clinical biotensegrity a data-based model€¦ · 01/12/2013 · biotensegrity historical...
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Clinical Biotensegrity
Illustrating a Data-based Clinical Model
of Compression-Tension Forces That Facilitate
Orthopedic Medical Diagnosis, Treatment, and Postural Rehabilitation
Gary B. Clark, MD, MPA
Center for Orthopedic Medicine BOULDER PROLOTHERAPY
Boulder, Colorado
Disclaimers: None
Graphic Illustrations: Faith Gowan
Gary B. Clark, AAOM, Ft Lauderdale, 2012 1
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Gary B. Clark, AAOM, Ft Lauderdale, 2012 2
“When we try to pick out anything by itself, we find that it is bound fast by a thousand invisible cords . . .
to everything in the universe.” John Muir
Personal Journal July 27,1869
In Memory of Michael Wayne Seamans, DO
Dedicated to James S. Miles, MD Professor Emeritus
Chairman of Orthopedic Surgery University of Colorado School of Medicine
Father of the “Five R’s of Orthopedics”
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Educational Goals
1. Introduce a Brief Background History of Clinical Biotensegrity
2. Introduce the Scientific Model Used to Illustrate Clinical Biotensegrity
3. Illustrate Natural Compression-Tension Forces in an Ideally Balanced State
4. Illustrate Injurious Compression-Tension Forces in an Naturally Imbalanced State
5. Illustrate Mapping of Compression-Tension Forces
Gary B. Clark, AAOM, Ft Lauderdale, 2012 3
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Goal 1:
Brief Historical History
of
Clinical Biotensegrity
Gary B. Clark, AAOM, Ft Lauderdale, 2012 4
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Biotensegrity Historical Landmarks
• Sir Isaac Newton (1642-1727): Third Law of Motion1
• Sir Charles Scott Sherrington (1857-1952): Law of Reciprocal Innervation2
• R. Buckminster Fuller (1895-1983): Principal of Tensional Integrity (“Tensegrity”)3
• Kenneth Snelson (1927- ): Principal of Floating Compression4
• Stevin M. Levin, MD: Coined “Biotensegrity”; Pioneer in clinical study of Biotensegrity since 1980’s5
• Donald E. Ingbar, MD: Pioneer in academic study of Cellular and Tissue Biotensegrity since 1990’s6,7
Gary B. Clark, AAOM, Ft Lauderdale, 2012 5
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Goal 2:
The Scientific Model
Used to Illustrate
Clinical Biotensegrity
Gary B. Clark, AAOM, Ft Lauderdale, 2012 6
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Levels of Medical Evidence
• Single Case “unique” Casual Observation/ Expert Opinion
• Multiple Case Series Casual Observation/ Expert Opinion
• Case Series Study- Retro/prospective and Consecutive/nonconsecutive
• Case-Control Study
• Retrospective Cohort Study
• Prospective Randomized Controlled Study
Gary B. Clark, AAOM, Ft Lauderdale, 2012 7
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Levels of Medical Evidence
• Single Case “unique” Casual Observation/ Expert Opinion
• Multiple Case Series Casual Observation/ Expert Opinion
• Case Series Study--Prospective (rigorously pre-planned) and Consecutive (including all cases presenting over a specific period)
• Case-Control Study
• Retrospective Cohort Study
• Prospective Randomized Controlled Study
Gary B. Clark, AAOM, Ft Lauderdale, 2012 8
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SIJD Physical Characteristics9,10 Initial Observations Leading to Study
Most Reproducible Definitive Physical Signs Dropped
Inferior Sacral Angle
Short-sided Limp
Vertebral Scoliosis
Functionally Short Leg
Weakened Leg
aBduction
LSIJD Left Left Step Down
Dextro Lumbar
Left Left Decreased
RSIJD Right Right Step Down
Levo Lumbar
Right Right Decreased
Gary B. Clark, AAOM, Ft Lauderdale, 2012 9
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SIJD Physical Characteristics9,10 Initial Observations Leading to Study
Most Reproducible Definitive Physical Signs Dropped
Inferior Sacral Angle
Short-sided Limp
Vertebral Scoliosis
Functionally Short Leg
Weakened Leg
aBduction
LSIJD Left Left Step Down
Dextro Lumbar
Left Left Decreased
RSIJD Right Right Step Down
Levo Lumbar
Right Right Decreased
Gary B. Clark, AAOM, Ft Lauderdale, 2012 10
Frequently Supportive Physical Signs Dropped Shoulder
Restricted Sacroiliac Joint with
Supinated Foot
Pronated Foot
LSIJD Right Left Ileal Flexion
Left Right
RSIJD Left Right Ileal Flexion
Right Left
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SIJD Physical Characteristics9,10 Initial Observations Leading to Study
Most Reproducible Definitive Physical Signs Dropped
Inferior Sacral Angle
Short-sided Limp
Vertebral Scoliosis
Functionally Short Leg
Weakened Leg
aBduction
LSIJD Left Left Step Down
Dextro Lumbar
Left Left Decreased
RSIJD Right Right Step Down
Levo Lumbar
Right Right Decreased
Gary B. Clark, AAOM, Ft Lauderdale, 2012 11
Frequently Supportive Physical Signs Dropped Shoulder
Restricted Sacroiliac Joint with
Supinated Foot
Pronated Foot
LSIJD Right Left Ileal Flexion
Left Right
RSIJD Left Right Ileal Flexion
Right Left
Question: Why are all these physical parameters
--from plantar arch to nuchal line— seemingly linked in SIJD??
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A Data-Based Clinical Example of Sacroiliac Joint Dysfunction (SIJD)
Clark G. Journal of Prolotherapy. 2011 9,10
A Scientifically Planned Prospective Case-Series Study of SIJD
Carried Out over Six Years
Gary B. Clark, AAOM, Ft Lauderdale, 2012 12
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Sacroiliac Joint Dysfunction (SIJD) Prevalence in Low Back Pain Patients9,10
Data-Based Study of SIJD n = 110
Total Female Male Sacral
Stabilization Requiring
OMT
Sacral Stabilization
Requiring Prolo
All SIJD ------- 63% 37%
LSIJD
RSIJD
Gary B. Clark, AAOM, Ft Lauderdale, 2012 13
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Sacroiliac Joint Dysfunction (SIJD) Prevalence in Low Back Pain Patients9,10
Data-Based Study of SIJD n = 110
Total Female Male Sacral
Stabilization Requiring
OMT
Sacral Stabilization
Requiring Prolo
All SIJD ------- 63% 37%
LSIJD 81% 82% 80%
RSIJD 19% 18% 20%
Gary B. Clark, AAOM, Ft Lauderdale, 2012 14
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Sacroiliac Joint Dysfunction (SIJD) Prevalence in Low Back Pain Patients9,10
Data-Based Study of SIJD n = 110
Total Female Male Sacral
Stabilization Requiring only OMT
Sacral Stabilization
Requiring Prolo
All SIJD ------- 63% 37% 30% 70%
LSIJD 81% 82% 80% 29% 71%
RSIJD 19% 18% 20% 31% 69%
Gary B. Clark, AAOM, Ft Lauderdale, 2012 15
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Sacroiliac Joint Dysfunction (SIJD) Prevalence in Low Back Pain Patients9,10
Data-Based Study of SIJD n = 110
Total Female Male Sacral
Stabilization Requiring only OMT
Sacral Stabilization
Requiring Prolo
All SIJD ------- 63% 37% 30% 70%
LSIJD 81% 82% 80% 30% 70%
RSIJD 19% 18% 20% 30% 70%
Gary B. Clark, AAOM, Ft Lauderdale, 2012 16
ALL the above-mentioned patients were Right-Handed!!
Only TWO Left-Handed patients have been encountered in 10 years of
carefully documented Orthopedic Medical practice
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Left Sacroiliac Joint Dysfunction (LSIJD)
Data-based Model Characterized by:
Primary Left Sacroiliac Ligament Laxity and
Sacroiliac Joint Displacement
Compensatory Dextrolumbar Scoliosis
Compensatory Left Short Leg
Compensatory Right Long Leg
Gary B. Clark, AAOM, Ft Lauderdale, 2012 17
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Goal 3:
Natural
Compression-Tension Forces
in an
Ideally Balanced
State
Gary B. Clark, AAOM, Ft Lauderdale, 2012 18
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Biotensegrity Models, Examples, Analogies
Newton Apple
Sherrington Agonist-Antagonist
Wright Flyer
Fuller Geodesic Dome
Snelson Bead Chain X Column
Levine Vertebrate Structures
Ingbar Cytoskeletal Structures
Gary B. Clark, AAOM, Ft Lauderdale, 2012 19
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Biotensegrity Models, Examples, Analogies
Newton Apple
Sherrington Agonist-Antagonist
Wright Flyer
Fuller Geodesic Dome
Snelson Bead Chain X Column
Levine Vertebrate Structures
Ingbar Cytoskeletal Structures
Cantieri Degenerative Postural Low Back Cascade8
Gary B. Clark, AAOM, Ft Lauderdale, 2012 20
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Biotensegrity Models, Examples, Analogies
Newton Apple
Sherrington Agonist-Antagonist
Wright Flyer
Fuller Dome
Snelson Bead Chain X Column
Levine Vertebrate Structures
Ingbar Cytoskeletal Structures
Cantieri Degenerative Postural Low Back Cascade8
Trister Umbrella
Gary B. Clark, AAOM, Ft Lauderdale, 2012 21
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Biotensegrity Man!!
Gary B. Clark, AAOM, Ft Lauderdale, 2012 22
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Biotensegrity Woman!!
Gary B. Clark, AAOM, Ft Lauderdale, 2012 23
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The Usual Forces at Play
Forces Causing Compression • Passive Compression: Directly Due to
Gravitational Force (Weight)
• Active Compression: Directly Due to Muscular Force
Forces Causing Tension • Passive Tension: Directly Due to
Gravitational or Indirect Muscular Force
• Active Tension: Directly Due to Muscular
Force
Gary B. Clark, AAOM, Ft Lauderdale, 2012 24
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The Usual Forces at Play
Gary B. Clark, AAOM, Ft Lauderdale, 2012 25
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Ideal Skeletal-Ligament-Muscle Balance and Alignment
Gary B. Clark, AAOM, Ft Lauderdale, 2012 26
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Goal 4:
Injurious
Compression-Tension Forces
in an
Imbalanced
State
Gary B. Clark, AAOM, Ft Lauderdale, 2012 27
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Ideally Aligned and Balanced Sacrum-Pelvis
Gary B. Clark, AAOM, Ft Lauderdale, 2012 28
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Primary Sacral Ligament Injury and Resultant Skeletal Displacement
in LSIJD
Gary B. Clark, AAOM, Ft Lauderdale, 2012 29
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Goal 5:
Map
Compression-Tension Forces
Gary B. Clark, AAOM, Ft Lauderdale, 2012 30
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Clinical Biotensegrity Force Map Resultant Sacral-Pelvic Passive
Compression-Tension Forces in LSIJD
Gary B. Clark, AAOM, Ft Lauderdale, 2012 31
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A Spectrum of Potential Sacral-Pelvic Injuries in LSIJD
Chronic Active Tension—Produced During Normal Standing-Flexing-Extending-Side Bending-Rotating-and-Ambulating in a Right-handed World • Initially via Functionally Balanced Postural/Core Muscles
• These Postural/Core Muscles eventually decompensate and become functionally imbalanced
Chronic Passive Tension—Produced by Muscular/ Gravitational Forces • Bilateral Iliolumbar Ligament stress/strain/sprain/laxity
• Bilateral Superior-Inferior Posterior Sacroiliac Ligament stress/strain/sprain/laxity
• Bilateral Sacrotuberous Ligament stress/strain/sprain/laxity
Chronic Passive Bilateral Sacroiliac Joint Compression —Produced by Gravitational Forces • Left Sacroiliac Joint displacement
Gary B. Clark, AAOM, Ft Lauderdale, 2012 32
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Compensatory Scoliosis in LSIJD Theoretical Head Displacement
Gary B. Clark, AAOM, Ft Lauderdale, 2012 33
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Compensatory Scoliosis in LSIJD Head Maintained over Center of Gravity
Gary B. Clark, AAOM, Ft Lauderdale, 2012 34
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Compensatory Scoliosis in LSIJD Resultant Regional Side-Bending
Gary B. Clark, AAOM, Ft Lauderdale, 2012 35
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Compensatory Scoliosis in LSIJD Resultant Vertebral Misalignment
via Normal Spinal Mechanics
Gary B. Clark, AAOM, Ft Lauderdale, 2012 36
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Compensatory Scoliosis in LSIJD Causal Active Muscle Tension
Gary B. Clark, AAOM, Ft Lauderdale, 2012 37
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Additional Compensatory Right Posterior Sling Action in LSIJD
Gary B. Clark, AAOM, Ft Lauderdale, 2012 38
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Clinical Biotensegrity Force Map Resultant Compression-Tension Forces
in Compensatory Scoliosis of LSIJD
Gary B. Clark, AAOM, Ft Lauderdale, 2012 39
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Clinical Biotensegrity Force Map Resultant Arcs of Force
in Compensatory Scoliosis of LSIJD
Gary B. Clark, AAOM, Ft Lauderdale, 2012 40
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A “Perfect Storm”
Gary B. Clark, AAOM, Ft Lauderdale, 2012 41
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A Spectrum of Potential Scoliotic Injuries in LSIJD
Chronic Active Tension—Compensatory along Concave Arcs • Right Cervical Suboccipital/ Paraver-
tebral Muscle activation/shortening/ strain/spasm/sprain/tendinosis
• Left Thoracic Paravertebral Muscle activation/shortening/strain/spasm/ sprain/tendinosis
• Right Lumbar Paravertebral Muscle activation/shortening/strain/spasm/ sprain/tendinosis
• Right Posterior Sling (Right Latissimus dorsi and Left Gluteus maximus) activation/shortening/strain/spasm/ sprain/tendinosis
• Right Quadratus Lumborum Muscle activation/shortening/strain/spasm/ sprain/tendinosis
• Right Thoracic Costovertebral Joint dysfunction/Interscapular Muscle activation/shortening/strain/spasm/ sprain/laxity-tendinosis
Chronic Active Compression—Along Concave Arcs • Right C1-7 Vertebral Body wedging/
Facet Joint arthritis/Disc disease/Nerve impingement
• Left T1-12 Vertebral Body wedging/ Facet Joint arthritis/Disc disease/Nerve impingement
• Right L1-5 Vertebral Body wedging/ Facet Joint arthritis/Disc disease/Nerve impingement
Chronic Passive Tension—Along Convex Arcs • Left Cervical Intervertebral Ligament
and Muscle stress/strain/spasm/sprain/ laxity-tendinosis
• Right Thoracic Intervertebral Ligament and Muscle stress/strain/spasm/sprain/ laxity-tendinosis
• Bilateral T11-L 2 (crossover zone) Intervertebral Ligament and Paraspinal Muscle stress/strain/spasm/sprain/ laxity-tendinosis
• Left Lumbar Intervertebral Ligament and Muscle stress/strain/spasm/sprain/ laxity-tendinosis
Chronic Passive Tension—Other Compensatory along Convex Arcs • Right Upper Trapezius Muscle stress/
strain/spasm/sprain/tendinosis • Right Levator Scapulae Muscle stress/
strain/spasm/sprain/tendinosis • Right Rotator Cuff impingement/stress/
strain/spasm/sprain/tendinosis • Left Quadratus Lumborum Muscle
stress/strain/spasm/sprain/tendinosis
Gary B. Clark, AAOM, Ft Lauderdale, 2012 42
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Compensatory Short Left Leg in LSIJD
Resultant Skeletal Displacement
Gary B. Clark, AAOM, Ft Lauderdale, 2012 43
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Compensatory Short Left Leg in LSIJD
Resultant Joint Deformities
Gary B. Clark, AAOM, Ft Lauderdale, 2012 44
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Compensatory Short Left Leg in LSIJD
Causal Active Muscle Tension
Gary B. Clark, AAOM, Ft Lauderdale, 2012 45
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Clinical Biotensegrity Force Map Resultant Compression-Tension Forces
in Compensatory Left Short Leg of LSIJD
Gary B. Clark, AAOM, Ft Lauderdale, 2012 46
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Clinical Biotensegrity Force Map Resultant Arcs of Force
in Compensatory Left Short Leg of LSIJD
Gary B. Clark, AAOM, Ft Lauderdale, 2012 47
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A Spectrum of Potential Short Left Leg Injuries in LSIJD
Left Hip and Upper Leg --Step-down/varus gait hip joint com- pressive injury --Hamstring chronic active shortening/ stress/ strain/sprain/tendinosis at left ischial tuberosity --Internal Rotator and aDductor active shortening/stress/strain/sprain/tendin- osis at ileum and/or Greater Trochanter --Posterior Capsular Ligament passive stress/strain/sprain --External Rotator passive stress/strain/ sprain/tendinosis at sacrum and/or Greater Trochanter
Left Knee and Lower Leg --Varus joint deformity --Medial Tibial-Femoral articular cartilage compressive erosion --Lateral Retropatellar articular cartilage compressive erosion --Medial Gastrocnemius active shorten- ing/stress/sprain/tendinosis --Pes anserinus Tendon active shorten- ing/stress/strain/ sprain/tendinosis --Lateral Collateral/Coronary Knee and Fibular Ligaments passive stress/strain/ sprain/laxity --Posterior Cruciate Ligament passive stress/ strain/sprain/laxity
Left Ankle --Varus joint deformity prone to lateral sprain --Medial articular cartilage compressive erosion -- Achilles Tendon active shortening/ stress/strain/sprain/tendinosis --Lateral Collateral Ligaments passive stress/strain/sprain/laxity
Left Foot --Supination foot deformity --Medial Tibialis posterior tendon active shortening/stress/strain/sprain/tendin- osis --Medial Plantar muscles active shorten-ing/stress/ strain/sprain/fasciitis/tendin-osis --Dorsilateral Ligaments passive stress/ strain/sprain/laxity --Lateral Peroneus brevis/longus tendon passive stress /strain/sprain/tendinosis
Gary B. Clark, AAOM, Ft Lauderdale, 2012 48
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Compensatory Long Right Leg in LSIJD
Resultant Skeletal Displacement
Gary B. Clark, AAOM, Ft Lauderdale, 2012 49
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Compensatory Long Right Leg in LSIJD
Resultant Joint Deformities
Gary B. Clark, AAOM, Ft Lauderdale, 2012 50
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Compensatory Long Right Leg in LSIJD
Causal Active Muscle Tension
Gary B. Clark, AAOM, Ft Lauderdale, 2012 51
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Clinical Biotensegrity Force Map Resultant Compression-Tension Forces
in Compensatory Short Left Leg of LSIJD
Gary B. Clark, AAOM, Ft Lauderdale, 2012 52
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Clinical Biotensegrity Force Map Resultant Arcs of Force
in Compensatory Short Left Leg of LSIJD
Gary B. Clark, AAOM, Ft Lauderdale, 2012 53
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A Spectrum of Potential Long Right Leg Injuries in LSIJD
Right Hip and Upper Leg -- Long leg vaulting/valgus gait compres-sion joint injury
-- External rotator active stress/strain/
sprain/tendinosis at sacrum and/or Greater Trochanter
-- Lateral Quadriceps and Patellar tendon active stress/strain/sprain/tendinosis
-- Anterior capsular passive stress/strain/ sprain/laxity
-- Internal rotator passive shortening/ stress/strain/sprain/tendinosis
Right Knee and Lower Leg -- Valgus joint deformity
-- Lateral tibial-femoral articular cartilage compressive erosion
-- Medial retropatellar articular cartilage compressive erosion
-- Medial knee ligaments passive stress/ strain/sprain/laxity
-- Anterior cruciate ligament passive stress/ strain/sprain/laxity
Right Lower Leg and Ankle -- Valgus joint deformity prone to medial sprain/laxity
-- Lateral articular cartilage compressive erosion
-- Anteromedial Tibialis posterior passive stress/strain/sprain/tendinosis (“shin splints”)
-- Medial collateral ligaments passive stress/strain/sprain/laxity
Right Foot -- Accentuated Pronation foot deformity
-- Lateral Peroneus brevis/longus tendon active stress/strain/sprain/tendinosis
-- Dorsilateral foot myofascial active stress/strain/sprain/”fasciitis”--tendino- sis
-- Medial-plantar ligaments passive stress /strain/sprain/laxity
Gary B. Clark, AAOM, Ft Lauderdale, 2012 54
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Whole-Body Compression-Tension Arcs and Spectrum of Potential Injuries
in LSIJD From the Plantar Arch to the Nuchal Line
Gary B. Clark, AAOM, Ft Lauderdale, 2012 55
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Whole-Body Compression-Tension Arcs and Spectrum of Potential Injuries
in RSIJD From the Plantar Arch to the Nuchal Line
Gary B. Clark, AAOM, Ft Lauderdale, 2012 56
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Sequence of Therapies for SIJD
• FIRST, stabilize sacral displacement!! o OMT: 30%
o Prolotherapy: 70%
Gary B. Clark, AAOM, Ft Lauderdale, 2012 57
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Sequence of Therapies for SIJD
• FIRST, stabilize sacral displacement!! o OMT: 30%
o Prolotherapy: 70%
• THEN, resolve and rehabilitate compensa- tory injuries sequentially or in tandem.
Gary B. Clark, AAOM, Ft Lauderdale, 2012 58
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Sequence of Therapies for SIJD
• FIRST, stabilize sacral displacement!! o OMT: 30%
o Prolotherapy: 70%
• THEN, resolve and rehabilitate compensa- tory injuries sequentially or in tandem.
• WARNING: Avoid potential iatrogenic worsening of pre-existing scoliosis.
Gary B. Clark, AAOM, Ft Lauderdale, 2012 59
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Biotensegrity To Do List
Generate Other Data-Based Biotensegrity Models: Improve the SIJD Model with its major clinical variants
Head-TMJ-Neck- Shoulder Injuries (e.g., whiplash) Upper Extremity Injuries (e.g., epicondylosis)
Lower Extremity Injuries (e.g., Pes planus, Pes cavus) Left/Right Sacroiliac–Right/Left Posterior Sling–Right/Left Shoulder Dysfunction
Determine mechanism of leg aBductor (Gluteus medius) inhibition in SIJD
(perhaps due to Sherrington-oid “reciprocal innervation”
between anterior and posterior fibers) Determine on a Biotensegrity Basis when NOT to stabilize the sacrum
to preclude iatrogenic worsening of pre-existing scoliosis
Determine physiological and therapeutic differences between Passive Musculo-Tendinous Injuries
versus Active Musculo-Tendinous Injuries
Explore the most appropriate
OMT, Injection Therapy, Orthotic Therapy, and Rolfing, Pilates, Physical Therapy, and
Other therapeutic and postural rehabilitative sequential approaches for various Biotensegritous injuries
. . . . . . and more
Gary B. Clark, AAOM, Ft Lauderdale, 2012 60
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Biotensegrity To Do List
Generate Other Data-Based Biotensegrity Models: Improve the SIJD Model with its major clinical variants
Head-TMJ-Neck-Shoulder
Upper Extremity
Lower Extremity
Gary B. Clark, AAOM, Ft Lauderdale, 2012 61
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Biotensegrity To Do List
Generate Other Data-Based Biotensegrity Models: Improve the SIJD Model with its major clinical variants
Head-TMJ-Neck-Shoulder
Upper Extremity
Lower Extremity
Explore Mechanism
of Leg aBductor (Gluteus medius) Inhibition in SIJD
perhaps due to Sherrington-oid “reciprocal innervation”
between anterior and posterior fibers
Gary B. Clark, AAOM, Ft Lauderdale, 2012 62
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Biotensegrity To Do List
Generate Other Data-Based Biotensegrity Models: Improve the SIJD Model with its major clinical variants
Head-TMJ-Neck-Shoulder
Upper Extremity
Lower Extremity
Explore Mechanism
of Leg aBductor (Gluteus medius) Inhibition in SIJD
perhaps due to Sherrington-oid “reciprocal innervation”
between anterior and posterior fibers
Explore on a Biotensegrity Basis When NOT to Stabilize the Sacrum
to preclude iatrogenic worsening of pre-existing scoliosis
Gary B. Clark, AAOM, Ft Lauderdale, 2012 63
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Biotensegrity To Do List
Generate Other Data-Based Biotensegrity Models: Improve the SIJD Model with its major clinical variants
Head-TMJ-Neck- Shoulder Injuries (e.g., whiplash) Upper Extremity Injuries (e.g., epicondylosis)
Lower Extremity Injuries (e.g., Pes planus, Pes cavus) Left/Right Sacroiliac–Right/Left Posterior Sling–Right/Left Shoulder Dysfunction
Explore mechanism of leg aBductor (Gluteus medius) inhibition in SIJD
(perhaps due to Sherrington-oid “reciprocal innervation”
between anterior and posterior fibers)
Explore on a Biotensegrity Basis when NOT to stabilize the sacrum to preclude iatrogenic worsening of pre-existing scoliosis
Explore Physiological and Therapeutic Differences between
Passive Musculo-Tendinous Injuries versus
Active Musculo-Tendinous Injuries
Gary B. Clark, AAOM, Ft Lauderdale, 2012 64
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Biotensegrity To Do List
Generate Other Data-Based Biotensegrity Models: Improve the SIJD Model with its major clinical variants
Head-TMJ-Neck- Shoulder Injuries (e.g., whiplash) Upper Extremity Injuries (e.g., epicondylosis)
Lower Extremity Injuries (e.g., Pes planus, Pes cavus) Left/Right Sacroiliac–Right/Left Posterior Sling–Right/Left Shoulder Dysfunction
Explore Mechanism of leg aBductor (Gluteus medius) inhibition in SIJD
(perhaps due to Sherrington-oid “reciprocal innervation”
between anterior and posterior fibers)
Explore on a Biotensegrity Basis When NOT to stabilize the sacrum to preclude iatrogenic worsening of pre-existing scoliosis
Explore Physiological and Therapeutic Differences between
Passive Musculo-Tendinous Injuries versus
Active Musculo-Tendinous Injuries
Explore the Most Appropriate OMT, Injection Therapy, Orthotic Therapy, and
Rolfing, Pilates, Physical Therapy, and Other Therapeutic and Postural Rehabilitative
sequential approaches for various Biotensegritous injuries
Gary B. Clark, AAOM, Ft Lauderdale, 2012 65
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Biotensegrity To Do List
Generate Other Data-Based Biotensegrity Models: Improve the SIJD Model with its major clinical variants
Head-TMJ-Neck- Shoulder Injuries (e.g., whiplash) Upper Extremity Injuries (e.g., epicondylosis)
Lower Extremity Injuries (e.g., Pes planus, Pes cavus) Left/Right Sacroiliac–Right/Left Posterior Sling–Right/Left Shoulder Dysfunction
Determine mechanism of leg aBductor (Gluteus medius) inhibition in SIJD
(perhaps due to Sherrington-oid “reciprocal innervation”
between anterior and posterior fibers) Determine on a Biotensegrity Basis when NOT to stabilize the sacrum
to preclude iatrogenic worsening of pre-existing scoliosis
Determine physiological and therapeutic differences between Passive Musculo-Tendinous Injuries
versus Active Musculo-Tendinous Injuries
Explore the most appropriate
OMT, Injection Therapy, Orthotic Therapy, and Rolfing, Pilates, Physical Therapy, and
Other therapeutic and postural rehabilitative sequential approaches for various Biotensegritous injuries
. . . . . . and more
Gary B. Clark, AAOM, Ft Lauderdale, 2012 66
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www.clinicalbiotensegrity.com
Gary B. Clark, AAOM, Ft Lauderdale, 2012 67
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www.clinicalbiotensegrity.com
• Home for the e-Journal for Clinical Biotensegrity
Gary B. Clark, AAOM, Ft Lauderdale, 2012 68
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www.clinicalbiotensegrity.com
• Home for the e-Journal for Clinical Biotensegrity
• Data-Based Report Articles on Clinical Biotensegrity
Gary B. Clark, AAOM, Ft Lauderdale, 2012 69
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www.clinicalbiotensegrity.com
• Home for the e-Journal for Clinical Biotensegrity
• Data-based Report Articles on Clinical Biotensegrity
• Outcome Database Formats for Various Body Regions and Specific Joints
Gary B. Clark, AAOM, Ft Lauderdale, 2012 70
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www.clinicalbiotensegrity.com
• Home for the e-Journal for Clinical Biotensegrity
• Data-based Report Articles
• Outcome Database Formats for Various Body Regions and Specific Joints
• Clinical Biotensegrity Presentation Videos
Gary B. Clark, AAOM, Ft Lauderdale, 2012 71
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Bibliography
1. Newton I. http://www.britannica.com/EBchecked/topic/413189/ Sir-Isaac-Newton/12253/The-Principia.
2. Sherrington CS. http://.www.britannica.com/EBchecked/topic/ 540150/Sir-Charles-Scott-Sherrington.
3. Fuller RB. Tensegrity. Portfolio and Art News Annual, No 4, 1961.
4. Snelson K. Letter to R. Motro. International Journal of Space Structures, November 1990.
5. Levin S. "Tensegrity, the New Biomechanics"; Hutson, M & Ellis, R (Eds.), Textbook of Musculoskeletal Medicine. Oxford: Oxford University Press. 2006.
6. Ingbar DE. “The Architecture of Life”, Scientific American, Jan 1998; 278:48-57.
7. Ingbar DE. Tensegrity I. J Cell Sci, 116(April):1157-1173;2003.
8. Ravin, Cantieri, Pasquarello. 2008. Principles of Prolotherapy. Denver: Amer Acad Muscuskel Med: 40-44.
9. Clark GB. Building a rationale for evidence-based prolotherapy in an orthopedic medicine practice. Part III: A case series report of chronic back pain associated with sacroiliac dysfunction treated by prolotherapy. A six-year prospective analysis. Journal of Prolotherapy, 3(May):632-639;2011.
10. Clark GB. Building a rationale for evidence-based prolotherapy in an orthopedic medicine practice. Part IV: Diagnosing linked prolotherapy targets by applying a data-based biotensegrity model. Journal of Prolotherapy, 3(August):722-735;2011.
Gary B. Clark, AAOM, Ft Lauderdale, 2012 72