Fryette's law

Introduction
• Created by Harrison Fryette.
• Have 3 laws.
• Laws I and 2 - Thoracic, lumbar spine
• Law 3- Entire Spine
 Fryette's first law
• "When the spine is in neutral, sidebending to
one side will be accompanied by horizontal
rotation to the OPPOSITE side."
• Neutral Mechanics.
• Produced convexity.
 Fryette's second law
• "When the spine is in a flexed/extended
position (non-neutral), sidebending to one
side will be accompanied by rotation to the
SAME side."
• Non-Neutral Mechanics.
• The segment rotates into the produced
concavity.
 Fryette's third law
• "When motion is introduced in one plane it
will modify (reduce) motion in the other two
planes."
Articular Neurology
• ARTICULAR neurology is that branch of the
neurological sciences that concerns itself with
the study of the anatomical, physiological, and
clinical features of the nerve supply of the
joint systems in various parts of the body.
 Neuronal Receptors
• Sense organs have 3 major forms
• The ones relevant to articular neurology are
neuronal receptors
• They are sensory neurons whose end is the
sensory terminal
• All cutaneous sensors and proprioceptors are
probably of this type
 Mechanoreceptors
• Receptors are classified in several ways; e.g.
by the specific energy forms to which they are
especially sensitive
• Mechanoreceptors are responsive to
deformation (touch, pressure, sound waves
etc.)
• Mechanoreceptors are responsible for
transmitting information about the joint status
to the central nervous system
 Role of Mechanoreceptors
They protect the joint from injury in 3 ways:
• Avoid movement of the joint in the pathologic
range
• Help balancing the activity between
synergistic and antagonistic muscle forces
• Generate an image of body position and
movement within the central nervous system
 Type I mechanoreceptors
• Ruffini receptor endings
• Thinly myelinated
• Located in superficial layer of joint
capsule.
• Function: informs about static and
dynamic position of the joint,
contributes to the regulation of
postural muscle tone and kinesthetic
sense.
• More active for ends of range
• Pain inhibiting
 Type II mechanoreceptors
• Pacinian corpuscles.
• Location: Sparse, found in deeper
layers of capsules and ligaments.
• Function: informs about
acceleration and deceleration of
joint movement.
• Act at initiation of movement to
overcome inertia.
• Not active in mid range of
movement
•
 Type III mechanoreceptors
• Golgi tendon organ-like endings
• Location: in intrinsic and extrinsic joint
ligaments and superficial layers of the capsule.
• Function: reflex inhibition of muscle tone,
monitors direction of movement
 Type IV mechanoreceptors
• Free, non-capsulated nerve endings
• Unmyelinated or very thinly myelinated
• Seen in hypoxic or ischemic tissue and inflammatory
exudates
• Function: active only when related tissue is subjected
to marked deformation or noxious stimulation
• Pain provoking
• Non adapting
• High threshold
 Located in
• Joint capsules
• Fat
• Blood vessels
• Anterior dura mater
• Ligaments
• Connective tissue
 Not found in
• Hyaline cartilage
• Synovial tissue
• Blood vessels in the brain
 Stimulated by
• Histamine
• Lactic acid
• Substance P
• Bradykinins
• Potassium ions
• Prostaglandin
 Factors causing mechanoreceptor death

• Immobilization
• Trauma
• Age
• Spondylosis
• Infection
 Regeneration
• A degree of regeneration possible
• Lots of repetitions, rhythmic stabilization, and
self-mobilizations will activate
mechanoreceptors without putting undue
stress on the damaged tissue
THANK YOU