Subject(s)
Brain Concussion/physiopathology , Brain Injuries/physiopathology , Brain/blood supply , Cerebral Arteries/physiopathology , Cerebrovascular Disorders/etiology , Muscle, Smooth, Vascular/physiopathology , Spasm/complications , Brain Concussion/complications , Humans , Time Factors , Wounds, Nonpenetrating/physiopathologyABSTRACT
A woman patient suffering from the rigid man syndrome (RMS) is described. Analyzing the clinical characteristics of the case, the anatomophysiological features of segmental innervation and suprasegmental control of the activity of axial muscles of the body, the authors suggest that the phenomenon of axial muscle rigidity is caused by the hyperreactivity of vestibular and reticular neurons stimulating via vestibulo- and reticulospinal fibers the motoneurons of the medial plates of the anterior cornua of the spinal cord (the segmental representation of axial muscles). The pathogenetic similarity of myotonic disorders in axial muscles in patients with the RMS and reflex manifestations of vertebral osteochondrosis is under discussion.
Subject(s)
Lordosis/etiology , Muscle Rigidity/etiology , Posture , Adult , Female , Humans , Lordosis/diagnosis , Lumbar Vertebrae/abnormalities , Lumbar Vertebrae/innervation , Muscle Rigidity/diagnosis , Muscles/innervation , Spinal Cord Diseases/complications , SyndromeABSTRACT
The authors examine the anatomical and biomechanical peculiarities of the upper and lower cervical vertebromotor segments. A differential administration of the manual therapy methods to influence various levels of the cervical spine is substantiated. It has been demonstrated that the mobilization of the atlanto-occipital joints should be carried out by means of flexion and extension movements and lateral inclinations. It is supposed that the atlanto-occipital complex of joints may be affected by means of combination of axial traction and rotation of the cervical spine. The manipulations on the lower cervical vertebromotor segments require a combined application of lateral inclinations and rotation.
Subject(s)
Cervical Vertebrae , Manipulation, Orthopedic , Atlanto-Occipital Joint/physiopathology , Biomechanical Phenomena , Cervical Vertebrae/physiopathology , Humans , Manipulation, Orthopedic/methods , Spinal Diseases/physiopathology , Spinal Diseases/therapyABSTRACT
The article presents quantitative (temporal) and qualitative (phenomenological) characteristics of sensory-painful adaptation in clinically healthy subjects of various age and in patients with neuroses and organic lesions of different levels and of variable genesis. It has been ascertained that investigation of sensory-painful adaptation may be of a certain diagnostic significance.
Subject(s)
Nervous System Diseases/physiopathology , Nervous System/physiopathology , Neurotic Disorders/physiopathology , Pain/physiopathology , Adaptation, Physiological , Adolescent , Adult , Diagnosis, Differential , Discrimination, Psychological/physiology , Humans , Middle Aged , Nervous System Diseases/diagnosis , Neurologic Examination , Skin/innervationABSTRACT
The authors have found that disturbances of general sensitivity are characteristic of not only patients with hysterical neurosis, but also of patients with neurasthenia. The clinical structure and the time course of those disturbances in both groups of the patients were found to be rather close. In general, they differ substantially from the sensitivity disturbances in neuroses described earlier. The leading mechanism of the development of those sensitivity disturbances consists in an impairment of the function of the limbico-reticular complex structures.
