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202 General Chapter |
HABITUATING |
Myofunktional Exercise Collect ion |
Application: |
no illustration |
This chapter gives a general description of a collective group of exercises and details which are sharing the here described facts. After malfunctions and / or Habits have been corrected in the past therapy phase in selective therapy steps the here discussed exercises are prescribed in the as follows. The key task of treatment, the correction of the neuromuscular (dys-)function has bee gained, the therapy target to shape the correction lasting and to habituate it is now the objective of the HABITUATION EXERCISES (Latin: Habitus = habit). |
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Contents: |
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The HABITUATION EXERCISE serves the purpose to anchor a coached in neuromuscular action (posture, movement, function or reflex respectively reflex chain) into the subconscious. The exercises are, in a first phase, prescribed for the daytime, in a second for the night. Here will be differentiated between exercises -before getting to sleep - during the night - after waking up The contents are exercise specific variform. Some methods may be used equally for many muscle actions while others are targeted at a defined action. Many are mental, conscious aids, some are FEEDBACK- EXERCISES which jump to action or get started unconsciously and then will switch in the conscious. Often aids and appliances will be needed. |
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Materials: |
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Various and exercise specific. |
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Procedure: |
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(exercise specific). - Previous exercises: Prior to the habituation of an action stands the acquiring of the neuromuscular process with the sensitation, orientation, muscle tonicity correction, arranging of the outlines of movement and finally the coordinative respectively reflex training. -Timing – The time management is various. Some exercises are aiming at a precise point of time while others purport a point-in-time change respectively are to create an absolute or time frame restricted continuity. |
Characteristics: |
Habituation, Motivation, (Mental Training). |
Remarks: |
These exercises rely on a restored neuromotoric system, meaning, all measures of restoration will have to be completed. These exercises are predominantly addressing the subconscious and, thus, have to be mediated in a respective manner. |
Discussion: |
Purposefully in the above observations the habituation was juxtaposed to the motivation. As already mentioned elsewhere probably 50% of our therapeutic efforts serve the motivation. This applies none more so than for the here discussed exercise modalities: If they would not hold distinctive motivational components they would hardly been adopted by our patients. In the following roundup all measures/exercises are listed up in which the habituation is to the fore. This list, too, will not be able to create distinct boundaries of fluent passages. Some exercises embody the habituation, others have a distinct emphasis on it. Many other exercises may be bestowed a certain habituation component. They have not been included in the list though being perhaps in so far of some use as taking this aspect into account imperceptibly and as a side-effect |
List of the exercises with Habituation Effects (Transferred from the alphabetical order of the adjacent German text) |
REMINDER are measures which are to gain the engagement of the consciousness through a manipulated or the physiological FEEDBACK (see below).
DRIVING SEAT Through memorable information about the physiological processes – here the tongue functions – an association memorized in the remembrance will have to act as a corrective comparable to the effect of the catchwords.
FEED-BACK-EXERCISES By manipulation or materials a REMINDER –situation (see above) is to be created via the sensory function.
ELASTIC EXERCISES especially for the tongue posture belong to the FEED-BACK-EXERCISES.
-respectively the mirror image (after a demonstration by the therapist) is recalling the physiological behaviour.
HOLD A MATCH Exercise with a manipulated feed-back content for lip and tongue position.
,L'-EXERCISE memory aid, MEMO for the correct tongue position; see below under PICTOGRAM.
,L-M'-EXERCISE as above but here for the tongue, lip and mandible posture.
,M'-EXERCISE as above but here for the tongue and mandible posture.
MEMOS (PICTOGRAMS, catchwords) reminders to learned respectively “outlawed” conditions.
MENTAL TRAINING Concentrativeness for the continuation of a certain conduct.
MOTIVATION EXERCISES are, by their mental orientation, to provoke, to keep awake and to facilitate the interest for the execution of an exercise as, for example, during the HABITUATION.
TIRE OUT CHEWING a tone reducing muscle exercise which, through its ostensible objective, leaves the mental impression that the dysfunction to cure, to wit, the adductor tension would no longer be immanent.
NIGHT SCHEDULE belongs, as a time management, to the MEMOS and is to reinforce the intention to accomplish a particular task during the night.
PICTOGRAM Pictograms are handed out on paper slips, tickets or stickers. They bear small drawings with a kind of symbolic character which after having been explained by the therapist before will remind the patient consciously or unconsciously of a certain learn content like the famous “knot in the handkerchief” (see also MOMOS).
PLATELET-HOLDER is a hold-exercise for the lips with distinct feed-back content.
PLUSMINUS belongs, as a time management, to the MEMOS with a special motivational effect.
KEEP-THE-POINT Subconscious feeling of an immanent monitoring of the required behaviour (correct position of the tongue tip) similar to the “time management”.
RING LOCKER Feed-back and motivation effect for the tongue position.
RESTPOSITION Catchword for the claim of a balanced posture in the Stomatognathic system.
SWALLOWPICTURE belongs to the MEMOS (PICTOGRAM) and reminds of the correct swallow.
SWALLOW REFLEX EXERCISES Informative description of the correct swallow like DRIVING SEAT (see there) or TONGUE STORY.
SITTING-POSITION Similar to the RESTPOSITION; here for the upper body.
HOLD A STICK Hold-exercise for the dorsal tongue portion with definite feed-back content.
TIMETABLES belongs to the “time management, gaining its effect through the shift of times prescribed.
CERTIFICATE works after the principle of the MEMOS with a positive occupancy through the affirmation of the own learned skills.
TEETHCLICKING Bio-feedback effect ( see AUTOGENIC TRAINING) to avoid an adductor overstressing especially at night.
TONGUE STORY Similar to DRIVING SEAT or SWALLOWRIGHT but with a negative assignment.
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Instructions:
No special instruction given for the patient.