Folie 1 - American Academy of Osteopathy

Roger Seider, MD, D.O.The Rule of the Arteryis SupremeConvocation of the AAO 2012Louisville/Kentucky

A.T.Still: AutobiographyChapter XIVDAOM e.V.Deutsche Akademie fürosteopathische Medizin e.V.The rule of the artery must be absolute, universal,and unobstructed, or disease will be theresult.So if the supply channels of the body beobstructed, and the life-giving currents do notreach their destination full freighted, thendisease sets in. … Under like circumstancesan Osteopath would remove the obstructionby application of the unerring laws of hisscience, and ability for doing the necessarywork would follow.From: SobottaCD-ROM,ElsevierPublishers(modified)

A.T.Still: Philosphy of OsteopathyChapter IXI understand anatomy and physiology after fifty years casual and close attention, thelast twenty years being very continued and close attention to what has been said, byall the best writers whom I have perused, many of whom are considered standardguides for the student and practitioner to be governed by. I have dissected andwitnessed the very best anatomists that the world affords dissect. I have followedthe knife after arteries through the whole distribution of blood of arterial systems, tothe great and small vessels, until the lenses of the most powerful microscopesseemed to exhaust their ability to perceive the termination of the artery…

The Arteries: Anatomy

The Arteries: Anatomyfrom: Benninghoff/Goerttler:The great central arteries contain a high density ofelastic fibers (elastic type vessels)Lehrbuch der Anatomiedes Menschen, Urban &SchwarzenbergThe arteries of the periphery are less distensible, but areincreasingly able to change their diameter (musculartype vessels). They regulate the resistance in the arterialsystem.The vessels in between have both abilities.

The Aorta: Histologyfrom: Benninghoff/Goerttler:Lehrbuch der Anatomiedes Menschen, Urban &SchwarzenbergWindkesselfunktionContains mainly elastic fibresCan quickly change the diameter

Sympathetic Control of the ArteriesGuyenet Nature Reviews Neuroscience 7, 335–346 (May 2006) | doi:10.1038/nrn1902

Mechanical Problems of the arteriesProblems of the fascial structures of the neighborhood or within the walls of the vesselsthemselves, due to formerTrauma• Sharp• BluntThrombosisInflammationRadiation

How to make Diagnosis on the System of theArteries1. Listening Post: Aortic Arch• Just below the sternomanubrial Symphysis• Note that the Aorta runs to the left and posterior!• Is there a pull in a certain direction?To check the listening: Motion testing2. According to the listening get in touch with one of theperipheral Arteries as they express themselves in the pulses• Note: the pulses lead to the arteries, they are not the arteriesby themselves3. The listening post is connected with the peripheral artery bya system of myofascial structures: the arteriesFrom: Sobotta, CD-ROM,Elsevier Publishers

How to make Diagnosis on the System of theArteriesHow is it possible to palpate structures like the aortic arch in the depth of the thoraciccage in an exact and reproducible way

Newton‘s 3rd LawThe mutual forces of action and reactionbetweentwo bodies are equal, opposite andcollinear.

Newton‘s 3rd LawThe sensation „as if“

The periphere pulsesPlease note:A peripheral pulse leads to an artery, but is not the artery itself. One must have a clearsensation of being in touch with a pulsating myofascial structure to be able todiagnose and/or treat a vessel

Testing of the Vertebral Artery1. Create a slight tension in the Arteries that lead to thebrain by compressiong the Aortic arch in a caudaddirection2. With the other hand sidebend the Cervical Spinesegment by segment3. If this is not possible, it means that theVertebral Artery does not slide in thevertebral foramen in this segment4. Changing the tension of the arterialsystem one can also palpate theintracranial run of the vesselsthrough the OcciputEinfügen: Foto

Mechanical Arterial Connection Groin - BrainFrom: Sobotta CD-ROM,Elsevier Publishers*External iliac arteryInferior epigastric arterySuperior epigastric arteryInternal thoracic arteryVertebral arteryNote:The Internal thoracic arterypasses between the ribs andthe Internal thoracic muscle *Compressions of the Artery avery frequent in this place dueto thoracic injuy or chestinfections.

DAOM e.V.Deutsche Akademie fürosteopathische Medizin e.V.Ligamentum arteriosum is a shortcurtbetween the Pulmonary Trunc and theAortic Arch.After birth it degenerates and becomesa ligament.Not too rarely tension can be found herewhich can alter the function of the Aortaas well as the Pulmonary trunc.

Treatment of the ArteriesThe treatment of an artery will address it as a myofascial structure, so that the inherentpotential energy can be released and the structure can free itself.

Aims of the treatment of the arteriesTo optimize the ability of the arteries to slide in their surrounding tissuesRelaxation of the wall of the arteries with an improved ability to do their workTo improve circulation in the structures which are dependent on the function of thearteriesA relaxation of the Autonomic Nervous SystemIn total: treating the whole body via an approach to the arteries

Contraindications to a treatment of the arteriesAcute thrombosisVessels to malignant tumoursAneurysmsAcute infections

The Rule of the ArteryMaxwell Fraval, LL.B., D.O., M.O.Sc.(Paed)Anu Norrie D.O. Grad Dip (Osteo Paeds)

OutlookDAOM e.V.Deutsche Akademie fürosteopathische Medizin e.V.Once established in the dailydiagnostic routine the awareness ofthe role of the arteries can open newhorizons in osteopathic medicine

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