Die Problematik des lumbosakralen Übergangs aus der Sicht der Dynamischen Wirbelsäulen-Therapie

Journal/Book: XXIe Congrès international de Thalassothérapie Hammamet (Tunisie) 30 janvier-2 février 2000 S. 39. 2000;

Abstract: Friedrich Ch. HORN Dynamische Wirbelsäulen-Therapie nach Horn Kaufbeuren The transition of the vertically oriented - lordotically and kyphotically curved - spinal column to the horizontally directed base of the pelvis which is itself carried by the two vertical legs represents an omnidirectionally mobile storage area and pivot for human movements. Due to the fact that here multiple planes and axes of movement converge and to a degree overlap with each other in their interactions this area represents a mechanically-static and motorically-dynamic site of extremely diverse stress. Strains occur for one on the basis of anatomical anomalies such as unequally long legs. Other functional causes however as for example asymmetry in the mobility of the iliosacral joint can biomechanically influence the spinal column in a non-physiological manner. On the other hand this part of the skeleton with its highly developed and sensitive mechanical system can also become burdened by false movements. To these belong for instance sitting too long instead of walking but also the strain due to an abnormal positioning of the heels which can for instance be caused by the wearing of improper shoe-heels. The results are: strains in the ligaments of the pelvis and vertebral column misalignment of the pelvis of the vertebrae and of the total vertebral column factors which in the long run result in changes of form and structure. These can further lead to damage of intervertebral discs with disc bulging and prolapse (radicular syndrom). Another result is the central-pseudoradicular symptomology (Horn 1981) by way of over-stretching and irritation of tissue in the foramina intervertebralia and compression of the emerging nerves conditions which induce various functional disturbances and pain symptomology. Dynamic vertebral-column therapy attempts to influence as many of the factors as possible which govern the vertebral column and which have led the patient to no longer use the vertebral column physiologically corresponding to its natural "construction" (physiologically oriented biomechanical analysis). The goal of the therapy is via passive mobilisation and active exercises - as well as by way of cognitive approaches to posture - and behavioral changes to try to reachieve a normalization of function corresponding to the marvelous architecture of the human body. wt

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