Visceral Manipulation in Osteopathy PDF
Preview Visceral Manipulation in Osteopathy
� VisceMraanli pulation inO steopathy • � Wll (jjj) Complementary Medicine EricH eUb.g en Forewobryd MichaLe.Kl u chera I Thieme Writtbeyno neo ft heb est-knoEwunr opeoasnt eopatVhiss,c eMraanli pulation in Osteopaetxhpyl aihnosw t os uccessfauplplltyyh ef oumro stc ommona pproaches fotrh em anuatlr eatmeonfat b domindails orders. Thefi rsste ctiporno vidaenso vervioefwt heb asipcr incipalnedts e chniqoufe s diagnoasnids treatfmreonmtt h eg reaotfs osteopvaitshcye:mr aanli pulation accordtionB ga rraf!a;s citarle atmeonftt h eo rganasc corditnoFg i neatn dW illiame; circulatteocrhyn iqaucecso rditnoKg u cheraan;d r eflpeoxi nttr eatmeanctc ording toC hapmanO.r ganizbeydt hei ndividouragla ntsh,es econsde ction contains "actipehno"t ogratphhasdt e monstroasttee opattheiscta nsd t reatmetnetc hniques, pluisn -depitnhf ormatoinoa nn atompyh,y siooglya,n dp athology. Features: Over1 60c leamra,r ked-"uapc tipohno"t ograiplhlsu sttrhaedt ieff erent • techniques Additiognraalp hics dtihsemp alcaryo scoapniact omayn dt opograpohf y • theo rgans Practitciapalsn dn oteasr eh ighlighttherdo ughfoourt rapid aancdc ess • quicrke view Organ-toiontthe rrelatiaorneds ehimposn strated • Practitioofno esrtse opapthhyys,i ctahle rapoyrc, h iroprawcitlrilec f etrot his indispseanblcel inigcuaild oen a d ailbya siTsh.e b ook's braenaddc tlhai rtayl so makei ti deaalsa textbofooksr t udenotfvs i scemraanli pulation. EriUc. H ebgenD,O , MRiOsi, n P rivaOtset eopaPtrhayc tiKcoen,i gswinGteerrm,a ny. Ana ward-winniinntge rnatmieodniaclaa nld s cientpiufibcl isThheire,m hea s demonstraittcesod m mitmetnott h eh ighesstta ndaorfqd u aliitnty h es tate-of-the arcto nteanntd p resentaotfai loolnf i tpsr oducTthsi.e met'rsa demabrlku aen d silvceorv ehrasv be ecomsey nonymowuist ehx celleinnpc ueb lishing. ISB9N7 8-3-13-147201-4 1111111111111111 11111111 9 783131 472014 www.thieme.com �Thieme Form y boyjso,s huaan dj oel VisceMraanli pulation inO steopathy EriUc.H ebgeDnO,, M RO PrivaPtrea ctitioner KonigswinGteerrm,a ny 213i llusotnrsa ti Thieme StuttgaNretw Y ork · IV LibroafCr oyn grCeastsa loging-iDna-tPuab lication ImportnaontMtee :d iciinsea n ever-chansgciinegn ucned ergoing isa vailafbrloemt hep ublisher. contindueavle lopmeRnets.e aracnhd c liniecxaple rieanrceec on tinually expoaunrkd nionwgl edgienp, a rticuoluarkr n owledogfe Thibso oki sa na uthorized traonfts hle3a rtdGi eorn maend ition propetrr eatmeanntdd rugt herapIyn.s ofaastr h ibso okm entions publisahneddc opyrigh2t0e0d8b yH ippokraVteersl aSgt,u ttgart.a nyd osagoer applicatrieoand,e rmsa y resta ssuretdh att he Titolfet heG ermaend itiVoins:z eralosteoGprautnhdilea-gen authors, eadnidtp ourbsl,i shhearvsem adee vereyf fotrote nsure undT echniken. thastu chr eferenacreeis n a ccordawnicteht hset aotfke n owledge att htei moefp roducotfti hobeno ok. Neverthetlheisdsso ,e ns oti nvolivmep,l oyr,e xpreasnsy g uaran teeo rr esponsiboinlt ihtepy a rotf t hep ublishienrr ess petcota ny TranslaStaobri:nW ei lmsP,h DT.a osN,M ,U SA dosagien structainodnf so rmosf a pplicatsitoantsei dnt heb ook. Eveursye irsr equesttoee xda micnaer eftuhelm lanyu facturers' IllustrCahtroirs:t ivaonnSe o lodkNoeffc.k argmtGienrdm,a ny leaflaectcso mpanyeiancghd ruga ndt oc hecikf,n ecessainrc yo n sultatwiiotnha physicoiras np ecialwihsett,h etrh ed osagsec hed ulesm entionetdh ereoirn t hec ontraindicsattaitoebndys the manufacturdeirfsff erro mt hes tatemenmtasd ei nt he present bookS.u che xaminatiisop na rticuliamrployr tawnitt hd rugtsh at aree ithrearr eulsye do rh aveb eenn ewlrye leasoendt hem arket. Every dosscahgeed uolree verfyo rmo fa pplicautsieodin s e ntirely att heu sero'wsn r isakn dr esponsibTihleai uttyh.o arnsd p ublishers requeesvte ruys etro r eportott hep ublishaenryds i screpanocri es inaccurancoiteisc eIdfe. r rorinst hiwso rka ref ound apfutbelri catioenr,r awtial ble p osteadt w ww.thieme.ocno tmh ep roduct descripptaigoen. © 2011 GeorTgh iemVee rlag, Someo ft hep roducnta mesp,a tentasn,d r egistedreesdi grnes Rtidigers1t4r,7a 0s4s6eS9 t uttgGaerrtm,a ny ferrteodi nt hibso oka rei nf acrte gistetrreadd emaorrkp sr opriet http://www.thieme.de aryn amese vent hougshp ecirfeifce retnoct eh ifsa citsn ota lways ThiemNee wY ork3,3 3S eventAhv enue, madei nt het extT.h erefotrhee,a ppearanocfae namew ithout NewY orkN,Y 10001U,S A designaatsip orno prieitsan roytt ob ec onstruaesad r epresentation http://www.thieme.com byt hep ublisthhearit ti si nt hep ubldiocm ain. 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"memory-latnheea, u"t hohra ndisluym marizteesr minoloagnyd m anyk eyc onceprtesl atteovd i sceral ProMfi chLa.Ke ulc heDrOaF,,A AO treatm.e nt (AutohfOo srt eopPartihniccii nPp rlaecst ice, • EntreeHsa:v inign troduicnegdr edi(ecnotnsc eapntds OsteopCaotnhsiicd erianSt yisotneDsmy iscf unction, techniquients h)ef irfsotu crh apteErrsi,Hc e bgetnh en andO steopCaotnhsiicd erianHt EiEoNDnTis s orders) VI Forewotrotd h e3 rdG ermaEnd ition Durintgh e1 50y earisnt heh istoorfoy s teopantuhmye,r ofs timulataionndso verstimulatthieoo nsst,e opathic ousa pproachhaevseb e end evepleod. viewo ft hep atieinstg aininnegw s igniafnic.ceI to ffers AndreTwa ylSotri tlhle,f oundoefro steopatwhasyf ,a r ane xtremeilnyt eresting aipnpt rhoeca ocnht,e oxftt he aheaodf h ist imeasn df ormulaat neudm beor ft houghtsv isceirnpa artilcaurT.h ed ecisitoown r itteh ibso okw as thacto ntintuoee njouyn changveadl idfiotrcy o ntempotherefnoortef ar-fetcTohc erde.a at ec omprehenssiuvre rarmye dicianned f oro steopya.tI htw ash isd esirteo veyE,r iUc. Hebgenh asa dopteadn di ntegramtuecdh warna ndp resertvhee m edicinoefh ist imeasg ainsti nformatfiroonm p reviopuusb licatiboyn dsi fferent overrlayd icsaple cializaantdmi eocnh anaitzi.oH nea dvo autho.rT shibso oki sa lsroo oteidnt hev isceirnaslt ruc catead h olisatnidci ndividuapleirzsepde ctiinmv eed i tionbsy D rm edj osPio taznDiOk,,w hoh asc ollaborated cin.e int hed evelopmoefnv ti sceirnaslt rucattit ohneI nstitute Fort hipsu rposhee,e mphasizpelda citnhgep atieantt foArp plied Ostefooparal tohnytg i me. thec enteorft hec onsultna.Ht iisoi deaolfm ediciwnaes Thep resebnoto ks ervenso t onalsay genertarle at tof irdsote verythiinno gn e'pso wert oa ctivtahteea utomento fv iscemraanl ipulatbiuotna ,l saos a guidepost regulatpoorwye rosf t hep atienIttw. a so nlyw hent he andt extbook, detshcreoi rbgiannagsc corditnoog s teo limitosf a utoregulawteiroenr eachetdh ata llopathpya thiccr iteirnit ah eiprh ysiolomgoivce mentd,e fining shoulgde ti nvol.v Heidsf irysatr dstfiocrkt heh ealthym ovement disoarnddpe rress,e ntpiantgh oloegfifce cts. functionoiftn hge h umanb odyw asm ovementi,nt he largessetn soeft hew or.d WernLearn gDeOr , EriUc. H ebgetnh,e a uthoorft hep resebnoto ka,n dh is DirecItnosrt,if toAurpt pel Oisetde opathy teachjeors Pio taznhiakv eg raspetdh em eaninogf t his Bitburg. Germany philoshyo.pE speciailnol uyrm odernw orlwdi thi thso st VII Preface Iti sm y pleasuarnedh onotro o ffeyro ut hibso okw,h ich thatt hev iscermaaln ipulatoifot nh ei nternoarlg ans wasf irpsutb lishienGd e rmaniyn 2 003a sV iszeralocosutlebdeo e stabliassha ep da rotf o steopaitnhE yu rpoe.H e pathie-GruunnddlT aegcehnn inkoew nin,i tsE nglishs ystematainzdes dt ructuerxeids tiinnfgo rmatciaornr,i ed translaatsiV oin sceMraanli puliantO isotne opTahteh yo.u th iosw ns tudiaensd,p ublishaev di scecroanlc etphta t publicatoifo ann osteopatbhoiock i n the" motherh asb ecomet hem ostw idespremaodd eli nE uropean tonguoef"o steopaatshi ytw, e rea,p peaprasr ticusliagrlyo steotpha.yI nt hep resebnoto kI,h avet herefdoerveo ted nifictaonm te .I h opet hayto uw ilfli nsdu ggestiaonnds thel argeasmto unto f spacet o Harralt'hse rapeutic inspiraftoiyro onu dra ilwyo rk. approa.c h Theo steopathic maniopftu hleia nttieornon ragla niss Furthermotrhee,t wo Belgiaons teopaths Georges aso lda so steopaitthsye Alnfd.r ewT. Stilblo'osk ssh ow FineDtO,, a ndC hristWiialnl iamDeO.,a lscoa rrioeudt thahte a lreatdrye attehdei nternoarlgn as.H e describeesx tenssitvued iients h e1 980tso i nvestitghaemt oeb ility manipulattihoanptsr imaraiflfye tchte o rgantsh rougho ft heo rganisnr elattioot nh em ovementosfd iaphrag thec ircurlayst yosteamn da ima ts trengthetnhienigr m atibcr eathiOnng .t heb asiosf t heirre seartchhe,y self-heaploiwnegrW si.l liAa.mK ucherDaO,,a ndM ichaeld evelopae fda scitarle atmeonftt h ei nteronarlg antsh at L.K ucherDaO,,c ompilaendd r efintehde ster eatmeinnt s suredleys ervmeosr ea ttent.iI ontn hibso okI,i ntroduce ano utstancbloionktg h awta sp ublishe1d9 9i4Tn.h itsr aonep arotf t hitsr eatmecnotn ceptth aItc onsidtehre ditionAamle rican treaatpmpernota cihsp arto ft his moste ffec.t ive booka,s i st her efltehxe rapy acctoorF. d Cihnagp man, Form anyp eoplmea,n uatlr eatmeonftts h ei nternal DO,a nA mericoasnt eopawthhoa tt hes tarotft het wen organisn itiaaplpleya srt ranagned,t hemya ya skw hyw e tieth century dtihserc eofvleperoxei dn tnsa meda fters houledv enp usha rounodn t hea bdomeant a l.Tl husw,e hima ndl inketdh emt oc ertaoirng anass,a resuolft shoultda kien tcoo nsideratthiefo anc tth atth ei nternal whichw e knowt hatt reatitnhgep ointism provtehse organasr ea ffixmeedc hanicatloel ayc ho thears w elals healotfht heo rga.n top artosf t hel ocomotsoyrs tem aarneds ujbectto t he Europeapnr actitiaolnsebore sg ant om anualtlrye ats amep hysilcaalwa ss t her esotft heb od.yI fw e therefore thea bdominoarlg anisnt hel atnei neteecnetnht u.Tr hye recogntihzeem a sp arotf t hem echaniocfst heb odya nd Swedisghy mnasMta rtenT hureE milB rand(t1 819-takien taoc coutnhte a natomiccoanln ectiwoen csa,n s ee 1895),e xfaomrp ldee,v elopaed di agnosatnidtc h erapeuhowa disturbainntc hee m ovemenotf a no rgahna sa n ticm ethodf ort reatitnhgeo rganosf t hel esspeerl visa.f feocnto thepra rtosft heb od.yB eairn m indI:a m refer Thusa, r epositiotneicnhgn iqfuoeru teripnreo lapisse rinhge ret oa no steopatdhyiscf unctaisoi nto, c curasl so nameda fter hwihmic,h i ss tiulsle ds uccessftuoldlayy .i nt hel ocomotsoyrs teamn,d n ott oa ni llnoefsas n o rgan, HenrSit apfoenre.o fB randt's studentrse,f ifnuerdet vheentr h ougihn s uchc aseAsn drewT .S tihlilm seelsft ab thesmee tho.d sTheF rencphh ysiciFarna ntGzh �nardl ishetdh ec irculattorreya tmemnett ho.d ThusI. am (1 848-192a0l)s od escribveids cerpaall patioannsd firmlcyo nvinctehda tt heo steopatmhainci pulatoifo n manipulatoifod nisf feroerngta nssy stematidcuarlilnyg t hei nteronragla npsr esenatnse nrichmeonftt h erapeu thitsmi e.I na dditihoeni ,n troduac feidr vsits cecroanl tisck i.l Alnsybodwyh o hasp ersaonlldyi scovetrheedm cept. wilnle vewra ntt om anagwei thotuhte ma ga.i n Int he1 970asn d1 980sF,r encohs teopastuhcsh a s jacquWeesi schenDkO,,i nt urtno ookn t hek nownt reat EriU.cH ebgDeOnM,,R O mentm ethodasn dd eveloptehde mf urthAenrd.,f inally, we haveJ ean-PieBrarrer aD!O,, t ot hankf ort hef act VIII Introduction ExplatihnCeio nngc epts movemendti rectiaonndes x tentwsh,i chl argecloyn cur ofJ ean-BPaireGrrearoler, Fg iense t withB arrarle'ssu .lI tnsa ddititohne,yd evelopae tdr eat mentm ethodt oi nfluednicset urboerdg amno vements anCdh riWsitlilainWa imlela,in adm andw erea lsaob lteo c ontrtohle imre thouds inXg- rays MichKaueclh aenrCdah ,a pman oru ltrasowuanvde .sI nc ontratsoBt a rrawlh,o palpates theo rganasn dm ovest hemd irectinlh yi sm obilizing Thef ollowcihnagp teorfsf ear d escriptoifto hne o steotechniqFuiense,at n dW illiaumtei ltihzeea nteripoarr ie pathimca nipulatoifto hn ei nternoarlg anIsw .i liln trotalp eritoneiunmt heitrh erapByy.m ovintgh ep erito ducey ou to fourt reatmecnotn ceptthsa th aveo ne neum,t heayc hieav meo bilizeifnfge wcitt hopuatl pating featuirnec ommon:a lolf t hemu set hea natomoyf t he theo rgaint slfeT.h eyc altlh eimre thodf ascibaelc ause bodya st hef oundatfioortn h ed evelopmoefne ta chp ar thep eritoneiussm e ean sf ascainad c onnecatlsal b domi ticulcaorn cepItnt. h e follopwairnagg rapIwh so,u ldl ike nalo rganwsi the acho theIrfy. o up uloln o nep arotf t he toe xplatihned ifferebnectewse etnh esceo nce.p ts anteripoerr itonetuhmi,as l shoa sa ne ffeocnta distant Them anipulatoifto hne i nternoarlg anasc corditnog regioen..,g, t hep eritoneoufmt hep ancarse.Y ouc ould Jean-PieBrarrer aDlO,,i st hes tandamredt hoodf v isceraclo mparteh ep eritonceoavlet ro a ballooinfy: o up usho r osteopaitnhE yu rpoe.I nt himse thodB,a rravli ewtsh e puloln o nep arotf t heb allotohni,s sppurlle atdhsr ough organfsr oma mechanical persopregcatnfisov remv: i soutt hee ntire baalnlddo eofno rmist. cerjaoli nwtist ha nothoerrg aonr a parotf t hel ocomotor Ultimatbeoltyht, r eatmecnotn cepstusc ceiendr estor systeem.g,., t hed iaphgrma.S imiltaojr o initnst hel ocoingt hep hysiolomgoibci liotfay n organw,i tht heo nly motors ystetmh,e p artneorfas j oinmto vea gainesatc h differebnecient gh aFti neatn dW illiadmoes oa littlleess otheirn f ixeddi rectiaonndrs a gnesT.o e nsurteh atth is invasi.v Tehley indicatfioornt hism ethodt husa lso movemenits e xecutweidt ha sl ittflrei ctaisop no ssiblee,x tentdoso rgantsh atb,e cauosfea disordsehro,u ld not thep artneorfsa pariejtoailn atr ec haracterbiyza e d bep alpataendd m obilizdeidr ec.tI lnty hibso okI,i ntro smooths urfaacned b yt hes ynoviuwmh,i chp roducesd ucew hatI b elietvoeb et hem oste ffecttievceh nique smalalm ountosfj oinftl uiLdi.k ewitsheeo, r ganhsa vea fromt het reatmecnotn cepatcc orditnoFg i neatn dW il smootshu rfaacset heierx ternsaulr faicsse e aloefdb fy a liamnea,m eleyx piratdoyrsyf unctIic oonn.s idietpr a tric layeorf s eroussk inT.h isl ayeirs t hep eritonetuhme, ularsluyc cessbfeucla usteh em obilizeifnfge icsth erein pleuroart, h e endocardium. 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