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Bone is a vascular, constantly remodeling, mineralized connective tissue despite its stonelike appearance. Axial forces applied to bone changes its shape (deform). The amount of deformation is dependent on the bending moment and axial loads placed on the vertebrae. Abnormal posture causes asymmetrical (uneven) axial loading. When axial loads are not parallel with the material direction, the asymmetrical forces cause polarization and stress-generated potentials. A moving current is formed which results in an electrical magnetic field.
Wolff's Law - Stress-Generated Potentials It was recognized as early as 1638 (Galileo) that there was a proportional relationship of applied force and/or pressure to skeletal mass, as in the case of exercise. In 1896 the relationship of bone growth to pressure was defined as Wolff's Law. "The form of a bone being given, the bone elements place or displace themselves in the direction of the functional pressure and increase of decrease their mass to reflect the amount of pressure." This law states that bone will remodel to stress placed upon it. Question: Are bone pathologies such as DJD, lipping, spurring, bone tumors, etc. idiopathic or are they a direct result of asymmetrical loads and mechanical stress?
Osseous Transducers - Piezoelectricity and Streaming Potentials Abnormal posture causes mechanical force to be transformed into electrical energy. It is now evident that mechanical energy is being transduced into electrical energy to direct and maintain the organization of cellular life. After the first bone deformation studies (Fukada and Yasuda, 1957), it was proposed in 1962 that the stress-induced bioelectric potentials were the command signal in the operation of Wolff's Law and these command signals control bone cell activity.
Piezoelectricity is best described as "pressure electricity." A charge separation occurs on bone under an applied load. Bone is a piezoelectrical material which has the property of electric polarization under an applied load. There is a reciprocal relationship of bone mechanically distorting in the presence of an electrical field. Under applied physical stress there is bond distortion at the molecular level which produces a dipole moment and results in an electric field inside the bone. The side of tension develops electropositivity and the side of compression, electronegativity. The greater charge potential is measured at the apex of the curve. It is at the apex that the most remodeling takes place. Osteoblastic (bone growth) activity responds to the electronegativity while osteoclastic (bone degeneration) activity responds to the electropositivity.
Streaming potentials occur when movement of fluid through transverse pores in bone produces electrical current. When bone is loaded at both ends ultramicroscopic pores are compressed at the concave surface. The fluids forced from bone under these conditions are positively charged. The charge in streaming potentials is similar to that of piezoelectricity, electronegative on the concavity/compressed side, and electropositive on the convex/tense side.
Results: Stress- generated potentials are caused by unbalanced stress. It is now obvious that osteophytes, lipping, spurring, fusion of facets, etc. are a direct result of abnormal stresses placed on vertebrae causing negative and positive surfaces to develop with the associated osteoblastic and osteoclastic activity. (SN: Calcium has a positive charge and is attracted to electronegative charges resulting in bone formation, usually in the form of bone spurs).
The structural function of bone is to resist axial force and bending moments. Axial forces and bending moments are functions of time. Therefore, bone remodels to asymmetrical stress as a function of time. In other words, the amount of remodeling is proportional to the length of time the vertebrae are subjected to the abnormal load.
A primary stress system dictates that the stress and bone material are parallel. Collagen fibers run vertical in bone as does axial loading. When abnormal translations and rotations are present in the spine the collagen fibers and axial loading are no longer parallel and a secondary stress system occurs . . . piezoelectricity and streaming potentials. Therefore bone remodeling is necessary.
The electrical values that are measured from bone under asymmetric stress, and the electrical values that are used to promote bony unions are within the same range of frequencies that cause electrical nerve interference. The electromagnetic fields that are produced in bone deformation are in the frequency range of 1-72 Hz. Electric nerve interference occurs between 0.5-75 Hz. This can effect spinal nerve roots exiting the spine, and possibly the sympathetic chain ganglia which runs down both lateral aspects of the spine.
Conclusion Any and all abnormal postures cause asymmetrical loading, increasing electrical activity in bone. All abnormal rotations and translations including the common military neck or straight cervical curve have a vast increase in bone deformation and degeneration. Having learned and applied the scientific principles of stress, strain, deformation, piezoelectricity, and streaming potentials; Dr. Haralambous is confident that he is doing what is best for his patients, removing nerve interference and preventing arthritic and other degenerative changes in the spine.
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