神经科医生：临床与治疗杂志

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World Neuro 2017: Neurology of the Posture System, the Structure and Function Connection - Krista Burns, American Posture Institute

Krista Burns

Statement of the Problem:

Sedentary people with flexor prevailing stance and innovation over use are at a more serious hazard for creating Digital Dementia. Stance is declining at the speed of innovation. Poor stance is an advanced plague that is influencing our general public such that we have never observed. Headways in innovation joined with an inactive society and poor stance propensities while connecting with innovation has changed the course of development. "Tech Neck" exhibits postural decay from a musculoskeletal point of view, and "Computerized Dementia" shows the decrease in mind work related with poor stance and the over use of innovation. Patients giving Digital Dementia show basic indications related with dementia and physiologic changes in their cerebrum. These patients present with tactile disassociations affecting the frontal flap and making formative issue portrayed by absence of inspiration and sympathy, and trouble in obtaining of aptitudes related with customary types of learning. Engine abilities are undermined from physiologic changes of the engine cortex, tactile cortex, and vestibular framework. Strategy and Theoretic Orientation: The reason for this introduction is to present the idea of Digital Dementia and to exhibit important approach of patient consideration usage for medicinal services experts to use with their patients. Members will increase helpful methodologies of Postural Neurology that are pertinent to the necessities of advanced patients. This introduction will exhibit mind based stance investigation and amendment strategies. End and Significance: Sedentary people with flexor prevailing stance can improve neurologic capacity with appropriate postural propensities while taking part in innovation usage. Suggestions are made for cerebrum based postural revision systems.

Postural Neurology is at the bleeding edge of neurologic training for medicinal services experts. Postural Neurology is a framework to comprehend the nervous system science of the Posture System and how to break down and right neurologic brokenness for ideal human execution and postural plan.

Experts who execute Postural Neurology see how to evaluate broken yields of the nervous system science controlling the Posture System and how to actualize treatment intends to improve work and make neuroplastic changes.

There are various parts of the neurologic framework that add to appropriate stance. Synergistic mix of these frameworks brings about flexor/extensor cooperative energy, upstanding postural plan, and postural adjustment with dynamic development.

There are 7 main parts of the brain that are responsible for the neurology controlling the Posture System. Each aspect of the neurology has a unique function that is necessary for proper function of the Posture System.

Sensory Cortex

Motor Cortex

Cerebellum

Pontomedullary Reticular Formation

The Visual System

The Vestibular System

The Spinal Pathways

Sensory Cortex

The sensory cortex, situated in the parietal flap of the cerebrum, is the way you feel and decipher your reality. Rising data of proprioception, joint position, material incitement, temperature, torment, etc show up in your tactile cortex from the outskirts for handling and translation. The tangible cortex is imperative to pose since it sees proprioception and joint position. Understanding where your body is in space is principal for accomplishing postural dependability.

Motor Cortex

Our capacity to move inside our condition is reliant upon useful yield of the engine cortex. Pathways dive from the engine cortex to create developments inside the earth. The engine cortex of the frontal projection is significant for act since it starts deliberate engine yield of skeletal muscles contralaterally and adjustment of stance muscles ipsilalterally. Together the tangible and engine cortices accomplish sensorimotor incorporation for handling of tactile contributions for legitimate engine yields in light of upgrades.

Cerebellum

The cerebellum is the middle for "balanced governance" of development. The cerebellum refines engine yield for coordination and accuracy of engine developments by taking out any abundance movement. Dynamic postural security is dependent on the cerebellum to have fine engine aptitudes. Development is started by the contralateral cortex and is refined by the ipsilateral cerebellum.

Ponto Medullary Reticular Formation

The ponto medullary reticular development (PMRF) is the powerhouse of your stance, the middle for postural control. The PMRF represses flexion of the Posture System to proficiently oppose gravity. Patients who present with useless yield of their PMRF have flexor prevailing stance, a typical postural introduction of forward head pose, foremost moving of the shoulders, chest flexion, and hyperkyphosis.

 

The PMRF is situated in the brainstem among the pons and medulla. It is the home of 8 cranial nerves that perform essential capacities and add to legitimate stance. The reticulospinal tract dives from the PMRF to the spine to hinder flexor tone.

The Visual System

Head act designs are dependent upon legitimate capacity of the visual and the vestibular frameworks to hold the head upstanding and keep the eyes corresponding to the skyline. 4 of the 12 cranial nerves are committed to your eyes! The eyes are significant for direction inside our condition and the visual framework is critical to head pose. With a failure to see and control eye developments in an organized manner patients will create ceaseless postural twisting patterns.

The Vestibular System

The vestibular framework controls postural parity and augmentation. This is of most extreme significance to keeping up appropriate stance. Flexor predominant stance is feeble, wiped out stance that wastefully opposes gravity. The PMRF hinders flexion, and the vestibular framework animates augmentation.

Flexor-extensor collaboration is the objective of postural amendment and must be accomplished by legitimate utilitarian yield of the PMRF and the vestibular framework. The vestibular framework likewise controls balance. To improve offset fuse vestibular preparing with your mind based stance restoration programs.

Spinal Pathways

The ascending and descending pathways of the spine are the association from the fringe sensory system to the focal sensory system. This is the association of your cerebrum to the Posture System, the auxiliary structure of your body.

Climbing tangible data is shipped to the tactile cortex for preparing. Plummeting engine pathways are moved from the engine cortex to the spinal string through the corticospinal tract for willful development, and the reticulospinal, and vestibulospinal pathways for postural solidness.

These segments are the essential life structures of the nervous system science controlling the Posture System. Understanding Postural Neurology gives social insurance experts a universe of information comparative with stance and human physiology. Identifying and remedying brokenness among these neurologic parts is the way to continued postural amendment results.