The Alexander Technique with Peter Bloch in Wilmslow, Cheshire

Skilled Performance

In a small pilot study surgeons who undertook a course of Alexander Technique lessons reported significant improvements in posture, endurance and surgical ergonomics, and this was accompanied by a reduction in perceived discomfort when performing basic laparoscopic ('keyhole surgery') skills.


The Alexander Technique is taught in almost all of the major schools of music, drama and dance to improve skilled performance and research has looked at the role of the AT in music training and performance.


One recent study demonstrated improved musical technique in the form of greater evenness of touch in pianists after having a lesson in the Alexander Technique.


Another study demonstrated a reduction in performance-related anxiety and improved performance quality in musicians following Alexander Technique lessons.

"The quality of our "Use of ourselves" has a profound effect on how we are, 24 hours a day. Many examples of under-performance, as well as posture-related or tension-related pain, and injuries, are unwittingly aggravated, or even caused, through habitually poor use. Conversely, learning improved use through the Alexander Technique can lead to surprising improvements; even people suffering with the most intractable conditions often report reduced pain, increased stamina and greater strength. The Alexander Technique does not treat pain and disease, it teaches greater skill in movement and reaction, which in turn enables our natural vitality to assert itself."

Professor Raymond Dart,

palaeoanthropologist and discoverer of the "missing link".

Other studies

A number of smaller-scale, but well-designed studies have shown a range of significant benefits from lessons in the Alexander Technique:


Parkinson's disease

A number of studies, including a randomised, controlled trial here, have found that lessons in the AT lead to sustained benefit for people with Parkinson's disease including significantly reduced disability and depression.



AT instruction has been shown to be effective in improving balance in normal older women. The researchers concluded that this improvement could lead to the consequential benefit of reducing the incidence of falls.



A subjective sense of greater ease of breathing has often been reported by pupils taking lessons in the AT. This has been tested in a study published in Chest, that showed a significantly enhanced respiratory function in adults following a course of 20 weekly lessons.


Knee Osteoarthritis

A pilot study with 21 patients, conducted by the University of Salford and funded by the BUPA Foundation, has demonstrated the effectiveness of lessons in the AT for knee osteoarthritis. There was a 56% decrease in pain and an overall 54% decrease in a comprehensive measure that included pain, disability and the psychological consequences of knee osteoarthritis after 20 lessons. This improvement was maintained at a 15 month follow-up.

Interestingly, changes in the use of certain muscles in the legs in the direction of that seen in people without knee osteoarthritis correlated closely with improvements in pain scores, demonstrating a possible mechanism for the effectiveness of the AT in these patients.

Applications are currently being made for funding for a large randomised controlled trial.


Psychological Benefits of the A.T.

Alexander Technique students consistently report psychological improvements as an important consequence of lessons (see 'What clients say' and 'Quotes'), including more confidence and a reduction in stress, and this was an important additional finding in the back pain study outlined above. Two of several possible mechanisms for these benefits are improvements in posture and in mobility.


Posture and Confidence

Lessons in the Alexander Technique are known to lead to a marked improvement in posture.


Many studies have shown a strong connection between good posture and measures of the respect accorded to a person, as well as their own self-confidence and sense of personal power, and this is a benefit frequently reported by AT pupils. An interesting example of research into this connection is to be found in a recent study published in The Journal of Psychological Science in which good posture was found to have an even greater positive impact on confidence than real experiences of positions of power. Another recent study published in the European Journal of Social Psychology showed that good posture was positively associated with confidence in one's own thoughts and sense of oneself.


Mobility and Attractiveness

In one recent study, published in Human Movement Science, that employed various measures of mobility, training in the Alexander Technique was shown to reduce stiffness by as much as 50%.


Apart from the many health benefits of mobility, studies have shown a correlation between mobility and perceived attractiveness and health. An interesting example of this is a recent study published in Biology Letters and widely reported in the media, in which the variability and amplitude of dance moves was found to be positively associated with perceptions of attractiveness.

Other Scientific Research on the Benefits of the Alexander Technique

"We already notice, with growing amazement, very striking improvements in such diverse things as high blood pressure, breathing, depth of sleep, overall cheerfulness and mental alertness, resilience against outside pressures, and in such a refined skill as playing a musical instrument."

Professor Nicholas Tinbergen, Nobel Prize winner for medicine and physiology

"Alexander's method lays hold of the individual as a whole, as a self-vitalising agent. He reconditions and re-educates the reflex mechanisms and brings their habits into normal relation with the functioning of the organism as a whole. I regard this method as thoroughly scientific and educationally sound.”

Professor George E Coghill, Nobel Prize winning anatomist and physiologist

More quotes from well-known people.

"Alexander has done a service to the subject by insistently treating each act as involving the whole integrated individual, the whole psycho-physical man. To take a step is an affair not of this or that limb solely, but of the total neuromuscular activity of the moment - not the least of the head and neck."

Sir Charles Sherrington, Nobel Prize winner in medicine

Systematic Review of Medical and Health-Related Studies on the

Alexander Technique

A paper published January 2012 (before the publication of the neck pain study above) in The International Journal of Clinical Practice "Evidence for the effectiveness of Alexander Technique lessons in medical and health-related conditions: a systematic review" concluded that "strong evidence exists for the effectiveness of Alexander Technique lessons for chronic back pain and moderate evidence in Parkinson’s-associated disability. Preliminary evidence suggests that Alexander Technique lessons may lead to improvements in balance skills in the elderly, in general chronic pain, posture, respiratory function and stuttering."

You can read the study here and watch a video by the lead author here.

Neck Pain

A large, well-designed, well-conducted, randomised, controlled trial for people with chronic neck pain (of a median duration of 6 years) published in the Annals of Internal Medicine in November 2015 here found that people who had an average of 14 Alexander Technique lessons had a 31% reduction in pain and associated disability compared with the group who received usual GP-led care alone. These benefits were sustained over the following 7 months during which participants were followed.