My reflections on movement therapy Kinesitherapie
the center of the universe is the human being and for me man also the center of the kinesis.
I could, in a modification of a word of Proust say, the human body is the same as the universe, full of hidden imperatives, and they would find no end to enumerate the values that have been incarnated by the substance transformation.
When I was a true child of my parents caused a silent teaching an entire cosmology, ethics and metaphysics so inconspicuous admonitions such as "stop up straight!" or "Take the knife in your left hand!" and "crooked sits not so!". This was intended you teach me the seemingly unbedeutentsten details of posture or physical mannerisms, so marked were always removed from my consciousness.
The material nature of man is given by nature and connected to the universe. The human body is extremely capable of learning, he is under the influence of others and capable of change for its own actions from the first days of life. He is, despite being under the initial conditions of its biological nature, a product of its dynamic self-organization.
As Kinesitherapeutin first thing I do the people with his body, his consciousness and his pain to get to know. Then I notice how different we are. Each of us is unique in the universe. The philosopher Michel de Montaigne wrote in "The Essays":
" We are all composed of different lobes that every piece of us every moment of his game drives Yes, we are ourselves, any more than other like-.."
Through our bodies we are certain of our world and the foundations of human knowledge generated in the use of the body, in a collaborative work practice.
evolution has taught us that the development follows that of the brain-body system. Neuroscience have made the connections between body and brain significantly. The new understanding the functions of the human brain is that the brain organizes itself by means of natural impulse patterns. An important finding of the brain and spinal injuries, but not for an injured neural network.
Manu propria Kinesitherapie
I try to strike a balance between rhythmic and dynamic functions of the brain and conscious perception of body movement geometry. So I will allow the patient's physical automtisierung statics and dynamics.
The pain, the greatest enemy of the people is what brings me to the people together. The pain for me is the barrier between the body and its perceptions. The person feels the pain as something threatening and feels, as a side effect, the fear. I stand at the patient with my medical knowledge and a language understood by the patient difficult. At the beginning of treatment, I try to use the dialogue on his Schmezempfindung to free the patient from fear.
Man is "organic destitute, without natural weapons, with no coat and no adjustment to the weather. Many centuries have not taught him self-observation, whether he actually has instincts and what they are. But man has the awareness, perception, understanding, reason and the conscious pain sensation. The
Theory of functional diseases is concerned with the pain in the structures of the musculoskeletal system. Neurophysiology of muscle joint unit has been able to prove that the function of the musculoskeletal system is meant not only as mechanical work, but as the collective performance of all its system components, including its associated parts of the nervous system.
includes the function of the musculoskeletal system in the space-time dimension of the intact common and goal-oriented services all parts of its system.
That is the theory of functions of the musculoskeletal system Korekt. I try to move the patient geometry of his body and its structure to bring in at sub.
- head and torso,
- spine, shoulder and pelvic girdle
- arms and legs
arms and legs to sit down again together from other subsystems:
- hands
- feet.
Dannach I'm trying to figure out where are the disorders of the musculoskeletal system of the patient:
- Material Structural changes: fractures, inflammation, metastasis.
- Motorized structural changes: "reflex" Muskeltonusänderungen,
- disorders of the muscular balance: shortening and tension
- malfunction of the controlling structures:
- Spinal-spine control level and
- central brain control level.
For me the man (the patient) with all his feelings more than the sum of its parts. I want to find a way to activate its internal coordination to disorders of the musculoskeletal system to remove, restore his body and movement geometry again, and so to free him from pain.
The pain is about the brain-spinal nerve organization, a protective mechanism for the already vulnerable structures (muscles, ligaments, bones, joints) dar. For the patient the happens automatically and unconsciously.
4 - D own perception
The internal coordination of the nervous system should be mitigated by the deliberate movements and posture changes slowly the pain and protection mechanisms to turn off the natural movements and event of a change Körperaltungen be automated.
4 - D capital mobilization through movement and sensation imagination
" It is in our view always the Handlungeinschüsse in building perceptual world and proof of the world orientation always friendly with associated active self-determination and self-appropriation of one's own abilities Here. now a highly important to treat discovery separately, which are the movement imagination . "(Palagyi, Nature of Philosophy Lectures)
movement and sensation fantasy merged intimately. Our movement must have the uncertainty and uncontrolled nature of the things themselves receive direction, has become so adjustable and guided be to "skillful" to become.
The human body is extremely capable of learning and from the first days of life capable of change through his inheritance and acquisition of motor skills.
Skillful moves are symbolic movements, which are certain moments ago available and used, which the whole sequence of movements represent, in which the Intermediate stages are automated. The reach must practice the movement imagination.
movement imagination is, with ideokinesis to work flexible concept images.
http://ideokinese.blogspot.com/
classification of the senses
In the traditional medicine of the ancient and early modern distinction 5 senses:
· the
· To watch the hearing
· the Taste
· the taste
· the smell
We now know a lot of other sensory modalities, eg
- temperature sense
- balance,
- Deep sensibility position sensation of movement, etc
There will always be a question of interpretation of how much the meaning of the human body has.
pain and other unpleasant sensations are difficult to classify. (Eg itching, tingling)
nociceptors, the sensors of the pain sense have a special status under the skin sensors, since they convey is not primarily information about the external world, but information about violations or threatened violations of our body. Pain is a body-related sensory modality.
proprioception (proprioception) is the perception of the position and movement our body. Proprioception has three qualities
- position sense
- sense of movement
- force sense
postural control
requires the implementation of the motor that the attitude of the body is secured against gravity and its motion geometry is established. However, since the focus of the body and the relationship of various body parts to each other with every move changes the nervous system must calculate these continuous changes and update the attitude accordingly.
postural reactions
Two groups of sensors are responsible for posture reactions: first
The sensors of the vestibular organ (body position in space)
second the sensors of proprioception (position and movement of individual joints)
The sensors are of proprioception in muscles, joints, tendons, skin and in the Vestibulorganen. They are involved in the conscious and unconscious motor activity.
4 - D-conscious self-perception
Mr. Mountcastle expresses the relation of conscious perception to the sensory system and brain like this:
" Each of us lives within the universe - the prison - of his own brain's sensory. stimuli that reach us, are transmitted to peripheral nerve endings and brain neural replicas of which value sent. We use to dynamic and constantly brought up to date neural map of the external world and of our position and orientation of events in their draw . "
The control mechanism of voluntary movement has expanded into many hierarchical levels.
1.Periphere level
2.Spinale level
4.Thalamische 3.Hirnstammebene
level
5.Grosshirnebene
the Nobel laureate neurophysiologist Sir John C. Eccles, in his book "The Self and Its Brain" of voluntary movements:
" I have a safe experience that I can control with the help of thought and will my actions there is no scientific explanation for how thinking can lead to action;. But when thinking leads to action, I am compelled as a neurophysiologist to that my thinking in any way the operational pattern of neural activity in my brain changes suspect. "
I come back to the pain that brings me to the patient together.
the 4 - D pain
If the motion system is concerned with the pain it is to reduce physical activity:
1.Peripherer Level
2.Spinaler level
3.Hirnstammebene
4.Thalamischer level
5.Grosshirnebene
Since 20 Years the modern pain research in deciphering the so-called anti-nociceptive system, a system that works against a variety of ways the activity of the nociceptive system by local and central inhibition mechanisms. Meanwhile, it is clear that practically facing each shift modifier and processing of nociception an inhibitory system to the nociceptive stimulus. The discovery of the antagonistic, anti-nociceptive system is a view of a task-centered system for damage control.
A physiotherapist should the patient love the treatment on five Levels dominate. Manu propria Kinesitherapie could be described as the way to his senses experience the world of everyday life on earth. The preservation or restoration of body movement and geometry in the daily movements of the people is the most important goal of my treatment.
Cognitive behavior medical pain management strategies .
4 - D own perception
- first to perceive the pain and learn to give the pain of a form. to transform the pain into a
- picture and so thought to make him available for themselves.
- ideokinesis, moving images of thought.
- synesthesia; The world out there is the illusion of my brain and referral to the creation of this illusion are my five senses. But I still have a sense, the sixth sense, my own perception. This sense, I should train to get out of jail to get out of my mind. I see, hear, smell taste, not with my eyes, my ears, my nose, my mouth but my brain. I have to learn with my brain and my body and my movements to see, hear and smell.
4 - D own mobilization
- With the removal of already-and avoidance behavior by promoting self-start activity.
- relaxation therapies: Progressive Muscle relaxation, post isometric relaxation of the muscles PIR.
- production of body movement geometry.
- production of muscle balance: muscle balance
- PNF gymnastika; complexes and three-dimensional movement patterns hide almost everywhere in our daily life and at every movement. These movement patterns are anchored in each of us from birth. Without that we consciously perceive the natural law of the golden section, with its dynamic spiral of the parts of our movements combined in a natural "flow of movement patterns. I try this three-dimensional movement pattern of the patient intentionally to make it into the four-dimensional movement patterns.
- posture training and integration of the movement dimensions
- The creative perpetrators of everyday movement.
- daily physical performance, the "daily physical Peformance" I ask myself, as always expectant design your own body in front. The primary objective of the exercise is on daily movements of the correct interplay of head, neck and back with the arms and legs to maintain. The path to the goal must be a challenge for all our senses. In general, physical exercises, it is usually only to mechanical repetition of certain movements. Such exercises can not contribute to the proper change in our existence. The "daily physical activity Performance "provides us the opportunity to arrange our thoughts, to work with the mental pictures, perform the movement, to perceive the movement, the movement again to stop and correct.
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