DETERIORO DE LA REGIÓN
FACTORES AMBIENTALES AFECTACIÓN
V.3 Descripción de impactos ambientales
5.3 The The Force Force PoygonPoygon
Liteohn's foce polygon(Fig 55(Fig 55 consists of two tr ngu pyrids whose tips ch n fron of the ver tebrl body of T4. The wo posteronerio lnes nd he nteoposeo ine blnce ech other out nd cross in font of T4. The esut of hese hree lines is the cenl grviy line th runs hrough L3.
The lower pyrmid hs solid bse conssting of he hipoins nd he coccyx. The fomen gnu seves s the bse of he upper pymd. t s stbilized by myofscil suctues evc dysfunctions nd occpi totlnoxil OAA) lesons nfluence T3-T4 hen wlkng, boh pyrmds urn in opposte diecions. e cn see this fom he opposte rm nd eg ove mens
Te o oo 66
hen the stnce leg is on he eft nd the swng eg on the righ, he lowe pyrd fors convexty with rghtwrd rotion, while the upper pyrmd mkes convexty wih eftwrd otion. The cen gvty line connecs 3 with the hp onts
The nteoposerio ne connecs the ls nd he coccyx, running through L3 Ths cretes hird py mid which lso hs he pevis s solid bse nd L3 s is ip.
All hree pyrids depend on the pressure condi ions in the cves the wo ower ones dectly nd he uppe pymid indecy though myofsci en sions.
nhltion nd exhon no only chnge he pres sure n the hox nd bdomen, but lso cuse the spine o stretch durng inhltion.
6 5
6 5h Bomchancal Mol of ohn Martn ttohn-h Mchanc of th Spnh Bomchancal Mol of ohn Martn ttohn-h Mchanc of th Spn
Fig. S4a
Fig. S4a Crse the
aterpsterr e ad the tw psteraterr es, whc c sttte the e pyg
5.4
5.4 Arches, Pivots and Double Arches (Fig. 5.6)Arches, Pivots and Double Arches (Fig. 5.6)
AesAes
ro an anatoical perspective the spine conssts o or aches:
Cevca aasT hoacc 22 Lbar: L - Sacral sacrcoccx
ileohn also divided he spine nto for arches bt fro a fnctona perspective He defined the aches as aeas o he spne beteen socalled pivots The a ches ove as a hole he fnctona arches are as follos:
Upper arch CC4
Mddle ach C6T8
Loe arch L4
Sacr
Ths classcaon nto nctional arches akes it pos sibe to deonstrae ho the ndvdal spnal seg ents relate to each other B acceptng Litleohn's ode of orce lines and hs nderstandingo he eect of indvidal scle gops as el as o the anaoi cal chaactestics o ndvdal verebrae e can hen accep cerain verebrae as pivots
PvosPvos
There ae anaoica phsiologcal and nconal pi vos.
Ao vo
Ao vo are he apica vetebae The
oce segens o the spine to behave in specfic as de to heir specia anaoical shape. Anato cal pivos are C2Lsac
ig.
ig. Foce poygon ccorng to Ltejoh
iteon ssocied te ts wt te ed nd ereore did not consider t s vot
Pysoo pvos
Pysoo pvos e octed in beween curv ues t is were lordosis tnsitions nto ky osis 5T9-5.
Fuo pvos
Fuo pvos re vertebe t gin seci signifcnce becuse of teir mecncl funcon
Tese re 2/T43
2 is ivot or te ed Te extremey sensitive
subocciitl musculure connecs te OAA com ex
T4 is ivot becuse e ed rotion eces to T4
T5 n ddition T4 s n motn inersection or ittejon's force ines.
3 is te lowest umbr vetebr tt is not diecly conneced by lgmens to te elvis
Becuse of e connection toug te ilolumb i gments 4 nd 5 belong to te elvis smil to te connection of nd 2 to te ed) In ddition 3 is e grviton cener of te wole body fo Suter
Arches, Pvots, andDo Arches 6363
Arches • (1-(4 *(6T8(6T8 *T1T1O-L4 Saum
Double ches T3 T3 (7-T8(7-T8 T1T1O-scum T6 T6 T11 T11 T12 T12@
Fig.Fig. Arches dobe arces, an pvot vertebrae.
nd. ysfuncons of tese vot vertebe re extre mey common Only in very rre cses re tey m niuled n isoion Te ssocted ces sould l wys be treed in conjunction
Double ArchesDouble Arches
ittleon descibed two double rces
Te ue osteior c 7-T
Te lower nerior c T0-scrum
From mecnicl ersective is inteesting o noe tt te uer oserio rc cies e weigt of te ed orx nd ue extremes nd sts t dor sly so tt t is en counteblnced by e lower nteio c nd directed owrds e is
Te ex o e double rces s octed fo te ue rc t e leve of T4T5 nd for te lowe c e level o f 23. Bot of ese segments e very suscetibe to dysfuncions For ittejon te
6
6 55The Bomechanca Mode o John Martn tteohnTe Mechanc o the SpneThe Bomechanca Mode o John Martn tteohnTe Mechanc o the Spne
ollowg were wea poi i h yem 7 h rb T9 2 L2 L3
7 loaed a he raio bewee a mobe ad
a rigid pal egme
• T9 a oal po bewee wo arhe ad be wee a aerior ad poerior doble arh.
• ad T2 are he oro eer o he pie.
he h rb oaed he raio oe bewee he pper horax ad he S ad he lower horax ad he LS.
L2 ad 3 are he weae poi he ere pie beae he weigh o he whoe body mae here he wegh o he r pree rom aboe ad he ower exreme p dowward drg walg.
I he ae o pora imbalae ompeae a io ed o orgaie arod hee wea poi i he pe.
Lileoh ad aer alo hi de Joh Werham ad E Hall deribe i heir wrig he relaio hip bewee he orga he eroegeae y em ad he edore yem rhermore he ex pai ad baiae hi herapei proedre For obio reao we had o limi oele here o reiewg hoe ape ha i io he oex o hi boo.
A rher deeopme o h model ha led o a i ereig oeopah reame mehod amey SAT (pei adme ehiqe. We pree h mehod he oowg eio.
55
55
Specfc Adjustment Technque Accordng to DummerSpecfc Adjustment Technque Accordng to Dummer8888
HistoryHistory
he ieo o peii adjme ehiqe SA) wa mo ely oiideal rig a l epdemi i he 950 he oeopah ad hiropraor arall Bradbry happeed o be he oy herapi o al hi lii. Beae o he eormo mber o pa ie i eed o reame Bradbry had oy imed ime or eah reame Th he deded o oy ma iplae he mo opio egme i eah pa ie.
H e wa o grea ha he rher aayed hi mehod. arilarly eeie were hoe reame i whh he mapaed he aypal erebrae Par al Bradbry wa leoh' de ad wa here ore amar wh hi model o ore lie hi hiro prai raiig he had leared he "whoeioe
maiplaio o he pper S ideally he reame o oe egme o he ey eio oowed Sll priple o d i x i ad eae i aloe.
Togeher wh he phya dey ee he om pleed a ere o ieigao o aalye he ee iee o maiplag ey leo ad iroded h mehod h boo Herei he deed he erm or poioal leo. Thi reer moly o rama bloage o aypal erebrae h a i whplah re Aordg o Bradbry hi er ebra ha o be repoioed wih a impe ehi qe i whh he imple exaly oppoie he ore eor ha aed he bloage. hi mehod wa de eloped rher ad reied by Bradbry' de Tom mmer o oly applied i ramai eio.
B
B SB [CB]SB [CB] FigFigmode. Inte-ve pvots e (5S7a S7a aa tteon's
T9,
T9, nd L, typ vetebe e (1 (2
(1 (2 nd L5/S1 Poygon of foes odng to Lttejoh demonsttng the mehn etons nd fntons of te spne.
a
ipt
ble pont o the tige L3 tp of the lowe tingle b b A A H H B B kul e A
A front edge o te CCipitl foen mgnu B C
B C to the ide of the b edge o the oipitl oen mgnu ACB
ACB nteopoteio ine BH BH poteronteior ine CH CH poterontero lne H H hp jont CB CB oyge one
epending n the lcztin f he "prm le sin (cervic scl) , he therpst fws cer tin rder in the mnpultn f e segments, m nipulting n ne segment n ech etmen
•
ProcedureProcedure
The therpist seches r the e segmen in need f retment b dividing the lcmr sstem nt three units F ech uni, number f specifc ests exst. The gl s t find the dmnting unt.
In ech unt, hee e cern vertebre tht re pr tculr sgnicnt These re the sced pivts frm Littlehn's mdel(Fig 57 C , C2, C3, C5, T3,(Fig 57
, 9 , 2, 3, L5, scrum Note
• ierent pvts re feced, depending n whether i s umtc r dptive cse.
Opnins der n wheher the pivt verebre shuld be mnpulted r nt.
A pivt is lws urning pint f grup f veteb re Therere, t s lws recmmended ls tret this grup f vertebre, f which gentle techniues re mre pprprite.
Specific Adjutment Technique Accoding Dummer 6565
•
The Three UnitsThe Three Units
vding he rgnism int three unts s, ccrdng t tlejhns mdel, ve lgicl nd pcc becuse mkes sense neulgicll s well s mechncl he hree unts derive m he three prmds f the fce plgn
Ui 1 Ui 1
wer extremes, pevs, nd lwer SC frm L3 dwn
his unit is elted t cmtn
Ui 2 Ui 2
Crnium CSC uppeTSC up t4, shulders nd rms, uppe thx
Vegetve functins f the hed thrt, nd thrx Ui 3
Ui 3
Lwer thrx, vetebre T3
Vegetve functns f the bdmen.
Note s nteresting t bserve ht these three unts re bsic euivent t the three wer hinge res f Znks mde Lttehns mde lcks he cervicc cipljuncn s n slted unt nsted, t s cnsd ered s Unt 2 geher wth the CJ Nevertheless, be cuse f s specl chrcterstics pc veeb psmpthicus re) , it cn, n ur pnn, ls be cnsdered s sepe un, wth specl signcnce r the crnscr sstem