CONTRIBUTIONS TO THE RECOVERY OF A HERNIATED

DISC CASE TRUE PHYSICAL THERAPY AND

YUMEIHO TECHNIQUE

Loredana Topolnitchi

Studiu de caz Studiu de caz

Patient P. Sorina , in September 2008 , age 26 years , H 1,72cm , 69 kg , Diagnosis: - scoliosis (curve to the right) - Herniated disc L5 -S1 ,

2008 The first flare in November

2007- Pain at bending trunk -Pain in the line : right lumbar - Buttock - posterior thigh -Fear when walking, moving -Work : office

2009-2010. -Tonus increased without pain- Perform exercises with medium difficulty and load

Regular assessments..

YUMEIHO applied prophylactic

Ventral PositionIliac crests line – Left is above with 1.5 cm Heels line – Left is shorter with 1.7 cm => Left hip dislocation

Medicamentary

Physiotherapy 2008 and 2009

Physical Therapy 2008 - 2011

Yumeiho 2009 - present

Therapeutic protocol applied

Physical Therapy Program - Targets

Maintaining muscle strength and “locking” of the lumbar spine

Awareness of a correct posture, and a correct application of the exercises learned (at home).

General relaxation and decrease root irritation (analgesics positions )

Relaxing the contracted muscles and stretching lower trunk muscles

Getting a more “flexible” lumbar spine while toning the inferior trunk muscles

Tehnica YumeihoTehnica YumeihoMetodă de ajustare posturalăMetodă de ajustare posturală

Definition - manual therapeutic procedures , with the purpose to rehabilitatebalance, symmetry and functionality of the human body

Theory and practice of Yumeiho are based on the study of the interdependence relationship between the dominance of the center of gravity of the body and the unhealthy, pathological potential of it

Studies made with specialized equipment measuring the left-right subluxation have shown that only 1% of cases are in optimal balance, while the rest the center of gravity projection being asymmetric .

Asymmetries of muscle tone Prolonged vicious positions, Falls , Slips , Trauma

Consequences => subluxation ofs acroiliac joint or hip dislocation , is also called " scoliotic pelvis ", " slipped ilium " ( sus upslip ) , " misalignments syndrome " (malalygment syndrome ) .

Cause to the imbalance of weight center

Untreated in time, the dislocated sacroiliac joint “crashes” resulting in apparent shortening of the leg on the same side

Human support = bipod To provide simultaneously support on both legs the pelvis rotates.

Biomechanical disorders that occur in the musculoskeletal system

Legs On the side with the Subluxation of the sacroiliac joint - This Appears shortened and externally rotated . On the opposite side - In severe cases is associated with Genu valgum , tension Soleus muscle at the insertion of Achilles tendon insertion and Talus Valgum

The risk of occurrence of global joints degeneration.

The risk of occurrence of a herniated disc. Muscle pain . Long term illness internal organs.

Vertebral SpineSacrum is also twisted => twisting lumbar vertebral spine => scoliotic attitude => Scoliosis

Study resultsStudy results

L5 -S1 degenerative changes with reduced height and T2 hypotension signal to show dehydration of nucleus pulposus

Moderate sized posterior disc protrusion and middle - right paramedian hernia

Hernia also marks the dural part and right L5 root

The spinal cord in the scanned segment is shows normal thickness and MRI signal

Clamped and degenerated L5 disc, minimum median under the ligaments L5 disc herniation without radicular involvement associated

Analyzed segment of the spinal canal in normal sizes.

MRI MRI 2008 2008 MRIMRI 2011 2011

Study resultsStudy resultsBefore Before AfterAfter

Before After Before After

YUMEIHOYUMEIHO

2007 2011

Prophylaxis of biomechanical disorders of the human body by balancing the coxal bones

Medications, dietary and hygienic physiotherapy - Eliminate pain Physical personalized treatment - Correct posture and its awareness - Increase muscle tone and by default the confidence in her own body, - Reassure patient - Educate the patient for an active life Yumeiho: preventive and curative therapy - Postural adjustment- Awareness of the body scheme- Prevention of different pathologies

Combined therapeutic methods 2008- 2011

CONCLUSIONS

Postponement of surgeryImproving quality of life

Transforming Illness in rod

From Sedentary – to Active

Now - Salsa, swimming, jogging, walking.

The joy of a special stage The joy of a special stage without associated without associated

symptoms herniated discsymptoms herniated disc