HYPERMOTILITY EXERCISES

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.  

This sort of exercises serves a sedation.

Diagnostically there should be a most precise definition of the muscle group being hyperactive in its compulsion to move or hyperkinetic muscle action in order to develop a ‘made-to-measure’ training concept for the hyperactive neuromuscular subsystem.

This concept would have to be designed in a way that it factors in the dominant neural component of the special neuromuscular disorder and down-regulates the control activities to a physiological degree to avoid hyperactivity caused secondary lesions on all textures in the target area or to allow their restitution as well as to improve the functional efficiency.

One might imagine that, through increased performance generated by the subsystem, a hyperfunction would show superior results if only it would else take place within its physiological frame what is absolutely not the case. This, of course, applies in particular for those hyperactivities in dysfunction (there of course is hyperactivity possible in eu-function when within the physiological frame an increased output is claimed from the system – for a limited time.

The two variations of disorder, the dys- and the para-function, both in hyperactivity, may schematically be categorised into the more static and the more kinetic ones problems.

Admittedly the exaggerated static muscle actions in stand-by position of an organ part do, in the sense of the word, not belong to this group. If, however, they should be viewed separately they would need a special group ‘Hyper-statics’ for definition. A too much differentiated categorisation would not be promotive for reasons of clarity, moreover a hyperfunction in the static mode, the stand-by position, will rarely be purely static. As an example for that the syndrome complex of the circle of spastic forms which, through shaking, twitching, jerking and fibrillating do, indeed, not mediate a static picture.

As already described at another point the musculature in a functional movement as well as in a functional posture is subjected to a Working Tone; it is dynamic in both cases (statodynamic and motodynamic).

This might ask for an expression like ‘Hyperdynamics’. From the therapeutic point of view, as described further down, the neuro-muscular system of the respective target area in a state of hyperfunction.

It has been sedated.

This will be gained be schooling the patient to perform an arrestment by taking up the ‘Hold-‘ or stand-by position.

As a consequence as well Hypermotility as Hypertonicity in static position are balanced with the aid of the here discussed exercises and, so, treated under this term. Those position disorders being not quite scheme compliant are discussed in the chapter POSITION EXERCISES.

From its contents this group of exercises aims at three targets. In the beginning the patient gets motivated to change the present state.

The required muscle actions are transformed into the physiological frame.

The actions practiced during training get habituated.

Materials:

According to the premises that presumably the controls are to be influenced all material concerning this must be applied, as it is described in the following Chapters:

REMINDER

RELAXATION EXERCISES

MNEMONIC

FEED-BACK-EXERCISE

BASIC-POSITION

HABITUATION EXERCISES

POSITION EXERCISES

MANIPULATION EXERCISE

,M’-POSITION

MEMO

MENTAL TRAINING

MOTIVATION EXERCISES

NIGHT SCHEDULE

PLUSMINUS

RESTPOSITION

TIMETABLES

Procedure:

- Previous exercises and

-Starting position are exercise specific. The

- Step-by-step-description shows a stepwise procedure in the following sex phases:

-1 Instructive Phase

     The therapist explains the symptoms located through the assessment, the actual functional disorders and the damages on the tissues.

In deduction from their occurrence the therapist explains the process of the dysfunction and demonstrates it quite plainly and figuratively to the patient. Next will be illustrated, how the muscle action should be working physiologically being the goal of the training.

-2 Motivative Phase

    From step 1, the portrayal of the further progress without therapy, the expected improvement and the forthcoming tasks should arise a sufficient start motivation, the intention to realise the own mistake and further the wish to abate it.

-3 Cognitive Phase

    Equipped with all conceivable aids the patient must be put in a position to realise the dysfunction in the very moment of its occurrence.

This phase is discussed here as the third step but, practically, starts with step one and shows a continuance till the end of treatment and even later on.

It is, indeed, very useful to make the patient understand that, in certain situations, he will tend to relapses into the topical or similar vicious habits.

This predetermines that he should never consider recognising dysfunctions as not further necessary.

If he will ever perceive just a tendency for a misfeature he would immediately reroute to the trained behaviour.

This will be practiced in the phase

-4 Motor Skill Phase

Here firstly a training program will be mapped with which single muscle (sub) actions are put back into their physiological frame.

-5 Coordinative Phase

Now the neural component, the regulatory system is included.

The single corrected muscle actions are coordinated to the desired complete action, the physiological function.

This may be a definite posture (static)

or a functional reflex circuit (Kinetic).

-6 Habituation Phase

The correctly trained eu-function will now have to be anchored into the unconscious. This phase is plainly mentally themed. At first mostly the over-the-day activities are monitored while later on the sleep phase will be included where the before discussed mental aids are applied.

-Timing: The general course of the training is incidental from the above described six phases. A special timing is required for the motor skill training; it is described among the respective exercises.

Furthermore a special timing is required for the habituation phase (6) which is given through the prescribed timetables, schedules and the like.

Characteristics:

A compact definition is hardly possible as the claimed tasks implement the major part of the respective terms (schematic synopsis of the terms for a characterisation of MFT-exercises see in myonetbookintroduction.doc, here especially the‚Jigsaw puzzle’).

Remarks:

Here again the complex mental part of the therapy should be observed in particular.

Discussion:

In the description given above the particular problematic has been discussed. A few special notes may now substantiate the procedure.

Quite an important part in training is playing the eutonised posture in its stand-by tone in the orofacial system.

It is antagonising the Hypermotility and, thus, acts in a sedating way in the target area.

In the beginning this posture is taken up with manipulation as with the ‘Elastic’ (presumably for the ‘inside’) or the Platelet (for outside), (,L-M’-POSITION). These aids will later on be abolished and replaced by specific physiological feed-back stimuli which either have to be sought for or avoided.

To the former are counted such as the contact of the tongue tip with the POINT, to the latter the avoiding of the TEETHCLICKING (described under REMINDER). The practicing will proceed after a special briefing presumably besides the common training sessions.

At first shorter practicing sequences are prescribed of about five minutes duration which. Later on, will be expanded up to an hour (with the aim to spread them to a whole day and, finally, to the night-time behaviour.)

Herewith a transition to habituation takes place – the patient should have internalised to, unconsciously, switch to the re-educated posture.

In this stage will be performed a randomly checking.

This will be prescribed in TIMETABLES as well, as carried out within the training sessions like with the KEEP-THE-POINT.

At this situation the correctness of the posture will be controlled precisely; quite often minor flaws and laxities are slipping in during the at-home practicing which may through their effect promptly putting at risk the whole benefit.

The described therapy course resembles the procedure for a false reflex where, as well, a ‘to-much’ or ‘faulty’ but also the ‘too little’ manifests itself.

Also hypofunctions of that type show a similar training procedure. The difference is in the goal. In the one case an increase in the other a decrease is required.

Principally the Physiological Frame must be constituted. The mental efforts as well, as the genesis resemble each other. With the latter the environment plays an important role.

For the therapist it is the chore to track down the stress factors and nutritional deficiency and to eliminate them in dialogue with the family.

Examples for therapy relevant problems of Hypermotility are those cases of extroversion of the tongue already described in the volumes „Myofunktionelle Therapie“ (Hüthig Verlag) among which are to be found the lip licking, grimacing, Mentalis hyperactivity, wagging the tongue against the teeth as the hyperfunction of the physiological mouth cleansing where the chirping sucking in of air  through the interdental spaces must be counted, more over the gnawing at and biting on the cheeks, tongue border and lips as well, as the squeezing in of parts of these textures into the interdental spaces, further the gnawing at hair tips, beard or finger nails or of foreign bodies, but also quite frequent idle swallowing or throat clearing (whereat the frequent sniffling through the nose may probably be treated at the same time) and all kinds of maxilla movements including the excessive use of chewing gum. In this connection should also be mentioned the ‘fiddling about’ with prosthetic parts and devices. By prescribing a reference point and posture for the patient and tuning him in mentally these impairments can be coped with.

Commonly for the chapters generally dealing with certain groups of exercises no instruction is provided. For the exercises discussed in this connection it has proved useful to hand out a general instruction (see instruction HYPERMOTILITY EXERCISES).

Instructions:

Too much may be unhealthy. That is what we have found out together.

Such a habit will not only catch the eye of others – that alone would not seem so bad. But also the organism gets overstrained. That draws consequences which we also have talked about.

The skin gets wrinkles and cracks up, the teeth get bent or become loose, the digestion suffers or you catch a cold easily – depending on what bizarre habits you come up with.

The consequences from those habits will deteriorate the whole still more.

The only thing that helps here is to do the correct things.

And for this purpose we have agreed upon some signals. If you have got used to minding them it will be quite easy to switch over to ‘correct’ if ‘wrong’ just is starting; this only proves for the night time.

And the more you try the easier it comes till you will, later on, just do it ‘alongside’. Then you may in fact be proud about the success and about doing something actively for the own health.

The posture we have selected is really not complicated.  For the body it is even easier then the disorder. With this posture the disorder will not only be omitted but something more positive will be achieved.

By the way, with this posture you will much better be able to concentrate on what you are just doing. The same applies to stressful work as well as for relaxing and even for a better sleep.

So: Do always mind and keep your posture as it surely will pay.