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Hanna Somatic Education By Charlie Murdach
Do you have clients who have tried everything to get rid of pain, stiff muscles, and decreased range of motion in their joints? Have they tried everything from stretching to strengthening, undergone treatment after treatment, and finally a doctor has recommended medication to free them from the pain they’ve felt for years? Intuitively, as a practitioner, you know there is a better way for your clients to regain their former selves. Regardless of how they have come upon their pain or stiffness from injuries, past or current health issues, or stress-related traumas, Hanna SomaticEducation (HSE) may be the answer. It is commonly accepted in rehabilitation, when there is any type of injury, trauma, or change in health status, that the central nervous system is involved. The extent of the involvement depends on the type and severity of the injury. When there is any type of tissue damage, whether it is bone, tendon, ligament, cartilage or a combination of these, there is a disruption of feedback to the brain. When there is a disturbance of nervous system flow to the brain from the body’s sensory organs, the person’s perception of the external environment is changed and the brain will make adjustments to maintain the person’s past awareness of the world. Essentially, the brain will reorganize the body so the person’s internal awareness of the outside world will remain constant. The alteration of the body may produce certain movement patterns to maintain a contemporary external environment. Bones will heal and all of the soft tissues will repair themselves over time, but the altered movement patterns will remain. HSE addresses “stuck” movement patterns in an attempt to reinstate a sense of well-being. What
is Hanna Somatic Education? HSE is “brain” work. As human beings progress through their lives, they develop very specific patterns of movement based on necessity. In movement they use their skeletons as support for the muscles to propel them forward, or in any other direction they choose. The central nervous system supplies the planning, motor scheme, and nervous impulses to guide and direct the muscles. The brain then sorts through information sent back from the muscles during the movement to continually guide the desired task. Some of these patterns often become “wired” or habituated into the central nervous system through overuse. When this happens, the brain continually runs the motor program and applies it to posture and everyday tasks. These patterns, while beneficial at one time but useless when no longer needed, may become a type of “reflex” that is continually used by muscular systems of the body. These reflexes can be one of the main causes of confusion and disruption in movement patterns. The confused muscular systems then interfere with efficient movement, postural control, and support, and cause musculoskeletal and other types of pain to develop over time. This type of developmental pain, stiffness, or loss of awareness has been termed Sensory-Motor Amnesia (SMA) by Thomas Hanna, and is specifically dealt with in HSE lessons. HSE is education. When a client is working with a Hanna Somatic Educator, she will be engaged in a kinesthetic dialogue allowing her to gain a deep awareness of how her musculoskeletal system works. Through this dialogue, movement routines are simplified to increase awareness of postures and holding patterns. The beauty of HSE is that the client is actually a participant and must actively contribute to the session instead of being passively manipulated. Inviting the client to become an integral part of the lesson can add to the educational benefits, but can also assist her in becoming more pain-free, self-determined, and self-balanced. HSE is self-help in the definitive form. Either in a group or private session, the client learns to move efficiently with SMA, as well as to release and regain control over stuck muscles. This can cause other positive changes in one’s life, which may result in living more productively and comfortably. These small pieces of awareness can allow the client to identify when an injury or stressor has taken place, how to reverse the situation, and begin the healing process on her own. This renewed capacity for self-care allows her to sustain continuous improvement. Postural
Evaluation with Hanna Somatic Education Red
Light Reflex The amazing amount of nervous system activity involved in the red light reflex has many other effects on the body. A stooped forward posture not only causes painful and stiff muscles, but it can also cause shallow breathing and changes in respiration patterns, frequent urination from increased pressure on the bladder, increased heart rate, elevated blood pressure, and stiff or painful joints. The red light reflex is manifested in specific muscle groups causing a very distinct pattern to emerge. HSE works with the specific muscle groups using certain protocols to assist the client in regaining flexibility and more comfortable range of motion in movement. Green
Light Reflex The green light reflex is functionally opposite of the red light reflex in activity and necessity of survival. The red light reflex is one of withdrawal, while the green light reflex is one of assertiveness and action. The red light reflex will use the flexors of the body to pull the trunk forward, while the green light reflex contracts the extensor muscles on the posterior aspect of the body, pulling the trunk more upright while lifting and arching the back (see Photo 3). HSE can help in gaining a greater awareness and control of the neuromuscular system to avoid excessive overuse of the green light reflex and decrease, control, and possibly eliminate back pain. Infants are very good at using their flexor muscles to move themselves about and cling to their mother or father for protection and nurturing. As development continues, the infant needs to acquire the ability to move around to get the things he needs to learn and develop independently. In order to progress and acquire these things, he must be able to use the extensor muscles of the back. The first action to be mastered in using the muscles of the back is to lift the head so the infant may see what is in front of him. With this new realm of visual input, he begins to attain a new sense of balance and a new horizon. The acquisition of horizontal references and first attempts at movements requiring balance puts the infant on the path toward standing on two feet and walking upright. When we become fully developed, we feel as though we are able to move through space and time with little effort, and all of the past motor learning may seem trivial. The continued firing of the green light reflex can be due to an increasing amount of stress in one’s life. As we grow from infancy to adulthood we assume more responsibility. Not only do we need to take care of ourselves, but we have loved ones to tend to, bills to pay, etc. As we go through our daily tasks, we fire the green light reflex, stimulate the response of action, and trigger the muscles that we need to move our bodies forward and complete what we need to do. In stressful times, we continually use the green light reflex, no matter the cost of fatigue, or the sore muscles in our upper and lower back, neck, shoulders, and buttocks. Trauma
Reflex Generally, the body will contract and retract to splint the injury site and, in some cases, rotate regions of the body to allow the neuromuscular system to function while the healing process occurs. All of these processes of the trauma reflex are responsible for protection, allowing the body to heal itself over time. The trauma reflex is a compensation of muscular patterns that involve mostly the muscles on the sides of the body. This reflex becomes very evident, for example, in people who have injured an ankle or knee and have not been effectively educated on how to regain the use of their body following the injury. If an ankle or knee is injured, they may assume a small limp in order to take the pressure off the injured joint. This removal of pressure is accomplished by a contraction or lifting of the hip on the same side. Tightening of the hip may lead to an internal rotation of the same leg and increased muscular contractions in the lower back. The compensation continues into the opposite hip to anchor the body’s shift in its center of gravity. This example shows the continued influence of compensation on the entire body as a self-correcting organism. Without proper action, the pattern will perpetuate throughout the rest of the muscular system, so the body continues to function and relieve the injured site, but it may initiate other aches and pains not directly caused by the injury. HSE has very specific techniques for helping the client to “unwind” these various compensatory rotations of the human frame. The
Importance of Stress Reflexes Any of these reflexes can occur singularly, but most likely occur in some sort of combination with one another. HSE identifies proper protocols and offers suggestions for working with clients so they may begin to help themselves become more flexible and comfortable in movement. Education provided by the practitioner guides the client toward distinguishing when a particular response is occurring and learning to correct themselves with their new understanding and awareness. Methods
of Hanna Somatic Education Means-Where-By HSE therapists use variations of movements, often without an intended goal in mind, to assist the client in gaining a greater awareness of a particular muscular system or movement pattern (see Photo 5). These particular patterns may be verbally guided or assisted with hands-on proprioceptive input. Kinetic
Mirroring Hanna Somatic Educators use various postures or movement patterns to allow the client to gain a greater awareness of how they can effectively turn off or release muscles by having the skeletal or gravitational tension removed. Shortening muscles or muscle groups and allowing their antagonists to experience an increase in length, hence the term “mirroring,” accomplishes this release of tension (see Photo 6). This kinesthetic information is then brought together with the “means-where-by” so the client can attain a particular movement free from pain and move toward efficiency and neuromuscular control. Pandiculation Defined, pandiculation means to stretch out the limbs, as if to yawn when awakening from normal sleep. This simple action, used by all vertebrates upon rising from rest, allows the sensory motor cortex of the brain to establish contact with the muscular system and ready the soma for activity. This gentle motion of lengthening the body’s muscles and preparing them for work moves them into a direction of relaxation and efficient movement. The pandicular movement process involves the client’s active participation. To begin, the Hanna Somatic Educator assists the client in comfortable body positioning to be able to access the desired muscles or muscular systems most efficiently. The client is asked to contract the muscle while the Hanna Somatic Educator provides kinesthetic and proprioceptive feedback through the entire range of motion (see Photo 7). Using a quick release, the Hanna Somatic Educator helps the client in stressing the new pattern and range of motion without pain. Feedback is maintained between the client and the educator, with the client eventually moving through a range of motion at a comfortable, yet increased speed. At the end of a quick release, the client is given the opportunity to complete the motor feedback loop with a “lock-in” maneuver. With the client at the comfortable end position of their range of motion, they will be asked to engage the muscular antagonist to utilize reciprocal inhibition and allow a renewed awareness of the overall pattern. Pandiculation is a safe and effective process for the client. Using pandiculation, a practitioner can help clients to eventually make strong, pain-free movements to increase the brain’s motor output and override reflex patterns. It provides a direct stimulus to the nervous system to change the information flow through the brain’s pathways involved in movement and physiology. Reaping
the Benefits Charlie Murdach is a certified Hanna Somatic Educator from San Francisco, Calif. Murdach earned a bachelor’s of science degree in physical education from California State University, Sacramento, and a master’s degree in kinesiology from San Jose State University. He works with the Cardiovascular Research Institute of the University of California, San Francisco, in the Adult Pulmonary Function and Exercise Physiology Laboratory as a technician and research assistant. He can be contacted at like2move@hotmail.com. More
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