attention towards its putative ‘goodness’ and virtue as a health intervention.
Paywall, https://www.tandfonline.com/doi/abs/10.1080/2159676X.2017.1415220
 
"Critiquing Therapeutic Exercise", a video podcast from Long Covid Physio with one of the authors of this paper.
In this podcast Jenny discusses troublesome aspects of therapeutic exercise, that are infrequently debated as the virtues of exercise are assumed to be obvious. In her paper "Keep fit: marginal ideas in contemporary therapeutic exercise" published in the Special Issue: Exercise is Medicine: Qualitative Contributions of Journal Qualitative Research in Sport, Exercise and Health, it is argued that seeing therapeutic exercise as primarily ‘medical’ carries with it consequences – some recognised, others unseen – that are problematic and worthy of consideration. In the paper (and this podcast) Jenny explores how therapeutic exercise is being instrumentalised, normalised and constrained, arguing for much greater critical attention towards its putative ‘goodness’ and virtue as a health intervention. This is not, of course, to suggest that all therapeutic exercise is bad, only that in promoting some important uses, other effects and possibilities are marginalised, lost or remain unstated.
Code:
https://youtu.be/KsfwW4NFnuQ

 
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