The Problem





The anatomical structures of this cervical vertebral column are compressed due to the incorrect position which obscures the underlying structures.


The same person’s cervical vertebral column when using the hotepi. The intervertebral disks and the interspinal joints are clearly visible.



In a new study which I conducted on the subject of loud snoring and breathing interruptions which is also referred to as sleep apnoea syndrome, it was possible to confirm that this is a functional autonomic disorder which occurs in the area of the pharynx and under no circumstances is it a disease. The autonomic supply for the pharynx area and respiratory tracts comes via the cranial nerves which exiting from the base of the skull. It is therefore directly influenced by the position of the cervical spine. When it comes to overcome this widespread social and medical problem, it is of great importance that the position of the cervical spine is absolutely correct when sleeping. The position of the cervical spine is the key to the treating of these functional disorders.

Diagrams 1-4 shown here present a part of the statistical evaluation of the studies in a graphical form. These include a subjective and an objective comparison as is required in scientific circles. The study was based on an osteopathic treatment and on the correct positioning by the hotepi sleep concept, which played a major role.






Diagram 1: Change made to the Pittsburgh Subjective Sleep Quality Index
The mean value 2 – 7 shows the intensity of the disorders. This has clearly reduced after the treatment.


Diagram 2: Change made to the Pittsburgh Sleep Quality Index as regards the third-party evaluation of the sleep quality.


Diagram 3: Change to the minimum saturation before and after osteopathic treatment (experiment group) and a comparison group (control group) which receives permanent treatment with the CPAP respirator.

Minimum saturation: the minimum oxygen saturation during all of the breathing interruptions which occur during the night, this being measured transcutaneously. The minimum saturation changed and improved in both of the groups.



Diagram 4: Change in the difference between the base saturation and the minimum saturation. The base saturation-minimum saturation changed or was reduced in both of the groups, this being a clear improvement for both of the groups.


The sleep/wake rhythm is situated in the Hypothalamus which regulate the autonomic functions of the body and which lies in the centre of the skull. The cranium (skull) with its connections to the sacrum (kreuzbein) via the cervical vertebral column is often the cause of these disorders. This osteopathic knowledge formed the basis for the development of the hotepi-concept.



The illustration shows the cranial bone connections from the inside. The sphenoid bone (1) plays a central role in this connection. This is where the hormone control centre (pituitary-gland) is situated, among others, the Hypothalamus being situated above this and connected with it, with the sleep/wake rhythm coordination centre in it.


This illustration shows the occipital bone (2) (back of the head), which has a direct connection with the cervical vertebral column. A functional disorder in the area of the neck has an influence on the position of this bone which as can be seen from the illustration, is for its part connected with the central sphenoid bone (1).





As the sleep/wake rhythm is especially coordinated at night, the position of the head is of enormous importance during sleep. The unchanging form of the pillow makes the almost certain adoption of the disturbing sleep position impossible. The customised height of the pillow is achieved by the fact that the air chambers are of different sizes. A padding and cotton cover ensure a comfortable contact with the head.

Man’s anatomy is the basis for his functions. Not taking them into account can have serious consequences. These anatomical functions make the difference between simply lying down and sleeping clear and understandable. The body position is wilfully controlled when lying down but this control no longer exists when sleeping as the nocturnal rest will otherwise be disturbed.

A relaxed sleeping on the back (supine lying) is not possible because of anatomical reasons and sleeping face down (prone lying) places a heavy burden on the vertebral column. – The anatomy therefore forces us to search for and accept the side position, when it is correct, as the only right sleeping position.




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