It has been well established that the fascia, which permeates the whole body and interpenetrates and surrounds all organs, bones, muscle, and nerve fibers, is a sensory organ. Treatment of the fascia directly affects the proprioceptive system and is responsible for muscles working in a coordinated fashion. It is necessary to treat the fascia along defined pathways based on its anatomy and physiology. It appears that only FM® has established and demonstrated the fascial kinetic chain. For ultimate results in the treatment of many neuromusculoskeletal conditions, practitioners must learn how to treat the source of pain rather than mostly treat the site of pain.
Fascial Manipulation® has been taught in Europe for over 16 years. It has been taught to over a thousand practitioners in 40 countries. It was created by Luigi Stecco, PT, over 40 years ago. For further information go to www.fasciaresearch.com, www.fascialmanipulation.com and www.pubmed.com and enter fascia for peer reviewed articles.
The Fascial Manipulation® program is an intensive hands-on series. It combines theoretical lectures, demonstrations, and practicals throughout each course day. Participants will learn to evaluate musculoskeletal dysfunctions with specific reference to the human fascial system, and to apply the Fascial Manipulation method. Lectures include the anatomy and physiology of the fascial system, an explanation of the biomechanical model used in application of this technique, and the anatomical localization of fascial points (myofascial sequences, spirals). Emphasis will be placed on the evaluation of musculoskeletal dysfunctions (from history taking, to hypothesis, to functional testing, to palpation, to verification and treatment) together with a methodology and strategy for treatment.
The Fascial Manipulation® series is intended for physical therapists, osteopaths, chiropractors, medical doctors, and other licensed health care practitioners with a good working knowledge of musculoskeletal anatomy, physiology and neurology.
The primary objective is to develop an understanding of the Centers of Coordination (CC) that are responsible for the normal function of related monoarticular and biarticular muscles. By the end of the course, clinicians will:
• Learn anatomy and physiology of the fascial system.
• Learn how to evaluate myofascial planes: upper and lower extremities, spine.
• Determine functional testing of areas of complaint.
• Develop skill and understanding to assess abnormal functional findings with fascial points of involvement to restore normal function.
In a large percentage of patients, the treatment of Centers of Coordination (CC), as taught in Level 1, can be a final answer for obtaining a healing result, but the complete treatment of patients under FM requires Level 2. Level 1 considers fascia regulating single planes of movement i.e., unidirectional muscle fibers such as in the three planes of motion (sagittal, frontal and horizontal). Luigi Stecco realized that it was also necessary to coordinate two or three myofascial units involved in complex global movements where the forces of myofascial units converge. Centers of Fusion (CF) are taught to be used for single segments, along myofascial diagonals and myofascial spirals. CF points are mostly found over retinacula and periarticular structures that are influenced by complex movements.
CFs coordinates intermediate muscle fibers, activated during movements between mf units. For example, CCs found mostly in muscle bellies would mainly be used for treating problems dealing with lumbar flexion, extension, lateral bending and rotation. But movements between these planes such as oblique lateral backward bending (Kemp sign), oblique backward and medial bending, anterior lateral or anterior medial movement would require treatment of the CF. This would pertain, of course, not only to the lumbar spine, but to all the extremities and the trunk. Treating CFs also coordinate myofascial CC units. Often treating a CF frees the fascial tension created by the CCs.
Level 2 is very important for understanding its relationship with Level 1. Some of the many questions to be answered are when and why CFs are treated, the relation of CCs to CFs, the exact location of CFs, how to treat CFs (different than CCs) and the concepts of diagonals and spirals. Some other subjects continued from Level 1, such as treatment strategies, physiology of motor control as it relates to fascia, posture and the use of the assessment chart, are continuously discussed.
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