Guest guest Posted September 17, 2005 Report Share Posted September 17, 2005 Can anyone explain how to appoint surrogate muscles for other muscles as in 1st bullet of in-depth checks below? Below is a link to Barabara Ward's site and her in-depth balance for noise sensitivity and the pertinent text from that page. http://www.kinesiology.gen.nz/noise.htm For the last 20 years I have worked with children who have a range of problems which prevent them from functioning effectively in the classroom. For the past sixteen years this work has involved Brain Gym® and Edu-K. I don't much like labels, but many of these children have been called "hyperactive," or "learning disabled," or "dyspraxic," or "withdrawn," or they have been assessed as having "auditory processing problems" or, or, or... .. My Edu-K understanding has taught me to see it in different terms: some part of their nervous system simply isn't functioning efficiently enough to achieve what they are trying to do with it. Over the years I have laughed, cried and worried a lot with parents and children alike as we have moved, balanced, coaxed and eacouraged people to take the risk to do things differently with Edu-K. Lots of change, growth and success has occurred, but there have been times when I still couldn't find the key to assist some padicular child to 'unlock'. Coordination and balance would improve with Dennison Laterality Repatterning, ears would test ON and there would appear to be no further vestibular problems, as head and body movements became stress-free in all directions. Yet still the child wasn't functioning well in the classroom, speech clarity didn't improve fully or still parents and teachers felt he or she wasn't listening properly... . In tidying my office a few months ago I came across an old Scientific American article that I had hoarded since August 1989, feeling that one day I would understand why. Entitled "The Middle Ear Muscles", the subtitle to the article said: "Tiny muscles behind the eardrum contract involuntarily when a person vocalises or is exposed to a loud noise This neuromuscular control system prevents sensory overload and enhances sound discrimination." Aha, sensory overload and poor sound discrimination sounded familiar. Suddenly I knew what to do with this information. The article is well worth a read, but what it triggered for me was the idea that maybe some of the ear probleins children have are MIDDLE ear, not solely INNER ear problems to do with the vestibular system. If we can use surrogate muscles to balance the eyes, I thought, then maybe we could apply the same process and use surrogate muscles to balance these two tiny muscles in the middle ear. I developed a simple protocol for assessing middle ear muscles and did balances with a number of children over the next few weeks. Feedback over several months has been fascinating. is just seven. His mum is a general practitioner who has been wonderfully open to all the things we have done to get her son physically able to cope with school. He has some major health problems which have taken all his energy. She had told me that he was very sound-sensitive, so we balanced for "coping comfortably with loud noises". Questioned for feedback last week, her response was, "That balance changed our lives - we can now go out without earplugs, and we can go anywhere!" had very indistinct speech, poor balance and very limited momentum in anything she did. She spent most of her time stopped, not looking, listening or moving, as she struggled to speak with some fluency. Her eyes never ceased to sparkle, and her wacky sense of humour always shone, as did the love between mother and daughter. She had been assessed as "dyspraxic" and having "auditory processing problems", with some hearing loss in one ear. For her the immediate improvement after the middle-ear balance was in her movement. She began to keep her balance and she began to dance! For the first time ever she began to enjoy pattemed movement, and she now takes highland dance lessons. She often shows me at the beginning of our sessions what she is leaming. Over time her speech has become much crisper and her recent audiology reassessment, while still showing her hearing loss, showed age level auditory processing. Her mother called me to tell me the audiologist had commented that "all the kids who are doing Brain Gym make good progress". I want to get this statement in writing! Happy child, happy mum, happy Barbara. was an artist of nine when we met and some would have had him taking medication for "hyperactivity", but his mother found me instead. With Dennison Laterality Repatteming and lots of Brain Gym and balances his coordination improved and so did his reading. His speech stayed fuzzy, and he switched off his ears most of the time, even though head movement and ear checks were now clear. Always cheerful on the surface, he nevertheless became embarrassed at his failure to live up to his elder brother and became quite sad. For some months he was in stuck Low Gear, with no muscle testing possible. Just doing Brain Gym helped, but we were all frustrated as permission for surrogate balancing was not forth-coming. He just seemed to need time to mature. As the middle-ear balance developed I decided to discuss it with . We had begun to do small balances again as his period of stuck low gear passed. Although he had not shown overt sound-sensitivity, in fact rather the opposite, he was interested in the idea of this balance. For him only the right ear was involved, and the outcome has been slow but sustained improvement in his sound discriminations and speech clarity, and a sustained return to responsive muscle checking. My intention had been to work with sound sensitivity, and this was clearly the area of improvement for the first child. But for the second it was in movement and co-ordination, and for the third in general responsiveness as well as speech clarity. These last two were not expected responses. The outcomes are exciting, so I want to offer you this process to trial. Please send me feedback. Best used in an In Depth Balance format as a "balance within a balance", and allowed to come through ear checks in Laterality. I do also use the process, with permission, directly as I relate it here. The Middle Ear Balance Process 1. Speak with your student about retreat from noisy places, covering ears, and unclear sound discrimination, drawing out how it feels for them. With children, the parent's contribution of history is invaluable. Set a goal that has to do with coping, or feeling comfortable with loud noises. However, your student needs to word it. 2. Pre-Checks Have the student make a whisper and muscle check each arm, noting any low gear responses. (The expectation is that the right arm will give a readout for the left ear, and vice versa.) Whisper yourself and then check both arms. Repeat this with both you and then the student speaking at ordinary volume. Then do it again with each of you shouting. Low gear in any of these checks indicates the need for balance, though it is most likely that stress will occur with the loud noise only. 3. In Depth Checks Appoint surrogate muscles for the two middle ear muscles: the tensor tympani and the stapedius, and a third for the eardrum (tympanic membrane) itself. (This is not usually involved, but in one balance it was the key, so I always include it.) The muscles used as surrogates seem to vary from balance to balance, though they are usually accessible arm muscles, so you will have to play a bit. Name each of the three ear muscles one by one, checking the muscle appointed as surrogate for it for the opposite ear, noting any low gear ones. Balance the surrogate muscles using TFH techniques or using the surrogates to go into the realms, doing whatever is necessary until all necessary surrogates are high gear for each ear. (Remember to release the surrogates from their surrogacy.) 4. Post Checks Repeat the Prechecks . All should now be high gear. Draw out any changes your student senses immediately and discuss with them the implications for life activities which you now expect will be easier: better listening at school, improved relations with siblings and / or parents, generally improved ability to sustain conversation, especially in noisy environments, improved health from reduced chronic stress load, more fun in the playground, etc. Ccntinue with whatever balance you are in until the end is reached. 5. CELEBRATE! Explanation When the ears are assaulted by loud sounds, the tiny tensor tympani muscle contracts to draw the eardrum inwards. The stapedius muscle contracts to reduce the vibration of the three middle ear ossicles, especially that of the stapes bone in the oval window into the inner ear. The combined effect is to dampen loud sounds and protect the inner ear. When the muscles aren't working properly, or there is stress over the whole idea of hearing, then loud noise is hard to cope with, resulting in a self-protective withdrawal from it. This acoustic stapedius reflex (ASR) is involuntary, but it seems that some people habituate eventually to the constant assault of loud sound in their world by eventually switching off their reaction to sound most of the time. Raising your voice to attract their attention has a counter- productive effect, appearing to strengthen the switched off response. (Whispering won't necessarily switch it back on, however.) It appears that several different things could confuse the proper functioning of the middle ear, but this process allows all of them to be dealt with in appropriate ways to bring back proper function to these teeny, but very important muscles. This is a tiny application of processes we already know and use in other ways, but it is bringing exciting improvements to people's quality of life. Quote Link to comment Share on other sites More sharing options...
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