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Clinical Applications of AK Neurology

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Functional neurology takes into account inhibition patterns, movement, and chemistry. Functional neurology addresses all five factors of the IVF ' ... – PowerPoint PPT presentation

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Title: Clinical Applications of AK Neurology


1
Clinical Applications of AK Neurology
  • AK neurology is more appropriately referred to as
    functional neurology.
  • Functional neurology takes into account
    inhibition patterns, movement, and chemistry
  • Functional neurology addresses all five factors
    of the IVF

2
With few exceptions, all activity of the CNS,
receiving, processing, and integrating
information, ultimately find expression in
contraction of a muscle Despopoulos, A.,
Silbernage, S., Color Atlas of Physiology, Year
Book Medical Publishers, Georg Theme, Verlag.

3
In AK neurology we typically look at functional
systems vs. single areas of lesion
  • It is likely that isolated areas of neurological
    lesions do not express themselves as muscle
    inhibition patterns. muscle inhibition patterns
  • In AK we tend to look at muscle inhibition
    patterns therefore functional systems

4
There are basically four functional systems
  • Functional systems are based around primitive
    survival mechanisms
  • Survival mechanisms are based around movement
  • Movement to feed, defend, escape, and reproduce

5
The four functional systems include
  • Withdrawal system defense
  • Pyramidal motor system movement to, escape,
    feed, and reproduce
  • Autonomic system provides fuel for movement
  • Limbic system provides motivation to move in
    order to feed and reproduce

6
Functional systems are comprised of several
neurological components including
  • Withdrawal system IML, reticular formation,
    vestibular mechanism, cerebellum, spinal cord
    interneurons etc.
  • Pyramidal system both motor and sensory cortex,
    basal ganglia, and cerebellum
  • Autonomic system hypothalamus, Pituitary,
    brainstem nuclei, IML, cerebellum, etc.
  • Limbic system cortex, hippocampus, amygdala,
    brain stem nuclei, cerebellum etc.

7
All four systems present with distinct inhibition
patterns lending themselves well to AK
applications
  • Withdrawal system unilateral upper body flexor
    inhibition and contralateral lower body flexor
    inhibition
  • Pyramidal pattern finger abductors, wrist
    extensors, shoulder abductors, hip and toe
    flexors
  • Autonomic pattern global flexors or global
    extensor inhibition-depending on sym/parasym

8
Withdrawal system
  • Only slightly influenced by descending
    supraspinal activity
  • Responds to pain, both visceral or somatic, or
    even the threat of pain
  • Patients with this pattern will either have
    significant visceral dysfunction and or localized
    or systemic inflammatory processes

9
The main motor component of the withdrawal system
is the spinal cord interneurons
  • Spinal cord interneurons are sensitive to both
    mechanical and chemical influence
  • Spinal cord interneurons are sensitive to
    hormones, NTs, as well as inflammatory hormones
    and cytokines

10
Because of significant spinal cord interneuron
involvement in withdrawal system dysfunction
there will disruption of primitive reflexes
  • Reciprocal inhibition and facilitation
  • GTO and MSB integration
  • Tonic stretch refles

11
withdrawal pattern is typically corrected by
  • Removing somatic dysfunction
  • Segmental manipulation
  • Correcting dysfunctional reflexes
  • Correcting visceral dysfunction
  • Visceral manipulation
  • Neurolymphatics

12
Example of withdrawal system reflexes and
corrections
  • Reciprocal inhibition and facilitation
  • contraction of upper body flexor should
    facilitate lower body contralateral lower body
    flexor
  • GTO-MSB integration
  • Pinch golgi tendon organ and stretch muscle
    spindle bundle should cause facilitation of
    agonist msucle
  • Tonic stretch reflex
  • Contraction of agonist should inhibit antagonist
    fore one contraction

13
The pyramidal motor system has significant
influences on other systems
  • Movement needs fuel
  • The pyramidal system influences the autonomic
    motor system-IML to deliver fuel
  • Mechanical bombardment of the cerebellum by joint
    mechanoreceptors results in major autonomic drive
    to deliver fuel

14
Some AK techniques for correcting pyramidal
system dysfunction
  • Vestibulocolic reflex
  • Neck flexor contraction should facilitate upper
    body flexors
  • PLUS pattern
  • Seated forward bending should inhibit piriformis,
    lat, upper trap, SCM

15
Novel cerebellar reflexes associated with
pyramidal dysfunction
  • Cerebellar sensory input modulation
  • Rub finger tips on pan legs etc. top feeltexture
    of material
  • Test extensor contralateral to pyramidal pattern
  • Cerebellar somatosensory cortex integration
  • Rub area of body contralateral to pyramidal
    pattern while visually observing the spot
  • Test extensor contralateral to pyramidal pattern

16
The autonomic system presents with two distinct
bilateral patterns
  • Increased IML activity will cause global
    hypertonic extensors resulting in global flexor
    inhibition
  • Decreased IML activity will cause global
    hypertonic flexors resulting in global extensor
    inhibition
  • Decreased vagal activity will result in global
    flexor inhibition

17
The hypothalamus is the chief subcortical center
for the regulation of both sympathetic and
parasympathetic activities
  • Hpothalamus receives chemical sensory input and
    emotional input
  • Changes in autonomic balance as a response to
    these inputs to maintain homeostas
  • Descending pathways are bilateral
  • Increased or decreased activity results in
    bilateral patterns

18
AK techniques for correcting autonomic dysfunction
  • Visceral Parietal pain technique
  • Correcting visceral sensory feedback
  • Cytokine liver challenge
  • Normalizing cytokine influence on PVN
  • Pituitary/pineal techniques
  • Control of adrenal output
  • GI-vagal-brainstem axis
  • Correction of GI sensory vagal feedback loop

19
The limbic system is the basis for all motivation
to move
  • Limbic connections to the autonomic system are so
    strong that even the thought of movement or an
    emotion will increase fuel delivery
  • Mentally disturbed patients will either be hyper
    or hypo kinetic

20
The inhibition patterns of limbic dysfunction is
based on hyper and hypo function
  • When the limbic system is in a state of rage
    there is upper body extensor inhibition and lower
    body flexor inhibition
  • This pattern is based on the Netter drawing of
    the man in rage
  • When the limbic system is in a hypo active state
    there is a pattern of global extensor inhibition
  • This pattern is based on the fetal position

21
AK techniques for limbic dysfunction
  • NET-Walker
  • Emotional quick fix-Schmitt
  • Limbic system challenge-Belli
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