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Atlas Roll

 Atlas Roll is a frontal plane rotation (roll) of C1 vertebrae




Right Laterality of Atlas.  Note the concurrent head tilt to the right 
clinically observed with Laterality (Roll/Frontal Plane Rotation) of the Atlas.



Dental Implications:  

Distortions in the position of the maxilla (e.g., malocclusions) can destabilize the Atlas (C1)


When the Maxilla is in a rolled position (deviated on the frontal plane):

  • The Atlas Rolls (Attilio)
  • The Axis distortion destabilizes the entire spine (increased scoliotic and kyphotic curves (Korbmacher et al)  Note: My current research suggests that frontal plane distortions in the Atlas (e.g. an Atlas Roll) only destabilizes the spine in the frontal plane (e.g., augmenting the scoliotic curves).
  • The distortions in the spinal curves destabilizes the pelvis in both the frontal (rolls) and transverse planes (yaws) (Seemann)  Note: My current research suggests that frontal plane distortions in the spinal cord only distort the pelvis in the frontal plane (e.g., pelvic tilt).
  • The tilt (unleveling) in the pelvis can result in medial knee pain (at the level of the pes anseranus) and lateral ankle pain (peroneal muscles)
  • If the Atlas Roll is severe enough, it can result in symptoms similar to those seen in degenerative neurological disorders (Thomas and Wood, 1992, Case History).



Postural Distortional Pattern seen in a Pure C1 Roll Right*


                                     


C1 Roll Right
  • Head Tilt Right
      • Tight Left Rhomboides
        • Pelvic Tilt Right (High Left Pelvic Rim)
          • Long Left Arm
            • Tight Left Hamstrings (painful pes anseranus)
              • Tight Left Gastrocneumius and Soleus
                • Short Left Leg




Postural Distortional Pattern seen in a Pure C1 Roll Left*


                               



C1 Roll Left
  • Head Tilt Left
  • Tight Right Neck Muscles
  • Right Right Rhomboides
  • Pelvic Tilt Left (High Right Pelvic Rim)
  • Long Right Arm
  • Tight Right Hamstrings (painful pes anseranus)
  • Tight Right Gastrocnemius and Soleus
  • Short Right Leg

    * = Any deviation in the pattern of symptoms indicates the presence of a Mixed Postural Distortional Pattern




    References

       D'Attilio M, et al.  The influence of an experimentally induced malocclusion on vertebral alignment in rats: a controlled pilot study.  Journal Craniomandibular Practice, 2005. 23(2):119-129.
       Korbmacher, H., et al., Correlations between anomalies of the dentition and pathologies of the
    locomotor system-a literature. J orofac orthop, 2004. 65(3): p. 190-203.
       Seemann, D.C., The biomechanics and neurological aspects of the Atlas Subluxation Complex. The
    Upper Cervical Monograph, 1977. 2(2): p. 3.
       Thomas MD, Wood J, 1992.  Upper Cervical Adjustments May Improve Mental Function.  Journal Manual Medicine, 6:215-216.




    Prof/Dr Brian A Rothbart
    Chronic Pain Elimination Specialist
    Discovered the Rothbarts Foot Structure and the PreClinical Clubfoot Deformity
    Developer of Rothbart Proprioceptive Therapy
    Inventor and Designer of Rothbart Proprioceptive Inso    les
    Founder of International Academy of Rothbart Proprioceptive Therapy
    Author of Forever Free From Chronic Pain


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