THE BASIS OF CHIROPRACTIC MANIPULATIVE REFLEX TECHNIQUE (CMRT)

Ano: 2013 | Volume: 4 | Número: 2

Autores: Dr Joseph F Unger Jr DC, FICS ©SORSI, Inc.

Palavras-chave: skeletal muscles, spine, sacor occipital technique.

Resumo Inglês:

Skeletal muscles all receive innervations from multiple nerve roots of the spine. This is clearly an adaptive advantage. There are, however, notable exceptions. The muscles of the intervertebral motor units are all derived from a single nerve root. This is due to the embryological derivation of these muscles. During our early development in the embryo, a single vertebra, its intervertebral musculature and an organ all originate from the same scleroderm. As a result, they all share common neurology throughout life. Stimulation at any point in any of the related organs and tissues can potentially affect all other related organs and tissues. Furthermore, these various nerve tracts are capable of becoming reflexively habituated. This kind of deep-seated viscerosomatic and somatovisceral reflex arcing can become a serious detriment to human health.
The body is designed to be a self-sustaining and self-correcting mechanism. In chiropractic this mechanism is theorized to be dependent upon the proper flow of innate energy through the nerves. At the vertebral level the mechanism is dependent upon the body's ability to coordinate function of each segment of the spine. In this way, proper alignment and nerve function is maintained throughout a variety of positions and postures as well as loads produced by lifting and straining. This mechanism is under the direct control of the brain and central nervous system. The brain and central nervous system in turn are absolutely dependent upon cerebrospinal fluid flow and pressures to insure normal function. The CSF mechanism is intimately influenced by the cranial and spinal dural functions and can become dysfunctional if the Dura is stressed.
The mobility and coordinated function of a vertebral motor unit is ultimately under the control of the central nervous system and its influence upon the intervertebral muscles; namely, the interspinalis, rotatores and intertransversari muscles. These muscles are ultimately responsible for the core stability of each vertebral segment. They adapt to stresses, strains and changes in loading and postures. They also maintain the position of the vertebra protecting the nerve root and its vital functions. Proper central nervous system controls over these important muscles prevent chiropractic subluxations. When proper structure and function is intact, they also provide a mechanism for the body to correct itself of vertebral dysfunctions. This is because the human system, if given the proper functions and circumstances as provided by the central nervous system when it is free of dural irritations, is self-healing. It is equally important to note that these muscles share neurology with organ function. Therefore, if a viscous is producing inordinate amounts of neurological reflex back to the central nervous system, it will compete for the same neurology that is responsible for the function of these important muscles. Under those circumstances the muscle action may be inadequate for proper coordination of mechanical function. The segment loses stability and becomes hyper mobile, risking overextension of its physiological limits resulting in potential injury. The vertebral segment can then become subluxated in motion as well as function.
This subluxation in turn results in a loss of vital neurological function to the organ. The organ in turn may become sick and unable to heal optimally. This hyper mobility is responsible for an increase in neurological activity to the central nervous system, alerting the brain to this dysfunction. In response, a neuromuscular lockdown or splinting of the muscles of the motor unit occurs. Now this segment is not only positionally subluxated, but the central nervous system controls have been compromised. Ultimately this whole reflex mechanism becomes neurologically habituated and cannot reset itself. Furthermore, each of these muscles has direct reflex to the occipital fiber system as described by Dr. De Jarnette. The specific occipital line fibers are as follows:
The occipital fiber Line 1 results from irritation of the interspinalis muscle. This is neurologically produced by a stasis of cerebrospinal fluid flow and stasis at the related vertebral segment. In other words, if the cranial sacral pump mechanism for that specific vertebra is compromised, there is a resulting irritation in the interspinalis muscle producing a Line 1 occipital fiber. These are common occurrences and can change from hour to hour depending upon the mental, emotional and physical status of the individual. A Line 1 fiber alone may not require treatment, because it may change of its own accord due to multiple factors.
A Line 2 fiber is a response to irritation of the rotatores muscle resulting from organ irritation. This fiber may also change day to day or hour to hour depending upon the mental, emotional and physical status of the individual. Neutralization only may alleviate symptoms but may not produce long-lasting results. If, however, an active fiber is diagnosed that continues and stays swollen and/or tender, it indicates that a detrimental viscerosomatic and somatovisceral reflex arc has developed that needs more than just the neutralization. It is beyond the body's natural capabilities to fix this kind of subluxation on its own, and indicates the need for the occipital fiber Line 2 procedures including C.M.R.T.
A Line 3 fiber is the result of irritation of the intertransversari muscles. This reflex can become active from two different major causations. One is a traumatically-induced irritation requiring specific intervention and procedures. The other is due to a barrage of neurological reflexing from organ pathology. The latter may require multidisciplinary attention. The occipital fiber evidence of organ pathology is denoted by Line 1 plus Line 2 plus Line 3 fibers. If the tenderness at the pedicle junction/lateral spinous is not controlled by pressures at C-1 and C-2, a double thumb lift and additional help may be needed.
Accurate occipital fiber diagnostics are essential in this technique. Occipital fiber palpation and diagnosis requires diligence, training and constant focus and study. Also the accurate location of the fibers must also be maintained. There are additionally sub occipital fibers used in pain control as well as areas of pain that sometimes develop above the occipital fiber lines. The practitioner must be aware of these other areas to guard against misdiagnosis.

In summation, the need for the occipital fiber neutralization procedure and C.M.R.T. is identified by the line one fiber associated with the corresponding line two findings.

REFERENCES

Visceral Innervation, Compiled by the Research Staff of the Professional Researcher Service, 1946

Chiropractic Manipulative Reflex Technique, Major Bertrand De Jarnette DC, 1966

Sacro Occipital Research Bulletin, December 1957, De Jarnette

Sacro Occipital Notes 1958, De Jarnette

Viscerosomatic Pre-and Postganglionic Technique, Ned Heese DC, private paper

Symptoms of Visceral Disease, Francis Marion Pottenger M.D.

The Neurophysiology of the Seven Occipital Fibers Associated with Viscerae November and December SORSI Dispatcher 1968, Dr. A. F. Dangerfield with the approval of Dr. MB De Jarnette DC

An Atlas of Pain Patterns, Mayo Clinic and Mayo Foundation 1961

C.M.R.T. Chiropractic Manipulative Reflex Technique, Dr. A F Dangerfield, SORSI Dispatcher July 1971

Technic and Practice of Bloodless Surgery, Major Bertrand De Jarnette DC, 1939

The Chiropractic Theories, Robert A Leach, 1994

The Neurodynamics of the Vertebral Subluxation, A E Homewood, 1962

Reflex Pain, Major Bertrand De Jarnette, 1934

Anything Can Cause Anything, William David Harper DC, 1964

Somatovisceral Aspects of Chiropractic: An Evidence-Based Approach, Charles Masarsky and Marion Todres-Masarsky

Line Two Occipital Fiber Technique with Advanced C.M.R.T. Methods, Major Bertrand DeJarnette DC, compiled and edited by Ned Heese DC, 1993

Chiropractic Manipulative Reflex Technique Seminar Notes, SORSI (1970’s)