Abstract
Segmental pareses of abdominal wall result from damage to relevant neural roots or intercostals nerves in the extent of medullar segments Th5 to Th12. They are encountered in borreliosis and diabetes mellitus, in discogenic prolapse in the area of thoracic vertebral column, after kidney surgery, certain operations on the spine in certain tumors and as a consequence of sport overload.
In the paretic region there is usually muscular hypotonia, hypotrophy and deterioration of contraction ability. It becomes manifest as an arch of abdominal wall as well as disorders in the function of abdominal wall as a whole.
The diagnostic is based on a timely beginning of a pointed rehabilitation which prefers neurophysiological procedures within the framework of therapeutic physical education, which more effectively support restoration of the function of paretic abdominal muscles and coordinated synergy of abdominal wall, diaphragm and pelvic floor. Dynamic neuromuscular stabilization using the elements of reflex loco motion and exercise of developmental series proved to be useful procedures.