Traditional considerations for the diagnosis of cervical spondylosis: more traditional bony factors, neurological factors, and single muscle factors, can now be reconsidered as.
Overall muscle factors, movement pattern factors, postural habits, psychological factors, and developmental factors
First, the overall view of the muscle
1. Considered on the longitudinal axis – myofascial chain
Posterior surface line – similar to bladder meridian tendons
Note that the suboccipital muscle group is the center of muscle regulation of the whole body.
Loosening other parts of the posterior surface chain such as the plantar can relieve tension in the posterior surface chain.
Anterior surface line – anterior tibialis, long extensor hallucis longus. Quadriceps femoris, rectus abdominis, sternocleidomastoid muscle of the sternocleidomastoid fascia.
Sternocleidomastoid muscle, causing vertigo, migraine, rotation, posterior tilt, low head disorder, rectus abdominis, sternal stalk on, pelvic position, leg tension affects it.
Lateral body line – peroneus longus and shortus, iliotibial fascia, vastus lateralis, gluteus maximus, oblique abdominis, intercostal muscles, cephalic grip, sternocleidomastoid muscle.
anterior deep line – posterior tibialis, long toe bunions longus flexors, adductor muscles
1, pelvic floor muscles, anterior sacral fascia, anterior longitudinal ligament.
2, pelvic floor, iliopsoas muscles.
1, anterior longitudinal ligament, diaphragm, longissimus cervicis, longissimus capitis
2, mediastinum, pericardium, mural pleura, oblique angle muscles, the
3.Intra-thoracic fascia, transverse thoracic muscle, upper and lower hyoid muscle group
This line illustrates the mechanism of Taixi Zhaohai for sore throat
Spiral chain – head pinch neck pinch muscle, rhomboid muscle, subscapularis muscle, anterior serratus, external oblique muscle, internal oblique muscle, iliotibial bundle, broad fascia tensor, anterior tibial muscle, peroneus longus muscle, biceps femoris, sacral nodal ligament, lumbosacral fascia, erector spinae; – triggered by the foot Cervical spine problems – related to the spiral chain
Imagine a skeleton with two front and back, two left and right, and one medial, for a total of five vertical straps, a spiral layer, and arms resting on it. Front, back – evaluate the double body lateral lines, spiral lines; side – evaluate the anterior and posterior lines.
Both the anterior and posterior surface lines rendered the upper cervical spine in a hyperextended position. The anterior deep line then flexes the upper cervical spine to balance them. Restoration of physiological curvature – strengthening of the cephalic longus and cervical longus muscles jaw reduction and strengthening of the core muscles
Arm line – anterior surface arm line: pectoralis major, latissimus dorsi, vastus lateralis, medial interval of upper arm, forearm flexor group
Deep anterior arm line: pectoralis minor, biceps brachii, anterior border of radius olecranon, greater pisiformis
Posterior surface arm line: trapezius, deltoid, lateral interval, forearm extensor group
Posterior deep arm line: scapular extractor, rhomboid, rotator cuff, triceps, ulnar aponeurosis, lesser trochanter
This line indicates the position of the scapula and the pain in the neck
The arm line on the cervical spine
Upper cross: pectoralis major and pectoralis minor are tight – scapularis elevator, upper trapezius are tight; middle and lower trapezius, deep cervical muscle groups are too weak
Cervical crossover – Qi Wei, Changchun University of Traditional Chinese Medicine
2. Consider the deep and superficial fascia on the transverse axis
Adhesions between superficial and deep layers, 1 causing disfluency of movements, overstrain in certain areas; 2 brain’s illusion, strain converted into pain; – grasping, crochet
Release of deep fascia (extra-muscular membrane) (source of abnormal tension) – Thomas maneuver, long circular needles
adhesions of deep and deep myofascia: multidirectional intersection of force lines , CC point center of coordernation
Connection of muscle and periosteum: compression and kneading Li Jianmin or Xuan style compression and kneading, the slower the better, shaking fusion of fascial tissue, silver needles
3, the network to consider the layers of fascia
Where is prone to injury? The place of strain injury. The place of over-activity
Second, the yin and yang in the dynamic
Movement pattern: is not going to exert force, movement control disorder, not in the normal order of force. For example, the deep muscles do not exert force, resulting in overuse of the superficial trapezius muscle.
The need to distinguish not only between a problem with the joint or a problem with the muscle, or a problem with the movement pattern, or a problem with the breathing pattern.
It is not a particular muscle that triggers the pain, but the larger program damage.
Yin and Yang in movement
the static and rigid support of the skeletal system – the dynamic and flexible support of the myofascial system
the tension of the muscles that control posture – the behavior of the muscles that produce movement
the movement of joints – the rigidity of the skeleton
the static non-contractile control of ligaments – the dynamic contractile control of muscular tendons.
movement sensation, balance (fascial network) captured by the kinesthetic system – image feedback captured by the visual system.
mechanoreceptor tactile sensations, pressure, vibration, posture, movement – calibration of muscle tension regulated by the muscle shuttle.
consciousness-controlled voluntary movements and reactions – reflex-controlled automatic movements and reactions.
Examples standing active head down restricted, supine active head down not restricted, poor postural and motor control – training, strengthening of deep muscles, stabilization system
Correct head and scapula position, good – for instability and motor control problems – training (prone, supine, sitting, standing resistance training)
III. Posture and habits.
Forward head movement, atlanto-occipital joint, atlanto-axial joint seizure, hypermobility of the lower cervical spine – exercises: jaw collection, rotation
Stop pain or treat pain?
Stop pain: cc points, superficial fascial release, periosteal compression and kneading, acupuncture
Pain management (cause): posture (skeletal alignment, fascial tension), daily work and life habits, movement patterns – structural analysis, rehabilitation and lifestyle correction
Examples of posture: ultrasonographers and dentists, acupuncturists
IV. Psychology
Anxiety and tension
V. Development
Infants are born with head control, rolling over, crawling, etc. Each step should occur at a certain age, otherwise incomplete movement patterns can be carried into adulthood, resulting in a higher risk of injury.