Eating Disorders and Basic Body Awareness Therapy: A “Physiotherapy in Mental Health” approach
DOI:
https://doi.org/10.18004/Keywords:
Basic Body Awareness Therapy, Eating Disorders, Mental Health, Physiotherapy, ParaguayAbstract
The Basic Body Awareness Therapy attempts to achieve the quality of body movement through muscular motor patterns free of pressure and tension with the aim of promoting body awareness and optimizing the person’s body scheme. The aim of this narrative review of the literature is to determine the benefits that Basic Body Awareness Therapy can provide as a treatment for Eating Disorders. The studies including in this review of the literature supported the efficacy of Basic Body Awareness Therapy as an adjunctive therapy of Eating Disorders, but many studies have important limitations regarding their methodology. The role of the Physiotherapist is gaining prominence in the treatment of patients with Eating Disorders, as physiotherapeutic technics such as Basic Body Awareness Therapy provide significant improvement in the quality of life, psychiatric symptoms, and physical health of the affected patients.
References
1. Skjaerven LH, Mattsson M, Catalán-Matamoros D, Parker, A, Gard G, Gyllensten AL Consensus on core phenomena and statements describing Basic Body Awareness Therapy within the movement awareness domain in physiotherapy. Physiotherapy Theory and Practice 2019;35(1):80-93. https://doi.org/10.1080/09593985.2018.1434578
2. Kubsik-Gidlewska AM, Klimkiewicz P, Klimkiewicz R, Janczewska K, Woldańska-Okońska M. Rehabilitation in multiple sclerosis. Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University 2017;26(4):709-715. https://doi.org/10.17219/acem/62329
3. Lindvall MA, Anderzén Carlsson A, Forsberg, A. Basic Body Awareness Therapy for patients with stroke: Experiences among participating patients and physiotherapists. Journal of Bodywork and Movement Therapies 2016;20(1):83-89. https://doi.org/10.1016/j.jbmt.2015.06.004
4. Bravo C, Skjaerven LH, Espart A, Guitard Sein-Echaluce L, Catalán-Matamoros D. Basic Body Awareness Therapy in patients suffering from fibromyalgia: A randomized clinical trial. Physiotherapy Theory and Practice 2019;35(10):919-929. https://doi.org/10.1080/09593985.2018.1467520
5. Gard G. Body awareness therapy for patients with fibromyalgia and chronic pain. Disability and Rehabilitation 2005;27(12):725-728. https://doi.org/10.1080/09638280400009071
6. Blaauwendraat C, Levy Berg A, Gyllensten AL. One-year follow-up of basic body awareness therapy in patients with posttraumatic stress disorder. A small intervention study of effects on movement quality, PTSD symptoms, and movement experiences. Physiotherapy Theory and Practice 2017;33(7):515–526. https://doi.org/10.1080/09593985.2017.1325957
7. Ortiz R, Ibarra V, Almirón M, González I, Gómez N, Torales J. Fisioterapia en Salud Mental: Una breve guía introductoria [Physiotherapy in Mental Health: A brief introductory guide]. 1st ed. Asunción: EFACIM; 2018.
8. Danielsson L, Rosberg S. Opening toward life: Experiences of basic body awareness therapy in persons with major depression. International Journal of Qualitative Studies on Health and Well-Being 2015;10(1):27069. https://doi.org/10.3402/qhw.v10.27069
9. Hedlund L, Gyllensten AL. The experiences of basic body awareness therapy in patients with schizophrenia. Journal of Bodywork and Movement Therapies 2010;14(3):245-254. https://doi.org/10.1016/j.jbmt.2009.03.002
10. Gyllensten AL, Jacobsen LN, Gard G. Clinician perspectives of Basic Body Awareness Therapy (BBAT) in mental health physical therapy: An international qualitative study. Journal of Bodywork and Movement Therapies 2019;23(4):746-751. https://doi.org/10.1016/j.jbmt.2019.04.012
11. Westmoreland P, Krantz MJ, Mehler PS. Medical Complications of Anorexia Nervosa and Bulimia. The American Journal of Medicine 2016;129(1):30-37. https://doi.org/10.1016/j.amjmed.2015.06.031
12. Hay P. Current approach to eating disorders: a clinical update. Internal medicine journal 2020;50(1):24-29. https://doi.org/10.1111/imj.14691
13. Sánchez MLZ, Marín IR. Distorsión de la imagen corporal en la anorexia nerviosa. Programa de prevención desde la educación física escolar [Body image distortion in anorexia nervosa. Prevention program from school physical education]. Revista Fuentes 2005;6:1-11.
14. Hudson JI, Hiripi E, Pope HG Jr, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological psychiatry 2007;61(3):348-358. https://doi.org/10.1016/j.biopsych.2006.03.040
15. Altemir M, Jáuregui-Lobera I. Utilidad de las técnicas de fisioterapia en el tratamiento de las alteraciones de la imagen corporal en la anorexia [Usefulness of physiotherapy techniques in the treatment of body image alterations in anorexia]. Trastornos de la conducta alimentaria 2016;23:2473-2488.
16. Moreno DCO. Aporte de la neurorrehabilitación al abordaje de la salud mental: La terapia corporal basal [Contribution of neurorehabilitation to the approach to mental health: Basal body therapy]. FisioGlía: revista de divulgación en Fisioterapia 2017;4(1):5-11.
17. López-Túnez M, Catalán-Matamoros DJ, Gómez-Conesa A. Estudio piloto sobre la efectividad de una intervención fisioterapéutica en pacientes con trastornos alimentarios [Pilot study on the effectiveness of a physiotherapeutic intervention in patients with eating disorders]. Fisioterapia 2012;34(3:105–111. https://doi.org/10.1016/j.ft.2011.12.003
18. Rodríguez-Davila N, Soto-González M. El papel de la Fisioterapia en los trastornos de la conducta alimentaria, una revisión sistemática [The role of Physiotherapy in eating disorders, a systematic review]. Fisioterapia 2017;39(6):257-268. https://doi.org/10.1016/j.ft.2017.07.001
19. Catalán-Matamoros D, Helvik-Skjaerven L, Labajos-Manzanares MT, Martínez-de-Salazar-Arboleas A, Sánchez-Guerrero E. A pilot study on the effect of Basic Body Awareness Therapy in patients with eating disorders: A randomized controlled trial. Clinical Rehabilitation 2011;25(7):617-626. https://doi.org/10.1177/0269215510394223
20. Caamaño U. Fisioterapia en la imagen corporal de mujeres con trastornos alimentarios: Un proyecto de aprendizaje y servicio [Physiotherapy in the body image of women with eating disorders: A learning and service project] (Thesis). A Coruña: Universidad de Coruña; 2019.
21. Thörnborg U, Mattsson M. Rating body awareness in persons suffering from eating disorders – A cross-sectional study. Advances in Physiotherapy 2010;12(1):24-34. https://doi.org/10.3109/14038190903220362
22. Vancampfort D, Vanderlinden J, De Hert M, Soundy A, Adámkova M, Skjaerven LH, et al. A systematic review of physical therapy interventions for patients with anorexia and bulimia nervosa. Disability and Rehabilitation 2014;36(8):628-634. https://doi.org/10.3109/09638288.2013.808271
23. Albertsen MN, Natvik E, Råheim M. Patients’ experiences from basic body awareness therapy in the treatment of binge eating disorder -movement toward health: A phenomenological study. Journal of Eating Disorders 2019;7(1):36. https://doi.org/10.1186/s40337-019-0264-0.

