Kävijälaskuri

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11 The initial phases of PT

WARNING: In case you have had any trouble with your neck (e.g. injury or stiffness) consult your doctor before you start positional treatment. You have to be especially careful with the maneuvers for the posterior and superior canals.

At the initial phases you may need personal guidance with these maneuvers by an experienced person if you are aged or there is stiffness, vertigo, or multiple symptoms in your body. That's why avoid e.g. climbing, quick turns, swimming, cycling or driving a car and move carefully in the stairways.

In addition to the treatment of the sense of balance, it's important to have your health checked regularly: e.g. blood pressure and blood sugar and salt so that the amount of medication can be reassessed and decreased if possible. Because PT launches a lot of waste products it is especially important for the liver and kidneys to reduce the side effects of medication so that they can excrete more waste products. If it's possible to decrease gradually or stop e.g. the use of diuretic medicines, sleeping pills, painkillers or antidepressants the prognosis of the treatment of the sense of balance can improve.

The time needed and the result of the recovery depend on the condition of the body.     

Unlike the older PT techniques  (e.g. Lempert, Epley, Rahko), I emphasize the fact that all the three semi-circular canals have to be treated, unless there are some restricting factors such as a person's high age or weak health.

To avoid too many withdrawal effects, you mustn't startKaarikäytävien suolapitoisuuden laskiessa (vaikkakin normaaliarvojen sisällä) nesteen tiheyden muuttuminen luo otolliset olosuhteet hiukkasten liikkumiselle.

Nälän aiheuttamaa huimausta voitaneen selittää vastaavalla tavalla: veren sokerin lasku lisää adrenaliinin eritystä, joka saa aivot haluamaan lisää sokeria. all the three maneuvers at the same time.Adrenaliinia hillitsevä kortisoni taas alentaa suolatasoa, jne. Voimakas nälkähän aiheuttaa mm.näköhäiriöitä, jolloin silmää ohjaavien lihasten toimintaa häiritsee todennäköisesti tasapainoaistin puutteellinen ohjaus. The first stage includes only the maneuver of the horizontal canals.Joillakin henkilöillä kovaan nälkään syöty äkkimakea välipala saattaa aiheuttaa huimauskohtauksen, jonka vaikutusmekanismi voisi selittyä edellä kerrotulla tavalla. After a few (3 – 6) days you start the second stage, which adds the treatment of the posterior canals. Again, after a few days (3 - 6) you start the third stage by treating the superior canals, too. The younger or better-fit you are the faster you can proceed from one stage to another. The initial stages of the treatment have to be the longer the weaker or older a person is. On the other hand, the younger and/or better fit the person is the more quickly he/she can proceed with PT.

Avoid tight clothes, belts, etc. during the maneuvers.

The following letters and numbers refer to the different sequences (order) of maneuvers of PT as follows:

A = first the left side, then the right side

B = first the right side, then the left side

1 and 2 = maneuvers for the horizontal canals

3 and 4 = maneuvers for the posterior canal

5 and 6 = maneuvers for the superior canals

The first phase

During the first treatment session you do the maneuver (A1) for the left horizontal canal and after that the same maneuver (A2) for the right horizontal canal, rotating in the opposite direction. The next day you do the same pair of maneuvers, but in different order: first right (B1) and then left (B2) Repeat this pair of maneuvers once a day for 2 – 6 days. Change the left – right order every time.

The second phase

After the first phase you start the maneuvers for the posterior canals. Start the session by doing first the maneuver for the left posterior canal (A3) and then the same maneuver (rotating in the opposite direction) for the right posterior canal (A4). Next, the maneuver for the right horizontal canal (B1) and then the maneuver for the left horizontal canal (B2).

Repeat this series of maneuvers for 3 - 6 days, changing the left – right order every time as follows:          DAY 1: A34, B12

                      DAY 2: B34, A12

                      DAY 3: A34, B12 etc.

The third phase

Now you start the maneuvers for the superior canal. Follow this order: Do the maneuver for the left superior canal (A5), then the maneuver for the right superior canal (A6) (rotating in the opposite direction). After that comes the maneuvers for the right and left posterior canals (B3 and B4) and last, the maneuvers for the left and right horizontal canals A1 and A2). The whole sequence of maneuvers lasts 16-20 minutes, depending on the duration of the pauses.

The two different sequences of maneuvers are repeated in turns as follows:

   1. A56  B34 A12

   2. A34  B56 B12