Neuroscience and manual therapy 2
We have been talking in the first chapter ( https://manualtherapycourses.dk/neuroscience-pain-and-manual-therapy-1 ) about the anterior border of the central sulcus where the primary motor cortex is located, and in the posterior, already in the parietal, is the posterior zone, and here is the somatosensory cortex. It is an area with a miniature graphic representation of our body called Peinfield’s Homunculus.
Working with these areas is interesting for us because we can work with the mobility, function and readaptation to normal life of our clients with a more interesting approach, not just thinking about the tissue, but how to stimulate these motor and sensory areas by working with the nervous system that control these areas, together with the work you already do, the results will be fast more efficient in terms of pain reduction and the improvement of mobility and motor control in general.
These areas are activated respectively when we make or imagine any voluntary or unconscious movement and also when we perceive a stimulus in a specific region of the body. This explains the relevance of some parts for the brain.
Sensory and motor homunculus
It is important to know the value that our brain gives to certain body areas, this will give us clues about the motor and sensory organization:
This is a very important point in BMT, which also takes into account the synergies between muscles, for example, the psoas has a great synergy with the deep cervical flexor muscles, therefore, you can work a psoas with motor problems (pain and inability to hip flexion) from the neck flexor muscles or also from the dorsal flexors of the homolateral foot.
Below the occipital lobe is the cerebellum (subcortical area).
CEREBELLUM AND MOVEMENT
The cerebellum is responsible for fine-tuning the movements of the motor pathway (corticospinal tract, which runs from the motor cortex of the frontal lobe to the spinal cord). It regulates part of the balance and muscle tone.
This course focuses on working respecting the hierarchy of the physiology of your clients. You learn to work on focusing your work on the nervous system such as the Peinfeld homunculus and muscular synergies.
You will learn to treat the articular function not only by improving its anatomical and biomechanical functionality, but also by stimulating the higher centres involving the motor cortex and the somatosensory neurons.