Beruflich Dokumente
Kultur Dokumente
from
Back Pain
2nd Edition, revised
and enhanced
TM
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PREFACE
The benefits are cumulative. You are likely to experience immediate relief
each time you do a movement sequence, but as you are changing habits of muscu-
lar tension, you may sometimes find that your progress goes “two steps forward,
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one step back.” Don’t be discouraged. Persist.
Above all, this movement program involves a learning process. You are
building a sound foundation for a secure back. To learn what’s here, you will be
doing some new things. Have patience; explore and practice. Go slowly and gen-
tly. To work this way is perhaps the biggest change you will have to make.
The sensations these movements create are as important as the time you
spend doing them. Put attention into feeling. Feel the movements as you do them.
You’ll feel the difference.
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INTRODUCTION
D id your back pain start mysteriously one morning? Did it start suddenly,
A large percentage of people with back pain have nothing more than tight
back muscles. Tight muscles are tired muscles, and tired muscles are often sore.
Tight, tired muscles are also more prone to cramping than relaxed, refreshed
muscles. Very tight back muscles may pull neighboring vertebrae together closely
enough to pinch nerve roots that exit the spinal canal, causing pain and numb-
ness in the extremities. When vertebrae are pulled closely together, discs
between the vertebrae may get compressed and even break down (bulge or rup-
ture) from long-term pressure.
Many symptoms of back trouble and their underlying causes can often be
corrected, or their progress stopped, by the movements shown in this program.
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Freedom of movement and comfort quickly improve.
Because not everyone can get to see me or my colleagues (usually for geo-
graphical reasons), I have created this self-help book. Although not nearly as fast
to produce results as clinical sessions at my office, the methods found in this book
do bring relief to people with back trouble, results that are durable enough to
stand up to all of the activities of daily living. All that is required is to do the
movements I describe in the manner I describe, which is slowly, with awareness
of the sensations of movement, and within your comfort zone.
Lawrence Gold
Certified Hanna Somatic Educator
awareness@somatics.com
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CONTENTS
PREFACE
How Is This Program Different from Other Programs? . . . . . . . . . . . . . . . . . . . iii
INTRODUCTION
Understanding and Overcoming Back Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
The Status Quo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Conventional Therapeutics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
A Fresh Look . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
The Significance of the Obvious . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
My Story . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Stories of Others . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
SUMMARY 1A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223
SUMMARY 1B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224
SUMMARY 1C(a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225
SUMMARY 1C(b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226
SUMMARY 1C - COMPLETE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227
APPENDICES
This book has one basic message: you have a good chance of getting control
of and getting rid of your back pain - even if you’ve already had surgery. In
fact, if you’ve already had surgery and still have pain, what’s in this book
could be what frees you from it.
Such a claim may seem presumptuous. Can’t help it. At some point, when
better help is available, it ought to be declared. There’s inevitably a sound of
audacity to such a claim, particularly if it’s about a method other than the most
well-known and accepted methods, or the newest that medical science (e.g., exotic
surgeries or machines) can offer.
One of my favorite sayings is, “The proof of the pudding is in the eating.”
Consider your sore back muscles. Does that description sound familiar?
In that case, the question becomes how to get your tight back muscles to
relax.
You’ve tried massage. It works for a while, but then you tighten up, again,
and you need another massage.
Same thing with acupuncture; you go every two weeks or every week.
1
Same thing with chiropractic.
Perhaps you’ve been around the health care system and found the same
thing no matter where you’ve gone: temporary or incomplete relief.
That wouldn’t surprise me. Most ways of treating back pain have one
thing in common: they’re something done to you or for you, not something that
improves your control over your own muscles.
And then, something caused your pain to return, your muscles to tighten
up, again.
Your nervous system, meaning, by and large, your brain, controls your
muscular system. Lift your arm, it’s your brain controlling that movement.
Firstly, there are at least two varieties of pain often experienced by back
pain sufferers that are not the pain of sore muscles. One variety is “nerve pain.”
Nerve pain occurs when a contracted muscle squeezes a nerve trapped between it
and another muscle or a bone. Sciatica is of that variety. Another variety is joint
pain, resulting from overcompression by tight muscles. Hip joint pain and facet
joint pain are of that variety.
Secondly, parts of our nervous system are under our voluntary control, and
others run on automatic.
2
In fact, though some of our brain functions are strictly automatic, our
brain is designed to establish new patterns of control and to make them
automatic by a process known as . . . . . learning.
Learning is what happens to make our muscles stay tense. Through injury
(which prompts our nervous system to contract muscles in an involuntary
cringing action) or through what I call, “insult” -- stressful, demanding, or plain-
old hard times, (which also prompts us to tighten up) -- our brain learns to accept
tension as the norm. After that, tension is established as a habit, and our brain
forgets to relax muscles during times of supposed rest.
The answer is as simple as the first premise above (that much pain is
muscular in origin), and this answer is my second premise: the brain changes
how muscles function by learning.
This learning is not an alien kind of learning. Actually, it’s a familiar kind
of learning, one you experienced as you developed any skill. You learned to walk,
to write, to drive, all of which are activities with a large automatic component.
1. Hanna, Thomas L., Ph.D., “Clinical Somatic Education -- A New Discipline in the
Field of Health Care”. Somatics -- Magazine-Journal of the Bodily Arts and Sciences, Vol.
VIII, No. 1. autumn/winter 1990-91.
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You learned to control your muscles better by causing them to do what
muscles do, which is to cause movement. It’s learn by doing -- and your brain
does the learning.
The learning gained from this book, although a similar kind of learning,
occurs in a more organized way. It’s concentrated learning, structured (and
therefore easier) learning. For that reason, brain-muscle learning occurs fairly
quickly and can result in changes, in weeks, of conditions that have existed for
years.
If you have back trouble, it is likely that you’ve lost significant control of
the tension in your back muscles. You’re involuntarily tense. You need to
improve your control of those muscles, so that you can relax, again. Let those
muscles rest, let the soreness go out of them. Let the over-compression come off
your discs.
You may not be able to do that, now, but with the help of the coordination
pattern sequences presented in this book, you’ll learn to do it. These coordination
pattern sequences, as training exercises, can restore your trust in your back. By
relaxing your muscles, your back muscles become refreshed and comfortable. By
learning more efficient coordination, you get better balanced and more flexible.
By learning to control your strength better, you gain better use of your strength
and reduce the possibility of injury.
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The Status Quo
According to the mass communications media, back pain is a costly
epidemic that afflicts eight out of ten of us sometime in our lives. Medical
solutions -- drugs, exotic surgeries -- are the common fare of such reports.
Sometimes other methods are featured -- acupuncture, biofeedback, relaxation
techniques.
For the good these approaches do -- and some people do get relief from
them -- they often fail to bring lasting relief -- as you may have experienced.
Conventional Therapeutics
The traditional therapies with which most people are familiar often
require regular -- even lifelong -- care. It's either that, or drugs. Something else
is needed.
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A Fresh Look
Clinical practitioners of the methods presented in this book very often find,
upon examination of a person's musculature, that their back trouble is not a
medical problem; it's a conditioning problem. Our clients usually have back
muscles conditioned into a painfully high state of tension that predisposes them
to muscle spasms. High-tension back spasms cause muscular soreness, compress
intervertebral discs (leading to bulging or herniated discs and so-called
“degenerative disc disease”), and cause the pain and numbness of sciatica.
Whatever medical problems may accompany back pain, they are usually
not the cause, but the effect, of heightened back tension. Back pain comes from
something the body is doing, not something that is happening to it.
Thomas Hanna
pointed out that one
thing you will almost
always notice about
people with back pain
is their high shoulders
and swayback. One
thing that is almost
always said about
people with back
trouble is that they
LANDAU REACTION
have weak back CLOTHES DON’T MAKE THE MAN.
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Except for momentary reflexes controlled in the spinal cord, muscles and
movement are controlled from the largest nerve center of the body, which is the
brain. That's the whole story. So, if you have tight, spastic muscles or pinched
nerves, the problem starts in your brain.
This answer is a "good news/bad news" type of answer. The bad news is
that your muscles are out of control, and it's your brain's fault! The good news is
that your muscles obey your brain, and your brain can be retrained.
The tension habit that keeps your back tight is the habit of being “wound
up,” “on the go” -- driven, driving, and reacting to every situation. That emotional
state triggers an ancient bodily reflex (known to developmental physiologists as
The Landau Reaction); this reaction tightens the muscles of the spine in
preparation for going from rest into activity. The Landau Reaction occurs as we
go into a heightened state of alertness in preparation for moving into action;
triggered incessantly for years -- by telephone calls, deadlines, hurrying to
placate impatient people, and general aggravation -- that reaction becomes a
tension habit, one that might outlast the stage of life when it seemed necessary.
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itself" and does not stop “doing it to itself” until the tension habit of The Landau
Reaction is broken.
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My Story
It was Chrismas, 1979.
I was moving Christmas presents from their hiding place in the hall closet
to their place under the Christmas tree. This was not a particularly heavy box,
but as I leaned over to pick it up -- you know what happened. It was my first back
spasm, sharp and surprising. It lasted a few days and then was gone.
In the years that followed, my neck would from time to time seize up in
pain, preventing me from turning my head. A subsequent injury made things
worse, with searing pain that went down behind my right shoulder blade and
that lasted for months.
Dr. Hanna was a character with a penchant for the dramatic, a man who
at age sixty-one had the body of a forty-year-old. I have a picture of him grinning
down from the branches of an apricot tree on the campus of the Dominican
College in San Rafael, California, where he was conducting our training. He had
climbed the tree without a ladder.
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taught, before, but when he made this announcement, my “hype” meter came on
strongly. I sat up, and with arms crossed, thought to myself, “O.K. Let’s see it.”
He asked for a volunteer, and from those who raised their hands, he
selected a tall man in his sixties with rounded shoulders and a sunken chest. He
invited the man to lie down on a padded treatment table, on his back. After
explaining what he was about to do, he proceeded to guide the man through a
series of slow-motion, hands-on movement maneuvers that, in the space of about
thirty seconds, shifted one shoulder from its held position, lifted off the table, to a
new position, relaxed and flat on the table -- this, without massaging or
stretching. One of the other students, a trainer in a method of bodywork called
Hellerwork, had one word to say: “Astonishing!” Then, Dr. Hanna and his
volunteer did the other shoulder.
I had just seen something I had never seen before. Dr. Hanna had told the
truth.
I thought to clear the pain up by using the somatic techniques that I knew,
but I couldn’t reach it. Something new was needed, and I didn’t have it.
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After weeks, the pain subsided, but in the months that followed, recurred
several times.
“Physician, heal thyself,” was a phrase Dr. Hanna used in one of his
lectures to us. I was at last able to be true to Dr. Hanna’s challenge and to be a
well-tested example of what I represented to others.
Stories of Others
In working with clients, I have come across some interesting situations.
I’ll present some here.
“Tobe,” an avid rider and fox hunter, had a history of injuries from falling
off her horse. She had what she described as “horrible sciatica and lower back
pain” that was ruining her life. In her own words, “I hurt all the time. I tried
chiropractic, massage, and pain killers. Nothing worked.” She was unable to
sleep on her back or to maintain any lying position for more than a few minutes.
I will not pretend that this was a quick fix. Tobe had so many injuries that
the pain of one injury would prevent us from doing the movements that would
free her from the pain of another. Eventually, however, we were able to unravel
the situation, and she now sleeps comfortably on her back and has no need of
either treatment or pain medication.
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“James,” a sculptor, suffered debilitating back and neck pain that
interfered with his ability to work. A tall man, he had multiple postural
problems. In addition to a tight low back, he had a tight chest that pulled his ribs
down, restricting his breathing and forcing his head forward. A moment’s
visualization and you can see how this would be the posture of someone who
stoops forward to be close to his work, and perhaps to be less tall in a world of
shorter people. In fact, because of the nature of his work, James tends to recreate
the problem.
Under my guidance, using the methods shown in this book, he has been
able to get relief and to maintain it by himself for long periods of time.
The significance of his story is that people’s occupations can cause them
problems, but that by using the methods shown in this book, they can recover and
maintain their physical comfort. As Dr. Hanna put it, “You can have your cake
and eat it, too.”
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Introducing the Method
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(This page deliberately blank.)
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Orientation to This Program
What to Expect
Generally, you can expect decreases of chronic pain and increases in
freedom of movement. You can expect improvements in flexibility, strength,
coordination, balance, posture and appearance. You’ll feel better and look better.
Your energy for movement is likely to increase. In fact, expect to discover that
you have more strength and more energy for movement.
You may find that your comfort and flexibility improve immediately with
each pass through a movement sequence. Sometimes, you may also notice that
some of the pain returns. If it returns, that means you haven’t yet sufficiently
retrained your brain; your old conditioning is reasserting itself. Don’t worry.
Just persist in the program, and you’ll find that your improvements accumulate.
The results you get will largely reflect how well you convert words into
actions. Your first performances of these coordination patterns are likely to be
approximations of the instructions; you may find, at times, that what you think
you are doing and what you are actually doing are a bit different! With practice,
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you will find you can do the movements more exactly as instructed and get
quicker improvements.
These coordination patterns are safe to do, provided you do them gently
and with consideration for your comfort. Regulate your effort to be within the
range of sensations you are willing to experience.
It’s a practical question: Can you do the movements as shown or does your
pain prevent it? If your pain prevents it, you need to do what you can and work
up to doing the movements as instructed.
If you’re in acute pain, I recommend that you do three gentle sessions per
day. The pain will subside in the hours that follow each session. Once you’ve got
more movement, you may reduce to two and then one session per day.
If You’re Overweight
If you’re overweight, particularly if you have a belly that protrudes
significantly, you have a preparatory project ahead of you: lose the excess weight.
I’m sorry to say it, but that belly adds significant strain to your back. The
more weight you have forward of your midline, the more you must bend back
from your waist, up, to stay in balance. Otherwise, that weight pulls you forward
and off-balance. The muscles that enable you to bend back are found in your mid-
and-upper back, aided by your low back muscles.
By “diet,” I don’t mean go on a diet. I mean change your diet and eating
habits permanently. That may mean eating smaller portions, and it probably
means changing your dietary mix. Carbohydrates, particularly simple
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carbohydrates -- sugars and white flour -- raise the blood insulin level and cause
carbohydrates to be stored as fat. As dietary recommendations are beyond the
scope of this book, my recommendation is that you start reading about diet and
start experimenting until you find a dietary mix that works for you.
By “exercise,” I mean some activity that gets your metabolic rate up. A
walk for twenty minutes, twice a day, will help. Your metabolic rate, once
elevated by exercise, tends to stay elevated for hours. I also mean some activity
that builds muscles, as muscles burn fat. If you hurt too much to exercise, start
with this program, and when your pain levels are lower, exercise more.
To help you get a handle on clearing up the habits of life that may be
contributing to emotional tension in some readers, I have included a reprint of an
article of mine originally published in Somatics -- the Magazine-Journal of the
Mind-Body Arts and Sciences. You’ll find it in Appendix C. If you’re under
emotional stress beyond that caused by your back pain, I recommend you read it
and make the necessary changes in your habits of life.
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means “living, self-aware body.” This self-awareness includes the kind of
internal self-awareness you have of chewing or yawning, for example.
In each case, what was involved was a way to improve self-awareness and
freedom of movement - intentions originally found in ancient yoga.
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Understanding the
Somatic Developmental
Coordination Patterns
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(This page deliberately blank.)
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About the Coordination Patterns
In the sessions that follow, you will recover and improve voluntary control
of the muscles that affect your back. Some of these muscles are in your back and
others affect the muscles in your back by affecting your posture and balance. As
you improve your control of these muscles, involuntary tensions let go. The
muscles stay in a relaxed state unless you are using them.
The most common mistake people make doing the coordination patterning
is to use too much effort, which sometimes leads to cramping. If you get a cramp,
use less effort and lend more attention to what you are feeling. Soon, you will no
longer tend to cramp.
You should also know that there is a possibility of some soreness appearing
once you have started working with the coordination patterns. Don’t worry.
Soreness is a normal, but temporary, outcome for a certain percentage of people.
It passes by itself in a day or so. If you do get sore, give yourself a rest for a day,
then pick up where you left off in the program.
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How to Go About Doing this Program
Since you’re making changes in yourself, it’s important to know what you
mean to do. My basic suggestions:
• Play the audio CDs and follow along in this book. Use the illustrations
to make sure the instructions make sense to you.
At the end of this section, you will find a checklist that guides you through
the program. Each day has a space for you to make an appointment with yourself
and with me (via this program). Each time you complete a session (daily is best),
check off the corresponding place in the checklist abd decide on a time for your
next session. Enter it into the space. It’s now a “prior engagement.”
• Start with larger muscular efforts; use enough muscular effort to feel
where the muscular effort is; gain confidence.
• Decrease the amount of effort; improve your control of how much effort
you use (more or less).
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coordination patterns, and the more you do them, the more you will benefit. The
somatic coordination patterns are more than they may seem to be.
Practically speaking, the first time you do a movement, you are likely to
need more muscular effort to sense your muscular effort than you will with
subsequent repetitions. Use as much effort as needed to get a bit more sensation
in the involved areas (the amount of sensation you are willing to experience);
never cause yourself to cringe, from pain, from over-effort, or from fear. Once you
can feel how you cause a movement to occur, decrease the amount of effort as
your ability to feel muscles awakens. Soon, you will be more able to distinguish
the muscles that are non-essential to the movement and to let them be relaxed.
• Notice the first sensation of effort as you move from rest into action.
The earlier sessions prepare you for those that come later. Do one new
session several times within a week until it’s very familiar to you. Follow each
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session with a brief review of the previous one; use the illustrated summary page
to remind you how to do it.
Given the tendency people have to accumulate nervous tension, you will
probably find it beneficial to spend about ten minutes a day reviewing the
coordination patterns in the order in which they appear, in this program. You
may be surprised at the new improvements you get with each pass through.
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The Instructions
Each set of instructions starts with a STARTING POSITION, followed by
the KEY to the coordination pattern. The is a special hint for doing
the coordination pattern in good form, for best (and easiest) results. The
symbol appears at instructions where the helps to get the result.
The somatic coordination patterns often have several parts, which you add
together for greater potency. The simplest steps of the movement are numbered.
More advanced additions to movements appear as follows:
Within each module, you’ll notice that numbering often starts over at (1.).
Each new set of instructions starting with (1.) is a unit to be practiced by itself
until you get the intended sensations, before moving on. Do all of the units of a
module.
In a section that follows the instructional modules, you will find a pictorial
SUMMARY. In most cases, the SUMMARY is a short form of the instructions. As
with any summary, it’s useful only as a reminder of what you have already
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learned, not as a substitute for the full instructions, themselves. Once you have
gotten the results from this program and are in the maintenance phase, when
you do a few minues a day, use a SUMMARY to remind yourself how to do a
coordination pattern.
Pace Yourself
Doing things at the usual speed, we tend to do them in the usual way.
You may have noticed that you can’t see much detail in things that are
moving quickly; it’s much easier to see the details of things that are moving
slowly.
In the case of the somatic coordination patterns, the slower you move, the
more time you have for details to “fade in” to your perception. In other words,
during a movement, you may not at first perceive the restrictions and habitual
tensions of your usual way of moving. However, as you slow down and pay
attention to the sensation of effort, you discover the unnecessary tensions you
hold during movement. For example, people forget to breathe! You may even
discover that you are holding tension that directly interferes with the movement
of a coordination pattern.
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If you catch the interfering tension at the very moment it begins, you will
be able to relax it. At that point, you can release the interfering tension. As you
do, you will notice your movement getting smoother, feeling more elegant and
under your control. If you catch interfering tension too late (because you’ve gone
too fast), it is already too much a part of the movement for you to relax. So, to go
slowly is essential.
At the beginning of this explanation were the words, “The whole point of
these coordination patterns is to do something in a new way: to change how we
move and feel.” These words are, at this moment, an abstract generality to you;
they don’t have much meaning. Their meaning will be obvious once you
experience results from the coordination patterns.
Here’s another set of words that will have meaning once you start the
coordination patterns: INTEND, ALLOW, DO.
That means, “Know exactly what you INTEND to do, get the distinct
feeling of ALLOWING yourself to do it (relax into doing it), and then, DO it.
Why “Gently”?
Another way of putting it would be, “in a leisurely way.”
To do the movements in this program gently (or in a leisurely way) calls for
you to develop more care and awareness of what you are doing. So going gently is
not being lazy, nor is it a sign that you are weak. It is a way of operating more
carefully and attentively, and it is particularly valuable when confronting a
challenge. It is a way of working smarter, not harder.
It also teaches your brain what less contracted muscles feel like and
cultivates a shift from more contracted (at rest) toward relaxed.
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Finally, it teaches control. Instead of muscles being stuck in contraction,
you develop the ability to control the degree of contraction -- essential for balance,
agility and grace.
That being the case, how can someone’s being stretched (or adjusted or
massaged) by someone else possibly change the person’s way of controlling their
own muscles? How can a person internalize the change merely by being
manipulated from outside? To internalize a change requires learning (to do for
oneself), the need for which is neither recognized nor intended when being
stretched by another. The changes that result from stretching are therefore
generally unpredictable and unstable.
Athletes and dancers attempt to stretch their hamstrings (at the backs of
the thighs), for example, to avoid injury. “Attempt” is the correct word because
stretching produces only limited and temporary effects, which is one reason why
so many athletes (and dancers) suffer pulled hamstrings and knee problems.
As anyone who has had someone stretch their hamstrings (or any other
muscle) knows, forcible stretching is usually a painful ordeal. Because muscles
cannot relax and lengthen beyond what the conditioned postural reflexes permit,
attempts to stretch muscles work against those reflexes. Someone stretches their
muscles. The muscles resist. It hurts. Afterwards, the muscles feel weaker. So
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they tighten up, again. This return of muscular tension (controlled by
conditioned postural reflexes) makes repeated stretching necessary.
Fortunately, there is a way out of this situation, another way to deal with
muscular tension than by stretching. To understand how it works, we must first
start with the recognition that muscles that need stretching are usually holding
tension -- that is, they are actively contracting. The person is holding them tense
by habit, usually involuntarily and without awareness.
Oddly enough, if you try to relax muscles that are habitually tight, using
an act of will, you are likely to find that your ability to do so is limited; you cannot
relax past a certain point, even with special breathing, visualization, or other
non-learning based techniques.
At that point, you may assume that those muscles are completely relaxed
and need stretching. You may not recognize that you are contracting “on
automatic” due to postural habits stored in your brain.
What Works
... is to shift the “tension-set-point” that your muscles habitually assume from one
of continual tension to natural relaxation. That way, you contract only when you
intend to do so.
Techniques that enhance the ability to feel the body from within often use
systematic exercise techniques and movement maneuvers to improve the brain-
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body connection. These techniques do what biofeedback does, but without need
for electronic instruments -- and the results are usually more durable, more
robust, than the results of biofeedback.
The Mechanism
By deliberately contracting already-contracted muscles, using patterns of
movement, the coordination patterns send a clear sensory signal to the brain, a
signal that wakes up (or refreshes) the related nerve pathways. By releasing the
contraction in slow motion, you improve your brain’s ability to control the amount
of muscular tension. Performance in slow-motion gives a clearer and more
complete body image.
Slow motion is the key to coordination patterns and to any other learning
process where details make a difference.
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The Meanings of Certain Terms Used in the Instructions
In the instructions, certain terms have specific meanings. So you have an
easier time understanding the instructions, I define these terms, below. To
understand them once is sufficient -- so take your time to understand them.
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Getting Started
The coordination patterns in this book are organized so that if one
coordination pattern is too painful or difficult for you to do, another coordination
pattern will prepare you for it. When you return to the previous coordination
pattern, you will now find it do-able.
Do the coordination patterns at least once each day. Twice is better -- once
in the morning and once in the evening: before dinner, after dinner, or just before
going to bed. That way, you set the tone for your day (more comfortable) and for
your night of sleep (more relaxed).
The hardest part of this program will probably be to get started. So, begin
the program immediately by reading Self-Assessment and Preparatory Learning,
which follow this section. Then do the coordination pattern. It will take you
about five minutes.
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To start any new program requires an act of will -- self-determination. An
easy way to see how determined you really are is to repeat the following sentence
to yourself: “I’m doing this program until I get results.” Repeat it to yourself now,
three times. Afterwards, notice what you feel about doing the program. That
may also reveal something about how you “do” your life.
One final word: You may get results early on in this program. You may be
inclined to stop there. Continue through the whole program. Unsuspected
benefits await you.
33
NOTE: THE IMPROVEMENTS YOU GET FROM THE SOMATIC
COORDINATION PATTERNS ARE CUMULATIVE. UNLIKE CONVENTIONAL
POSTURAL TRAINING, YOU DO NOT NEED TO HOLD GOOD POSTURE TO
HAVE GOOD POSTURE AFTER DOING THESE COORDINATION PATTERNS.
YOUR POSTURE WILL IMPROVE NATURALLY. DO NOT HOLD “GOOD
POSTURE,” AS IT ONLY ADDS TENSION TO YOUR OTHER HABITUAL
TENSIONS. IF ANYTHING, ASSUME A LONG, TALL POSTURE THEN RELAX
INTO IT AND LET GO.
34
Self-Assessment
There is a common pattern of muscular tension in people with back
trouble. This pattern usually involves tension in the muscles at the backs of the
shoulders, along the spine, in the buttocks, and sometimes the neck and
hamstrings.
This section gives you a chance to get familiar with your pattern of
muscular tension. It’s useful to have a clear picture of where you’re starting, so
you can recognize and own your progress. After you complete each coordination
pattern, you will have a chance to feel the changes.
Lie on your back. As you lie there, notice how much space there is between
your low back and the surface on which you’re lying. Slide a hand under your low
back and feel the space. Do that now. (Stop reading.)
- ~ o 0 O 0 o ~ -
The space you felt is the result of the muscles of your low back contracting.
As they do, their tension has the same effect on your back as the string of an
archer’s bow: The tension of your back muscles creates a curve in your back just
as the tension of the bowstring creates the curve of the archer’s bow.
The coordination patterns that follow will retrain your muscles to relax.
You will feel this curve decrease as you do them.
Lie on your back, again. Feel how your shoulders and buttocks contact the
surface. Do this now. (Stop reading.)
- ~ o 0 O 0 o ~ -
After each coordination pattern, take some time to feel how your shoulders
and buttocks meet the surface.
35
Preparatory Learning
STARTING POSITION:
36
4. By moving your head slowly in
a nodding (“yes”) movement,
locate the head position at
which the place behind your
nose, in your throat, opens, and
the place at the back of your
head where your neck meets,
begins to close.
37
• Always regulate your effort to be within your comfort
zone: the amount of sensation you can experience
without fear or cringing.
38
CHECKLIST A
Learning the Coordination Patterns
The following checklist helps you get and stay on course. Each time you
finish the day’s program, check the box [ ] and make an appointment for your
next session in the space marked, “NEXT APPOINTMENT DATE AND TIME.” Mark
your calendar, also. That’s your next appointment with me, via this program.
If you miss an appointment, just set another time and pick up where you
left off. If you don’t complete a day’s program, complete that day’s program, next
time. Start the next day’s program, the time after that.
39
Day 9 MODULE 1 [ ] Lazy “8”s page 77 CD 2 tracks 1, 2
________________________
NEXT APPOINTMENT DAY AND TIME
40
Day 21 MODULE 1 [ ] The Folding Seesaw
________________________ and The Kite page 91 CD 2 tracks 3, 4, 5
NEXT APPOINTMENT DAY AND TIME
41
Day 33 MODULE 2 [ ] The Wiggling Jig page 130 CD 3 track 2
________________________ The Yoga of the Reclining Buddha page 137 CD 3 track 4
NEXT APPOINTMENT DAY AND TIME
Day 35 MODULE 2 [ ] The Yoga of the Reclining Buddha page 137 CD 3 track 4
_______________________ [ ] The Twist that Untwists page 149 CD 4 tracks 1, 2
NEXT APPOINTMENT DAY AND TIME
Day 36 MODULE 2 [ ] The Yoga of the Reclining Buddha page 137 CD 3 track 4
_______________________ [ ] The Twist that Untwists page 149 CD 4 tracks 1, 2
NEXT APPOINTMENT DAY AND TIME
Day 37 MODULE 2 [ ] The Yoga of the Reclining Buddha page 137 CD 3 track 4
_______________________ [ ] The Twist that Untwists page 149 CD 4 tracks 1, 2
NEXT APPOINTMENT DAY AND TIME
42
Day 45 MODULE 3 [ ] The Rising Sphinx page 183 CD 5 tracks 2, 3
________________________
NEXT APPOINTMENT DAY AND TIME
Day 47 MODULE 3 [ ] The Yoga of the Reclining Buddha page 137 CD 3 track 4
________________________
Day 49 MODULE 3 [ ] The Yoga of the Reclining Buddha page 137 CD 3 tracks 3, 4
________________________
Day 55 MODULE 3 [ ] The Yoga of the Reclining Buddha page 137 CD 3 track 4
________________________ The Mortar & Pestle page 216 CD 5 track 5
NEXT APPOINTMENT DAY AND TIME
43
CHECKLIST B
Review
Day 57 [ ] page 45 CD 1 track 5
________________________ page 89 CD 2 track 4
NEXT APPOINTMENT DAY AND TIME
44
MODULE 1A
Spine Waves
5
Ø
45
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A very odd thing happens when muscle groups that ordinarily work
together get conditioned to maintain unequal degrees of tension. They get stuck
in unequal degrees of tension!
That means that as soon as one group goes below its usual degree of rest-
ing tension, its co-worker group,which may already be at too low a level of tension
for postural stability, goes even lower. For the sake of stability, the brain brings
the too-low group back up to a higher level of tension, which brings its co-worker
group back to where it started.
That’s what the following coordination patterns do. THE “EQUALIZE” ICON
Hidden Connections
Among the body’s parts, there are hidden connections, in
which movements of one part elicit responsive movements of other
parts. By moving both parts together and feeling the effort, we can
reset muscular tensions that are otherwise habitual. THE “FEEL” ICON
Spine Waves
STARTING POSITION:
IF NECESSARY FOR
COMFORT,
Locate the tension of the effort your are applying at each step.
If your condition makes you want to cringe in this movement, use less
effort. If you still tend to cringe involuntarily, go to Module 2A
(page 101), then come back to this coordination pattern.
First, we make the connection between the back of the neck and the
upper back.
2. Slowly relax.
Repeat until you feel your chest lift and lower, your back arch and
flatten a little bit.
Ý
2. Slowly relax.
Ý
4. Slowly relax, first
your neck, then your
Ø
chest.
5. Slowly relax.
Ý
Done correctly, you feel your
upper back relax.
Ø
Repeat about five (5) times at decreasing levels of effort.
Repeat until you can feel your chin tuck in toward your neck.
Now, the first spine-wave, a movement that enables you to relax the
muscles of your mid-to-upper back.
Ü 3. Equalize tensions at
the back of your neck
Ø and mid-back.
Repeat until you feel the muscles of your mid-back relax as you lower
your breastbone (at least three (3) times at decreasing levels of effort)
until you can feel the movement as described.
Now, the second spine wave. This movement improves your control of the
muscles that run from the base of your throat, up through the back of your
throat (the front of your neck vertebrae), to the place behind your nose. It
relaxes the back of your throat and gets your whole spine ready to relax and
lengthen.
3. Equalize the
sensations of the front
of your neck and mid-
to-upper back by
adjusting the efforts.
Repeat this combination movement until you can clearly feel the wave
of tension move to the place behind your nose (at least three (3) times
at decreasing levels of effort) until you can feel the movement as
described.
Now you are ready to involve the muscles of your low back in the third
spine-wave.
62
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
63
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
9. Without changing
Ü
position, inhale.
64
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
65
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
HEAD LIFT EXAGGERATED FOR VISIBILITY. If you can’t lift your head,
imagine you are lifting your
head.
66
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
Now, you connect the muscles of your mid-back to those of your throat
(inside-front of your neck). Once you have gotten good at the movement
shown below, it is optional for future sessions of Spine Waves. Thereafter,
skip to the next set of instructions that begins with the number (1.).
Ü
1. Lift breastbone and
hold.
67
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
ØØ Ø
5 relax and slowly let
your back flatten.
Repeat until you can feel your low back flatten a bit more (about three
(3) times, total, at decreasing levels of effort).
68
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
Now, the same move with breathing, ending with a relaxed belly.
69
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
70
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
Ø
5 behind your nose as you lie
back.
71
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
72
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
73
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
9. Equalize the
downward pressure
of your feet and head.
ØØ Ø
Allow time for the sensation
to “set in.” You may feel
muscles changing.
NO EFFORT
74
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
75
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
Repeat the preceding movement about five (5) times or until you cease
to get changes.
76
MODULE 1B
Lazy “8”s
×
×
77
(This page deliberately blank.)
Gravity is a universal force affecting all of our actions. Its pull is constant
and steady.
Most of the time, we are unaware of gravity, itself. What we are aware of
are our sense of balance or imbalance and our sense of strength or weakness.
Any movement, such as standing up, produces sensations that, like grav-
ity, are smooth and steady -- unless our movement itself is unsteady, in which
case gravity gives us instant feedback in the form of inconstant and unsteady
sensations of movement. In that sense, gravity is our friend; it tells us when we
are out of balance and out of control and gives us a sense of support when we are
functioning well.
Knowing this, we can use gravity to improve our muscular control, and
thus the steadiness of our movements.
Good muscular control is essential for easy balance. Control and balance
are essential to our ability to relax unnecessary muscular tensions, such as those
in your back. The following coordination pattern, Lazy “8”s, improves muscular
control of the muscles of our legs and low back. A common result is the feeling of
coolness and spaciousness in the sacral area, the area below our waistline and
above our buttocks -- the lowest part of the low back.
Lazy “8”s
STARTING POSITION:
IF NECESSARY FOR
COMFORT, use a pillow under
your arms or head.
If your condition makes you want to cringe in this movement, use less
effort. If you still tend to cringe involuntarily, go to Module 2A (page
101), then come back to this coordination pattern.
1. By pushing down on
one foot, cause its hip
to lift.
Ø
⇒ 2nd level ⇒ Take a bit of
weight off the opposite foot.
2. Slowly lower
the lifted hip.
Rehearse that movement a few times until it’s easier to lift the hip.
2. Slowly relax.
Ø
Feel your chest sink.
Rehearse that movement until it’s easier to feel your chest lift.
1. By pushing down on
one foot, cause its hip
to lift, and hold.
3. Slowly lower
the lifted hip.
5. Slowly lower
the higher hip part
ØÜ way.
7. Slowly lower
Ø the higher hip part
way.
Stand. You may experience of rush of sensation to your neck and head.
The sensation is harmless. It is your brain readjusting muscular
tensions and blood pressure. Stand tall, relax and let it pass. Then,
take a few steps forward and a few steps backward.
91
(This page deliberately blank.)
For that reason, the key for the following coordination pattern is to keep
the weight on your feet balanced and equal.
When done properly, one of the results of the following coordination pat-
tern is a relaxation of the upper back muscles. You may find your spine elongat-
ing, as you come to rest.
STARTING POSITION:
IF NECESSARY
FOR COMFORT, use a pillow
under your head or elbows
2 2. By pressing
×
down with your feet,
lift your hips high.
6. Inhale and
× slowly let your hips
Ø
5 come down.
Once you are familiar with this coordination pattern, use the summary
on the next page to remind you how to do it.
The Kite
If you’ve seen a diamond-shaped kite, you may have observed that the cross strut
is much like an archer’s bow, held curved by the tension of the string attached to
its ends. Likewise, the vertical strut, attached to the cross strut at its center, is
also bowed. The cross strut corresponds to the line that connects your elbows; the
vertical strut corresponds to your spine.
STARTING POSITION:
• on your back
5
NO EFFORT
2. Slowly relax.
Repeat a number of times until you can sense the moment at which effort
begins and the place where it begins.
2. By pulling your
shoulder blades
together in back,
Þ Ý gently pull your
shoulders back into
the surface on which
you are lying.
3. Slowly relax.
Repeat a number of times until
NO EFFORT
you can sense the moment at
which effort begins and the place
where it begins.
3. Pull your
shoulders back and
5 hold. Use effort equal
to the effort of
pressing your head
down.
NO EFFORT
105
(This page deliberately blank.)
Next time you yawn, notice what’s happening. You’re not relaxing the
muscles of your mouth and neck; you’re tightening them! It’s afterward that you
experience relaxation.
Now, this matter of “the whole body” yawn is relevant to the way this pro-
gram of coordination patterns operates. Consider: where moving at balance is
concerned, the whole body is involved. Any movement requires adjustments of
the entire musculature for balance to be maintained. We move as a whole body.
The coordination patterns presented in this book systematically address various
aspects of the whole body as an integrated movement system. For that reason,
there are coordination patterns presented here that involve areas other than your
back, coordination patterns that affect how your back muscles operate by affect-
ing the whole-body balancing process. This concept is a significant departure
from other exercise programs, which concentrate only on the area where symp-
toms appear.
Doing movements in slow motion for the feeling they produce is the key to
somatic developmental coordination patterns. The changes in muscular respon-
siveness occur during the relaxation phase of these movements, which is another
reason to do them slowly.
The effects of these exercises are cumulative. The various positions reach
different muscle groups that together are involved in a muscular reflex pattern
First, you improve your control of the involved muscle groups individually;
then, you activate these muscle groups together in coordinated movements, each
of which decreases your store of held muscular tension. You’ll feel yourself get-
ting better control of the involved muscles, and you’ll feel yourself relaxing.
Immediately after you do this session’s sequence, follow it with a few repe-
titions of Spine Waves. Do this regimen for one week or more before you move
forward in the program.
STARTING POSITION:
If your condition makes you want to cringe in this movement, use less
effort. If you still tend to cringe involuntarily, go to Module 3A (page
157), then come back to this coordination pattern.
Û
(×) 2. Slowly press the side
of your upper arm
Ø into the surface. Do it
by pulling your shoulder
against the surface,
which lifts your chest.
Don’t roll onto your
(×) side; just move your arm
Ø and shoulder.
(×)
Û 2. Press down into the
surface, and hold.
NO EFFORT
(×)
Û 2. Press down into the
surface, and hold.
NO EFFORT
Now, stand and feel the difference between your two sides. You may
feel a rush of sensation go to your head. This is a harmless sensation,
though perhaps unnerving if it is new to you. Your brain is readjust-
ing your blood pressure and muscular tensions. Stand relaxed, feel
your weight on your feet, and wait for the rush of sensation to pass.
Û
2. Shorten your neck by
Ý shrugging your
Ü shoulder toward the
side of your neck.
⇒ 3rd level ⇒
At the same
time, sense the place
behind your nose. Feel
how feeling that place
5 changes the direction of
pull of your shoulder.
Ý
3. Slowly relax.
NO EFFORT
Repeat the movement until you can more easily feel the first place that
contracts.
NO EFFORT
Repeat the movement until you feel it get stronger, then at decreasing
levels of effort -- about five (5) times.
3. Slowly relax.
Û
Þ 4. Relax your waist
muscles. Your knee
¬ stays lifted.
6. Come to complete
rest.
NO EFFORT
Repeat the sequence until you feel your back flatten more.
2. Slowly relax.
4. Slowly relax.
Repeat the action until you can feel the place that tightens more
clearly.
¬ Þ
7. Slowly relax all efforts
and come to complete
rest.
Do the sequence five (5) times or more, until you feel your back flatten
more. Then stand. Allow any rush of sensation to your neck and head
to pass. Then, take a few steps forward and a few steps backward.
Feel the differences between your two sides. You’ll probably feel a
difference in balance.
• on your back
• face turned
Your hand now fits into a hollow where your leg and hip meet, where
a pocket might be.
a. Pause in place.
b. Scan the whole body for ten-
sion.
c. Relax any tension you find.
d. Recontract the muscles that
pull your elbow against the sur-
face (the ones that are too tight),
and very slowly relax again.
Gently contract and slowly relax until you can do it comfortably and with
confidence. Continue until you get as loose as you’re going to get.
Immediately after you do both sides and stand, follow with a few repetitions of
the last movement of Spine Waves.
133
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In particular, you can now become more long-waisted. The pull on the sides
of your ribs has decreased and your sense of “the sides of your sides” has been
clarified. What this does is reduce some of the tendency to “swayback.”
Again, this doesn’t mean that your back is held flatter; it means that your
back is released from muscular pulls that interfere with your low back flexibility.
At the same time, the increased muscular control gives you greater stability -- flex-
ibility with stability.
STARTING POSITION:
• sidelying
If your condition makes you want to cringe in this movement, use less
effort. If you still tend to cringe involuntarily, go to Module 3A
(page 157), then come back to this pattern.
4. Bend your
neck sideways (head
down), so your
underside ear
5 approaches your
underside shoulder.
Õ
5 curve.
Your head is in the neutral
position facing forwardly.
Hand switches.
6. Move your hand so
the fingertips grasp
your head above the
other ear.
8. Slowly bend
your neck sideways
(head upright), so
your topside ear
approaches your
topside shoulder.
143
(This page deliberately blank.)
Most muscles or muscle groups of the body operate in pairs, each member
of which does the opposite action of its partner. For example, the biceps muscle of
the front of your upper arm bends your arm at the elbow; the triceps muscle at
the back of your upper arm straightens your arm at the elbow. These muscles
perform reciprocal (opposite and complementary) actions. Their tension levels
vary accordingly: when one muscle contracts, the other muscle relaxes. This ten-
sion-relaxation pairing is controlled by your brain. Relaxation of the opposing
muscle permits its partner more easily to contract and cause movement. The
term physical therapists use for this brain-controlled muscular behavior is “recip-
rocal inhibition.”
Ideally, when one muscle contracts, its opposing partner relaxes to the
same degree. This may not always happen. When your brain is conditioned to
keep a muscle contracted at all times, the muscle does not relax freely; it may
relax only partially and interfere with its partner’s efforts at movement.
Now, let’s consider the muscles of your abdomen and low back.
In the case of back pain, the muscles of the back exist at a heightened state
of tension, a heightened state of “burn.” That’s the usual origin of chronic back
pain. The result of back muscle contraction is a forcing forward of your low back,
as if your spine were an archer’s bow and the muscular tension, the taut bow-
string. This postural change gives the appearance of weak abdominal muscles.
When your abdominal muscles contract, your back muscles relax to some
degree. Your brain causes this relaxation-response. As your back muscles relax,
they burn less fuel and oxygen; as the “burn” decreases, muscle fatigue and sore-
ness decrease. That’s why abdominal exercises produce temporary relief of back
discomfort.
Because the muscles of the back and front of your torso are related to each
other, to change how one muscle group operates, we must change how both mus-
cle groups cooperate. We want the two muscle groups to work freely in coopera-
tive coordination.
In the previous set of coordination patterns, you gained some control over
your back muscles; you increased both your ability to relax and to contract mus-
cles. But to feel really secure, you need to feel that the muscles at both the back
and front of your trunk are working in closely matched coordination. They both
must feel both free and strong.
STARTING POSITION:
• legs straight
4. Slowly, relax.
NO EFFORT
NO EFFORT
Repeat this movement until you get a bit more strength in the buttock,
with your toes pointed upward.
4. Equalize head,
shoulder, buttock.
Repeat until your shoulder comes a bit looser from your ribs and your
chest lifts a bit more.
Ø groin.
4. Slowly relax.
Repeat until both sensations (shoulder and groin) get clearer.
Ø
3. Alternate shoulders.
9. Using your
belly muscles, flatten
your low back down
to the surface and
hold.
11. Come to
complete relaxation.
Now stand and feel your weight on your feet. Allow any rush of
sensation to pass. Take a few steps forward, a few steps backward.
Notice any difference between your two sides.
5
Ø
161
(This page deliberately blank.)
162
Relation and Mutuality
Whenever we’re talking about things functioning, we’re talking about
relationships -- mutual interaction. To make any kind of change in a relation-
ship, it takes the collaboration of at least two involved parties to make it effective,
particularly when both parties have a stake in the same situation. Otherwise,
the change initiated by one will be countered or limited by the other.
3. Slowly relax.
Repeat this action until you can feel the tension increase and decrease,
then continue at decreasing levels of effort.
NO EFFORT
Repeat this movement about five (5) times -- until you can feel the
tension increase and decrease, then at decreasing levels of effort.
Now, stand and feel the difference between your two sides. Allow any
rush of sensation to pass. Walk foward, then backward.
Immediately after you do this sequence, follow it with a few repetitions of the
last movement of Spine Waves.
Find the amount to reach with your straight leg and to turn
your head to tighten the same place in your back.
Ø
3. Equalize the two
efforts, head and
buttock.
Ø
2. Tighten the buttock of
your straight leg, and
hold.
« 3. Slowly turn
your face toward your
bent elbow to locate a
position that reveals
any (probably mild)
discomfort in your
back, and hold.
Û 5. Reach and
relax with your
straight leg just
enough to feel the
tight place contract
more.
2. Tighten your
straight-leg buttock,
and hold.
Ø
3. Slowly turn
your head a bit more
to the side to locate
another position that
reveals mild
Ø discomfort in your
back.
4. Reach with
Û
the straight leg enough
to help feel the
discomfort more, and
hold.
Û
6. Equalize the efforts of
Ø head and leg.
7. Slowly relax.
In this way, continue to
locate and release the dis-
comfort in a number of
positions until your head is
NO EFFORT
fully turned.
177
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe.
Now, in reverse . . .
5. Slowly, turn
your face forward to
locate a position that
reveals some tightness
or discomfort in your
back. Stay there.
6. Press your
bent-knee foot down
enough to tighten the
ØØ tight place more.
ØØ Ø
Now, lie flat and compare how your two sides feel. Compare your:
• shoulders
• back
• buttocks
• legs
Stand. Allow any rush of sensation to your neck and head to pass. This
effect is your brain resetting tensions and blood pressure throughout your
body.
Now, go back to the beginning of this sequence and do your other side.
After you’ve done your other side, do a few repetitions of Spine Waves.
Spreading Butter
NEXT POSITION:
9. Slowly relax.
NO EFFORT
10. Replace your hand on
your hip bone.
Continue in that manner until you have located and relaxed all areas of
discomfort. Your hand ends up at your collar bone.
Then, do the process in reverse, moving your hand from your collar bone
down to your hip bone.
Stand. Allow the wave of sensation to your neck and head to pass.
189
(This page deliberately blank.)
Note that in this movement, you are putting as much attention on con-
tracting and relaxing the muscles of your back as you are on contracting and
relaxing the muscles of your front . Move slowly to give time for sensations to
surface.
You are using this coordination pattern to increase your awareness and
control of the tension you maintain in the active muscle groups. You are decreas-
ing the tension you maintain, at rest.
The flexibility you gain does not come from stretching; it comes from
letting go of muscles you habitually hold tight. You discover these muscles by
moving slowly and gently enough to feel where your effort is.
• on all-fours - go from
a. to b.
a.
• ankles and knees
together
• shoulders directly
above your hands
• head hanging freely
6. Slowly relax.
Repeat until you can get the
sensations of tension more
nearly equal.
⇒ 2nd level ⇒
Draw your abdomen in by
arching your back.
9. Slowly relax.
3. Equalize the
sensations at the
back of your neck and
mid-back.
7. Equalize the
sensations at the
fronts of your thighs,
abdomen, and neck.
Repeat until you get better
Ø at equalizing the tensions.
ÖÕ
3. Contract between
your shoulder blades
to draw them close
together, in back, and
hold.
4. Equalize the
right and left sides of
your shoulder blades,
and hold.
6. Re-contract your
shoulder blades and
equalize.
ENDING THE MOVEMENT: Sit back onto your heels. Relax in place
with your hands on your hips, sitting erectly.
210
.
MODULE 3C
Õ
211
(This page deliberately blank.)
Dehydration makes the fatigue and soreness of tight back muscles worse.
Preliminary research indicates that 8-10 glasses of water a day could
significantly ease back and joint pain for up to 80% of sufferers.
This last point is pertinent to the session that follows. If you’ve often
allowed yourself to get dehydrated, the tissues of your back may report soreness
with movements that involve bending.
A bit more on that point. The processes shown in this book are learning-
intensive. That means it’s easiest when your brain functions best. It’s a good
idea, then, to drink a glass of water before each session of the kind of brain-
intensive processes shown in this book.
Even mild dehydration will slow down one's metabolism as much as 3%.
One glass of water shuts down midnight hunger pangs for almost 100% of the
dieters studied in a U-Washington study. Implication: Drinking water helps
weight-loss, an idea that is backed up by scientists’ understanding of fat
metabolism, which involves a process called hydrolysis, which involves water.
Here’s another reason: as bodily tissues are about 70% water, dehydration
leads to tissue shrinkage. Over a lifetime of inadequate water intake,
intervertebral disks (the cushions between the bones of the spine) lose their
plumpness, leading to spinal compression. This is one reason why people lose
height as they get older.
A final word: Dry mouth is not the first sign of dehydration. It’s the last
sign, the vital organs of the body having priority over the mouth for water.
Are you drinking the amount of water you should every day?
STARTING POSITION:
• seated
• hands on hips
Pictorial Summaries of
Coordination Patterns
221
• Always regulate your effort to be within your comfort
zone: the amount of sensation you can experience without
fear or cringing.
PICTORIAL SUMMARIES
222
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. Never cause yourself to cringe. If a movement hurts, use less effort.
SUMMARY 1A
Ü
2. 1.
5
NO EFFORT Ø
5
Û
1. 5
2.
Ý
3. 5
3.
Ø Ý
2.
Ü 4. 5
ØØ Ø
1.
Ø
PICTORIAL SUMMARIES
223
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. Never cause yourself to cringe. If a movement hurts, use less effort.
SUMMARY 1B
1.
×
2.
5. ××
ØØ
4.
Ø 3.
PICTORIAL SUMMARIES
224
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. Never cause yourself to cringe. If a movement hurts, use less effort.
SUMMARY 1C(a)
1.
2
5
4. 2.
NO EFFORT
×
5 5
3.
1. Hips up.
2. Head up.
3. Hips down.
4. Head down.
PICTORIAL SUMMARIES
225
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. Never cause yourself to cringe. If a movement hurts, use less effort.
SUMMARY 1C(b)
1.
Ø Ø
CHIN UP, HEAD DOWN
NO EFFORT 2.
ÖÕ
4.
3.
PICTORIAL SUMMARIES
226
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. Never cause yourself to cringe. If a movement hurts, use less effort.
SUMMARY 1C - COMPLETE
NOW, COMBINE THE TWO COORDINATION PATTERNS INTO A CYCLE.
NO EFFORT
7.
1.
5
6. 2
×
×
2.
TRIPOD
5
×
5.
Ø Ø 3. 5
BELLY UP+CHIN UP HEAD DOWN
+
NO EFFORT
Ø
Ø
4.
5
PICTORIAL SUMMARIES
227
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. Never cause yourself to cringe. If a movement hurts, use less effort.
SUMMARY 2A(a)
Þ 1.
Ø Û
¬
Þ
3.
Û 2.
Þ
PICTORIAL SUMMARIES
228
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
SUMMARY 2A(b)
Ý
Ü 1.
Ø5.
NO EFFORT
2.
Þ
4. (×) Ø Û Reach.
Ø
Þ
Press elbow &
shoulder.
3.
Þ
Ø Û
Lift knee.
¬ Þ
229
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
SUMMARY 2A(c)
Ø
Þ
NO EFFORT
230
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. Never cause yourself to cringe. If a movement hurts, use less effort.
SUMMARY 2B
Set tension.
Hand switches.
Ö × 5
Õ
Ö
Ø
Hand switches.
Set tension.
PICTORIAL SUMMARIES
231
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. Never cause yourself to cringe. If a movement hurts, use less effort.
SUMMARY 2C
1. AT REST
Ø
Ø Ü
ARCH
2. SHOULDER DOWN
5. PELVIS FLATTENED
Ø
3. OTHER SHOULDER DOWN,
4. ARM AND FOOT LIFTED FOOT TURNED IN
PICTORIAL SUMMARIES
232
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. Never cause yourself to cringe. If a movement hurts, use less effort.
SUMMARY 3A(a)
4. NO EFFORT
2. ARCH BACK
3. EQUALIZE
PICTORIAL SUMMARIES
233
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. Never cause yourself to cringe. If a movement hurts, use less effort.
SUMMARY 3A(b)
Û
CONTRACT BUTTOCK
NO EFFORT
NO EFFORT
PICTORIAL SUMMARIES
234
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
SUMMARY 3A(c)
Ø Ø
235
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
SUMMARY 3B
8. 1.
7.
2.
6.
3.
5.
4. Ø
236
Go slowly enough to notice the first sensation of effort.
Always work within your zone of easy effort. If a movement hurts, use less effort. Never cause yourself to cringe
SUMMARY 3C
ARCH
1.
6.
2.
5.
3.
Ø 4. CAVE
237
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PICTORIAL SUMMARIES
238
Appendix A
239
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240
Some Comments on Typical Terms Applied to Back Pain
The discs consist of two layers: a tough, fibrous outer ring (annulus
fibrosus) and a gummy core (nucleus pulposus) -- something like a Tootsie Roll
Pop.
Disc breakdown may range from mild disc bulge, to more severe disc bulge
(herniation), to rupture of the disc with extrusion of disc material, to conversion
of the disc into bone (fusion). This phenomenon may occur anywhere in the spine,
including the neck.
Tight muscles of the back (the spinal extensors) pull neighboring vertebrae
closer together, compressing the discs in between. Over time, the combination of
overcompression and movement cause discs to break down, leading to the range
of breakdown described above.
241
Spinal Subluxations
The term, originating in Chiropractic, refers to misalignments of
neighboring vertebrae. Such misalignments adversely affect posture, movement,
and organ function by affecting nerve signal transmission.
242
Referred Pain
This term, familiar to physical therapists, has to do with pinched nerves
(nerve impingement). It refers to pain at a location other than at the location
where the nerve pinch exists.
If the nerve to the foot gets pinched, the brain interprets the nerve signal
that results as a sensation of the foot.
Another type of face joint exists where ribs meet vertebrae. Excessive
tension of the muscles that control rib movement may also cause a kind of facet
joint syndrome.
The pain and inflammation that result are sometimes called “facet joint
syndrome” and sometimes, “spinal arthritis.”
Radiculopathy
This is another term familiar to physical therapists. It refers to tingling
and numbness in the extremities that result from nerve impingement (a pinched
nerve). The term implies damage to a nerve root where it exits the spinal
column.
243
Sometimes, no damage exists; a nerve impingement of muscular origin
exists. The symptoms of radiculopathy often disappears as soon as tensions of
the spinal musculature normalize.
244
Appendix B
AN EXPERIMENT IN PERCEPTION
245
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246
An Experiment in Perception
The following images show the typical posture of people with the pattern of
muscular tension described earlier -- the muscular tension of typical back trouble.
The two side-by-side images are designed to give you a three-dimensional view.
While it is not necessary for your success in this program to get a three-
dimensional view from these images, it might be fun to try. The benefit of getting
a 3-D view is that it awakens and harmonizes both sides of the brain -- helpful for
developing body-awareness, as we are doing in this program.
+ +
As you gaze at these images, relax your eyes. If both your eyes are “awake”, you
will notice how the images drift apart, and instead of seeing two images, you see
four.
247
Now, cross your eyes gently and see the images drift toward each other.
Add a bit of effort to crossing your eyes, and you will see the innermost images
overlay each other. Get them to merge, and you have a three-dimensional image.
The image below shows a more normal posture characteristic of a person without
back trouble.
+ +
Now, it’s an interesting thing, but the first set of images corresponds more
to the ideal of a masculine man -- muscular, powerful -- and under strain. The
second set of images corresponds to another kind of man -- not so muscular
looking, not so powerful looking -- and relaxed. The interesting thing is that the
only difference between the two images is their posture -- the state of tension
they portray. Exactly the same figures were used for both sets of images, with no
changes of muscular build.
248
Appendix C
249
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250
An Expanded View of The Three Reflexes of Stress
“We become how we live.”
Thomas Hanna also described the role of expectation in the aging process −
how the expectation that aging leads to decrepitude leads to people limiting their
lives so that they become unfit for life; their expectation becomes a reality. In
popular parlance, “Use it or lose it.”
My own practice has substantiated his views. I have also seen that there
are various attitudes and ways of operating in life that lead to a poor life
experience and to formation of tension habits that lead to poor aging. In general,
these ways of operating have to do with how we handle beginnings, middles, and
endings of the events in our lives.
The Enigma
Most people respond well and decisively to Hanna Somatic Education as a
way of eliminating chronic muscular or musculo-skeletal pain resulting from
aging, injury, or stress. But from time to time, I encounter people whose
improvement is temporary, and for whom their initial complaint reappears − or
who just don’t respond as expected to the work.
251
For some of these, the explanation is simple: they have returned to the
same activities that provoked the problem to begin with, without adding to their
lives the regimen of somatic coordination patterns that dispels the effects of those
activities.
There have been others, however, for whom the return of the initial
complaint, or its failure to resolve, was enigmatic.
The Insight
Expanded insight into the psycho-physical workings of human beings
(ourselves) seems to provide an explanation that intuitively resounds with a
striking ring of truth. The ways we accept, reject, and participate in experience
(or the ways in which we handle beginnings, middles, and endings in our lives)
lead to the accumulation or release of tension.
What this means is that paying attention and getting ready to act involve
moving from a state of rest to a state of heightened muscular activity. Moving
from a state of “not ready” (at rest) to a state of “readiness” (getting set) and into
action all involve rising tension. (“Ready, get set, go!”)
252
For those who are unfamiliar with the reflexes of stress named above, I
begin with a brief description. Then, I touch on attitudes and ways of operating
so that you may consider them in your own case and, as a somatic explorer in
your own right, determine for yourself whether those connections between
behavior and tension hold good in your own case. I frame each of those ways of
operating in terms of “beginnings, middles (or continuations), and endings (or
interruptions)” to help you tap into the type of intention that can change them for
the better.
At about three months of age, most infants start lifting their head to look around.
They are developing a heightened state of alertness and awareness of their environment.
This development is the key distinction of the Landau reaction, which involves both
heightened alertness and activation of the erector muscles of the spine, the muscles that
gather independent vertebrae into a functional unit that is recognizable as a spine − and
makes lifting the head, sitting up, crawling, creeping, standing, walking, etc., possible.
253
When an infant turns upon his or her belly, he or she is preparing to crawl. The
act of crawling, itself, activates the gluteal muscles of the buttocks and the hamstrings
(for leg movements) and the muscles that surround the shoulder blades (for arm
movements).
• activation of certain nerve pathways that control certain muscle groups in the
back side of the body
Where the Landau Reaction is the impulse to explore and participate in our
environment, the Startle Reflex is a drawing away and withdrawal from our
environment.
Where the Landau Reaction involves activation of the muscles of the back of the
body, the Startle Reflex involves activation of the muscles of the front of the body.
254
• activation of certain nerve pathways that control certain muscle groups in the
frontal aspect of the body
Unlike the Startle Reflex, which has a consistent movement pattern, the trauma
reflex involves patterns of movement unique to the situation. In general, injuries come
from a single direction, usually from one side of the individual or the other; rarely do
they come from a straight-forward direction. So the effects of trauma reflex show up as
asymmetrical postural distortions.
Each has its proper moment. Problems occur when they persist beyond the
moment as chronic, fixated, or habituated responses.
255
Somatic education, in general, and Hanna Somatic Education, in specific, is a way
to get free of these responses when they have become habituated and chronic, to return
to a free state of functioning appropriately responsive to the moment.
256
How Our Way of Operating in Life Triggers
the Neuromuscular Reflexes of Stress
Have you ever procrastinated for so long that now the matter you had put
off constituted an emergency about which you felt some urgency? Would you say
that urgency involves a state of heightened tension? That’s the Landau Reaction.
257
What makes it more complicated is that another person is involved who
stands for the thing with which we were originally sympathetic, but now oppose.
So they seem to be our opponent − for asking us to do that for which we prepared
(at least partially) to do by making a commitment.
Consider the person who habitually makes and fails to keep commitments
− or makes too many commitments. What amount of tension must they be
accumulating? How must their attention be split among the various directions of
their unfulfilled commitments? Might they feel overloaded and tense?
What of the person who habitually enters into agreements with a person
who habitually breaks them? Might that not contribute to a persons stress level?
Might they not go nuts, at times?
SLOPPINESS
a disorder of endings or completions
“A Clean Desk is a Sign of a Sick Mind” − perhaps you have seen this saying on
a coffee mug in some office. This saying is a sign of a sick mind! Why?
258
in details. Eventually, one wishes for a dump truck − but among the detritus
are usually things one wants!
A sloppy desk is a sign of a sick mind. The cure? End things with a
completion.
Consider the “polite” person who doesn’t ask for what they need or accept it
when it is offered because (in their mind) it would inconvenience someone else or
be impolite. They have dual motivations: to get what they need (beginning/
Landau) and to avoid a “situation” (interrupting/Startle).
259
for it, neither should they.”) Might they be feeling both needy and angry − and
isn’t that a good definition of resentment?
And consider the person who acts that way as a matter of principle. Might
they not accumulate the dual tensions of desiring to act to get what they want
and opposing their desire? (... which is “the fault of others,” of course.)
Since our priorities often involve other persons, consider, in addition, the
tension involved in handling the reactions of others affected by our distraction.
In effect, they remind us of our own state of readiness to act on our first priority;
when we resist that reminder, we call it “nagging”, but it is our own heightened
tension, our own readiness to act (Landau) on our first priority, that we are
feeling and resisting.
260
The desire to act stands as a state of readiness; the suppression of action
substitutes for relaxing and relinquishing the initial desire, which continues.
The memory of the situation re-triggers the desire and intensifies the state of
readiness to act (to begin: Landau) at a time when action is now impossible (so we
believe).
The same reflexes are triggered any time we engage in actions that we feel
are wrong or for which we feel unprepared.
PERPETRATIONS
actions that we wish we had never begun
A perpetration is any action about which we feel guilt, shame, regret,
remorse, or any similar emotion. It is an action we wish we had not done, or an
act of omission, for which we have not yet handled the consequences. Lies and
secrets are included in this category.
261
Since these states of readiness do not cancel or neutralize each other (since
the emotion is persisting), they add to each other. One word for this state is
torment. Tormented people are not relaxed, you may have noticed.
Our system of morals, social mores, and taboos seeks to confine feelings
and behaviors within a certain accepted range. Greed, cruelty, stupidity,
selfishness, and ignorance are (most of the time) taboo, except when the end
“justifies” the means (see “Violating Taboos” above). I’m sure you can think of
other attributes, as well.
262
We tend to deny that we embody those forbidden attributes and suffer
torment at the idea that we do embody them. We also tend to want to torment
others who embody those attributes! Such is the origin of much righteous anger.
People who resist playing a certain role also tend to emphasize its opposite,
giving power to their denial that they are that way. Another state of “readiness”,
held as a desire not to experience being the way we really want to be. It is a
combination of Landau and Startle. More tension.
Summary
These are but a few examples of how people operate that lead to the
heightened tensions of the three reflexes of stress. They show how the way we
live triggers the neuromuscular reflexes of stress. A moment’s consideration
reveals how they also set the stage for injury. (Think of haste, inattention, and
disordered environments.)
263
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264
Appendix D
265
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266
A Functional Look at Back Pain
and Treatment Methods
Lawrence Gold, Certified Hanna Somatic Educator
REPRINTED FROM THE TOWNSEND LETTER
FOR DOCTORS AND PATIENTS,
November, 1994, #136, pg. 1186, revised 4/5/02
INTRODUCTION
The conventional understanding of muscular back pain is that it results from
traumatic injury, poor posture, genetic (mis)endowment, old age, or from
"insidious causes". Pain is often attributed to strain, sprain, or facet joint
damage.
Lactic acid buildup and tissue irritation follow- this apart from any tissue
damage that may exist.
267
Two basic conditions contribute to lactic acid build-up in muscle and thus, to
back pain:
Whether muscular hypertonicity results from pain (i.e., from guarding against
pain) or produces it, the results are the same: reduced movement, decreased
circulation, and accumulation of lactic acid in the involved muscle tissue.
Habitually tight muscles interfere with movement and interfere with their
muscular antagonists; fatigue, stiffness, and soreness result.
268
according to functional demand. This logic of growth-by-demand creates a pattern
of organization visible as the physical person; it also imprints stress and trauma
upon the fascial system, present as patterns of disorganization -- contraction and
restricted movement. The fascia is thus an organ of memory, whether of healthy
function or of dysfunction, as well as of tissue integrity.
Summary of Introduction
Two basic conditions, muscular hypertonicity and fascial disorganization, can
account for many or most cases of chronic back pain.
METHODS OF TREATMENT
We discuss four basic areas of praxis for the treatment of back pain:
• chiropractic manipulation
• somatic education
269
Physical Therapy Modalities
Therapeutic Exercise, Heat, Ice, Electrical Stimulation, and Massage
Moist heat, applied to the affected area, increases circulation and induces
relaxation. Application of ice can numb pain and, through a rebound of
circulation to restore warmth to an area, result in removal of lactic acid.
These three approaches are therefore effective ways to flush lactic acid from
the soft tissues, and that is the primary benefit.
Muscular activity and massage move fluids from the soft tissues into the
bloodstream and lymphatic system, through pumping action.
Chiropractic Manipulation
Bone movement and position reflect muscular pulls and the lines of stress
communicated through the fascial system.
270
Thus, movement and sensation form a feedback loop for the maintenance of
postural alignment.
Somatic Education
Somatic education addresses the sensory-motor aspect of the CNS to reduce
muscular hypertonicity. It is indicated where residual tension persists after
injured tissue has healed or where hypertonicity returns after treatment by
conventional methods.
• movement training
• assisted pandiculation
271
change according to load, position, and emotional tension. This fallacy extends to
the use of "lumbar supports".
Movement Training
Movement education seeks to develop balanced agonist/antagonist muscular
coordination throughout the body. Where agonist overpowers antagonist (where
reciprocal inhibition is interfered with by chronic hypertonicity), postural
aberrations result.
For example, in individuals who typically stand with knees locked and feet and
legs splayed apart, abductors and the external rotators of the thighs have
overpowered the adductors and internal rotators. The pelvis is thrust forward, as
a result, the rib cage falls back, and the head, forward. Such a position
accentuates the spinal curves and adds strain to the musculature of the neck and
thoracic spine.
272
Assisted Pandiculation
Pandiculation is an instinctual behavior found among all vertebrates that
purges residual tension from the neuromuscular system. Assisted pandiculation
systematically triggers the effects of pandiculation through a kind of "eccentric,
active- resistive range of motion" maneuver; this maneuver produces sufficient
sensory awareness of the involved areas to induce rapid sensory-motor learning.
Assisted pandiculation produces a nearlytantaneous, stable reduction of habitual
hypertonicity that can, if necessary, be maintained with a few minutes of
patterned movement a day. It may be the fastest method known for bringing
involuntary (habituated) muscular hypertonicity under voluntary control.
To be most effective, somatic education must include the whole body (since the
neuro-musculo-skeletal system operates as a whole to maintain balance in the
gravitational field). All of the methods named above cultivate relaxed or easy
balance (grace) in movement and at rest, though some work more quickly than
others.
273
This process balances the agonist/antagonist pairs, distributes tensional forces
in the myofascia, and so allows the core of the body to relax and open. Structural
Integration differs from myofascial release, per se, by its systematic approach to
postural alignment and balance in movement, and in its recognition of the
functional relationship of hard and soft tissues in relation to the gravitational
field.
For example, the shoulder and hip joints are related. In walking, they move
contralaterally; at rest, they counterbalance each other: As one hip moves
forward, the shoulder above it tends to move backward as a postural reflex. The
torso connects the two girdles, hip and shoulder. Compensatory shifts of these
girdles twist or distort the spine and rib cage. The combination of a twist, shear
forces, and muscle tension adds stress to the whole torso.
274
SUMMARY
Though varying in etiology and degree of severity, back pain has a common
feature: build-up of lactic acid in muscle tissue and resulting irritation. Muscular
hypertonicity and postural distortions create pain, facet joint irritation, and
radiculopathy.
ACKNOWLEDGEMENT
I pay my respect to the late Thomas Hanna, Ph.D., whose writings and
personal instruction provided a structure for my personal somatic explorations
and for my work with others.
REFERENCE
275
MORE SOMATICS
available at Somatics on the Web (somatics.com)
Biokinetics/Hanna Somatics
Developmental Movement Education with Carol Welch,
certified Hanna somatic educator
video programs available in VHS, PAL, and on DVD
Reflexes 101w
The movement patterns worked with in this video address muscular contractions
held involuntarily and unconsciously. They create a better condition for
breathing, walking, and functioning in a more comfortable and efficient body.
Practice along with Carol. 76 minutes running time, many hours in fruitful
practice time.
This program is based on movement patterns for the well-being of the spine, the
long muscles of the back, and the small muscles joining the vertebrae.
Included are cyclic motions that serve to integrate the sense of weight,
balance, intention, and direction of movement.
I liked this video very much. It was well organized and aesthetically pleasing. Clear and
simple to follow, the video had an excellent pace which allowed the viewer to participate
simultaneously with the producers.
276