TIED-UP SACK

Myofunktional Exercise  Collect ion

Application:

to enlarge klick on the picture

click here for FISHMOUTH

This is a special exercise for the deep peripheral circular muscle tracks of the mouth slit (rima oris) of the Orbicularis (for the differentiation of the addressed muscle tracks see also chapter ORBICULARIS-EXERCISES (Anatomy: Area I, Page 12/13). The exercise is prescribed to enforce the oral fissure and lip closure generally (see also annotations in paragraph “Discussion”). Here especially the press-on of the outer rostral vestibulum wall against the bony  base of the front teeth bow can be worked-out and demonstrated to the patient. This is of some importance with a diagnosed shifting of the front bows rostrally which is mostly induced through a significant muscular imbalance ( inside) (Anatomy: Area I, Page 11).

Contents:

An aimed tensioning exercise for tone raising within definite fibre tracks of a circumscribed perioral area.

Materials:

Procedure:

- Previous exercises: A pre-exercise is not necessary. If another exercise is to be used for an ALTERNATIVE EXERCISE the respective one will have to be trained.  If an incompetence in the lip closure happens to be involved a STRETCHING or the active or passive lip massaging (see CLOWNY, LIPSTRETCH, UPPERLIP MASSAGING, UPPERLIP STRETCHING, PULL-THE-TRUNK and perhaps SPECTRE would be recommendable applications for the training to be built up. Generally the practicing of the  ,M’-POSITION is recommendable.

-Starting position: ,M’-POSITION.

- Step-by-step-Description:

-1 The picture of a tied-up sack is described for the patient (see “Instructions”).
The corners of the mouth are neared each other as far as possible. With that no further straining will have to be noticeable in the lips. The patient should be informed that the pressure against the teeth against the teeth should be sensible.
-2 Return to starting position.

- Timing:

In the static hold-mode the position is kept as a sequence for example counting till twenty.

In the kinetic mode the target position is gained, shortly kept and then returned to step 1, this position shortly kept, step 1 again, position obtained and so forth.

By this procedure the sequence gets a frequency beat which is counted up; twenty changes.

In the CHANGING EXERCISE both modi are combined either within the sequence or as a follow-up sequence.

In the ALTERNATIVE EXERCISE one sequence of the here discussed exercise is followed by one of the complementary exercise chosen.

Characteristics:

Static mode: Gross motor, statics, tone raising, Stretching of the antagonists.

Kinetic mode: Gross motor, Kinetics, Mobility, Motility.

Remarks:

As in this exercise mostly the chin muscles (Anatomy: Area I, 10, 11, 12, Page 8 and 9) are strained together with the circular Orbicularis fibres this measure should rather not be applied in a Mentalis hyperactivity. Sometimes there will be great difficulties to innervate only certain fibres of the Orbicularis; this is why the carry-out should be supervised accurately at the beginning.

Discussion:

The exercise in itself is devised as a HOLD-EXERCISE in the static mode but may as well be used – as described in the paragraph “Timing” – in the kinetic mode in a changeover between tensing and relaxing. The kinetic momentum can be intensified through a combination of changing sequences with other exercises for the circular Orbicularis musculature (ALTERNATIVE EXERCISE). See also the threefold combination  ,O’ – CERRY – TRUNK. (see under TRUNK-Discussion)

For the special training also a CHANGING EXERCISE may be created in combining the “hold-the position” while counting with the tensing and relaxing (see further annotations about the training directive respectively under the mentioned terms in the respective chapters).

With an instructive comparison the patients may be informed: The mouth is closed like a sack where a rope is tied around the fabric at the top and pulled together to close the sack.

As a comparison the  ,O’-EXERCISE  can be called on which as well sometimes is called “Laced Pouch”

In a laced pouch, in contrary to the tied-up sack, the top seam contains a sewed in lace which closes the opening tightly when pulled together without leaving a loose hanging rim. (This would be effected in our case by the muscle fibres of the inner Orbicularis muscle ring. See the respective drawings).

A similar exercise is represented by the exercise FISHMOUTH. To mimic a “Fishmouth” the muscles are strained in the same way as with the tied-up sack. after that while keeping the consisting straining the lips are opened what will look like a carp taking gulps of air; the performance description in the further course equal the step 1.

The TIED-UP SACK is the contracted DUCKBILL (see there).

Instructions: