Italian Journal of Sports rehabilitation and Posturology

262 -298

Authors: Jan van de Rakt, Steve McCarthy-Grunwald

Abstract. Part two describes the assessment process of the diagonals, including the front, back and homolateral structures. We discuss various positions for assessment including patients laying down on their back and side, sitting and standing. We also look at the use of the balance reaction test Statiek to assess the capability of both the diagonals and homolateral structures. This provides a greater understanding of what the diagonals can do, and what would be considered normal or abnormal as assessing both gives the examiner a greater appreciation of what to expect. We can use this practice to increase our awareness of what to observe and feel for, identifying some tips of where to place your hands to enable you to both apply pressure and feel for the amount of resistance the patient can apply in response. Subtle differences can be observed in patients depending on various individual characteristics they may have such as different leg lengths when comparing the left and right sides, or if somebody has a recognized problems within the structure and function of their backs. We begin to describe “trunk rules” as everyone should has the same reaction response when performing movements but these can present differently depending on the individuals level of mobility and selectivity. This article starts to briefly consider body scheme which is the perception of the body and its influence on the reaction of muscle patterns This perception can alter the overall function of the diagonals. In part three Pathology we will go more into developing the understanding of the impact that perception plays in the control and movement of diagonals. In the final section we move on to describing the trunk rules, discussing how both diagonals and the homolateral structures work in collaboration to help control and enable a greater range of movements of the trunk, and how this supports the keypoints of the great joints, identifying which movements are enabled and which are restricted

322 -341

Authors: Rosario Bellia

La Sindrome del conflitto sotto-acromio-coracoideo è una delle patologie di frequente riscontro nella pallavolo moderna. La patogenesi delle suddette tecnopatie è ascrivibile,spesso, a lassità capsulo-legamentose o a squilibri della muscolatura intrinseca della spalla. La tecnopatia della spalla può essere determinata da una preesistente insufficienza dei legamenti stabilizzatori della spalla (gleno-omerali e scapolari), e da insufficiente vascolarizzazione sotto sforzo della cuffia dei rotatori. Nell’ambito delle stategie terapeutiche/riabilitative bisogna analizzare gli schemi di reclutamento dei vari muscoli per prevenire eventuali sovraccarichi funzionali da incoordinazione dell’attivazione biomeccanica delle catene cinetiche, secondo il concetto Kinesiopatologico – Sahrmann Nella Strutturazione del progetto terapeutico il Taping kinesiologico troverà applicazione con traiettorie specifiche per aiutare il rilassamento dei muscoli retratti e il drenaggio dell’edema infiammatorio. Troverà applicabilità anche nella regolazione del tono muscolare durante le varie fasi del protocollo riabilitativo così come nei momenti di ritorno all’attività fisica specifica per sostenere la struttura muscolo-tendinea sollecitata in modalità stabilizzante.