Exteroceptive facilitation

Bc. Clara Maria Lewit (born Hermachová), is a significant czech physiotherapist, living in austria, one of the three daughters of MUDr. Karel Lewit, she gives lectures on many places across Czech republic, trains students, physiotherapist as well as doctors. During her long experience she created her own approach, which she now passes further within courses and clinical consultations.


Clara Lewit developed over the course of time her own original approach, which she calls “physiotherapeutic function”. She is basing her work from perception and observation of the human body and its function. Observing which part of the body is functioning in smaller or bigger tension, and how it’s performing compared to other parts of the body. Soft technique is used during the therapy, which optimizes the tension. She focuses on stabilizing the joints, working with the feet and sensing the contact. She is teaching the patients how to sense their body and how to control it, in order to minimize or completely heal the problems. The method is in constant advancement since the patient and physiotherapist are both in a process of learning. Each situation then give a option of treatment for another patient with similar problem, and how to work with the body.


Patients can be of any age (even infants) with any movement complications.


The concept is showing us the options of approach towards diagnosis and therapy. It is possible to count off the function relations from the body structure, and based on that we can find a way for their optimization. It is important to sense and learn to change the tension and reactability (ability to react) of the tissues. Diversity is acceptable.


At the moment there are courses for physiotherapists and doctors:

  • Form - function - facilitation
  • Movement and stability
  • Functional tape
  • About breathing

Main concept of “form - function - facilitation”

Course “form - function - facilitation” is an introduction to the whole concept. The author is teaching there the basic thesis. It is important to understand that form (shape, meant as a shape of the body and individual parts) always testifies about how the function works (movement, body posture and sensing). Therapy has to effectively stimulate the system (facilitation), in order for the function and form (which go hand in hand) change for the better.

Basic terms


It is given by function (learn to see the form, in order to understand function). It is highly individual (there is no norm), it is neither good or bad, therefore you need to choose neutral guideline and observe the patient from different points of view.


The most important thing is to be aware of anything. Based on good awareness we can perform coordinated, stable and safe movement.


In order to help the correct tension, we can apply exteroceptive facilitation (caressing) and by breathing.


It is an approach, according to which physiotherapist “reads” the function, movement, behavior, informations about the condition and changes in patient’s individual parts of the body as well as reactability. The physiotherapist changes the tension and reactability of the patient during therapy, as well as behavior - function and structure towards optimal condition. According to reactions of the patient the physiotherapist changes the course of the therapy: DIALOG between the patient and therapist is part of the therapy. Therapist is also looking for suitable ways to treat the patient, and at the same time educates the patient about options how to regulate the tension, movement coordination, sensing and (movement) lifestyle, suitable for the unique irreplaceable person, patient.

The whole method is based on awareness and individuality of each person, and uses the best optimal options for the patient.

Author: FYZIOklinika physiotherapy Ltd., Prague, Czech Republic
Source: www.ckp-dobrichovice.cz

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