BENEFIT OF MANUAL THERAPIES IN PREGNANCY

BENEFIT OF MANUAL THERAPIES IN PREGNANCY

The process that constitutes pregnancy in women is a unique and singular event where each one of them experiences an integral metamorphosis of the organism as well as of the spirit. From the period that includes the second month of gestation, structural changes such as the progressive increase in the abdomen are announced, accompanied by a distention of the abdominal muscles, increased lumbar lordosis, giving beginning to the manifestations of pain in this area, these alterations Musculoskeletal order will be very varied, the change in body geometry will cause the muscles to greatly alter the disposition prior to the state, in addition other factors may be involved in these ailments.
Lack of muscle tone.
Postural dysfunctions, scoliotic attitudes.
Pelvic Dysfunctions, A P, P A.
The soft tissues, ligaments become more flexible to allow the separation of the pelvic bones at the time of delivery, this area is the one that best represents the role of the ligaments as a factor of intrinsic stability. All these musculoskeletal alterations will cause an overload on the last lumbar discs, which are pinched at the back, increasing their support on the posterior joints.

The importance of the sacrum.
I remember

This odd, median bone made up of five modified vertebrae that come together at the age of 25. The area corresponding to the first two vertebrae is where the Spinal Dura mater is inserted, which joins at the age of 7 to 8 years as the components of the occipital bones. The spinal dura is responsible for the Cranio Sacra relationship, due to the reciprocal tension between the two ends of this membrane. The sacrum is held between the two iliac crests by powerful ligaments, the sacrum does not act as a wedge that fits between the iliac bones since its cross section shows that it is wider in front than behind. Therefore, if the sacrum were a wedge fitted under pressure, it would be wider behind than in front and we would be talking about a rigid system, the mechanical needs of this area require that they have a certain elasticity to absorb the impacts of the supporting gait. monopodal, in addition to modifying their diameters during pregnancy and childbirth. 
The pelvic girdle is a medium, three-dimensional structure with a shape that resembles a cube at 45 degrees, forward accommodating upward and downward lines of forces from the lower extremities in centrals. The end of the curves in the spine makes the pelvic spine

´´THE SACRO´´ CONDITIONS THE TILT OF THE PELVIS, BETWEEN MORE LUMBAR LORDOSIS EXISTS, MORE HORIZONTAL THE SACRO IS PLACED AND WITH IT, THE PELVIS.

Sacral axes
The sacrum has six physiological axes

A transverse axis or primary respiratory axis of Sutherland, S 1 Y S 2.
Upper transverse axis.
A transverse axis or flexion-extension axis, sacrum mechanics, S2, median transverse axis.
A transverse axis intended for iliac movements, inferior transverse axis
Two oblique axes, responsible for the mechanical torsion of the sacrum.
A vertical axis responsible for the FLR-type lumbar group injury and the rotating sacral subluxation

UPPER TRANSVERSE AXES.

It is the primary respiratory axis of Sutherland, it is located at the level of the articular process of S1 S2 the movements are
Sacral-Sphenobasilar respiratory flexion.
Sacral Respiratory Extension - Sphenobasilar.

MIDDLE TRANSVERSE AXES.

This axis of rotation of the sacrum in relation to the iliac is at the level of S2, the movements are
1 Anterior sacrum.
2 Posterior sacrum.
3 Sacred Depression.

LOWER TRANSVERSE AXIS.

It is the axis of rotation of the iliacs in relation to the sacrum, it is located at the level of the lower end of the sacral auricular facet the movements are
Anterior Iliac Rotation
Posterior Iliac Rotation

OBLIQUE AXES OF TORQUE

LEFT OBLIQUE AXES OR BACK OR BACK RIGHTS

It is located at the level of the upper end of the sacral auricular facet on one side and the movements are lower on the other.
Right-right torsion
Right-left twist
Left-left twist.
Left-right twist.

VERTICAL AXIS

This axis does not intervene in the physiological movements of the sacrum with the iliacs these movements are
Pelvic pseudo rotation or FLR group lumbar injury.
Sub. Special sacral luxation in rotation

DESCRIPTION OF THE PRIMARY RESPIRATORY MOVEMENT.

The cranio sacra flexion causes the body to dilate, there is a neutral resting phase, then the cranio-sacral extension movement occurs.
MRP bending is characterized by
An anteroposterior contraction and a lateral expansion of the brain mass.
CSF secretion.
An increase in the cerebral ventricles, a decrease in the tentorium cerebellum and the other two diaphragms "respiratory diaphragm and perineum."
MRP bending is Characterized
A synchronous movement of the flexion of the occiput and the sacrum between the iliacs.
The center of the skull ´´s sphenobasilar synchondrosis´´ rises, the dome dilates and performs an external rotation
The cranio-sacral extension is characterized
An anteroposterior dilation and a lateral contraction of the brain.
A reabsorption of CSF.
The tentorium rises.
The base of the skull goes down again, the dome of the skull relaxes and performs and produces an internal rotation.
There is a synchronous movement of extension of the occiput and the sacrum.

ILIO SACRAS DYSFUNCTIONS.

These dysfunctions correspond to the physiological movements of the iliac in relation to the sacrum. Within this dysfunction we can find a stretch of the sacroiliac ligaments and the neuromuscular spindles of the muscles of the region, which produces an afferent message that reaches the spinal cord. The nerve facilitation will cause a muscle spasm that will anchor this dysfunction, this dysfunction will depend on the hypertonic muscles and the directions of the trauma forces.

Lesions are induced by the lower limbs

´´The flexion of the hips will cause a posterior rotation.

The extension of the hips will produce an anterior rotation of the ilium.
According to Downing there are five types of iliosacral dysfunction
Iliaco Anterior
Posterior Iliacus
Iliaco in Eversion
Iliaco in Investment
Iliaco Ascended
We can also mention external-internal rotation injuries

ILIACO PREVIOUS

This dysfunction occurs on the third transverse axis, the iliac is fixed in anterior rotation by the spasms of the homo lateral muscles.
Lumbar sacrum, adductor rectus medialis ´´
Internal rectum.
Sartorio, Iliaco
This anterior iliac dysfunction will clinically produce
One long ipsilateral leg.
An internal rotation of the ilio femoral joint due to the adductors and the low position of the cup.
Lower anterior superior iliac spine ASIS.
Postero-superior iliac spine ISPS high and anterior, separated from the midline on the side of the lesion.
The lower iliac crest.
Downward displacement of the pubic branch.
Relatively anterior sacral base on the same side.
Rotation of L5 on the opposite side to the sacral iliac injury due to tensioning of the inferior and lateral iliolumbar ligament.

The anterior rotation of the iliac will cause muscular tensions that can be generating pain at a distance.
Tension in the internal inferior part of the inguinal crease due to the tension of the iliopectineal ligament.
Muscle tension in the gluteus maximus and buttock pain.
Tension in the hamstrings, discomfort on the side of the knee that can affect the ankle.
Tension on the quadratus lumbar that affects the twelfth rib and the diaphragm.

POSTERIOR ILIACO

This injury occurs on the third transverse axis, the iliac is vertical raised and is fixed in the posterior rotation by muscle spasms.
Rectus abdominis
Femoral biceps
Gluteus maximus
Psoas minor.
This posterior rotation produces clinically.
A short ipsilateral leg.
An external rotation of the iliofemoral joint ´´spasm of the piriformis and quadratus cruris high position of the cup.
Upper and posterior ipsilateral ASD
Low and posterior ESIA.
Homo lateral iliac crest higher, front iliac appears larger.
Highest pubic branch.
Relatively posterior sacral base on the ipsilateral side.
L5 ipsilateral rotation due to iliolumbar ligamentous tension.
Posterior rotation of the iliac will produce pain at distances in
Discomfort in the internal knee due to the musculature of the sartorius and on the adductors.
Discomfort in the twelfth rib and spasm of the diaphragm due to the quadratus lumbar.

There is a series of guidelines that can be reviewed from the point of view of exercises, postural correction such as; neuromusculoskeletal reeducation method, search for neuromusculoskeletal1 see in www.youtube.com
massage and other actions that we can take to improve the well-being of the future breast, as an example in France after the breast gives birth, they should go to the Chirotherapist To correct the structures thus a greater problem is stopped such as that the breast is prone to lumbago, sciatica and others since social security considers it as services so osteopathy as well as other techniques can perform a wonderful task.

Autor Jaime Valenzuela C.
Quiromasajista y Osteopata.