Читать книгу The Principles and Methods of Osteopathy. Part 1. Biomechanical Methods - I. A. Aptekar - Страница 6

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 patient’s 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 organism’s 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.