Visceral Manipulation in Osteopathy

226 Pages·2010·29.27 MB·English

by  Eric Hebgen

� VisceMraanli pulation
inO steopathy
•
�
Wll (jjj)
Complementary
Medicine
EricH eUb.g en
Forewobryd
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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.
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�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
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IV
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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.
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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
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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.
Thibso oki,n cludailnplga rttsh ereiosfl ,e galplroyt ecbtY,ec do py­
Covedre sigTnh:i emPeu blishGirnogu p righAtn.y u see,x ploitaotric oonm,m ercializoauttisoitndh ee n ar­
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v
For�wotrotd h eE ngliEsdhi tion
When asketdo c onsidwerri tian fgo rewotrodV isceraslp ecificalluyp 1 s8ea rdvdeist ioonragla nisnh isw on­
ManipuliantO isotne opbayt EhryiHc e bgenD,O ,I was derfuulnlcyo mplicsattye.ldH e iss implcel arpirtoy­
conflicbtuetid n trig.uL eedavitnhge n extd ayt ol ecture videism menscel inipcraalc tic.a lity
inA ustraIlh iaad,h opedt oe mptym y plateoffuw lr iting
prjoectosn t hel onfgl igyhettt, r eatmeonfvt i scedryasl­ Iw ouldl ikteo c losteh ifso rewobrydo bservitnhgai tn
functiwoansn eadre atro m y hear(tn pou ni ntend).eI dn 1990w henw e wrotoeu rf irtsetx Ot,s teopCaotnhsiicd er­
thee ndt,h et itolfeC hapt3e prr oveidm possitbolr ee ssit. atioinnSs y steDmyiscf uncwte cioounln,do th avei mag­
Io fferteoed x aminteh et exatn dh appisloy. ineidt ism pa.cI tnl atetre xtasn de ditiownes c,o ntinued
Thec leaurn,c luttedrieadg raamnsd d ynamipci cturetso b uiludp ont hea cknowledwgoerdk o fo urr espected
ofo steopatmhainci pulative te(cOhMnTi)iq mumee di­teachearnsd m entor(se speciKaolrlryD, e nslowK,i m­
ately imprmees.sC eodu plewdi tht hep ublishsepra'­s berlFyry,m anna,n dZ inkj)u,s ats t heyb uilutp ont he
cioulsa youVti, sceMraanli puliantO isotne opwaatsh yw orko fS utherlaCnhda,p manB,u rnsa nd othres.A s
remarkaebalsyt yo r eaadn d" dige(sptu"n i ntenfdoera d futurtee xtssy nthesiimzper ovecdo,o rdinaotsetde o­
cookinagn alyo!g)T.h ea uthoirsa n effectcihveefw ho pathaipcp roacphreosm otihnega ltahn dv iscehroamle o­
hasc arefublallya ncperde ciaspep etizaenrdcs h osejnu st stastihse,y w ilble neffirto ma ccestsot hitse xt-k1n ow
ther ighatr:1 ounitn e achen treteon ourish-nboutto ver­ours ubsequeednitt iwoinl.sl
stu-fcfl inic.i ans Becauosfei tcsl eaerx planations,g rqaupahliaicntsdy
• AppetizeIrnhs i:sf irfsotu crh aptetrhsea, u thopra res intetnotc onvesyo meo ft hec ontributoifto hneas u thor's
downa ndd econstructsk eseyov setreaolp athic colleagaunedts e acheIrr se,c ommenydo um aket hitse xt
approachterse;a tmernetfsl ecbtoitnEhgu ropeaannd parotf y ourl ibr.aW rhyiliet b enefiftrso ma numbero f
Americfalna v.oF rosrc omplerteec ipaensdt heir practiOcMaTl " recipiensc ,a"r ifnogr p atienItt rsu syto u
rationtahlere e,a desrh oulrde alrleyt utront heo rigi­wilfli ntdh aVt iscMearnailp ulianOt sitoeno pwaitlbhle y
nalt extbsu;tf oarn o vervioerwa q uictkr idpo wn moret haanm erec ookbook.
"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. Fuwretf hienradms omrael,l achievbeydt hed iaphraignmt hec onteoxftr espiration,
amounto f fluiidn thes eroucsa vitibeest weetnh e meanintgh atth ep atienbto'dsyi st husc arryionugtt he
orgnas.T heo rgandso n otm ovea gainesatc ho thehra p­ real "wiotrske"l f.
hazardbluyta res ubjetcoct e rtalianw st:h eayr ef astened Int hec irculamtoovreym entasc corditnoWg i lliaAm.
toe acho thearn dt ot hel ocomotsoyrs tebmy t hem esen­KucherDaO,, a ndM ichaell.K ucherDaO,, t heo steopath
terieosm,e ntao,r l igame.n Tthsisl imitthse irra ngoef doesn ota ima tc ontacwti tht hea ffectoerdg anb,u t
motoin.W e alsfoi ntdh ifse atuirnte h ej oinotfst hel oco­rather analyzes which arteriense,r vevse,i ns, vegetative
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