A guest post by Ronny Liebmann , physiotherapist from Leipzig.
Almost everyone knows the older man who, dressed once a coat and grow a beard. Nicholas of Myra, as he is actually real name. His coat was first held in gold and white, until he later became the more common colors are red and white, changed it because he received money from the Coca-Cola. We visually well remembered as something stout fellow who a heavy bag on a deeply bent round the back through the landscape towed.
I am sure that plague him back pain, even if he only one month a year working and early on had the idea of all the reindeers to "enslave" so they have to carry the gifts of the biggest tracks for him. He is fit to serve at Christmas time, the popular back to school approaching critical.
Mr Nicholas of Myra is so plagued with pain every year in January to the doctor, pointing to his back. This sends him back to a traditional college course. What is being done there now and why it is the opposite of what would actually make sense? Read more equal!
Imagine the once upright, drill with your index fingers at the height of your belly button and right Find this in your abdominal wall. Now you sit in the upper body back and watch your index finger drilled. These should now be pushed out clearly felt out of their holes. You have just made your acquaintance straight abdominal muscle, which prevented them from falling over backwards. If you still have fallen, you either have no straight abdominal muscle or are drunk, repeat the exercise in the latter tomorrow please!
now upright again, stay at the level of the belly button and take your thumb back up on your back, just to the right and left of the spine, you drill a little, and then sit in the upper body forward. In Your thumb should stand out being felt two muscle strands. These have in turn prevents you from falling over forward. This game could now continue and to other areas, which are front or back of the body to apply, such as thighs or calves, all with the same result. All that helps the front of the body is that you can not fall over backwards, everything in the back, that does not fall forward.
hold now once again St. Nicholas of Myra before your eyes! Which of his body or has to do more work so if he constantly bent forward trudges through the forest? Of course his body back, make permanent the more work must and by trying as best it back to move into the solder. Unfortunately, in vain, as reduced over the years he front of the body as it is probable that a return to normality, almost no longer possible. When we simulate but once this attitude pattern of Santa Claus. Bend bravely in the upper body far forward and attack the fabric of your upper abdomen area with both hands and turn it clockwise or counter-clockwise screw up, strong and hold it together all so hard not to let loose. Then try to ease up again! This creates a good idea, you feel the whole as a kind of too short bungee cord to your body front side, which in the majority the population in varying degrees, can be found that way. Your back muscles are working in this position so constantly against a falling forward, because you can not be right to the lot, but always something round or are inclined forward.
So what is the therapeutic implication of this situation? The back of the school is saying it is "the back muscles are too weak to lift us up, so we have this strong." But is this so? Of course not! It would mean that the muscles that anyway the whole day in pain until exhaustion (more) to do work and long hours during the day we are fighting from behind a little pull back to normality, that these disciples of poor fellows additionally whipping and lets, namely in the back (criminal) school in the form of strengthening exercises. It's as if you were going to work 16 hours a day, completely beaten, burned with pain and run through the world and your doctor advises you to remedy the situation that you have to work 20 hours a day in the future but just a little harder and better yet, leave out the pauses.
apply this to your eingeknüllten shell: So now you are here and feel that the material of the upper stretches ever tighter, or even tear threatens the more you try to sit up. According to back school you would have to say as your back muscles strong. Maybe this helps in some cases even for a short time, but never permanent, because the front is still not given and, moreover, the pressure increases dramatically on your spine and discs. If in fact pulled back stronger and stronger, but not yielded to the front, the resulting force goes straight down into the spine and spinal discs. Wear and dehydration discs knock. A further complication is that the courses in addition to strengthening back often anyway, the shortened front of the body through the abdominal muscle training or is trained shorter. That would be more than you would your top together now turn a little tighter. This is almost more illogical than the first step.
So what would you yourself quite intuitive and rightly do now about the situation (your crumpled shell) to improve? Would you stand up with all his strength? Certainly not, would you let go your top forwards. They come back with ease up and your back needs no strengthening, but a sigh of relief. So instead of the rear front longer be strong! This is a bit slower through certain exercises or a little faster through a Faszientherapiesystem.
But why have so many people that swirl around to be forward? A very brief look back in our evolutionary history hints at the causes. We have 99.9 percent the same genes as apes. Chimpanzees know but no back pain. Four million years man has used to learn to walk upright. Within a few years, he currently loses its mobility. We humans are from Homo sapiens to Homo sedans, from the knowledge man stunted man to the seat. The back school will lead us back to safety again. Despite the fact that you can already see the basis of the above simple example, that it can not work, the back school is still a very popular thing.
result was the whole 1969 in Sweden and had then spread explosively in the U.S. and Europe, already almost a compulsory course for newly trained physiotherapists when they start to work. And usually nothing is out of the course fundamentally questioned, although the school itself back on the paper already proven their ineffectiveness. The patients and health insurers seek and need to save money and use their money wisely. Therefore, they have begun to examine certain benefits. So there is a large-scale study on the effectiveness of back schools. For years, back schools were seen as an active remedy. The study has been found that the effect tends to zero. Even after conviction of the German Sports University in Cologne, the school has now finally come back. "Eight million people were indeed covered in back schools - do they have nothing".., Said the Centre for Health of the University, the problem had become even worse, like a European study documents were Accordingly that in the back training exercises shown, conduct prevention certain movements and a widespread conservation of the back as ineffective as massages, deposits and back-friendly office furniture. An ergonomic office chair, for example, adapts by various controls on the back around and not otherwise. A wooden chair, beer or any bank would be suitable in principle better.
cry Why, after all the trials, with all the illogic of this method, then the therapist does not? I think it's screaming so some, but if the mass does not cry, heard by the individual or ridiculed them. Moreover, it seems to many to be difficult to provide a dogmatic doctrine and contrary to pursue other ways if everyone else is doing the opposite. Solidify things, changes are undesirable. Please do not touch anything, everything not be changed. "Yes, where would we be there when everything is in question", I hear it already from all corners. Then I quote times Kurt Marti, who said: ". Where would we be if everyone said only, where would we be, and no one would go to look once, where would we if we would"
From this one can only want something more healthy distrust in teachers, therapists and patients. Also learn away from stereotypical movements, which no man can meet the long term, no more back-friendly movement, but move to learn. Teach thinking, not thought. On that you do not stay seated in the back school!
