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Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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The technique of somatoemtional recall and release (also knownas "unwinding") begins quite simply and the patient takes over veryquickly. You must stay with it until the release occurs. This maytake five minutes or it may take an hour. If your schedule istight and you believe your patient may benefit from this technique,reschedule an appointment for when you have adequate time.With the patient seated, we usually begin with one hand on theparietal region of the head and the other on the upper thoracicregion posteriorly.A slight, inferiorly-directed compressive force is exertedupon the parietals so that the cervical and upper thoracic vertebraare gently compressed caudally. When the effect of the pressureon top of the head is felt <strong>by</strong> your other hand in the upper thoracicregion, maintain that amount of pressure and allow the patient'sbody to do whatever it seems to want to do. The only limit whichyou place on the body is to prevent it from retracing its steps .That is, once it has made a particular movement it may do anythingit wants except to go back the way it has come. If it tries, yougently resist. The body may assume various positions of flexion,extension, sidebending, rotation or an;y combination of thesepositions. It is very important that the patient be relaxedthroughout the procedure. If not, it is extremely difficult tofollow the body's inherent direction as the willed motion orresistance of the muscles will interfere. To attain this state ofrelaxation, not only must the patient be in an appropriate frameof mind, but the body must be properly supported so that no fearof falling is generated. Sometimes more than one therapist isnecessary to properly support the body. The releases will bemultiple, and can be monitored on the parietals. As you reach aposition in which an injury occurred, the parietal bone movementwill reduce. As the body works the injury pattern loose, theparietals will move into a free and easy motion pattern. If anemotional component is involved with the somatic problems it willappear before the parietal release is perceived. Try to followwherever the patient's body leads you.As releases occur, new balance points will present themselves.Each release seems to facilitate the next; things move more andmore rapidly. Be alert. Do not inhibit your patient <strong>by</strong> draggingon their body movements. The only exception to this rule is whenthe body gets into a rut of continually repeating a pattern ofmovement, usually circular. This repetition may continue for aninterminably long time. A very slight, nonspecific drag placed onthe motion <strong>by</strong> the therapist will reveal an exit point where themotion will take a new direction. From this point, the motion isfollowed again without external drag. This is a dynamic process,and the movement to movement events and changes are unpredictable.What is predictable is the benefit your patient will experience.When the treatment session is over the patient will relaxsignificantly. No further autonomous body movements will occurwhen you attempt to resume the session. But if an arm goes up intothe air during the session, gently grasp it and follow.Significant restriction may be localized in the extremities, as thefirst example below demonstrates.Another method we frequently use is to gently touch theanterior ilia of the standing patient and compress slightlymedially until the patient's own body movements begin. Then followthrough, release after release. The process can also be startedwith the patient lying supine. In this case, the ankles are

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