The search for the cause and its identification, the understanding of the entire pathogenic chain of the formation of somatic dysfunction should be considered not at the level of inference, but as a result of palpatory and perceptual research, a consistent study of the damage fields both primary and secondary, that resulted from the implementation of adaptation mechanisms.
A functional disturbance, or a violation of adaptation, can be local, regional, but it is always global. And it contains all components of the homeostasis system, including neural, biomechanical and hydrodynamic.
The rhythmogenic component of dysfunction can be initiated by any of the above disorders. Naturally, this applies to the entire process of the appearance of rhythmic activity, beginning with the elaboration of rhythm, its carrying out and reaction to it from the whole body. At the same time, we must understand that the development of rhythm is not an end in itself of any function.
The purpose of the function is to adapt effectively. Functional activity has its manifestations. And with reference to the functional activity of the organism, this can be various oscillatory fluctuations of a rhythmic nature. Rhythm as a characteristic of a wave oscillation has certain parameters that allow judging the state of a function.
Thus, the view that somatic dysfunction is primarily is a global violation of the adaption of the entire body, the entire soma, finds its confirmation. This is a violation of the integrity of the body. Violation of synchronous functioning of all organs and systems as a whole, and not in the form of separate anatomical formations.
That is why, speaking of somatic dysfunction in pediatric practice, we primarily mean a global violation of the whole.
For the same reason, in working with children under 35 years of age, we use a biomechanical method exclusively for diagnostic purposes. And the therapeutic component is in the field of the functional and biodynamic model of perception.
Knowledge of all the sections of the humans bodys anatomy, physiology and biodynamics allows the doctor osteopath not only to understand the interrelations of the whole, but also to find the causes of violations of these interrelations. And, more significantly, in these violations find elements of health and create conditions for its growth and development as a whole.
Functional impairment, or somatic dysfunction, is manifested at the biomechanical level by a change in the state of biomechanical unity; at the functional level a violation of the synchronous implementation of functions relative to each other and relative to global body functions; at the biodynamic level a violation of the integrity of the organism and its habitat (mother Nature), of which it is a part.
In osteopathy, it is customary to distinguish three models of perception, or three methods: biomechanical, functional and biodynamic.
One of the reasons for the conditional division is not so much in the level of impact on which the osteopathic physician works, but in the level of perception that he is capable at the moment.
The second, no less significant reason is that a violation of adaptation mechanisms with the subsequent formation of somatic dysfunction can occur at the level of biomechanical interactions, or at the level of functional interactions of a part with respect to the whole, or at the level of interaction of a person and the surrounding world, of which he is a part.
From the point of osteopathy, man is not a collection of parts in the form of bones and joints, fasciae, muscles, ligaments, internal organs and body fluids. This is a holistic functional unity. It is a system that is in a continuous, balanced and synchronized movement of all its parts and components.
All movements of the human body (internal and external) have qualitative and quantitative characteristics and are one of the manifestations of its functional activity. All functions of the body are aimed at maintaining homeostasis in the process of interaction with the external environment.
Global movement of the whole
On the one hand, we observe the mobility of the whole body from the point of view of the biomechanics of anatomically resolved arbitrary and involuntary movements.
On the other hand, in the process of perceptive diagnostics, the global mobility of the human body is felt as a holistic vibration of a certain force, frequency and amplitude. It can be felt under the hands.
The origin of this movement can be explained by the superposition and synchronization of local, regional and global manifestations of the functions of all parts and systems of our organism.
What we perceive at hand in the process of perception and palpation, in this case is one of the manifestations of the living integrity of the human body the system, integral not only in relation to itself, but also in relation to the surrounding world.
What do we actually perceive in the process of the perceptive diagnostics? The manifestation of life? Mobility? Involuntary, available, present movements? Fluctuations, wave rhythms as manifestations of various functions?
Perceptually, we can observe that local rhythms are synchronized with respect to global endogenous rhythms. And global fluctuations of the whole body, in turn, are synchronized with respect to exogenous (ecological) rhythms.
The function of a single cell, tissue, organ, systems of organs in itself, apart from the body, has neither meaning nor sense. As it has no meaning and sense a violin without strings, a bow, a musician, who is proficient in it, and a place where he can realize his skills.
Violation of synchronicity of interaction between parts of the body leads to a functional and biomechanical violation. The ability of the human body to adapt to changes and to interact effectively with the surrounding world is changing.
The volume of functional mobility decreases, qualitative characteristics of arbitrary and involuntary movements change toward limiting and increasing the volume of the elastic barrier. Somatic dysfunction develops as a manifestation of the function of health.
Sanogenetic reactions of the body, aimed at maintaining homeostasis, go beyond the limits of physiological comfort, forming clinical manifestations of somatic dysfunctions. As a result, the immune and autonomic nervous systems are weakened.
Sanogenetic manifestations of their functioning, arising in the process of adaptation to changing environmental conditions, cease to be physiological, forming a pathogenetic reaction.
The body adapts but with certain losses. Accumulating, the pathophysiological reactions (adaptations) of the body require additional attention, additional adaptations.
Thus, secondary somatic dysfunctions are formed often with clinical manifestations. Correction of secondary somatic dysfunctions is nothing more than symptomatic therapy. Solving current problems does not remove the basic lesion, but more often significantly improves the patients condition.
In cases when adaptation mechanisms are weakened, internal doctors cannot timely correct violations. Initially, there is a functional deformation, then a functional disorder. Without clinical manifestations. They appear in the future forming a disease.
Disease is a variant of adaptation of the organism to changing environmental conditions that has gone beyond the limits of the functional norm.
Disease is a manifestation of health, the struggle of the organism for its functional integrity, for survival.
Therefore, our task is not only to eliminate, if possible, the primary etiological factor of osteopathic lesion and somatic dysfunction, but also to create conditions under which self-correction of the organism and control mechanisms will function in the normal physiological mode.
Osteopathic lesion is a complex of functional reactions of the body as a response to the direct action of exogenous factors.
The lesion field is a complex of reactions of the organism in the process of its adaptation to the damaging exogenous factor. The lesion field has its own boundaries, the center (fulcrum).
Thus, somatic dysfunction is a manifestation of health in the form of physiological organisms reactions in response to osteopathic lesion.
The main role of the doctor osteopath is manifested in many respects not only in the diagnosis and correction of osteopathic damage (lesion) and somatic dysfunctions, but also in the prevention of violation of functional unity, the vital integrity of the human body, dysfunctional changes in the immune and autonomic nervous systems. All that breaks the functional connection with the outside world of which we are a part.
The subject of studying osteopathy is human health and its adaptation to environmental changes as well as the conditions for the formation of health, its preservation and development. And in case of lesion prevention, diagnosis, correction of functional disorders that entail a violation of health. Including we are talking about the prevention of the formation of biomechanical disorders in the form of somatic dysfunctions.
Summary
The subject of osteopathic activity is the restoration of the integrity of the human body with the help of hands.
Osteopathy is a holistic manual medical system of prevention, diagnostics, treatment and restoration of consequences of somatic dysfunctions entailing breach of health, aimed at restoring the natural abilities of the body to self-correction.
The specific object of the therapeutic effect of an osteopathic
physician is somatic dysfunction.
The basis of osteopathy is the fundamental sciences.
Osteopathy is now integrated into official medicine
Osteopathy is an evolutionary direction of medicine
Osteopathy is not divided into parts.
Health, according to the definition of the World Health Organization (WHO), is the state of complete physical, mental and social well-being and not merely the absence of diseases and infirmity.
An osteopath is looking for health, every person can find a disease
The official health care system has now focused on finding and effective prevention of diseases.
The somatic function is expressed by the integrity and neutral calmness.
Somatic dysfunction as an anatomic morphological substrate is a health manifestation, mechanisms of self-correction and self-restoration; mechanisms of adaptation that are implemented to maintain homeostasis at the stage before the onset of the disease, at the stage of pre-illness.
Function (functio execution, fulfillment) is a phenomenon that depends on another phenomenon and changes as this other phenomenon changes.
In the case of the human body, the function is an arbitrary or involuntary reaction of the organism in response to the influence of the external environment.
The functional impairment is a violation of the mechanism of adaptation in the process of vital activity of the organism in the changing external environment.
A functional disturbance, or a violation of adaptation, can be local, regional, but it is always global.
The purpose of the function is to adapt effectively
Somatic dysfunction is primarily a global violation of the adaption of the entire body, the entire soma, a violation of the integrity of the body.
In working with children under 35 years of age, we use a biomechanical method exclusively for diagnostic purposes.
Functional impairment, or somatic dysfunction, is manifested at the biomechanical level by a change in the state of biomechanical unity; at the functional level a violation of the synchronous implementation of functions relative to each other and relative to global body functions; at the biodynamic level a violation of the integrity of the organism and its habitat (mother Nature), of which it is a part.
Somatic dysfunction is a functional impairment manifested by biomechanical, rhythmogenic and neurodynamic components.
Three sources of osteopathy:
unconditional love,
spirituality,
holistic health.
In osteopathy it is customary to distinguish three methods:
biomechanical,
functional,
biodynamic.
Functions of the human body are manifested by different rhythmic mobility.
In the process of perceptive diagnostics, the global mobility of the human body is felt as a holistic vibration of a certain force, frequency and amplitude. It can be felt under the hands.
Violation of synchronicity of interaction between parts of the body leads to a functional and biomechanical violation.
Sanogenetic reactions of the body, aimed at maintaining homeostasis, go beyond the limits of physiological comfort, forming clinical manifestations of somatic dysfunctions.
Disease is a variant of adaptation of the organism to changing environmental conditions that has gone beyond the limits of the functional norm.
Disease is a manifestation of health, the struggle of the organism for its functional integrity, for survival.
Osteopathic lesion is a complex of functional reactions of the
body as a response to the direct action of exogenous factors.
The lesion field is a complex of reactions of the organism in the process of its adaptation to the damaging exogenous factor. The lesion field has its own boundaries, the centre (the fulcrum).
Somatic dysfunction is a manifestation of health in the form of
physiological organisms reactions in response to osteopathic lesion.
The main role of the doctor -osteopath is manifested in the prevention of violation of functional unity, the vital integrity of the human body, dysfunctional changes in the immune and autonomic nervous systems.
The subject of studying osteopathy is human health and its adaptation to environmental changes as well as the conditions for the formation of health, its preservation and development.
Review questions
Name the subject of osteopathic activity.
Give the definition of osteopathy.
Give the definition of health from the point of view of osteopathy.
Give the definition of a disease from the point of view of osteopathy.
Give the definition of osteopathic lesion.
Give the definition of the lesion field from the point of view of osteopathy.
Give the definition of the somatic dysfunction.
Give the definition of the somatic function.
Give the definition of functional violation (impairment).
Name the methods of osteopathic correction.