Page: 1 2 3 4 5 6 7 8 of Miita Mazzali Fulgenzi certified advanced Rolfer ® Rolf Movement Practitioner The first objective of a Rolfer ® is to res

tore the symmetry, which ultimately means balance. All the work of Rolfing ® is the process of stretching ... that is the only way to straighten a body. E 'in t he light of these statements by Ida Rolf that can give most valuable help to peo ple who have scoliosis. Rolfing ® is perhaps the most incisive and quick call in to serious off-axis structure. The scoliotic curve can settle better and reduced , if not disappear. Scoliosis each has its own history, its shape and its evolut ion can not be exhausted in an article that has been treated in hundreds of book s. Will be given only a few keys, along with maneuvers that, personally, I found effective. We see with scoliosis: 1) What is 2) examine how the structural devi ations, 3) what to do to give more specific symmetry, harmony and fluidity to th e whole structure and put it into better relationship with gravity. Computer image of the back of a child of 9 years, 3 months later, after 3 sessio ns of Rolfing (a month) Page: 1 2 3 4 5 6 7 8

1. Description of spine of some or pine. In the back ore relieved than A.e B.)

scoliosis: Scoliosis is characterized by a misalignment in the all of the vertebrae, creating a moving helical space of the s form a hump or more, in other words, one side of the back is m the other side: clearly making the person bend forward. (Fig.

If there is no hump, there is no true scoliosis, but we are faced with a scoliot ic attitude, much easier to treat. This is a very important parameter, when you encounter a child or a boy if the hump is necessarily followed to the end bone i n body, otherwise the 10 sessions are enough standard. Unlike the curves that fo rm a normal bending of the spine, scoliosis does not straighten spontaneously. a ) On the front you encounter one or more curves, a principal, other compensation . The point is deviated laterally said apex of the curve. b) Each vertebra rotat es on its horizontal plane. All of these rotations, overlap, giving rise to the hump. The hump is formed by the ribs and transverse processes posteriorizzati fo llowing their displacement (Fig. C and D). At the same level, on the other side of the body, the transverse processes are anteriorizzano and there appears to be a hollow, a hollow. c) The sagittal curves show the two sides differ. This means that, in profile, w here the spine has a kyphosis at the same level, on the other side of the body, will attend a lordosis, and vice versa. The severity of scoliosis is measured in degrees. Are usually defined mild scoliosis below 10 degrees, above 50 ° many s chools involved orthopedic surgery. With Rolfing ® can avoid reaching this point . There are scoliosis induced by diseases such as tuberculosis bone or paralysis , or from abnormal bone (one limb shorter un'emi-vertebra more ...). In these ca ses, unless you have a specific background, better ask the advice of a teacher o r a doctor who knows Rolfing ®, to understand whether and to what extent they ca n intervene. Scoliosis true, or "idiopathic" of unknown origin, affecting signif icantly more females, and is evolutionary, that continues until there is bone gr owth. This means that if the scoliosis is manifested very early age (infantile s coliosis) can become very serious if untreated. The period during which tends to deteriorate more quickly is a year before and one after the onset of puberty, t hat is the beginning of menstruation for girls and voice change for boys, but, w hen discovered, should be treated any Once the boy or girl grow in height: there fore, once finished the 10 sessions, ask parents to measure each month the perso n and take it when it grew in height. To understand what is the body at this tim e, imagine that a profound tension (that has developed is not known why) to prev ent my-band to stretch properly and to follow the elongation of bones during gro wth.

With this "pin" that blocks some parts of the body is forced to twist in some ar eas. The tissue retraction combined with rising curve. Page: 1 2 3 4 5 6 7 8 This highlights the first important concept is the curve of scoliosis derotation impossible if not from 'space, if not stret ching bands. It 'a law of physics: When two bodies are compressed rotate between them.€Other parties must compensate for these twists: the head, in fact, that i s oriented in space through the eyes and keeps the body in balance through the m aze in the ears should be straight. The compensation curves are actually this: a n adaptation to keep rights. Although the sagittal girdle partially absorb the i mbalance, this means that there are always fees even in the neck. In scoliosis t he problem of retraction is primarily about the muscles that join the bones cour t, that the vertebrae. If the Kapandji consult and consider the physiology of th e joint movement of the vertebrae, we see that at the lumbar spine is wider move ment of flexion, while the rotation is a greater level ridge: it follows that th e dorsal scoliosis are more dangerous because they are fertile ground to spin ev en more. When a scoliosis is well advanced and is very severe, the vertebrae, wh ere the compression is particularly strong, can take a wedge shape that is not m odifiable. Although this may work to remove many fees and to give more comfort t o the whole body. 2. Consideration of the structure looking at the person standing, an element tha t provides clear indications of the size is the triangle formed by the line side with the arm (Fig. E) scoliosis who has one shorter than the other. On a side n ote is the so-called ax and the side of the concavity of the scoliosis (fig. F). In the side where the hand touches the side, or at least is more deviated, we fi nd a greater retraction of the psoas (Fig. 1). In the basin there are multiple f actors that can be assembled differently and that can be considered one by one: 1) the iliac crests are in anti-version, the other in back-version, create so ma ny different lines of force in legs. You can rest your hands on the iliac crests to see which is higher, and will be one in anteversion (Fig. 2). A lumbar antiversion of the iliac crest is accompanied by lordosis, while the other side wher e the iliac crest is retroversion, find kyphosis. To ascertain more precisely wh at the iliac crest is anti-back-in version and which version can do a test, putting a finger on the anterior superior iliac spine iliac spine and one on low er back, which is starting from the iliac spine and upper back down over a dista nce of three fingers of the person you are evaluating (photo 3). If your finger is in front below the pelvic bone is in anteversion, and vice versa. Page: 1 2 3 4 5 6 7 8 2) The iliac crest will be an in-flare, flar e-out the other. To assess the flare-out / in-flare of the iliac crest can be co nsidered the triangle navel and anterior superior iliac spine: the side with the catheter longer the side of the iliac crest in out-flare. (Photo 1) 3) Can be associated with a rotation in the horizontal plane around the basin. T o evaluate in what sense, the person standing relaxed and accompanied the pelvis rotated to the horizontal plane first right, then left side toward which it is easier the movement is that of rotation. If you can not capture major difference s mean that it is a very important, but if you are treating scoliosis in a devel opmental stage, repeat the test every so often: that at a given moment is not ve ry evident, it can become later. The iliac crest can be rotated individually to each other: to assess this, place the palms of your hands on the buttocks while the customer is up and appear more evident the behavior of each side of a dock ( picture 4). The sacred may seem very difficult to understand why his moves are the three pla nes of space and there is an oblique component. More than in other cases, perhap s because the presence of factor rotation affects the whole column, it follows t he trend of the lumbar, therefore, the frontal plane the base of the sacred will

be tilted in the same sense of injury; the horizontal plane, the sacred will po steriorizzato side in the lumbar kyphosis. Working on these two variables (most obvious) can also affect the third dimension, hence the obliquity. The imbalance of the pelvis affects the legs, which seem a shorter than the other, sometimes even blocking a sacroiliac joint. To exclude that the actual shortening of the l egs have, you can do put the customer back with knees bent, if one of femur is l onger, it is evident (Fig. G). To see if the lower legs are uneven, you put the customer sitting on the edge of the bed with his legs dangling (Fig. H). The back: making the person bend forward,€as mentioned above, are evidenced Gibb . It 'been shown that EMG in the concave side, next to the hump, muscle activity is practically nil. If scoliosis creates more of a curve, to recognize the main curve and the fees you can ask the person sitting to lean sideways. In the conv ex side of where do we get less movement and the side does not close properly is the crux of the problem. The other curves are changed much more easily. Scolios is door to hang around the shoulder girdle on one side. The evaluation can be do ne better by the clavicles, if they are straight, but tilted sideways, tilt scol iosis depends, if only one is inclined clavicle, depends on other factors (raise d to keep the shoulder bag, attitude study, previous trauma etc.) (Photo 1). Page: 1 2 3 4 5 6 7 8 Grid rib open where there is convex, ie wher e there is the hump: the ribs distance themselves from each other, the opposite approach (Fig. J). Shoulder blades. Concave side of the scapula converges inward s: we will find the rhomboids shortened; the other side, where there is a hump, the blade slips out: find the shortest serratus and all the muscles between the scapula and arm (large and small round, subscapularis, etc.) (Fig. J). By placin g the thumbs on the bottom of the blades can properly evaluate the position of t he blades to the body (picture 5). The lumbar vertebrae and follow the movement of type I, when there is lateral be nding each vertebra that has the facet joints free (that does not block joint) m oves forward by turning the process through and down the side where the body bends. As already mentioned, the hump is formed by the ribs and transverse processes of vertebrae rear, on the other hand, the transverse processes are inclined forward and downward near the column and there is a depression. The cervical always have fees. On one hand, between the occipu t and the atlas is more compression. All the skull, of course, adaptive response . Being extremely complex assessment and treatment here, I advise everyone to co mplete their training with specific workshops, as it is very important to have a clear vision on the viscera: any structural shift is reflected, as we all know, the ligaments that support them. 3. A practical Introduction: Every Rolfer ® to basic training received enough in formation to start a job with any type of structure. While entering the details, should not be lost sight of the harmonization of the whole body. Work specifica lly does not mean neglecting the integrity, the fluidity of the whole. It must b e emphasized that, in scoliosis, it is the "core" (core) to have problems: the m ore you work connection with the soil, increasing the support, the greater a dee p sense of balance. This means that it is important to work not only with the cl ient lying down, but sitting or standing. Although sometimes with Rolfing ® redu cing scoliotic rotation is limited, especially in those aged adult, remove the i mbalance as the compensation leads to a much greater comfort. Page: 1 2 3 4 5 6 7 8 What do Note: Below are omitted ALL CLAIMS P RACTICES, RESERVED TO ROLFERS, WHICH THIS ARTICLE AND 'STATE FOR. Only those who are 'GIA' technical mastery CAN 'APPLY WITHOUT ANY DIFFERENT MOVES. INSTEAD LEA VE SOME INDICATIONS ARE ROUGH, MOST 'theory. 1) Legs: I found it very helpful ad vice of Michael Salveson (advanced training in Rome, 1996), dealing with scolios is from legs. This idea guided me when I found myself faced with a severe scolio

sis (45 degrees), very early age (eleven years): the back was still very soft, a nd seemed completely unstable, while the legs were already very stiff muscles an d short . Everything I did to help his legs, was reflected positively on his bac k, creating greater uniformity of tone. Often the legs have a lot of stress beca use they offset the instability of the core. Acting on set of legs is already st arting to change the structure of the basin and through the origin of the psoas, your spine ................ Besides working on the lines of force of their patt erns inside-Jan Sultan and, if you believe, even the outline of work described i n "Remarks ...", you can try what can be considered both a test is option to wor k with the client lying on his side, legs slightly bent (photo 6), while a leg i s stopped, bent to stabilize the lumbar region,€passively stretch the other leg to test which extension is possible, do both forward and backward, then with the other leg. We'll see where the greatest tensions are and how full extension is inhibited. Then you change sides. 2) The side where the size is smaller triangle is the side which bears the weight of the trunk. Be opened and extended to bett er distribute the weight on the pelvis and lower limbs. Giving space to the shor ter side helps reduce the inclination of the shoulder girdle ................ (P hoto 7) 3) Balancing the pelvis requires patience. A) are to be treated the hip rotators , whose influence and establish shortening the asymmetries of the pelvis. B) In the side where the iliac crest is ischiopublic femoral retroversion find the sho rtest, while the other side (anteversion) will be the quadriceps femoris to work harder: treat accordingly. C) To close the iliac crest in out-flare can bend th e leg corresponding to the opposite side, asking you to push your knee against t he resistance of your hand (picture 8), a request was issued, and when you hear the strength of tissue holding the leg in tension for a few seconds, is repeated two times. This maneuver tends to bring the entire iliac crest closing. On the opposite side where the iliac crest is in-flare, the opposite: to open the knee bent outwards (a frog), seek to push against resistance, the more open the leg a nd hold it open live (photo 9 ). To further balance and to ease any tensions in the pubic symphysis can be made to work both legs against resistance, both in cl osing and opening, for a few seconds (picture 10 and 11). Page: 1 2 3 4 5 6 7 8 D) To counter the rotation of the pelvis in the horizontal plane I find useful to work with the customer sitting ........... ... .. (Photo 12). But there's worth remembering that a good job on the viscera also helps reduce any twisting. E) The basin is to bring balance into large liga ments, especially the sacro-tuberous and ilio-sacral ................ 4) The sac red as already mentioned, even if the maneuvers are only two floors, and the thi rd is changed. If you work for anteriorizzare the side of the lumbar kyphosis (i t's always easier anteriorizzare a vertebra, or the side of a vertebra posterior izzata, rather than the reverse) is also balancing the sacred ............ ..... (Photo 13). If a sacroiliac joint is locked (when the customer walks in that yo u see little movement, or strange )................ 5) Chest. It 'important to relax the chest, especially in adults, where the stif fness are more pronounced. ................ (Photo 14). You can work this way on specific areas, sunken. 6) Back: as already mentioned, it is easier to send out the transverse processes that are posteriorizzati (hump), rather than the other ................. In the concave side can be asked to bend sideways ........... ..... (Photo 15). If, at some level, there is a rotation of the trunk in the hor izontal plane ................ This approach is possible in several areas (pelvi s, shoulders, psoas ...): is an input for rapid effect. 7) Scapular: shoulder blade slipped medial (concave side) can be extended outwar d ................ I remember that the upper medial angle of the scapula becomes fixed point in many movements: it often has problems in many people, more so th ose who have deep-seated structural disruption.

Page: 1 2 3 4 5 6 7 8 The blade slipped outside (side of the hump, ie convexity) will be bundled together in tissues outside edge; all need defini tion and fluency of movement .. .............. (Photo 16), ................. (Ph oto 17). Where the blade is moved laterally, the front will also find the humeru s moved forward, and the tissues between it and the clavicle in turn thickened E verything should be helped to save space and definition. 8) To help the rib grid: as described in paragraph 5), the open side (side of th e hump, the convexity) ................. Second ................. (Photo 18). 9) Psoas and viscera, which are the target of the fifth session of the recipe, i n my opinion should be treated first, even if only with some maneuver appropriat e to the work done during the session. Activate the psoas creates connection: in those with scoliosis, I repeat, it is very important. The viscera may be advers ely affected by the displacements in the rest of the body unless they are accomp anied in place more appropriate: the ligaments that support them are under stres s. 10) Cervical. As mentioned earlier, who has scoliosis curve will always find a reward in the neck.€This part is necessarily accompanied by a new organization after the session. The side where the atlanto-occipital articulation tends to h ave little space is an area which, if neglected over the years can cause dizzine ss and pain in general. Be sure to save space and have freedom of movement. 11th ) A.T.M. and skull. Dr. Ida Rolf taught us that the sphenoid is the cornerstone of the human body. A fortiori the sphenoid bone in scoliosis responds to underly ing asymmetries. The matter is very complex, so it is important to attend worksh ops on the skull and work in a specific way. A few words about the temporal musc le: a fan like all muscles (deltoid, gluteus medius and small ...) its fibers ca n act very differently, following the lines of force and motion is completely di fferent. We arrive at the paradox that the anterior fibers can be antagonistic t o the rear (or vice versa), even inhibiting the movement: virtually the muscle h as to work against itself. This happens more easily in those with scoliosis: the two halves of the body are asymmetric and the storm also works asymmetrically o n both sides. Loosen its fibers contracted means nell'ATM loosen tensions, facil itate the movement of the cranial sutures and lead to greater symmetry ......... ........ Bibliography: Dr. Ida Rolf, "Rolfing and Physical Reality", Healing Arts Press, 1990 Dr. Ida Rolf, "Rolfing," Harper & Row, 1978 Marcel Bienfait: "Physiology of manual therapy, Publisher Marrapese, 1990 Marcel Bienfait: Scoliosis and manual therapy, Publisher Marrapese, 1990 Busquet Leopold: "The muscle chains, vol. I, II, III, IV, Marrapese, 1992 I.A. Kapandji, "Physiology articulate, Marrapese, 1983 Jeffrey Maitland:" The Art of Rolfing ® ", distributed in Advanced Training in Rome, 1996 A. Mancini, C. Vlach, "Orthopaedic Clinic, Piccin, 1977 Patrick M ichaud:" The morphological examination in analytical gymnastics, Marrapese, 1989 René Perdriolle: "Scoliosis," Ghedini Editore, 1982 Pirola Vincent: "The physic al therapy in rehabilitation of scoliosis, Sperling & Kupfer, 1993 The designs u sed in this article are taken from the books mentioned above.