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[Segmental and somatic dysfunction : How does manual medicine work?]

Hein Schnell1, Florian Max-Josef Wagner2, Hermann Locher3

  • 1Praxis für Orthopädie und Unfallchirurgie, Baldestr. 8, 80469, München, Deutschland. kontakt@heinschnell.de.

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Summary

Manual medicine utilizes neurophysiologic principles to address senso-motor regulation, improving pain and dysfunction. This approach offers a favorable risk-benefit ratio for diagnosis and treatment.

Keywords:
ManipulationOsteopathyPainProprioceptionSegmental reflex

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Area of Science:

  • Manual medicine principles
  • Neurophysiologic and biomechanical aspects of manual medicine

Context:

  • Impaired senso-motor regulation leads to segmental and somatic dysfunction.
  • Dysfunction can manifest as local or referred pain, particularly in thoracic and abdominal regions.
  • Myofascial structures can propagate dysfunction throughout the body via neuronal connections.

Purpose:

  • To explain the neurophysiologic and biomechanical underpinnings of manual medicine.
  • To highlight the role of manual medicine in diagnosing and treating somato-sensory and vegetative dysfunction.
  • To underscore the effectiveness of manual interventions in influencing the proprioceptive system and inhibiting pain.

Summary:

  • Manual medicine interventions stimulate the proprioceptive system, enhancing senso-motor regulation and inhibiting central nervous system pain mechanisms.
  • Techniques target joints, myofascial, or visceral structures, with a common goal of inducing proprioceptive stimuli in spinal segments.
  • Understanding these principles aids in differential diagnostics, distinguishing structural pathology from functional derangement.

Impact:

  • Manual medicine provides a valuable diagnostic tool for complex clinical presentations.
  • It offers a therapeutic approach with an excellent risk-benefit ratio when indicated and performed correctly.
  • This field aids in managing pain and dysfunction stemming from senso-motor dysregulation.