0001 General chapter

TIMING-INTRODUCTION

Myofunktional Exercise  Collection

Capabilities of TIMING within methodical Muscle Training.

At the start let us state that in our profession we are not going to condition maximum performance, to develop Olympic champions or body-building figures. It is our task to create respectively re-create the natural, physiological state.
To accomplish that we not only have a multitude of exercises at hand among which the single one is specially qualified for every claimed function and muscle required (in my opinion) for it and which, moreover, is quite variable and adaptable in the individual application. These properties of the exercises are compiled in the following text.

This will be, as already said elsewhere, a revised edition of my work-/text-book in the German language which will not be republished. -- The for this TIMING mentioned integration of self-training of the patients into the course of the day is of major importance especially for adults. On this basis exercises can deploy their beneficial effect without greater psychical or temporal expenditure ‘en passant’ when being carried out with the necessary orderliness and seriousness.This above described feature requires further details.

Back, now, to our therapy planning and the TIMING. We are noting that TIMING, in the broadest sense, means 'course of time'. My assumtion, here, will be that we have three possibilities to design the 'course of time in our applications

1. The Course of treatment as described under 'Basic Rules for a Course of Action'. (0002-actioncourse)

2. The definition of the single exercise (as discussed hereafter) through stressing the different practicing 'Modi'.

3. The definition of the applications, meaning:

    a. how frequently do I schedule the session per week/month?

    b. how do I occupy the single session with exercises and with which at the beginning and in the further process?

    c. how do I arrange the single session?

The characteristics of vartiability described at the beginning need some further explanation.

Let us imagine any sort of a special exercise chosen for a special purpose for the carry-out of which we give the following orders:

(as described above under point 2, the different practicing Modi - see also 0002e)):
Let us imagine some specially selected Myofunctional Exercise for which we give the following instructions:

? Do a muscle contraction - and hold it >

   this is a Hold- or Static Exercise to habituate a defined posture or, 

? execute it  in a markedly  smooth way >

   as a subtly toned mostly ‘down-regulated’ dynamic Hold- variation to calm down the tone to gain a tone reduction for a hypertonic musculature;   

? the same as a dynamic, tone increasing Hold-exercise executed with considerable power for a strengthening;

? as well carried out in the dynamic mode but in a slow-motion manner to balance the muscle action and

? carried out with lesser power in  slow-motion to adjust the tone to optimal power,

? or rather in the dynamic mode, too, but in a rapid change on and of to increase the Motility.

These are the basic possibilities.

Moreover there is a further possibility of variance in combining these described, different “Modes” of one and the same and / or different exercises in a definite way of arrangement.

This arrangement methodology for a training course is described as “TIMING”.

Such detailed procedure is quite effective, because it helps optimizing the effectiveness of the training, as well the efficiency of every single exercise as of the whole training session. In Sports Medicine these methods are common procedure, in therapy, for example in MFT, they gain acceptance since the demand for interdisciplinarity and cooperation is intensified.

This requires to be extensively acquainted with all existing exercises and with their contents to avoid leaving the success to the mere fortune what might stand for the classical “out-of-the-belly” method!

For those colleagues, who tend to the more “picky” methods of a scientifically based procedure I am going to list up all (in my opinion) relevant variables hereafter and in the chapter TIMING

I am not suggesting all of the described methods which I have acquired during my years of practice to be applied fairly completely.  I endeavour to describe all techniques as completely as possible, which I have used during that time. It should be left to the individual colleague and case to decide about the adequate mode of treatment.

Next point for our TIMING:

A therapy plan is put up before therapy starts (after a quite precise diagnose – see DIAGNOSTIC EXERCISES - ). But, as we do not repair a clock mechanism such a plan will, during or at the end of treatment, not resemble the one from the beginning. The therapist will frequently adapt or revise to meet the individual requests of the clinical picture or to take in account the positive or negative development.

Modification of a therapy planning, yes; without a planning in medias res, no!

We therefore will, probably trough the request of the patient, primarily try to fix the period of the

= overall treatment in respect of weeks and moths

= frequency of sessions – in our office under the guidance of the therapist,

     at home and, if need be, under the monitoring of the related parties –

     we will have to calculate how long we could possibly

= strain our patient each session regarding treatment time. This could perhaps change in the course of treatment.

     Furthermore we need within one session a programming for

= active and recreative phases, training work / restaurative breaks. These recreative breaks  may be occupied by a Mental Training.

     For these active phases we should now have another thought;

     which possibilities are at hand? (Link TIMING-SCHEME)

    continue with "Basic Rules for a Course of Action"