INTRODUCTION: The standing position meant in
our phylogenetic evolution, moving from monkey to man. This not
only brought benefits as evolutionary to homo sapiens, if not
also damages of adaptation to the new stance, since these rapid
phenotypic changes of position were not in conjunction with the
slow and stormy evolution of its genome. This passage was fast
and a product of vital needs for the APE, which I don't take into
account the physical component or structural support was going to
need to so abrupt change. Still to almost four million years of
the beginning of the process our genome did not adapt or build
solid characters that make possible that we were born to be
standing, while it costs us suffering or discomfort in the course
of our lives. This standing position rests structurally,
as in the single-column armed a large building on our single
spine, that despites the evolutionary adaptation has yet a model
that allows the full support of all body weight without winning
at the end in any of its parts with the course of the years .
Page 2 Therefore observing the tough changes in the
suffering our column in the standing position several
universities of the world in the hands of its best physicists and
engineers set out to create a model that will prevent such
disorders and concluded as a result of his calculations, in a
format for human beings which by their design fit us to a small
and rare dinosaur specimen. Characteristics of the spine
are no doubt despite what you say of it, one of the most perfect
engineering works of nature Made armed support that resists our
weight while perforated inside to meet the Mission's solid heath
of bone marrow, apart from being protected on both sides in each
vertebral body To the given roots of the spinal nerves. Being
formed by bending portions of individual structures on each
other, (the vertebrae); to do this your mobility and elasticity,
are engineering problems which although not resolved at all, only
fit in the mind of the creator. The physiology of the
spine can be summarized by saying, in a normal healthy person the
spine is a structure that is made to cope with more than all its
functions in a humidity range of tissue that occurs for up to 20
years. After that age a lower moisture and tissue drying process
starts (aging of the spine, which begins at the of age 20 is
basically tissue dehydration), which causes you to lose
consistency, mobility and elasticity due to a process of drying
and hardening calcium of adaptation, which occurs in all its
structures – bone, ligaments, connective tissue in general – and
that sooner or later well dried and that were mostly used in
life, or at least prepared to start failing because of their
functional wear. Everyone without exception, if they
exceed the average age referred to, you have the functional wear
for a part of their spine and there is perhaps no body process
that reflects more and a better age that we have, that the
condition of our spine. Page 3 THE PAIN AND
POSTURAL SYNDROMES. All that alteration of anatomical
location that correspond to the vertebrae spaces and/or the
related, have allowed us to call it postural syndromes of the
column. All postural disorders suffered by the column, the
painful pictures by their frequency and clearly diagnosed, they
deserve to be specially mentioned and are better known as
"sciatica" cervical and lumbar sciatica lumbar and cervical,
osteoarthritis. Without reaching the deformation of the
column boxes as evident as the grotesque kyphosis of certain
elders, in general other postural syndromes (spondylolisthesis)
are not named…, but details of function as simple as who writes
professionally in computer and tilting for twenty years your head
to read better, who performed for decades surgical procedures, or
who read lying down with thick pillows in your head These simple
positions of need and comfort will bring you in the course of the
years, a few modest changes of positions of the vertebrae, and
thus, a painful complication of cervical. And neither to
say physical efforts that require greater effort that end up
pulling through their insertions, the bone portion of his spinal
fixation vertebral ligaments and muscles and create the spicules
and hooks that can then compress tissue or spinal nerves that are
in its proximity. In short, there is no situation of function not
involving future consequences and the problems of the column , if
you like, also physiological phenomena. Column arthrotic
diseases are summarized on the pain symptom, and particularly in
neuropathic pain. No matter the deformations or aesthetic
aspects. If you have them, you have the pain . And pain occurs
primarily by the compressions and injuries of the roots of the
spinal nerves, all products of the postural syndromes of the
vertebrae. Page 4 In the compression of the spinal
nerves, it is common to believe that the only physiological
vertebral collapse compresses the cervical and lumbar plexuses
giving the ischia known. However that collapse and those
compressions can occur in the spine, Giving so
incomprehensible and unexplained symptoms that most of the time,
they become unknown medical diagnoses. As the roots of the
spinal nerves carry within themselves, they make
Ortho-sympathetic through gray rami-communicants and white (see
Figure 1), understanding includes such diverse and varied
symptoms that confuse the most versed. For example; It would not
surprise us that a dysfunction of the intestinal peristalsis
which leads to constipation and diarrhea, often imputed to
digestive and psychosomatic syndromes of vertebral origin; or
that "neurotic" Symptoms of dysthermia focused on the soles of
the feet, so typical of the old, little-known and less studied,
are not excluded as possible consequences of these compressive
root disorders. But the pain and discomfort not only
finish there: organic, neuropathic pain that is integrated at the
central level, may refer well by metameres or pathways unknown
teguments, skin, muscles, bony apophysis, or numbness in any part
of the body, and they are so nebulous symptoms and you dissimilar
times, that they may be confused with fibromyalgia, pathology
multifocal pain call whose psychological origin has been
refused. Finally, the topic is so vast that I am skeptical
on more than one interpretation. More, because in the fast
passage through the Faculty of medicine spine subject virtually
ignored, despite the important thing that is on our decisive
expression of our age. My intention is to expose the issue
and it goes beyond not to refer to any method that intends to
treat the disorders generated by the column in the course of
human life, we should just solve the problem of pain. Page
5 And if we know that the spine can be the motive
"complex" of such pain, I have done with logic this reasoning not
offending to the observation: IF IN THE COURSE OF OUR
LIVES OUR SPINE SHRINKS AND CRUSHES OUR VERTEBRAE, AND THIS
CONSEDS TO CUSARNOS PAIN, WHY DON´T WE STRETCH IT?
The idea proposed is part of the base that the spine is the
culprit of many of our variegated pains. If this is not true the
process of shrinkage of the column and the loss of the stature
associated with the shrinking due to the product of the years we
carry. Therefore I suggest stretching the column for
specific therapeutic purposes in case of painful syndromes of
postural vertebral origin, for the purpose of attenuating other
pains, if there is radiological regarding the same doubts and
preventive purposes since the asymptomatic stretching of the
spine as a method to avoid future spinal problems. The
intention is to make the pain disappear where ever it is and if
we cannot make it disappear at least alleviate it and finally
avoid it preventing in the hope of no other pain and other
discomforts "complexes" of vertebral origin whose origin we were
ignorant of can also disappear.
MATERIAL AND METHOD A personal experience led
me to try a primary invention developed more than 25 years ago,
which was the Camilla elongadora or the stretcher in larger ,
(see Figure 2), built in the workshop of a family and to left it
due to the difficult and stormy handling of it which led me to
simplify it, to conclude on the tractor of the column that I am
presenting today, which appeared without intending it to be the
same as the Camilla elongadora, and this is a modification of
something that has been as old as medicine itself: the
conventional cervical traction. Page 6 It came
about that looking for a simplification of the method of
traction, it occurred to me in my imagination, placed the
stretcher in larger upright (Reader exercise a vertical drawing
of it) and thus appeared as a Flash, solution: attaching to a
stud the upper pulley cephalic, the weight of the patient would
be on the pelvic bottom weight. You could well through a
small amendment and interpretation of the problem, pull with ease
the column, and improve constrictive precordial pain (angina
pectoris, intricate) I discovered that affect myself and that by
their complexity confused my cardiologists colleagues.
With a simple RX for cervical spine requested by myself I
checked the poor state of my cervical spine and my holes of
conjunction and suspected that the probable radicular compression
would be the reason for this. Despite multiple
consultations made to specialized universities who could not give
an explanation and teachers refused to accept my suspicion of
osteoarthritis how absurd. Ignoring their advice, I
started to make me conventional cervical tractor that didn't
work, and then with the complex Camilla elongadora difficult in
handling, in order to put an end to this modification of the
procedure, the dynamic for the column . Not only improved 80% of
disabling pain and disturbances of all kinds that are brought
through the years that alleviate. The intention was to
prove that the treatment was the Diagnostics ad jubantubus was
made. Well, it turned out and I understood before evidence of an
honest improvement that root compression was most probably the
cause of my problem. Then I gave the task of test method with
other colleagues who suffered from various discomfort in their
columns and the response was generally very good and similar to
that obtained by me. This made it 25 years already, and I was my
best patient, I can say that the persistent use of the procedure
has me today vital and active. Today, knowing that these
processes osteoarthritic not only cure once installed, even if
you go to the best doctors and medicine and most Page
7 expensive technologies it remains only persist in a
simple easy and continued treatment. Current medicine
offers beds of traction, which the patient should go periodically
in a center of physiotherapy, to pull and stretch his column and
be so painless. These sostificados devices, very similar to my
stretcher, of great flashiness, many monitors with colored
lights, make less than the humble dynamic column tractor that I
make today available. It accentuated the difference this tractor
is in house at disposal, free of charge, to try to improve and
stop every week, a pathology that will accompany the patient
throughout their existence. Another of the benefits of
this simple device is that it allows to do exercises and dynamic
movements of extension and rotation about the axis of the column
within the instant of traction, can do anything that is lying in
bed tractor, or at least with the intensity and effectiveness
achieved with columnar tractor. These exercises are
oriented to flexible ligament and tendon joints of all column,
breaking calcifications and fijezas that occur in the process of
aging, so the column again regains their mobility and
elasticity. Therefore today announcing this simple method,
which is not only of cervical traction, without which is traction
of the spinal cord, where not only exerts traction uphill, if not
pull downward, (see Photo 3) simplifying the difficult methods of
pelvic traction are known, and all made simple and
easy-to-process materials, and using the body weight of the
patient. There is some logic in that if my body weight is
what did collapse my column, that is the same weight that arrange
loads, and although this is true is then what is the risk, by the
severe of the procedure. Only the individual test showed it.
Also the fact that as the procedure for columnar traction is
at first a little complex in handling, would it not be suitable
for all patients, but if the Page 8 benefit are
provable and checks it the same patient, more than one accepted
his discomfort. Moreover, I dare assert that the procedure is
sometimes so helpful and such feeling of well-being, I think
reckless that it is addictive. I think equal to
presumptuously, that this is a method to prevent the natural
process of shortening of the column size and the process of
progressive crushing imposed by the years. So I believe that one
practices traction regularly after the 1940s, most likely to be
kept in status-quo natural shrink and therefore process of aging
of the spine. So this attachment, small and easy to build, would
become one of the many elements needed in a home and an integral
part of the family. Understanding well the problem not
only enough because traction improves the symptoms or prevent the
natural process of shrink columnar to which we made reference.
But the core of the problem is the program is the genome. Why
heuristic approach believe that it should seek the method
associated with a systemic treatment of water retention and
aqueous flood of connective tissue, which I investigated and thus
two treatments we deliver the first manifestation of old age.
Also, as what matters is the symptom of pain, associated
treatments complement the benefit of traction such as massages,
local heat, the warm baths etc. I advise against the quiropraxis
cold and less movements performed without attaching to the same
traction as it offers you. So I present this DYNAMIC
TRACTOR COLUMNAR OF THE Dr. CHADID, to whose name is the
CORRONCHO*** it was given by the address of the Patents Office of
Superintendency of Industry and Commerce of Colombia, who
retained to give the invention patent for several years, as very
primitive and folksy to the invention by a colonized subject.
This device is intended to be a construction its refined
simplicity and easy handling, a utility item for the poor of the
world if you compare it with the Milwaukee brace, table riser,
bed elongadora or Dr. Ho. Corset Page 9 it intends
to also be the ideal appliance to prevent by effects of traction
of all the VERTEBRAL column some of the evils arising from the
crushing of her spine and improve headaches already established
by one owes and could enjoy many years with the enjoyment of its
use. ATTACHMENT OR TRACTOR UNIT CONSISTS
OF:
1. A device or harness made of strong fabric
(e browband headstall) which conforms to the nape of the neck
and jaw to suspend the head, setting two straps with steel
handles terminals to Pender to the faces of the horizontal
portion of the T of iron (bars tractor).2. Two medium-sized pulleys to support a
weight of not less than 150 kg. To which are added two lugs
of good thickness and resistance for fixing.3. A preferable nylon cord 2 ½mts
Long and no less than 150kg of tensile
strength.4. A T of iron (bar tractor) preferably
nickel with small notches in the ends of the horizontal
portion of the T where the e browband headstall is fixed by
its straps tractor Steel handles, and a hole in the end of
the vertical portion to attach the other
string.5. A wood slat 40 cms long and 12 wide x 2
cm piece of thickness with a hole in its middle that allows
the passage of aforementioned rope, which tied according to
the patient's height and to serve as a seat of the same,
which we call saddle.6. A solid wood rail where to fix the bolts
and pulleys to hang all the reference system, and we
recommend the lower portion of the sill of any door frame
(who invented part of the Constitution as solid wood door,
thinking that someday something would be hang on it
)7. .A different vertion is
allawed
Page 10 Procedure or method pair attached to
the tractor system: As shown in the picture (see Photo 3)
here is the simple columnar tractor items. In the picture
below (see Photo 4) can be observed the way components of the
same are placed and how to sit the patient on its "saddle". The
separation of the pulleys must be 35 cm. Ideally, the
device is placed this to be settled permanently, so that it not
cost work use. For this we recommend a door frame of the maste
bathroom , which allows at the same time be in visual contact
with the TV, so the "exercise" not reverse fatigue and will
become something isolated of everyday life or the pleasant
satisfaction of watching his favorite TV show. Procedure
or methodical to be placed on the tractor device:
1. The patient must first register the e
browband headstall tractor, (see Photo 5) then standing, must
attach the e browband headstall by their steel handles at the
ends of the horizontal portion of the T of iron (bar
tractor).2. standing lightweight traction, (see Photo
6) try to sit astride rope tied in his wooden saddle, while
resting your feet and even all the same. At this moment the
patient or his assistant fit and value to the distance and
true length which must have the rope in keeping with his
stature and the height of the fixing of the pulleys to the
saddle and the patriotic horse Halter to the horizontal
portion of the T tractor. This is to be the knot of the
saddle until the level is comfortable for the
user.3. Then you take with both hands the two
ends of the horizontal portion of the T iron (bar tractor)
and start letting fall .
Page 11 Slowly to measure traction and check
the weight of your body and its relationship with the traction
exerted on his neck and his column in general.
4. Then making sure that it does not "harm"
raises the feet from the floor, keeping the locking of the
horizontal portion of the TTT's iron hands (bar
tractor).5. The first test exercises should be fixed
to the rod hand truck and consist of checking the
relationship of its weight and its degree of traction,
without any movement. Then tilting movements. So during
4minutos. After this you can remove the hands of T truck (see
Photo 7) and check if your weight on the seat, free of any
fixing is compensated with only his head
locking.
This way, it is exerting traction of the entire
column with the body weight of the patient. And this is done
through the traction of the head, and body weight that sits on
the saddle of wood. For instance if a patient weighs 70 Kg. that
weight when sitting down since the same traction to reduce the
mass of gravity down. We don't know with precision what amounts
that reduction, despite the fact that we have employed several
mathematical methods to calculate it. In any case the traction
exerted down, hanging from the head is much less than the weight
of the patient and we believe that this amounts to approximately
50% of the body weight, the rest of the weight of 35 Kg, the
tractor up effect. Traction must be at the beginning for
short periods, starting with 1 minute 5 minutes. Naturally
elongates traction force the neck and the rest of the column. It
can be painful after several minutes, because the total weight
receives it up the mandible and occipital and therefore the
arrangement of the teeth and jaw should be an essential part of
the traction. Page 12 After traction are various
discomfort, dizziness, instability etc. Which are the product of
the entire neck stretch, including the vertebral arteries that
pass through the holes of the Cervical transverse process,
but disappear after a while suspend the procedure. For this
reason we recommend that traction is performed before bedtime
since horizontality immediately banishes these nuisances.
If the inconvenience are many, suspend the procedure and
restart it at a later time. Only testing will reach a moment of
equilibrium in which the patient learns when to suspend the
practice. After practicing the traction that we insist
before bedtime, we recommend if traction is for cervical
syndrome, associated with use of an elastic neck of Thomas, with
which sleep since at the beginning of the treatment, and that
used during several days and achieve so one quick recovery. Its
use will not be needed during the day. And one sash
thoraco-abdominal lumbar sciatic syndrome, to be used for a few
days during the time in which they are standing.
CONCLUSIONS: ACTION FOR THE DYNAMIC ELONGATION
OF THE TRACTOR: Already well placed in the saddle of wood
and adapted to the system all kinds of movements and turns can be
well done with hands free. All these movements exercised with
softness, are loosening and elongation of the ligaments and
teguments which unite all the vertebral structures, from the high
to the coccyx and that with these drives yielded inexorably after
a period commensurate with the degree and the time of
traction. Movements can be delicate spins on the shaft of
the column to the right or left, both the neck as the pelvis, as
well as smooth antero -posterior Page 13 movements
of flexion – extension intended to give elasticity to the
ligaments. A movement that we recommend for which I am
already familiar with the system, is the rotation of the head
sideways with the rotation with reversed rotation of the
horizontal portion of the T-bar tractor, as well as drafts of all
the column on both sides, always under the weight of the tensile
and elongation. (Neck or movements without Traction
associated, by what we discourage the QUIROPRAXIS column are not
recommended). The movements to develop are such a variety
and possibilities that you leave everything to the intuition of
the patient and their needs, then to understand the procedure,
the patient will discover as beneficial. Importantly, become
familiar with the method, which in the course of its use,
intuition guide the patient to give the utility and service that
is better expected to find in it.
BIBLIOGRAFIA Teslut-latarget: Anatomia
Humana Rouviere: Anatomia Humana P. Farreras
Valenti: Medicina Interna Tomo II J.Michans: Patologia
Quirurgica Tomo II Stanley Robbins: Tratado de
Patologia Bauer Cª: Ortopedia y Traumatologia (4.
Columna) Lee-Rao: R M y TC de la Columna Bradford:
Columna 1999 Campbell: Cirugia Ortopedica Ruge y
Leon: Disease of the Vertebral column Rene Cailliet: Of
neck and arm pain syndromes Netter: Ciba Collection of
Medical Ilustration Bradshaw: Some Aspect of Servical
Spondylosis Armstrong: Lumbar Disc Lesion S. H.
Hochschuler: Rehabilitation of the Vertebral column
Internet: Diseases of the spinal column Historia de la
Traccion: Mexican Journal of physical medicine and
R.
CORRONCHO ***: coastal rural, illiterate
Colombianismo, mob, in bad taste.
REPUBLICA DE COLOMBIA SUPERINTENDECIA DE INDUSTRIA Y
COMERCIO (SIC)
WWW.SIC.GOV.CO PATENTE DE MODELO DE ULTILIDAD:
resolución 53394, Radicado numero 09-093968
APARATO DE TRACCION DINAMICA DE LA COLMNA
VERTEBRAL
Centro integral de diagnósticos : Carrera 19 a
nº 14 – 45 barrio la ford. Sincelejo ( sucre)
colombia.
Autor:
Dr. Ramiro a. Chadid
E-mail: rachadi[arroba]hotmail.com
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