FEED-BACK-EXERCISE

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. In physiological neuro-muscular processes the feed-back stimulus confirms the effect of the muscle action carried out and, thus, leads the acting muscles to a successful realisation of the initial planning.

If the control loop is disturbed the here discussed exercises will be applied. If a disorder is apparent it can be assumed the musculature being incompetent.

At this it is totally indifferent whether ‘the Chicken or the Egg’ came first, whether primarily the muscle or the sensitivity incompetence was prevailing and which entailed which.

The exercise will have to treat as well the muscle movement frame as the sensitivity incompetency.   According to the common perception primarily the sensor skills will be promoted to achieve a sufficient sensitivity. In direct relation to this the motion frame of the target muscle will be trained either in its movement width or its tonicity with target oriented exercises.

Contents:

For the sensory training the methods make use of the REMINDER. If they are used in an exercise this mostly happens with a MANIPULATION (a helping hand from outside); for example thigmotropisms,

tactile stimuli will be set with the touch of an instrument which imitate the physiological tactile-aesthetical stimulus or which have to draw the attention of the patient. The same can be achieved by the use of foreign bodies (rubber ringlets, elastics and the like) which are planted on defined locations and kept there in a controlled manner. All these auxiliary means must disappear in the run of the training so that the sharpened sensory skill within the co-associated orientation of the specific organ will be capable of reassuming the physiological tactile-kinaesthetic contact.

The next training step aims at consolidating the newly or re gained state by habituation by means of HABITUATION EXERCISES.

Materials:

As described before all aids are applied serving the stimulation of the impaired feed-back stimulus. About this see also the paragraph “Material” in the chapter SENSITIVITY EXERCISES.

In combination with this description a more precise differentiation should be given. We have stated before that there are certain differences in the way of stimuli application within the single exercises.

Differentiations can be drawn between:

A. longer lasting stimuli

B. momentary stimuli

C. purely mentally accentuated conventional stimuli.

All show a different degree of manipulation which is showing most strongly und ‘A’. Within this group materials are adapted at the organism which have to constantly continue the stimulus for several minutes to attract the conscious.

Quite a pronounced example for this is given through DANIEL GARLINERs composed ,FIRST DAY KIT'. In this exercise assembly the patient gets literally struck by a bunch of different Stimuli, but on good reason because in this case it is a matter of fighting a Habit (Thumb Sucking).

To give a simple example:

In the exercise STICKY FLAP a snippet of adhesive paper is stuck against the Papilla Incisiva to lead the tongue tip towards it.

Among group B we may count those stimuli as they would be placed for example by the therapist when he is tapping against a site on the organism which the patient will have to direct his full attention to during the following exercise; for Example the PROVE-THE-POINT, tapping the spatula end against the incisal papilla.

The group C includes stimulation methods which require a mental background setup. A descriptive example for this might be the TEETHCLICKING:” If you get that feeling of the teeth clicking you must awake with a start immediately.” Therefore in a previous conversation the attention of the patient is directed towards a defined feeling which is provoked in a test. The patient, then, is charged that this feeling is a signal towards a correct, noteworthy line of action.

An enumeration or even a valuating classification of the usable instruments will not be given in this connection.

Through the paragraph “Materials” in every chapter the finding of the respectively assigned devices will not be problematic.

Procedure:

- Previous exercises:

As the exercises discussed in this chapter serve the Sensitation and Orientation they will mostly be located at the beginning of a respective training phase and, so, are mostly pre-exercises themselves. In the special case every feed-back exercise might need comprehensible advance information as far as this would be quite promising.

The advantage of  FEED-BACK-EXERCISES is that even mentally less active patients can be included (CASTILIO-MORALES, palate nipple).

-Starting position: Exercise specific, beneficial any kind of basic position for the body posture.

- Step-by-step-Description:

-1 An explanation matched to the receptiveness of the

    patient is given,

-2 the prescribed manipulation is carried out.

-3 The patient is taught to accomplish the 

    manipulation independently.

- Timing:

 (In this connection it should be stressed that, in the general course of the planning, the path should lead away from the external (alien) stimulus towards the idiostimulation (at this see also annotation in the paragraph “Discussion”).

Characteristics:

Feed-back.

Remarks:

When we look at the MFT as a sensorimotor training we will find us on the sensory side with the exercises discussed here, this is why we rather should operate mentally, or, if this seems to be some how complicated, try to activate the respective reflex directly.

Discussion:

One might wonder about why “Feed-back Stimulus” instead of simply “Stimulus”. This will be made clear with an example:

In the PROVE-THE-POINT the therapist is tapping on the Papilla Incisiva while explaining that this stimulus has to become the rule that, if the stimulus does not act, a control loop will have to work towards activating the irritability = Feed-back!

In GUESS-THE-TAP ( TONGUE CONTACTS) the therapist taps on a point of the Mucosa and asks the patient to identify the location, next he will chose another point. This does, in contrary, not represent the above described contact of two “phased” (coordinated) trigger points.

 Complementary to the above mentioned term of the alien stimulus a further possibility of differentiation should be mentioned. The alien stimuli contained in the exercise are hetero-aesthetic. This means that the surface of the organism registers the touch of an alien body. These stimuli mostly serve to, at first, intensify a physiologically existing trigger and the stimulus caused by it just for training purposes.

This still incompetent stimulation mechanism is a homoio-aesthetic one, different surfaces regions of an organism are getting in contact with each other and, thus, form the described control circuit.

This contact zone represents the trigger for muscle actions. The localisation and the valency have to be known to the therapist.

For tuning the localisation – the meeting of the congruent, corresponding contact regions (for example tongue tip to POINT) – the ORIENTATION EXERCISES are helpful.

The valency can be differentiated into positive and negative. A negative Trigger Point means for the organism that this contact has to be avoided (see also REMINDER). An example for this is the TEETHCLICKING or the contact of lip to tongue tip in swallowing; the positive contact which has to be sought would, for example, again be the touch of the tongue tip now with the POINT in the exercise TOUCH-THE-BUTTON.

In relation to the mentioned valency the patient will have to be motivated either to seek or to avoid the respective contact.