By Francoise V. Ricard, Jean-Luc Salle
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Extra resources for Tratado de Osteopatia
Example text
We look for this asymmetry at the level of the axial musculature by means of movements that obey the laws of spinal movement, Lowett's laws (1907) - cited and disseminated by Fryette [1] - for example, during the lateral inclination of the spine of the subject standing up. According to Lowett's laws, this movement is accompanied by a contralateral rotation of the lumbar and dorsal vertebrae, easily perceived by gently placing one's hands on the patient's iliac wings and scapulae, while he leans sidewards.
De Corbera 4, Paris, France 53 L R L R Fig. 1. Harmonious and disharmonious postural syndromes. On the left. in harmonious syndrome. the hypertonicity of the axial and distal muscles is crossed. On the right. in disharmonious postural syndrome. the hypertonicity of the axial and distal muscles is homolateral. (From [3)) tural syndrome following whiplash is statistically significant. What does it mean? Uemura and Cohen l4J showed that by localized destruction of the vestibular nuclei in the monkey it was possible to induce hannonious or disharmonious postural syndromes depending upon the level of the lesion.
The possibilities of malingering or enhancing ones' symptoms to receive medico-legal benefits have not been discussed here. It should only be pointed out that it is the authors' opinion that such a possibility should be neither forgotten nor overemphasized. At present we have to conclude that we do not have a specific unifying pathophysiological explanation of WAD. Further research as well as an open but careful attitude in considering the problem are both needed. References 1. Pearce JMS (1994) Polemics of chronic whiplash injury.
