How I work
During the examination and therapy I use the knowledge of clinical kinesiology and pathokinesiology of Professor Fr. Good. I improve postural motor skills using Vojta's Principle and Dynamic Neuromuscular Stabilization according to the concept of Professor Peadr. P. Kolář, Ph.D. In practice, this means assessing interaction between the abdominal and back muscles. I evaluate the involvement of the abdominal muscles in the position on all four, from an upright position to the forward bend, and important information for me is the standing on tiptoe. In most cases only the surface abdominal muscles are used and the so-called internal muscles - the deep, stabilizing layer is not involved. The patient cannot stand for a long time and while sitting must often change position. Short-term walking usually brings relief, but longer walking returns the instability that the patient perceives as pain.
The task of my therapy is to achieve a so-called functional unit and ensure movement approaching the ideal postural and locomotor pattern. Example - during therapy the patient asks why I’m squeezing their heel when he/she came with lower back pain? Professionally, we call this type of therapy ‘Chaining of muscle activities and muscle loops. I don't work with just one uscle, which the patient describes as painful, but with whole muscle groups to gain stability while sitting, standing and moving. Examples of muscle loops - a gymnast must involve all muscle groups to stay on the balance beam, a ballerina to keep up on tiptoes.
Communicating instructions to a patient how doing a movement correctly is a complex process. Very often an unpleasant part of the rehabilitation for a patient is learning new movement stereotypes when the body fights itself and does not want to change the old movement. Repetition, patience and cooperation will eventually bring results even if the subconscious mind often chooses the "path of least resistance" at the cost of the returning pain.