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NM1 Neural Manipulation nįmskeiš
haldiš 01. til 03. jśnķ 2012 ķ sal sjśkražjįlfara
Į NM1 nįmskeišinu lęrum viš greiningu og mešferš į męnu og taugum
stašbundiš auk žess aš skoša įhrif žessara stašbundnu hindrana į allan lķkamann. Įhersla er į
greiningu og mešferš į męnu og taugum frį hįls ( eftir hįlshryggsįverka),
kenndar eru ašferšir til aš nį hįmarks įrangri viš aš losa um mjśkvefi
hįls, kennd eru test til aš greina
vandamįl į cervicobrachial svęši.
Kennd er greining į mjóbaki og spjaldhrygg og taugar frį žvķ svęši. Franski
osteopathinn og sjśkražjįlfarinn Jean-Pierre Barral og franski
osteopathinn Alain Croibier žróušu žessa nįlgun. Kennari er Roberto
Bonanzinga D.O. BI-D
Erla Ólafsdóttir sjśkražjįlfari CST.
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Roberto
Bonanzinga
D.O., BI-D
Roberto
Bonanzinga is an Osteopath from Parma, Italy. He has been teaching
Visceral Manipulation and Neural Manipulation seminars with the Barral
Institute since 2003. He teaches VM1, VM2, VM3, VM4, NM1, NM2 and NM3.
In July, 2008 he earned the Barral Institute Diplomate Certification.
This is the highest level of Certification given by Jean Pierre Barral,
Alain Croibier and the Barral Institute.
Roberto is also an Owner and Teacher for ICOMM, the International College
for Osteopathic Manual Medicine in Italy. Roberto maintains a busy
practice in Parma where he uses Visceral Manipulation, Neural
Manipulation, and Viscerovascular Manipulation evaluation and treatment
techniques with all of his patients. Above all, Roberto is a perpetual
student.
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The
Therapeutic Value of Neural Manipulation
Neural Manipulation (NM) was developed in
clinical practice by world-renowned French Osteopath and Physical
Therapist Jean-Pierre Barral. French Osteopath Alain Croibier collaborated
with Jean-Pierre Barral to develop NM. The courses are based on clinical
techniques personally developed by Jean-Pierre Barral combined with Alain
Croibier's scientific information.
Neural Manipulation examines mechanical
relationships between the cranium/spine hard frame to the dura and neural
elements. It provides assessment and treatment approaches to address
restrictions of the dural and neural components not commonly focused on
with musculoskeletal symptoms. Neural Manipulation identifies and releases
local nerve restrictions while at the same time examines the effect these
local fixations have on the rest of the body, and by accessing this
relationship, resolves the more comprehensive (global) dysfunctional
patterns.
A nerve only functions correctly when it
is able to move feely within its surrounding structures. The modality of
Neural Manipulation facilitates nerve conductivity and intraneural blood
supply for local and systemic responsiveness. By understanding the
detailed anatomy of the neural manipulation, one can clearly see the
potential for pathological change when nerves are restricted.
Manual therapy, as it applies to the
treatment of nerves, follows the standard principles of mobility and
function. For optimal function nerves must be able to move freely within
its surroundings. This freedom of movement is essential for:
·
nerve conduction
·
electromagnetic conduction
·
intraneural blood supply
·
intraneural nerve supply
·
local and systemic responsiveness
Neural
Fixation
When a nerve is fixed, it typically looses
its ability to glide and/or stretch in length. The intra- or peri-neural
pressure dramatically increases, at the same time there are changes in
consistency. The nerve pathway shows functional interferences (blood
supply or electric and/or electromagnetic conductivity).
With fixation smaller nerve sections can
harden. They feel like buds and are very sensitive or painful to the
touch. Such "Nerve Buds" are an indication of an intraneural
interference, an overload of physiological pressure points or a local
fibrosis. Nerve buds can be released very quickly, sometimes within one
therapy session.
Palpation of the skin branches of
peripheral nerves can be useful for evaluative, as well for therapeutic
considerations. When evaluating the skin branches, if they are sensitive
or painful to pressure, typically there is a fixation of the deeper nerve
branches.
Neural
Manipulation and its Influence on Organs
Visceral Manipulation techniques can
affect the movement apparatus and vice versa. It is important to note
that the release of sensitive nerve buds can have a favorable effect on
the functioning of the corresponding visceral organs. The neural
manipulation is involved in all body functions and without neural control
certain visceral activity cannot be maintained. The stimulation of nerves
is processed centrally and reported back to the body as feedback. This
sequence of responses functions providing no interference (fixation) is
present.
Whether the structures involved include
joints, fascia, viscera, brain and peripheral nerves, or emotional
centers, proper evaluation is essential for good therapeutic results. The
treatment of a normal nerve section (without fixation) has no adverse
effect, however a local nerve irritation can result.
Generally, one thinks of a trauma as a
severe injury that causes damage. This definition encompasses different
gradients of external forces acting on the body. For example, not every
joint trauma leads to a fracture or dislocation, which is verifiable by
x-ray. From a medical standpoint, patients are often considered to be
perfectly healthy, even though they are not at all the same as they were
before sustaining a trauma. The same is generally true for the neural
manipulation and the nerves. Traumatic nerve lesions typically do not
result in a recognizable, well defined, clinical picture. Instead a broad
spectrum of disturbances can be found. Because of their inconsistency and
lack of evidence (with conventional examination methods and imaging
procedures) symptoms are often overlooked.
Often functional nerve lesions develop after neurotropic diseases (like
herpes zoster) or as a result of posture imbalances. More frequently they
derive from mechanical forces and energies: friction, pressure
(compression) or traction forces (stretch), all of which affect the
nerves. To bring about lesions, a trauma does not have to be severe.
Often, it is a matter of repetitive micro-traumas. For example, a
non-physiological movement, a harmless sprain, faulty posture or muscle
contractions. Pathological processes can take place intra- and
extraneurally.
Intraneurally the trauma affects distinct
nerve structures:
·
demyelination, neurinoma, hypoxia of certain fibers (in the
conducting nerve tissues),
·
epineural scarring, perifascicular edema, fibrosis,
irritation of the arachnoid space or the dura mater (in the neural
connective tissue).
These categories of pathology are rarely
found in isolation. Clinically we typically find several together.
Extraneural disturbances are caused chiefly by a narrowing of the spinal
canal. Trauma can also impact the "nerve bud" or a functional
intersection of the nerve tissue. For example, a nerve or epidural
hematoma, an epineural tissue fixation, a dura adhesion in the spinal
canal, as well as pressure caused by bone or muscle swelling can result.
Intra- and extraneural function
disturbances often occur in tandem. In our opinion, they are closely
connected with a neural fixation dysfunction and/or are even the cause of
it. Our aim is to treat this kind of fixation with manual techniques or
at least to minimize their negative results.
How Does
Neural Manipulation Help You?
With interferences in certain body zones,
the respective spinal cord and/or brain structures may also be irritated.
A peripheral nerve treatment can influence these so-called facilitated
areas and therefore promote a common or systemic effect. Manual
treatments are basically effective due to the mechanical effects that
cause neural stimuli, which can be transmitted at a local or central
level. Manual neural manipulation changes intra- and extraneural
pressure, improves sympathetic function to blood vessels due to the
auto-innervation of the sympathetic gangli and sympathetic innervation of
peri-neural connective tissues both of which are affected with treatment
of fixations in the nerve sheaths.
How is
Neural Manipulation Performed?
Treatment to
nerves is through precise applied pressure. The tension of the
perineurium and all other neural connective tissues is transmitted down
to the root sheaths, so the distal contact has a central effect
mechanically and reflexogenically.
10. nóv. 2011
CST1
Nįm ķ höfušbeina- og
spjaldhryggjarmešferš hefst ķ aprķl 2012. 14. og 15. aprķl og 28. og 29.
aprķl.
CST2
28. og 29. janśar og 04. og 05. Febrśar 2012. Sjį undir
nįmsįętlun.
NM1
Neural Manipulation nįmskeiš
veršur haldiš 01. til 03. jśnķ
2012.
Sjį
lżsingu undir sérnįmskeiš, į NM1 nįmskeiši sem haldiš veršur ķ jśnķ 2012.
02. okt. 2011
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