Banebrydende fysioterapeutisk behandling med P-DTR
What is P-DTR?
P-DTR (Proprioceptive Deep Tendon Reflex) is used to diagnose and treat the cause of your physical or psychological problems. P-DTR is a new and different form of treatment than classical physiotherapy – it is functional neurology. This means that the nervous system is stimulated, just as you do in your daily life and the response from the nervous system is used in the treatment.
New things are always difficult to understand, but below we give an introduction to the brain and the starting point for treating the nervous system.
The brain and nervous system
Our brain controls our body based on signals from the receptors (nerve endings) throughout the body. The division of labor of the brain is to receive, assess and respond to input from all the receptors in the body, hold it up against previous experience and then give e.g. a motor output on this basis. This is called in everyday speech our nervous system.
Imbalances in the nervous system
Imagine that there is an imbalance in the receptors so that the brain gets the wrong inputs. This can result in an increased tension in the muscles, which can pull crookedly in a joint or create a greater imbalance in the body.
The treatment
We treat the receptors in the body that are out of balance and thereby the cause of your pain. There are no cracks or violent movements in the treatment. When using muscle tests, the cause of your problem is found gently and effectively and most people experience an improvement within 1-3 treatments.
Before treatment, it is important that you think and write down what injuries and defects your body has been exposed to. Please read “Preparations for the first treatment”.
The longer explanation
P-DTR stands for Proprioceptive Deep Tendon Reflex. Proprioception translates to: “Joint positions sense, is a sense that informs the brain about the position of the individual body parts in space. Signals from sensory bodies in the tendons, joints, muscles and skin are analyzed in the cerebellum and the large brain for a conscious picture of the body's spacious position. "
Everywhere in the body there are free nerve endings (receptors) that register what is happening inside and outside the body. The receptors can be divided into pain, mechano and chemoreceptors.
The brain receives input from these nerve endings and gives an output in the form of turning on or off e.g. muscles. When the muscles turn on, it can be a small muscle contraction, as is needed when you hit the colleague's foot under the table and politely pull the foot towards you, or a big reaction if we have to jump for our lives in a dangerous situation, and everything in between.
Input and output
When you hear an ambulance, it is an input to the brain, which then considers whether you are in danger and must move or simply continue your planned route. In the same way, it is an input to the brain when you touch a hot hob. Here is the output of moving the hand. The processing of input takes place on the unconscious level and you only react to the output the brain chooses, based on previous experience and the size of the input.
Stretch receptors
I explain here about stretch receptors in relation to our joints, as it is the easiest to understand.
When you read this, your brain knows exactly where you are and if you close your eyes you can describe it. You can because there are stretch receptors in our joint capsules around the joints, in our ligaments across the joints and in our muscle projections and attachments.
If you start to bend your finger backwards, there will be increased input to the brain from the side of the finger that is being stretched. At some point, the brain is afraid that the joint will break and can either bend the finger back or let go of the musculature and follow the movement to prevent the joint from breaking. In the latter case, the brain has judged that it cannot provide a large enough output to stop the movement backwards.
After such an overstretching of the fingers, stretch receptors can become oversensitive, so that the brain thinks that the finger is always in an extreme position, even though it is actually in a normal position. A subsequent slight stretch of the finger backwards will therefore trigger relaxation of the muscles, which were the finger about to break backwards again.
Dette kan betyde noget hvis det f.eks. er din skulder hvor ledbåndene tidligere er blevet overstrukket eller skulderen har været ude af led. Du kæder det måske ikke sammen med de smerter du oplever ved træning her mange år senere. Der kan dog være en direkte sammenhæng. Din hjernen kan tror at træningen er farlig, fordi ledbåndene bliver strukket på og sender for mange input. Dette selvom de egentlig bare strækkes indenfor normal bevægelse og du ikke er i nogen yderstilling. Hjernen vil derfor prøve at begrænse bevægelsen eller spænde op i andre muskler for at forhindre, stræk på de oversensitive strækreceptorer. Dette kan du mærke som at skulderen ikke har normal bevægelse eller at det gør ondt i eller omkring skulderen, når du træner.
Dette kan nemt fjernes ved at behandle årsagen til de oversensitive strækreceptorer, så input til hjernen bliver normalt igen og derved også outputtet.
Pain in our everyday life
On a daily basis, the brain deals with all the sensitive nerve endings and the input it receives from the body and our environment when it has to determine an output. In addition to the example above, an output can also be to switch off muscles, but then there are other muscles that have to tense up instead. This can cause a crooked pull around a joint or a sudden hold in the neck.
Hypersensitive nerve endings
I treated a Boxer in the clinic who, at a gentle blow to the hand, pulled it far back, too far in relation to the size of the input. The brain's interpretation of the input was that it was dangerous, so the output was to pull the hand far away, even if it was only a light blow. It is these imbalances that are treated in the nervous system with P-DTR. In this case, after the treatment, I could hit his hand harder than the first time without it moving.
The brains capacity
Our brain is bombarded with impressions on a daily basis and has to deal with many inputs. The above may have given you an insight into this. If brain capacity is low, even the daily tasks or experiences in our lives can affect us.
Imagine that your nervous system is a gas tank. You fill up on gas by sleeping and eating well, having good relationships, a stable job, etc. If some of these parameters are not optimal, there will be a lack of petrol in the tank. The less gasoline there is, the more imbalances we take into the nervous system.
On a daily basis we can also drain our gas tank. Most people experience being fresher in the morning and more tired in the evening. This is because some of the inputs we are exposed to in our daily lives drain the brain's capacity.
Therefore, in addition to removing imbalances in the nervous system, work is also done to build up the brain's capacity when you are treated at Brændgaard Physiotherapy.
The founder of P-DTR
Dr. Jose Palomar MD / Specialist Orthopedic Spinal Surgeon and teacher of Applied Kinesiology lives in Guadalajara, Mexico is the founder of P-DTR. He lacked effect in his clients both in surgery and kinesiology. He began with his knowledge of the nervous system and muscle testing, examining responses in the body by stimuli to the various receptors. For the past 20 years, he has dedicated his life to finding cause and context in our nervous system and putting it into structure. He now teaches the courses himself and has a few teachers who also have a doctorate, so the quality of the teaching is maintained.
Research
The effect of P-DTR is currently being researched. When there are results, these will be announced online.