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MYONET 

Contents

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INTRODUCT

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PHILOSOPHY

MFT-guide

SURVEY

MFT

EXERCISES

Catalogue

123
   exercise

PLUSMINUS

Myofunktional Exercise  Collect ion

Application:

no illustration

This description reflects lesser a muscle exercise then rather a method which as well is described summarized in the chapter CARDS. The aim is the habituation of a preset muscle action through a self-control recording by the patient .

For this purpose a prefabricated (or after a description from the patient himself drawn) schedule in kind of a form is used.

This special design serves to monitor the observance of the recreation, the stand-by and the starting position: The patient will have to note down the situation existing in the moment of control. This method/procedure is not exercise specific and may be applied for various purposes.

Contents:

The time schedule is subdivided  by its segmentation in columns and lines for the week days and daily monitoring times by boxes.  The name of this measure results from the way coloured (+) respectively (-) signs are noted down by self-evaluation.

Materials:

Pattern of a time schedule on solid paper or card board. The basic scheme is outlined in the chapter CARDS.

Procedure:

- Previous exercises: The posture to be habituated should primarily be controlled perfectly.

-Starting positioning: is in this case the respective training or goal posture.

- Step-by-step-description:

-1 The card is  handed over with the obligatory intense

information about the execution and especially about the importance of this measure and the correct record.

-2 The time frame over several days of noting down at certain hours of the day  (one week). As the patient will have to validate the situation exactly at the moment of noting there are several possibilities to remember this moment punctually.

The least problematic will be to have an auxiliary staff  (for example from the family) to remind the patient. More complicated might be the method to set the alarm clock at the respective times; a wrist watch alarm or the cellphone will render a valuable service. A possibility for the older patient might be given in connecting the control date with other punctual current events as, for example, starting breakfast or the luncheon brake, the ‘knock-off’ date to note down the (+) or (-) for the necessary control of the current situation.

-3 Evaluation at the next scheduled session by the therapist.

-Timing: The time management depends on the scheme. For larger self-diagnosed failings a joint briefing with the patient should find a decision to repeat the PLUSMINUS schedule for the next date, or if next further training methods should be set.

The card should not be scheduled more then three times in a row. Generally the method is carried out during the habituation phase, i.e. till the end of treatment.

Characteristics:

Habituation, self-monitoring, Motivation, Stand-by position.

Remarks:

The evaluation is ‘matter of trust’ ( it does not have to be perfect; ‘Yonder lies the way’.

Discussion:

A listing-up of all the exercises PLUSMINUS for which might be of some use would be too voluminous for, as mentioned above, all muscle actions to be habituated would be concerned, as well static muscle actions meaning postures as POINTPOSTURE, SLENDER TONGUE, ,DRAWER-IN’-EXERCISE (CHIN-IN) or ,L-M’ and the like, as well as kinetic ones where the swallow reflex is on the first position.

 

In substance it is appropriate to use the method described here rather for static actions as the monitoring is carried out rather according to the motto: “Stop – don’t move, how is the latest position?”

This special playful aid is known as the ‘STOP’-Exercise. We might remember children's birthday parties with their pawn games:  Around It will be everyone’s turn around to say ‘stop’. All participants, upon that, will immediately halt in the movement they are just performing like freezing having led to the command :”Freeze!” That may entail the most funny situations if someone walking will have to keep standing on one leg or sits there with puffed out cheeks after just having chewed. He who moves will have to pay a pawn.

If we explain this procedure to the patient we will be able to help him and us to become self-aware about the unwittingly brought about situations in the system, even those which pass off  invisibly like, for example, the tongue position. Kinetic conditions, however, should be estimated in retrospective of the previous period: Did I swallow correctly before the monitoring? Not pushed the chin forward again? Gritted the teeth together? Breathed through my nose?”)

Regarding the nighttime-habituation see chapter  NIGHT SCHEDULE and variations.

Instructions:

This schedule will be filled in for our next session honestly and correctly!

Should you be not quite sure about things better write a (-). For this is the task: A (+) for the correct posture, a (-) for “not quite correct”.

The posture to be valuated we really practiced long enough; it should always come out correctly – with some effort. And that is our goal.

There is a funny game where the party sits around the table, a                sports fellow player calls out :”Freeze!” and everyone must freeze his movements till it is called: “go!”

This is bound to be a good laugh and the one who moves will have to pay a pawn.

We do not need some pawn here but a person who calls out “stop”. So someone from the family must take the plan  and he will come up at the given times to call his “stop”. Then you must control whether the position is correct: A (+) or a (-) is noted down.

Qf course you may do all those by yourself. Then you will have to set an alarm-clock – may be such a thing you need for the car to monitor the parking time, or the alarm display of your cellphone.  You may even take special situations as a start like the red at the traffic light – where it might be a bit difficult to note down the result. You even may spread notes and, looking at one, take up the “Stop-position”.

At any case there will be notes throughout the whole week  which we are going to review at the next session.