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Komplexitätstheorie und Manualmedizin

Erklärungsmodell manualmedizinischer Behandlungseffekte

Complexity theory and manual medicine

Theoretical model used to explain effects of manual medicine

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Wir können nicht alles von allem erklären,

aber etwas von allem (Per Bak 1996) [2].

Zusammenfassung

Ausgehend von Fallbeobachtungen wird dargestellt, dass die teils sehr unterschiedlichen Effekte manueller Therapie (MT) am besten verständlich sind, wenn man 2 unterschiedliche Wirkungsweisen unterscheidet. Diese Differenzierung in „robuste“ und „subtile“ MT ermöglicht es, beide Behandlungstypen effizienter einzusetzen. Komplexitätstheoretische Konzepte und die Theorie des „intelligenten Organismus“ werden zur Erklärung dieser Effekte erläutert und diskutiert.

Abstract

Consideration of case reports has shown that the effects of manual therapy (MT), which can differ widely, are best understood when a distinction is made between two different kinds of action. This distinction, between ‘robust’ and ‘subtle’ MT, makes it possible to use both of the two types of treatment available more efficiently. A theoretical model based on the concepts of complexity theory and including the ‘intelligent organism’ approach is invoked as a starting point for a discussion in which an attempt is made to explain the effects of each type of MT.

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Notes

  1. Function is the result of the correlation and interplay of numerous structures, frequently at distant places in the motor system. Our task, therefore, is to uncover a chain of changes and, if possible, to find the most important link, or links, at any given moment of the „pathogenetic chain“. „This makes a fundamentally different approach essential so as not to use the best of techniques at the wrong place and the wrong moment. We would remind the reader that the central nervous system only knows about function, not about structure [27].

  2. Bei dem so genannten Lorenz-Attraktor handelt es sich um die Lösung eines Systems von 3 gekoppelten, nichtlinearen Differenzialgleichungen. Formuliert wurde es 1963 von dem Meteorologen Edward N. Lorenz, der es als ein einfaches Modell der Konvektionsströmungen in der Erdatmosphäre erstellte.

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  1. Köln

    H. Biedermann

  2. School of Psychology, Plymouth, UK

    M. Hyland

  3. Huhnsgasse 34, 50676 , Köln

    H. Biedermann

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Biedermann, H., Hyland, M. Komplexitätstheorie und Manualmedizin. Manuelle Medizin 42, 355–360 (2004). https://doi.org/10.1007/s00337-004-0319-3

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