Exercise against polyneuropathy

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Bitzer Sporttherapie

Published on Sep 7, 2023
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For the balance set for polyneuropathy: https://bitzer-sporttherapie.de/produ... You can find more exercises here: https://bitzer-sporttherapie.de/uebun... You can find help for pain and discomfort here: https://bitzer-sporttherapie.de/schme... Special massage for polyneuropathy: https://bitzer-sporttherapie.de/massa... In this video, I will therefore first explain to you what the most important misconception about polyneuropathy is, which training method helps - as I said, in a short time and without physical exertion, and how you can start this training yourself at home. You do not need a gym, any unusual equipment, or a trainer or therapist to train; you can do the training yourself at home. All you need to know how to do it and then you need almost no equipment. The only things I recommend for training are training instructions and two very simple aids that I will introduce later in this video. We come straight to the biggest misunderstanding about polyneuropathy: The problems with polyneuropathy usually occur in the feet or hands. You can no longer walk properly or you have pain and discomfort in your feet and hands. That is why people initially assume that it is a problem in the feet and hands. Polyneuropathy was previously called peripheral polyneuropathy because the symptoms occur in the hands and feet and it was therefore assumed that the damage also occurs there - in the periphery of the body. And that is the misunderstanding I was talking about. Because the nerve damage does not ONLY occur in the hands and feet, but also in the central nervous system, i.e. in the brain and spinal cord. At the University Hospital in Freiburg, we looked at how reflexes change when people suffer from polyneuropathy. We used electrodes to send a current into the legs of our test subjects, which triggered a reflex in the test subjects' legs. The body is now able to change the reflexes depending on the person's posture. This means that the reflexes become smaller the more complicated the position you are in. For example, when standing they are smaller than when lying down, and when standing on one leg they are even smaller than when standing on both legs. However, it was shown that this reflex regulation no longer worked in patients with polyneuropathy. The reflexes became larger instead of smaller. That sounds a bit complicated, and you don't need to know the details. The important thing is that it showed that something changes in the central nervous system with polyneuropathy. This is because the reflexes are regulated in the central nervous system and NOT in the feet or hands. Since then, there have been numerous other studies that have shown that polyneuropathy causes changes in the brain and spinal cord. And that is very good news for us. The brain is by far the organ we have that is most trainable. If we know that polyneuropathy leads to changes there, then we now have a starting point for improving something through exercises. This applies both to movements, i.e. walking, and to pain and discomfort. Now let's first look at how movement control is changed in polyneuropathy. Normally, movement control works largely via automatic patterns that are stored in the cerebellum. They work quickly, safely and automatically. Polyneuropathy changes the nervous system and therefore these movement patterns no longer work. In polyneuropathy, movement control takes place more in the cerebral cortex (note for the translation: cervical cortex). In contrast to the work of the cerebellum, this is not automatic, but conscious. This means that you have to consciously think about the movements instead of simply moving your body automatically. This makes you slower, less confident and the risk of falling increases because you cannot react automatically when you stumble. However, there are methods to change this, i.e. to train so that movement control works automatically and safely again. We all know that you don't need a perfect feel for things to move them precisely. Everyone has seen how precisely and quickly you can move knitting needles, for example. Some people, even older people, can do this impressively quickly and precisely. And that despite having no feeling in the needles themselves.

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