Musculoskeletal Disorder by M. Alricsson

By M. Alricsson

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Sample text

The varying contradictive signals through the vestibulo-ocular reflex are the cause of visual disturbances. In addition vision is affected by various systems which all involve the VN complex. This leads to a static orbital muscular contraction in an attempt to secure clear vision which could be the cause of the retro- and periorbital headache. Due to this mismatch in the signals from the VN complex the extremities-, torso- and neck muscles also go into a static contraction. This is to secure the equilibrium.

The movements of the head. The balance dysfunction in a BPPV is dynamic and not a static one. This is probably why their symptoms are ongoing. nucl OS SP LVR MVR COR CC N O I CCR Neck 12 Fig. 1. Simplified survey of the postural control system. Each arrow represents four tracts: excitatory- and inhibitory- on right and left side. nucl: vestibular nuclei complex; VOR: vestibulo-ocular reflex; VT: the vestibulum; III, IV, VI: occulomotor-, trochlear- and abduscens nerves; 4. Benign paroxysmal positional vertigo (BPPV) BPPV is the most frequent cause of vertigo and dizziness.

Muscles affected by MTrP are tight and are resistant to stretching. IC relaxes the muscle, decreases pain and increases propensity to stretch. , 2003). The following sequence is suggested 1. 2. 3. 4. 5. MTrP deactivation Muscle stretching Proprioceptive exercises to improve neuromuscular functions Strengthening exercises Power and endurance 8. Ischaemic compression Immediate strengthening exercises after injury or absence from physical activity when MTrPs are present will tighten the muscle further.

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