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International Myotherapy Society |
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Abstracts of articles published in French magazines
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Some articles in French on Brachy-Myotherapy (to be translated later)
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 a) In independant peer-revieuwed magazines:
Treatment of elbow pain:
In: Kinésithérapeute Pratricien, n°66, J. Polak et al.
Brachy-Myotherapy compared with classical rehabilitation and physiotherapy, on 2 differents groups by 2 differents therapists. 25 patients in the control group, 32 patients in the test group.
Results: 3 times more recovies (69% vs 24%) in 2 times less sessions (average 6.7 vs 12.8).
Neck pain and brachial neuralgias:
In: Kinésithérapeute Pratricien, n°58, Ponzio, Cottar, Polak, et al.
Treatment by Brachy-Myotherapy gives the following results:
- Chronic neck pains: 244 patients, aged 10 to 83, 167 women and 77 men. After an average of 4 sessions of Brachy-Myotherapy, 66% recovered, 27% left better, 7% did not notice any difference. Age does not influence the results.
- Acute neck pain: 81 patients, 52 women and 29 men. After an average of 2 sessions of Brachy-Myotherapy, 89% recovered, 7% felt better, 4% did not notice any difference.
- Brachial neuralgia: two hypothesies are discussed based on the results:
1. Contractures are probably never antalgic but are the causes of the pain itself, for when we treat thesecontractures, and only them, pain disappears. If they were antalgic, the opposite shouls occur.
2. Osteoarthristis might be solely due to posttraumatic contracyures, after some month without manual treatment, for immobilisation and compression of the joint by a contracture, even not severe, but lasting a long time, will experimentally lead to a diminution of protoglycans, destruction of cartilago, and bone reactions typical of osthearthrisis.
Cause & treatment of Migraine
In Kinésithérapeute Scientifique, n°367, mai 1997, J. Aguila & J. Polak, MDs
Cause of migraine and most other headaches might simply be due to contractures of muscles of the neck, which hamper blood circulation in the intern jugular vein, thus diminishing of oxygynation of the brain, causing aura signs, and provoquing a reaction of the jugular artery that will provoque onesided Intra Cranial Hypertension, the signs of the migraine. Complete belateral headaches can be explained the same way. 44 patients aged 5 to 70, 36 women and 6 men, suffering of IHS defined migraines, have been treated by Brachy-Myotherapy alone. 73% patients did not have any crisis any more, withe follow-up varying from 3 months to 2 years. Only 9% were a failure, the others felt improved.
If we consider all 44 cases, cured, bettered or not Considering the expected crisies (1.025) only 184 did occur: more than 1000 migraines were thus avoided (82%).
Lasting contractures: a Beta loop?
In: Kinésithérapie Scientifique, n°367, may 1997, J. Aguila & J. Polak, MDs.
The lasting contracture, that is easy to find by palpation on anybody with joint diseases for example, seem to be like a continuous stretch-reflex. This might be due to Beta motorneurones, that stimulate intrfusal as well as extrafusal muscle fibers, in order to keep the spindles adapted to the muscles length. If a trauma has provoqued a very long contraction of a muscle in order to protect the joint (the strenght of strecht reflex depends on how fast and/or how long the muscle has been stretched). We can suppose that a strong trauma stimulates strongly alpha and beta motoneurons (MN) so that the muscle reaction is adapted to the trauma. But Beta MN will not only stimulate extrafusal fibers, but also the intrafusal ones, and at a level the contraction of their peripherical parts stretches the central part too mutch, which will at their turn stimulate the contractile part of the Beta MN again, etc. A loop is formed that has not reason to stop, and whose clinical signs are those of a classical contracture, exept that is lasts indefinitely, untill manual therapy stops the loop.
&n
bsp; Brachy-Myotherapy does that by shortening the muscle passively, more than any rest position can do, and avoids unwanted reflexes like stretch-reflex.
Surface Electromyographic measures in a short comparative study
In: Kinésithérapeute Pratricien, n°54, july 1996, J.-G. Tournafond, physiotherapist & J. Polak, MD.
Classical physiotherapy and Brachy-Myotherapy have been compared in a cross-over test measured by EMG of the gastrocnemius force in four cases of rehabilitation of achilles tendon.
Recovery was mutch faster with Brachy-Myotherapy.
Brachy-Myotherapy and sports medicine
In: Sport Med', 12/96, 87, 17-22 J. Polak, MD, et al.
Performances in sport are of course better without pain and with muscles working at top level. There fore contractures must be regularly treated because sportmen are more subject than other people to traumas that may cause lasting contractures. Examples of different specific diseases are given: pain in the leg, achilles tendinitis, tibial periostitis, and pubalgia.
Manual non surgical treatment of Hallux Valgus in adults
Effects on pain and deformation; aetiological hypotesis
In: Rhumatologie, France, 1998-50-6, J. Polak, MD, J. Aguila, MD, J.-M. Vertier MD et al.
Abstracy: The cause of Hallux Valgus (HV) is not well known, even thought a muscular factor is commonly admitted.
Patients & method: Patients of the two following studies have been treated only by Brachy-Myotherapy, a manual method of mobilisation type that aims to treat lasting muscle contractures by shortening for a short time the concerned muscles.
- The first study concerns the treatment of deformation. The four patients, among which two bilateral cases, were women aged between 49 and 67. Treatment lasted from 3 to 13 months. X-ray photographs have been made before and after treatment. Txo physicians have treated these patients with Myotherapy only.
- The second study is a multicentric study on pain caused by HV. Twelve physicians have treated 23 patients (21 women and 2 men, aged 10 to 79) with Myotherapy only. Results were classified in three types: patients were considered to be cured if they had no pain in any situation, with no treatment whatsoever, and at least one month follow-up. Were considered as bettered the patients who felt less pain, but still suffered in some situations and/or still neaded treatment after Myotherapy was finished. Failures were the cases with no significant result at all.
Neither study was comparative since there are no spontaneous improvements, and since there is no other effective treatment than surgery.
Results of pain: cured 66%, bettered 30%, failure (one case out of 23) 4%.
Results of the deformation: 1 case 20° straightening, 2 cases 8°, one 6°, two others less than the error margin that is considered to be of 5°.
Discussion: Two aetological factors can be considered: the main factor might be a post-traumatic lasting contractures of several intrising muscles of the foot, creating an ubalance at the level of the first toe, and an aggravating factor.
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b) In the peer-revieuwed magazine of the International Myotherapy Society:
(Articles are submitted to a comitee composed of Rhumatologists, Rehabilitation specialist, and a paediatrist)
Tested indications of Brachy-Myotherapy
In: Myotherapie, n°24, 9/96.
About 60 diseases have beentested on 3000 patients by 150 physicians with Brachy-Myotherapy as sole treatment.
This principally concerns pathologies of rheumatologies, including polyarthritis and spondylarthrisis, but also some paedriatic diseases, sports medicine, vascular problems, visceral diseases, psychic troubles, and some specific problems like some cases of asthma, kidney stones, etc.
Treatment of haemorroids
In: Myotherapie, n°27, 6/97, Dr Aguila, MD
39 patients suffering of chronic haemorroids have been treated by Brachy-Myotherapy alone. 61% were considered as cured, plus 10% improvements, with an average of 4 and a half days. About 3 sessions were usually necessary. The hypotesis is that the Levator Ani muscle, which is part of the external sphincter of the anus, when contractured ampers the return of veinous blood, creating so internal and/or external haemorroids.
Cluster Headaches
In: Myothérapie, n°32, 9/98, P. Ponzio, Physiotherapist
Cluster headaches, is a rather uncommon disease consistaing mainly of very painfull one-sided pains felt behind the eyes, considered as worse than migraines.
7 cases have been treated by Brachy-Myotherapy alone (exept if a crisis happened before complete cure). Spontaneous remissions can occur but these seven cases were in crisis period.
All seven were cured. The cases were follow-up was sinificant did not mention any relapse.
Only neck ore anckle muscle have been treated, considering the hypothesis that local muscle compensations hamper vascular circulation that provoques a vasodilatation causing a local hyperpressure.
Pelvi-perineal pains
In: Myotherapie, n°31, 9/98, M. Guérineau, Physiotherapist.
This is also a relatively uncommon disease. Brachy-Myotherapy and usual Physiotherapy have been compared in 2 groups. The results showed 86% good results in the Brachy-Myotherapy group, and 71% in the Physiotherapy group.
Brachial neuralgia: a cross-over study
In: Myotherapie n° 34, 3/99, M. Molina, Physiotherapist.
31 patients suffering of brachial neuralgia, 13 men and 18 women, mentionned a visual analogic pain of average 49% before treatment, after 5 sessions of physiotherapy 43%, and after 5 sessions of Brachy-Myotherapy 15%. If a medical treatment against pain was also taken (22 cases out of the 31), it could not be stopped after physiotherapy (with 2 cases increased), but has been diminished in 10 cases and stopped in 3 cases after Brachy-Myotherapy.
It must however ben reminted that this is a comparative study on the same 31 patients, and that 5 sessions being arbitrary, neither treatment could be considered of finished for all the 31 cases.
With this in mind we can notice that 7 patients felt no pain any more after 5 sessions of Brachy-Myotherapy, none after 5 sessions of Physiotherapy.
Standing in men and horses; lameness in horses and poneys
In: Myotherapie, n°35, 12/99, J. Polak, MD.
The differencein standing of man and horse is expained, showing that paradoxally the quadrped uses much less oxygen, thanks to a system that temporarilly transforms many tendons in ligaments, and even locks the patella on tne femur. Many lamenesses can be cured easily if this system is understood.
WE CAN SEND YOU A COPY (BUT IN FRENCH...) OF THE ARTICLES TH
AT WOULD INTERESTED YOU.
Several books on Brachy-Myotherapy exist in French:
- 1. Joint pains and neuralgias
- 2. Migraines and other headaches
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