Remarks to DevelopmentalAspects in Rehabilitation of Shoulder Disorders

Overview

The authors present their views of the developmental aspects of motorics and rehabilitation of upperextremity motorics disorders, dealing especially with shoulder and scapula plexus (?). The teleokineticexclusiveness of the scapular plexus is pointed out.The developmental history of upper extremity is principally different from phylogenesis of lowerextremity, at least in the evoluation lines leading to the present humans. It resulted in morphologicaland, especially, functional differences. The scapula plexus is a morphological and functional intersectionbetween spine or trunk and the upper extremity, and therefore the axial and respiratory motoractivity and ideomotoric of acral parts of upper extremity.The therapeutic empiric approach recognizes the role of evolution. Quadruplegia or the locomotionof primitive tetrapods is generally considered to be the phylogenetic motion paradigm for motoractivity of present humans.However, it has become obvious that motion synergisms correlating withphylogenetically younger arboreal locomotion of most primates in the rehabilitation of motion disorderof the shoulder, are more useful.

Key words:
rehabilitation, reflex locomotion, shoulder plexus, axial move, bipedia, quadruplegia,brachiation