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Treatment of dysfunctional disorders of the musculoskeletal system

The dysfunctional pathology of the locomotor system is defined as impaired function of the somatic components of the system: bones, joints and myofascial structures and related vascular elements, lymphatic and neurological diseases, without anatomic and / or histology of the same, or inflammation.

This definition was coined nell'Hospital Adaptation of the International Classification of the Disease, 2nd ed. 1973.

The diagnostic criteria to identify somatic dysfunction are 3:

"A" (Asymmetry): structural and functional asymmetry of the parts of the musculoskeletal system (eg, shoulder height, depending on the rib cage, pelvis height ...)

R (Range): Range of motion of a joint, a series of musculoskeletal district. The range of motion can be altered for increased or decreased (less frequently) and is rated with active and passive movements.

T (Texture): Consistency of the soft tissues of the musculoskeletal system (skin, ribs, muscles, ligaments ...) assessed by observation and palpation tests.

It is estimated that in the western world suffer from diseases of the spine (SAV) between 60% and 80% of the population.

Nachemson states that only 2% of patients with SAV (Painful vertebral syndrome) is an etiological diagnosis can be made systematic and that 98% of the SAV are dysfunctional in nature.

The National Institute of Occupational Safety and Health (NIOSH - USA) places the Low Back Pain at the top of the list of the ten most important health problems in the workplace.

In addition, Frymoyer JW. defined as early as 1984, the Low Back Pain "the Nemesis of Medicine el'Albatros Industry", this is because the use of pharmacological aids and / or physiotherapy often do not provide reliable results and long lasting.

For these reasons more and more researchers are dedicated to the study and testing of new
treatment protocols.

In a recent article in Lancet, Dr. Anderson provides a vivid documentation of the impact of chronic back pain in industrial societies.
In the United States is the most frequent cause of limitation of use in individuals younger than 45 years, the second most frequent reason for visits to a doctor, the third most common surgical procedures.

A huge number of people, approximately 17% of all people working American receives each year from insurance payments for back pain.
Back pain takes a toll as heavy in Europe.
In the UK accounts for 20% of working days lost to illness.
In Sweden, over the past 30 years, resulted from 18% to 32% of working days lost.
Above all, Anderson says, in one year 22% of the entire Swedish population insured against illness, was recorded at least once with a diagnosis of back pain.

Even in Italy, ISTAT statistics on the health of the population, showed that the dysfunctional syndromes of the musculoskeletal system are the most common chronic diseases and are the second point of ranking causes of disability.

Institutes of Occupational Medicine have published studies showing the chronic diseases of the spine as the first reason in questions of eligibility for partial non-specific work, the acute diseases of the musculo-skeletal system, also often related to postural imbalances, in second place ( after respiratory infections including influenza-like illness also).

With regard to accidents at work, stress injury (in 60-70% of cases represented by acute low back pain), it can also be traced back to an underestimated the suffering of the tonic postural system, leading to cases of acute imbalance, to excessive loads to which the physical is not prepared.

In the last ten years of study and research, Dr. Maria Antonietta Fusco has created a medical discipline covered by international patent, having understood, first, the key to address valid treatment in dysfunctional pathologies, the results are consistent and controllable , not just the painful symptoms but also reducing the functional impairment and bodily asymmetries in patients of all ages.