The Lyon method originated 200 years ago and it is the oldest scoliosis specific method in Europe. It was described in a book written by Charles Gabriel Pravaz called New Method for the Treatment of Deviations of the Spine that was published in 1827. The method is actively practiced in France and is often used in conjunction with bracing.
Dr. Jean Claude DeMauroy is an expert in the Lyon method and the creator of the ART brace, which is the most technologically advanced version of the older Lyon brace. Dr. DeMauroy currently provides education in the Lyon method through the SSOL e-learning platform.
Lyon method certification, February 2022
Principles of the Lyon Method
The Lyon method is based on the understanding of the three-dimensional concept of tensegrity – which means that the body’s balance is based on harmonious tensions between the forces controlled by the muscles, soft tissues and bones. Manual therapy techniques help to restore the body’s tensegrity through the release of soft tissue restrictions in joints, muscles, tendons, and fascia.
The Lyon method takes into consideration the extrapyramidal neurological system, which is defined as the neurological pathway that controls posture and balance. The brain integrates information that is received from sensory receptors located in muscles, tendons, joints, eyes, and balance organs in the vestibular system and sends the signals to postural muscles. For an individual with scoliosis, the extrapyramidal system needs to be reprogrammed to help the body accept and maintain postural corrections. This is accomplished through manual techniques and sensory motor activities that stimulate the brain.
Another important characteristic of the Lyon method is the consideration given to personal anatomical parameters within the pelvic structure. This dictates the rules of alignment of the spine as viewed from the side profile, helping practitioners understand the best alignment for each individual patient.
Application of Lyon method to pediatrics
The Lyon method is perfectly applicable to pediatric patients, including those who are not able to follow complex instructions or have difficulty maintaining a still posture.
Two important characteristics of the Lyon method tha tmake it perfectly applicable to pediatric patients are: (1) working on the extrapyramidal postural system to improve balance, and (2) strengthening anti-gravity postural responses.
Scoliosis creates a postural disturbance to the body. By engaging in therapeutic activities that influence the symmetrical development of the postural system, we can strengthen the body’s defenses to asymmetrical forces and prevent the further progression of scoliosis.
It is very important for children to establish the perception of body symmetry through visual motor, sensory-motor, and balance activities. It is usually well received, as children enjoy movement activities.
Some important goals of the Lyon method as it applies to pediatric scoliosis are relaxing soft tissues, releasing unnecessary tensions, restoring joint mobility, and reprogramming the postural system.
Scoliosis often correlates with flat back in children, which means that it is not always helpful to keep the upper back perfectly straight. The trunk often needs to be slightly rounded to respond correctly to the forces of gravity. Achieving the best possible profile alignment helps stabilize the spinal curve.
