Sonographie in der manuellen Medizin im Kontext osteopathischer viszerofaszialer Techniken

Ultrasonographic imaging of abdominal organs and structures of connective tissue as well as the surrounding muscles enables spatial real-time imaging of organ mobility and the mobility of the anatomical environment by justifiable technical expenditure and without X-rays, especially in relation to breathing and the structure and contractile state of abdominal muscles. Furthermore it allows observation of peristalsis and the filling state of hollow organs. The visualization of topographic relationships and the variation during breathing, as well as before, after and somewhat limited during therapy, has become practically possible and is markedly simplified in comparison to X-ray, computed tomography and magnetic resonance examinations. The methodology of examination is principally the same as conventional ultrasonography although the interpretation focuses on some criteria not usually used in conventional ultrasonographic diagnostics. Because of the permanent mobility of organs, muscles and connective tissue during breathing, peristalsis, body movements and changes of body position, the online version of this paper also contains some essential video clips. These provide a more precise impression of the variability of anatomical structures.