#BioTensegrity

[bodyalive]

Fascia Dance : Tobias Gremmler

* * * * *

Rolfers make a life study of relating bodies and their fields to the earth and its gravity field, and we so organize the body that the gravity field can reinforce the body's energy field. This is our primary concept. Ida P. Rolf, Ph.D.

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Eva Norlyk Smith: When you say the body is more like a plant, what do you mean?

Tom Myers: Like a plant, the body is grown from a seed. The body is grown from a single fertilized ovum. Somebody didn’t take a nervous system and put it together with the vascular system and put it together with the muscles, and so on, to come up with the body. The muscles and the vascular system and the nervous system all grew together from one single cell. So everything has a common origin and everything grew up together. It never grew up separately.Our books have to separate things out so that we can study and understand them. But we’ve forgotten that separating things out was just something that we did for academic convenience. But this approach doesn’t actually represent the truth of the body.

Eva Norlyk Smith: If I understand you correctly, the myofascial meridians, laid out in Anatomy Trains, are also the patterns through which musculo-skeletal strain is communicated?

Tom Myers: Yes. Whatever happens — in the feet, or anywhere in the body — also happens in the neck and the shoulders. And it also goes the other way. What happens in the neck can have ramifications down to the feet as well. Fascial restrictions can cause pain patterns that are quite far removed from the site of the initial fascial compensation.

Eva Norlyk Smith: You have referred to this approach as a “third kind of medicine” or spatial medicine. What do you mean by that?

Tom Myers: Spatial medicine deals with identifying and treating fascial compensations to help realign the body closer to its ideal. Bodyworkers, such as Rolfers, do this through the manipulation of fascia. You do it through yoga as well. Yoga works directly with the plasticity of fascia. One of the great things about yoga is that it works both with the strength and flexibility of the muscles to get things balanced on the muscular side. But it also elongates the fascial fabric. When you are doing Uttanasana, standing forward bend, for example, the whole back line of your body, not just the muscles, is being tugged into a stretch.Spatial medicine is a term for any technique that focuses on altering both the structure and functioning of the body by releasing holding patterns in the soft tissues. Anything that impacts the alignment of all the body’s structures in a holistic way to create space and more mobility is really practicing spatial medicine. [From Seed to Plant: Yoga and the New Anatomy of Interconnectedness Eva Norlyk Smith, Ph.D. Mg. Editor, YogaUOnline.com]

[lesleyapowell]

Wow!  Balanced Body Advanced Movement Principles

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[stefanduell]

FASCIAL ARTICULATIONS ⠀ [FASCIAL ANATOMY - OSTEOPATHIC APPROACH] ⠀ The concept of a joint in the body is commonly understood as a junction of two bones such as the elbow. ⠀ However, another definition of a joint is “the linear or angular displacement between two separate biological elements”. ⠀ In essence, a joint can be comprised of any biological tissues that needs to move, pivot or slide/glide around one another. This concept is applied to many soft tissue and fascial links in the body. A junction of two fascial planes in the body typically requires a sliding interface where each layer moves opposite of the other. ⠀ This is referred to as a “fascial articulation” and they are numerous in the human body. This can be between specific fascial layers such as the thoracic diaphragm and the endothoracic fascia or simply between a muscle and it’s superficial fascial layer. An example of motion is ankle plantarflexion, which require bony translation of the talus-tibia but also sliding of the extensor tendons under the retinaculum, effectively creating a fascial articulation. ⠀ These joints need to be evaluated and treated for mobility and function just like bony joints as the two types of joints work in unison to create global body movements. ⠀ In the 2nd diagram, the red arrows represent high value fascial articulations or links. ⠀ Each joint is a connection of separate tissues that requires hydration, elasticity and space to function optimally. Very often, due to trauma, inflammation or inappropriate loading, these tissues become adhered to one another and lose their capacity to slide. This is a “fascial joint dysfunction” and needs to be identified and treated. ⠀ Once fascial dynamics are restored, it is interesting to observe that bony joint restrictions will often improve or resolve. ⠀ Credit @AnatomyLinks & S. Paoletti for the illustration and concept. ⠀ #anatomy #fascia #doctor #biomechanics #muscle #biotensegrity #chiropractic #osteopathy #rolfing #physiotherapy #yoga #acupuncture #medicine #manualtherapy #massage #pilates #anatomia #dr #orthopedics #yogainspiration #yogalove #joint #functionaltraining #student #bodywork #medstudent #fitness #rolfing #gym https://www.instagram.com/p/CdTgjr-gsUd/?igshid=NGJjMDIxMWI=

[deltawave]

#tensegrity #biotensegrity #biotensegridade #bodytensegrity #bodytuning #bodybalance #bodymobility #bodyflexibility #bodyalignment #tension #tensionrelief #tensionrelease #stress #stressrelief #stressrelieve #myofascial #fasciaalignment #posture #posturecorrection #posturecorrector #posturesupport #postureexercises #bodyposture Many aspects of our life, such as stress, emotions, long term wrong postures or repetitive painful movement may cause distortions that are not being restored. All these elements provoque tension, blockages, chronic pain and fatigue. When one body part becomes tenser than the others, it distort the entire body shape into a form that is not functional. One very interesting quality of fascia is its ability to distort and return to its original form. In our anatomy, form follows function and function influences the form. Through specific movement protocols and techniques such as mindful stretching and bodytuning techniques, we can affect the distortion and restore the functional form. It's important to see the body as a whole tensegrity shape and understand how to alter the distortions, increases elastic recoil and use the nervous system for dynamic responses. Fascia Stretching and mindful bodytuning can increase your ability to actualize your movement potential, become pain-free and be mobile into the later stages of life. My work as a Fascia Coach, is to detect anomalies in the body, design the appropriate movement that will restore mobility and flexibility to finally bring the proper alignment students and practitioners are looking for. I welcome private individuals and practitioners for one on one sessions, as well as for groups and professionals. For online sessions or group classes mail me at: deltawaveyoga@gmail.com Alex Mero - Fascia Coach Meditation Movement Body-Mind Relaxation https://www.instagram.com/p/CSbysbvjioe/?utm_medium=tumblr

[the-hexagonal-conundrum]

Tensegrity

The term tensegrity is a contraction of the words ‘tension’ and ‘integrity’ and was coined by the architect Buckminster Fuller (Fuller, 1975, 700.011) but it was his student, the sculptor Kenneth Snelson (Heartney, 2009, p. 20), who created the structure that inspired the concept. A tensegrity structure is recognised by its distinct set of compression elements (struts) that appear to float within a network of tensioned cables. Snelson’s original sculpture showed two X-shaped wooden struts that don’t touch each other at any point, with one suspended in the air and held in place by taut nylon cables. He explained it in this way: “The sculpture could be put into… outer space and it would [still] maintain its form. Its forces are internally locked. These mechanical forces, compression and tension or push and pull are invisible – just pure energy – in the same way that magnetic or electric fields are invisible” (Heartney, 2009, p. 20).

Due to these ‘invisible forces’ the whole concept of tensegrity can seem rather esoteric; it appears to defy reason and is sometimes difficult to grasp. Tensegrity structures function the same in any position, irrespective of the direction of gravity, and the methods used to construct them are different from those used in traditional building. They are strong, light in weight and resilient yet can change shape with the minimum of effort and return automatically to the same position of stable equilibrium. They are also materially and energetically very efficient and have nonlinear visco-elastic type properties (Juan & Tur, 2008; Skelton & de Oliveira, 2009). In fact, they are quite similar to biological structures (Gordon, 1978, p. 156).

Graham SCARR, Biotensegrity, 2014 (ch. 1, introduction).

[3dbiotensegrity]

Model-making with #GrahamScarr 😁 #icosahedron #singlestring #biotensegrity (at McLean, Virginia)

[jcusnetworksba1002july2019]

Mapping the visceral

How are you experiencing yourself right now? 

If you were to map out the different parts of yourself, what would you find, or not find? And when I say yourself, I’m referring to your body. You see, I love bodies. The way we move, breathe and interact through our flesh and bones is one the many curiosities and fascinations of mine. A question I used to have was of the structure and function of the body, and the relationship between the two. I have come to realize they are like two sides of the same coin. One derives its meaning from the other. Now you may be thinking, we’re suppose to be writing a blog about maps, what do our bodies have to do with maps? 

Well, I’m glad you asked.

You see, we learnt in an insightful class with Dr Danny that there are many projections of the world, as 2D maps that have been drawn to serve particular purposes. You have the Mercator projection which purpose was navigational in nature and thus preserves directional integrity but loses out in terms of size and scale of the continents. Thus the Gall-Peters projection was introduced to rectify this by rescaling the continents to be some what more accurate. You also have the Winkel Tripel projection which was brought into mainstream usage by National Geographic in 1998. And now with the advent of satelites orbiting the globe we have google maps to give us highly accurate depictions of the earth in real time.

Now to bring this back to the idea of bodies. When was the first time you saw a map of your body, or an anatomy chart. Probably in primary school or later on in high school biology.

The first dissections and maps being created of the body can be traced back all the way to the 3rd century B.C. Then in the 15th and 16th century you have Leonardo Da Vinci who drew up the Vitruvian man, which was actually purposed for art and symmetry rather than scientific accuracy. That’s where modern anatomy study comes in with cadaver studies and the ability to use MRI’s, producing highly accurate maps of the inner workings of our body. Not an easy feat. One of the latest maps or projections of human anatomy is called Anatomy trains which has been deeply research by a man named Thomas Myers. His research and mapping is inspired and modelled after Buckminster Fullers idea of biotensegrity, which is essentially the joining of three words to form a new idea, Biological Tensional Integrity. Thus, what was birthed was a new projection or paradigm in which to map that body that honours the connected nature of the whole system. It’s like going from seeing the world through the projection of Galls peters to google maps. 

All these projections are like perspectives, albeit each one is not entirely true or a fully accurate representation, yet, is valid to the one who created it and those who accept it. The beauty then, is in opening up our minds to all the ways to see something that we share in common as humans, be it the earth or with our bodies.

References

Swanson, R. (2013). Biotensegrity: A Unifying Theory of Biological Architecture With Applications to Osteopathic Practice, Education, and Research—A Review and Analysis. The Journal Of The American Osteopathic Association, 113(1), 34. doi: 10.7556/jaoa.2013.113.1.34

http://www.johnsharkeyevents.com/blog/2015/3/11/biotensegrity-anatomy-for-the-21st-century

[afkebooks]

Scars, Adhesions, and the Biotensegral Body (Original PDF from Publisher) #MassageTherapy #OrthopaedicsTrauma #OtherPublisher #PhysicalTherapy

[iriscomplimentarymedicine]

Iris publishers-Online Journal of Complementary & Alternative Medicine (OJCAM)

The Myofascial System and Mind-Body Connections for Improving Health

Authored by Shawn M Drake*

Myofascial System

Throughout the years, scientists dissected the human body to obtain knowledge of the body’s structure and functions. During dissection, fascia is cast aside in receptacles and rarely studied. Fascia is the connective tissue that forms a web-like structure that covers, and connects every aspect of the body including bones, organs, muscles, nerves and blood vessels [1]. Although this structure is found vastly throughout the entire body, all of the functions of this tissue are still being studied. The myofascial system acts as an “exoskeleton” for the body and its inherent architecture is described by principles of biotensegrity. Tensegrity principles describe architectural structures that have continuous tension with discontinuous compression providing stability and flexibility of structures. Within the human body, concepts of biotensegrity link organizational structures at the molecular, cellular, tissue, organ and organ system levels [2]. Biotensegrity refines the explanation of the body’s ability to adapt to change and the mechanics of movement by providing mobility, stability and function [3]. At the cellular level, microfilaments serve as the tension components (straightening) and microtubules function as compression (bending) components [4]. In addition, compression of the extracellular matrix transmits mechanical forces directly to the cell and nucleus through the architectural model. At the tissue level, integrins, extracellular matrix and the cytoskeleton, mediate mechanical signal transduction (mechano transduction) throughout the body [5].

Furthermore, the fascial system or “exoskeleton” provides compression-resistant or tension-generating components [2,6]. Fascia is composed of collagen fibers and ground substance, rich in proteoglycans, especially hyaluronic acid (HA). The HA acts as a lubricant so that fascia glides easily over muscle epimysium and acts as a shock absorber [7]. Fascia constantly transmits and receives mechano-metabolic information that can influence the shape and function of the entire body [3]. Following an injury or lack of exercise, the fascial system weakens, and HA becomes adhesive causing fascial restrictions. The fascial restrictions lead to changes in biotensegrity causing poor body alignment, decreased muscular strength and coordination. The compressive forces or lines of tension within the joint can lead to pain due to free nerve endings [7].

Mind-Body

Langevin HM [8] hypothesizes that unspecialized “loose” connective tissue, or fascia, functions as a body-wide signaling network. If the fascial network provides a communication system, could emotions use this same system to communicate? Pert [9] believed that the body is the unconscious mind and traumatic events are stored within the body. Emotions and bodily sensations are intricately intertwined through a bidirectional network. Memories are not only stored in the brain, but within the psychosomatic network of cells within the body. Pert [9], states, “The idea that the mind and body could be treated as a whole, that the emotions could be accessed through the body, not just the mind, for healing, and that the result could improve the health of the organism appealed to our deepest instincts.”

Additionally, the belief that tissues could possess the ability to store information or “memories” is still controversial in manual medicine. However, Tozzi P [10], explores the idea that every time a cell changes its shape, a vibratory message signals through the extracellular matrix forming a “body consciousness” connecting the nervous system. Furthermore, memories related to disease, physical or emotional trauma cause distorted vibrations, thereby altering the consciousness of memories stored in soft tissue [10].

Moreover, the idea of mind-body is not a new idea. Emerging disciplines such as psychoneuroimmunology (PNI) focus on the interactions between the endocrine, immune, and nervous systems and allow for a broader scope of how the mind and body interact [11]. Biopsychosocial factors, such as psychological stress, influence the immune system. Chronic stress leads to immune suppression, which is mediated by endocrine factors [12]. The connection of mind-body is even more apparent when studying Adverse Childhood Experiences (ACE). Research indicates that individuals with ACE’s have significantly poorer health outcomes, health risk behaviors and socioeconomic challenges [13]. Complementary and alternative medicine begins to bridge this gap in healthcare.

Myofascial Release

Uniquely, myofascial release (MFR) is a type of manual therapy that requires a low load, long-duration stretch to restore optimal length, decrease pain and improve function. The low load and long duration hold used in MFR allows for plasticity versus elasticity changes in the tissue. Myofascial release restores hydration of the tissue and physical changes to the body’s structure so that improved movement patterns can be appreciated. Changes to the biotensegrity of the body allow for decompression of structures in the body leading to reductions in pain. Structural changes that occur from MFR may provide an avenue for releasing such memories by unloading tissues that decrease neural input and the mechanical load of fascial structures [14]. Manual therapy may affect the changes in the viscosity of HA causing a reset of “dysfunctional memories” that were stored in the fascia [10]. Within the biotensegrity matrix system, the body’s information is communicated through a harmonic wave motion through vibrational chemo mechanical energy [15].

In a case report published by Goyal M, et al. [16], the use of MFR and myofascial unwinding improved depression and quality of life in a 39-year-old homemaker. Myofascial unwinding is a somatoemotional release technique that stimulates the parasympathetic nervous system that leads to the release of tissue emotions (Henley, et al, 2008). The authors contribute the improved quality of life and depression scores in the patient due to release of ascial restrictions at the physical and the emotional levels. Hence, MFR provides a conduit to the mind-body connection at the unconscious level in addition to structural changes to improve biotensegrity.

Recommendations

Undoubtedly, the mind-body relationship is a powerful connection. Traditional therapy typically works in silos for the treatment of either physical or emotional but not both. Western medicine often treats one system or aspect at a time. Myofascial treatment has the possibility to the change physical properties of the body (biotensegrity) and facilitate emotional release for a more holistic approach. Working interprofessionally should be encouraged to treat the biopsychosocial factors associated with improved quality of life.

To read more about this article: https://irispublishers.com/ojcam/fulltext/the-myofascial-system-and-mind-body-connections-for-improving-health.ID.000627.php

Indexing List of Iris Publishers: https://medium.com/@irispublishers/what-is-the-indexing-list-of-iris-publishers-4ace353e4eee

Iris publishers google scholar citations:

https://scholar.google.co.in/scholar?hl=en&as_sdt=0%2C5&q=irispublishers&btnG=

[lesleyapowell]

Balanced Body Movement Principles

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[stefanduell]

POSTERIOR PELVIS LINKS ⠀ [FASCIAL ANATOMY & OSTEOPATHIC LINKS] ⠀ The posterior pelvis is a unique area in that it shows the direct relationships between ligaments and muscles in function. ⠀ Fascia connects everything in the body. Specifically, the collagen tubules that make up one structure are often the same tubules that make up another. ⠀ Even though man has given names to "separate" or organize ligaments from muscles, they are virtually the same continuous tissues on a micro level. ⠀ In the first picture, the relationships are indicated by numbers (blue colored): 1 Biceps Femoris links to the 2 Sacrotuberous Ligament (Pic 1/2/3/4) 3 Gluteus Maximus links to the 1 Inferior Dorsal Sacral Ligaments - Bichat‘s ligament (Pic 1/3/4/5) 5 Latissimus Dorsi links to the 6 Superior Dorsal Sacral Ligaments - Iliotransversosacral (Pic 1/4/6) 7 Quadratus Lumborum links to the 8 Iliolumbar Ligaments (Pic 1/7/8) 9 Sacrospinous Ligament links to the 10 Piriformis (Pic 9/10) ⠀ The sharing of fiber directions is what establishes these "fiber pairs". These relationships are responsible for creating tensional stability in the pelvis and sacrum and for linking limbs to the trunk. ⠀ The black arrows in Pic 1 represent the lines of force that are created and balanced by the tissues. ⠀ It's all connected! 🌐 ⠀ Picture credit: @AnatomyLinks ⠀ #anatomy #anatomie #fascia #yoga #pilates #doc #biotensegrity #biomechanics #functionalanatomy #pelvis #glutes #ligaments #chiropractic #doctor #physicaltherapy #physiotherapy #osteopathy #osteopatia #acupuncture #dryneedling #medicine #orthopedics #rolfing #anatomytrains #sacroiliac #joints #muscles #bodywork #medstudent #doctor https://www.instagram.com/p/Cjj5rZjtwIm/?igshid=NGJjMDIxMWI=

[joyinpractice]

Balance

Originally published July 5, 2016

[V. Wong hand drawn spine from cervical spine to coccyx with text balance mirrored on both sides. Image is overlaid on pink watercolor background.]

In human anatomy, you learn that the body is made up of stacking, hanging, and tensegrity systems that work together to allow for dynamic, fluid, and strong movements. My favorite system to learn was always biotensegrity because 1) fascia is amazing and so important, 2) the systems are not segregated by bone/joints/muscles/nerves/etc but analyzed altogether, and 3) it's all about balance!

I'm so happy that I gave myself a summer to relax, de-stress, and mentally/physically get ready for PA school. I locked down an apartment 6 blocks away from school with a student from Columbia's Mailman MPH program. The walk to school will be a pretty hefty hill so that'll be my exercise each morning :)

When I read great PA/Physician blogs, especially Memo Sanchez's old blog, folks who stay physically active seem to do better in terms of handling their stress and balancing the different aspects of their life. My plan is to alternate between rock climbing (Brooklyn Boulders or The Cliffs), swimming (NYC Parks and Rec's Gertrude Ederle Recreation Center), volleyball (Urban League), and hiking to keep my energy up once school starts.

Balance:

Exercise

Cooking & Laundry & Self-Care

Didactic Learning

Clinical Skills

Ethics

Family (I'm from Brooklyn, and will be going to school in the city)

Friends

Nature

Self Reflection

Not going to lie, my politics and movement work is going to be on the way back burner for a bit. What will that mean in the long run? Not sure. In the short run, it means I act on things I can impact and I have to let most things go.

Right now, I'm reading Dr. Matt McCarthy's "The Real Doctor Will See You Shortly: A Physician's First Year," which is about McCarthy's first year as a practicing MD (clearly). I also read Paul Kalanithi's "When Breath Becomes Air" a few months back, and that was a truly wonderfully told story. Some excerpts that stood out to me:

"I woke up the next morning... and immediately my anxiety came flooding back. How was I going to face the day? I had no emotional frame of reference for something like this. Something so grave, so awful. [...] I imagined for a moment having to tell people that I'd been a doctor for two days but then I accidentally killed someone. The thought made me almost throw up again" (McCarthy, 50).

"In anatomy lab, we objectified the dead, literally reducing them to organs, tissues, nerves, and muscles. On that first day, you simply could not deny the humanity of the corpse. But by the time you'd skinned the limbs, cut through inconvenient muscles, pulled out the lungs, cut open the heart, and removed a lobe of the liver, it was hard to recognize this pile of tissue as human. Anatomy lab, in the end, becomes less a violation of the sacred and more something that interferes with happy hour, and that realization discomfits. [...] All of medicine, not just cadaver dissection, trespasses into sacred spheres. Doctors invade the body in every way imaginable. They see people at their most vulnerable, their most sacred, their most private" (Kalanithi, 49).

I have my hospital orientation (program affiliated) in 2 weeks :0 Kalanithi's and McCarthy's narratives help ground me in the realities of medicine. The real life bullshit and deep shit that happens in each 12/24/30+ hour shift. How to balance home and personal life with the daily/weekly grind of healthcare.

[karenkirkness]

It was a beautiful weekend 🌀culminating under the Snelson. #needletower @biotensegrity #mindblown (at Smithsonian's National Museum of Natural History)

[superstarcommunicator]

Resilience and coping in challenging times

We are dealing with incredible changes in our lives due to the lockdown. As a result of requests, I am delivering a hugely popular webinar I have been delivering to corporate clients as a podcast. Normally I have a lot of interaction; chat and polls.

This is our new norm and our lives will never be the same. Although we can bounce back (resilience) in fact we'll never go back to the way we were before but we'll bounce back beyond where we were psychologically before; we'll be stronger; having coped with so many challenges, and this is called biotensegrity.

In this podcast I share ways we can cope; look after our own wellbeing and in particular manage the overwhelm we have at times.

Check out this episode!

[yahooalltypesports]

腰痛、膝蓋痛≠要開刀？什麼是「增生療法」？

◎什麼是增生療法？內容物是什麼？

增生療法的英文Prolotherapy，由美國醫師GeorgeS.Hackett發成較完整的系統，取名來自拉丁文proli-，「生長」的意思。簡單來說，增生療法是利用打「增生劑」（proliferant）到肌腱、韌帶等軟組織，以促進其修復的一種注射技術。所謂「增生劑」，是指配合增生療法能夠幫助人體自我修復的物質。 其內容物在美國增生療法六七十年的歷史，用過的可不少，隨著科技的推陳出新也一直在進化。一般可粗略分成「滲透壓衝擊物」、「刺激物」、「化學趨化劑」、「細胞製劑」四大類：

增生療法常用的「增生劑」可分成四大類。

這些內容物有時單獨使用，有時合併使用，例如早期Cyriax學派常合併使用酚、葡萄糖、甘油，稱之為P2G的「Ongley試劑」；另外還有魚肝油酸（sodiummorrhuate）提煉自鱈魚肝，sarapin提煉自食肉植物，據說可以趨化免疫反應，吸引身體的生長因子前來，刺激修復。在美國，仍有部分醫師在使用。

增生療法的內容物來來去去，最廣為人知的就是葡萄糖（dextrose），也被美國Hackett-HemwallFoundation(HHF)的前主席JefferyPatterson醫師稱之為「增生療法中永遠的贏家」，原因很簡單：容易取得、安全、有效！

「高濃度葡萄糖」對人體細胞是一種刺激，能將細胞內容物「炸出來」，並引發局部的發炎反應，刺激修復。（可參考本人授權翻譯的影片：https://youtu.be/n0xXFYCCytA）

就像作戰時發出「召集令」，昭告天下這裡有問題，號招附近的部隊前來作戰。雖然它聽起好像再普通不過的東西，但也因為它「普通」（葡萄糖本來就是身體常見成分），溫和且容易被人體吸收，因而最被廣泛使用。

◎PRP也是一種增生療法！但謹記「診斷的重要性遠大於溶液」！

自體富血小板血漿（platelet-richplasma,以下簡稱PRP）隨著NBA、高爾夫球等各領域運動好手的使用，一時聲名大噪，尤其像退化性關節炎、肩膀旋轉袖肌腱損傷、網球肘、足底筋膜炎，目前已有相關醫學研究。

PRP內含大量生長因子，就像直接派遣自己的「空降部隊」前來修復。然而，為什麼說PRP也是一種增生療法呢？原因很簡單，因為它們的原理、機轉一樣！儘管美國骨內科學會（AAOM）將PRP等生物製劑獨立出來，並將葡萄糖增生療法、PRP、臭氧增生療法等，統稱為「再生注射治療」（RegenerativeInjectionTherapy,RIT），但依照原始定義，PRP沒什麼道理不是增生療法。

葡萄糖是打在受傷的肌腱、韌帶上，造成刺激與發炎反應，「間接」產生生長因子，使人體組織自我修復。PRP是「直接」將生長因子打在受傷的地方，如同一開始所說，它只是其中一種「增生劑」，增生療法的一種選擇罷了。

所以用增生療法醫師的思維邏輯分析，不管是葡萄糖或PRP，我們都必須做詳細的病史與理學檢查，甚至超音波檢查，找���受傷的肌腱韌帶等組織，再施打葡萄糖或PRP。

例如下圖是一位年輕病人膝關節的內側半月板，可以看到其半月板有破裂、骨皮質不平整，利用超音波導引，將葡萄糖或PRP打到內側半月板內。

超音波導引注射，將PRP注射到內側半月板內。（完整影片請參考：https://youtu.be/vbwFiTdNIYc）

◎增生療法是針對「結構性穩定」的絕佳治療！

身體追求穩定。一旦不穩定，身體會出現許多代償，例如肌肉緊繃、關節腫脹或關節內積水、骨刺生成，所以許多人有骨刺，卻沒有症狀，等到哪天身體撐不住了，才引發疼痛。

關節不穩定導致肌肉緊繃、關節腫脹、骨刺生成。

例如常見的膝蓋退化性關節炎，常有骨刺、關節腔變小、腫脹，都是關節不穩定的表現。膝蓋���圍的韌帶（關節最重要的穩定者）受傷，導致關節不穩定，使得身體用上述幾種方式代償。

不怕打針的人有福了！為了達成「生物張力整合結構」的穩定性，傳統的增生療法醫師像「焊工」，必須多點注射。

所以要怎麼解決不穩定導致代償呢？根本之道，就是恢復關節穩定性。提到穩定性，就不得不提到「生物張力整合結構」（biotensegrity）的概念。 提出「生物張力整合結構」理論的大師Dr.StephenLevine在2014年獲得美國骨內科學會AAOM的終身成就獎，筆者也參與這位有卓越貢獻醫師的授獎盛會。他指出「骨頭是浮在軟組織中的」的概念，有別於以往認為骨骼是身體結構的主宰。也就是人體是由軟組織撐起的。

下肢和膝關節的「生物張力整合結構」，骨頭是火柴棒，周遭的「纜繩」（肌腱、韌帶）若有足夠張力，就能「穩定」主體，移動時也不鬆散。增生療法的目的就是強化這些肌腱、韌帶，達到動態的「機械性穩定」，關節穩定了，上述情形就獲得改善。

因為考慮整體的「生物張力整合結構」，必須多點注射，也就是這些穩定骨頭的「纜繩」都要強化，缺一不可。所以Dr.RossHauser才說增生療法醫師像「焊工」，必須修復每條「纜繩」把骨頭穩穩地抓牢，維持穩定性。 Dr.Rabago是另一位將增生療法一舉推上第一級醫學實證的大師，他當初膝退化性關節炎成效極佳的研究，也是利用多點注射，才3～5次的療程，便讓增生療法的療效維持一年以上。

講個實際的例子吧！

不穩定���致失能，失能導致疼痛的例子隨處可見。除了膝蓋、脊椎，還有手腕的「遠端橈尺關節」常常有人會有「喀喀」的聲音，尤其有跌倒手撐地受傷（FOOSH損傷）、三角纖維軟骨（TFCC）損傷的患者，固定遠端橈尺關節的韌帶受損，導致關節不穩定，喀喀作響，久而久之，附近的神經容易受到壓迫、發炎，使得腕關節疼痛、退化。

增生療法利用高濃度葡萄糖，在超音波導引下，注射到「遠端橈尺關節」內，在上述案例中，注射時關節內還「冒泡泡」，表示內部損傷嚴重。增生療法刺激人體自我修復，強化肌腱韌帶，改善關節穩定度，從根本改善關節疼痛。

本文選自原水文化《 腰痛、膝蓋痛≠要開刀？PRP增生療法醫師教你重啟超人的修復力 》一書。 

◎書籍資訊：https://lihi1.com/nHqYZ

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Elizabeth Larkam – Wunda Chair Sequences (40 mins) – Level 2/3

Description You will integrate mobility, stability, strength, and balance in this Wunda Chair workout with Elizabeth Larkam. She focuses on refining movement relationships of the foot, ankle, knee, hip, pelvis, spine, thorax, and shoulder girdle. You will experience aspects of biotensegrity, the interplay of tension (outwardly directed forces), and compression (inwardly directed forces). What You’ll […]

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from Information Overload News http://www.informationoverload.news/elizabeth-larkam-wunda-chair-sequences-40-mins-level-23/