Myofascial Release

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Comment by Walt Fritz, PT on December 21, 2010 at 7:20pm

I invite all Myofascial release therapists here to join the Myofascial Release Therapist Group on LinkedIn. If you are not on LinkedIn yet, what are you waiting for?

 

LinkedIn is a business directed social networking site. Posting a listing (free) allows increased visibility to other professionals, as well as improving your visibility on Google, etc. The Myofascial Release Therapist Group is a chance to network and share. Give it a look here

Comment by Boris Prilutsky on September 12, 2010 at 2:24pm

Hi Stephen.
in my previous comments I stated that :" fascia does influence musculoskeletal mechanics and significant and it including but in no case not limited to transmission of power at the time of muscle constructions and a specialy under heavy load" and in case if some quantities of smooth muscles
is a component of fascia/connective tissue it possible that smooth muscles playing some role(some aid) and aiding skeletal muscles function.but no doubt in my mind that main and significant support for skeleton muscles action in transmission of power under significant overload is the act of very strong connective tissue which fascia is.Dear Stephen.I did respected your post and took a part in general education speculation that both of us volunteerly got involved.what I'm trying to say and with very good intention is that techniques for release of tension within fascia cannot be based on theory that fascia containing some quantities of muscles.I believe that all our discussion was on this issue.
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the main causes of muscle tears at the time of:"when the muscular system contracts too qiuckly"is the energy disbalance within muscles, as well when fascia accumulating significant tension. Please keep in mind that tensions accumulation with in fascia resulting significant insufficiency in support of skeletal muscle action and can result situation for tears of muscles as well fascia.this is why we applying comprehensive treatment,that includes fascia mobilization/connective tissue massage to release tension within fascia, muscular mobilization for healthy/normal resting muscular tone restoration, trigger point therapy, as well post isometric relaxation techniques for balancing energy within muscles. All mentioned above modalities is an equally important for adequate treatment .more information including my hands-on demonstration can be found at my free lessons page, as well this topics in details I am explaining and demonstrating all this techniques on my instructional DVDs.
Best wishes.
Boris
Best wishes.
Boris

Comment by Stephen Jeffrey on September 11, 2010 at 6:24am

is it possible that even a small contraction via muscle cells in the fascia then offers additional stiffness for load/energy transference in fascia, aiding muscle contraction = more pull ?

and then under the same conditions but in the sensory role = when the muscular system contracts too qiuckly these same muscle cells release, allowing more elasticty in fascia, thereby absorbing excess muscular contraction= avoiding muscle rupture.

Just a thought:)

Comment by Boris Prilutsky on September 4, 2010 at 11:16am

Dear Stephen.
There is too many articles that I personally found very difficult to follow.and if you have paid attention that the preface of this article start something:" recent study showed that fascia can contract. Something like this"here is the recent study data and immediately some techniques was pushed into the theory.my point and question is: let's say we all agree that fascia contain some quantities of smooth muscles. Is it enough quantities to constrict? for purpose of our discussion Is not important question, but how this data helping us to perform techniques that will lead to fascia release is a crucial question?if we will apply muscular mobilization techniques would it cause fascia release????or taking to consideration that most of fascia tissue fibers have no potential to constrict and this why when fascia accumulating tensions and in order to be released you have to apply connective tissue techniques for superficial as well deep fascia. The bottom line of our discussion additional to professional side is:"is it possible that very frequently people will declare on developments of new massage therapy methodology?is it right to push techniques in to the some new findings in laboratory with no clinical trials?how much this end less publications and proposals of new methodologies confusing and negative affecting massage therapists?I hope you will agree with me that plus/ minus we have to talk on principles of massage therapy in unified way. Of course can be little bit differents in approaches but not totally different.I am enough time around to learn that there is many different ways/techniques to reach results.but all this good different techniques is healthy improvisation.but before musicians start improvisation they understand classical music.
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basically trigger point therapy is first: is ischemic compression that triggering vessels deletions b)causing accumulation of the big quantities of arterial blood around finger that compressing and after 30 seconds when we doing fast withdrawal of finger ,compromised amount of blood supply to this particular point will be delivered.At the time of scar tissue management we have to utilize ischemic compression as well additionally mechanically to break down pathological deposits,as well to stimulate deposits of collagen est..In both cases of trigger point therapy and scar tissue management in my opinion additionally necessary to include periostal massage.
I agree with you that we should include scar tissue management protocol in cases of joints disorders or at post surgical rehabilitation treatment.let's keep in mind that sprain/ strain type injuries causing soft tissue tears following by scar tissue formations that must be managed otherwise they can with time became significant contributor to disorders.
Best wishes.
Boris

Comment by Stephen Jeffrey on September 4, 2010 at 9:05am

Here are some interesting articles in relation to the discussion

http://www.learnmuscles.com/Fascial%20Contraction%20-%20MTJFA08_Bod...

The following article relates to the effect of restictive tissue (Triggerpoints) on nearby joints. I think the article should include scar tissue as having the same effect , what do you think ?

http://mtabcmsk.wordpress.com/2009/11/26/interaction-between-trigge...

Comment by Boris Prilutsky on September 3, 2010 at 11:03pm

Dear Steven.
I'm really glad that you liked my article on energy work and thank you very much for “excellent “it really made me feel good .thanks again .
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For example peristaltics is a smooth muscles action and in no case fascia do not contract in a smooth-muscle manner.I'm sorry to talk categorically but fascia do not contract in a smooth-muscle manner even not close to digestive system peristaltics and if at all .however I agree with you that fascia does influence musculoskeletal mechanics and significant and it including but in no case not limited to transmission of power at the time of muscle constructions and a specialy under heavy load but not because fascia constrictions.I am familiar with the work of Kingler, Horn & Schleip and they concluded that fascia does contain some not insufficient quantity of smooth muscles .let's say and even this conclusions is correct data.But because of fascia being mostly connective tissue in order to release this tensions you have to pull it mechanically.as you can see even if we agree in order to release fascia tensions you have to pull it and not stimulate relaxation like we doing for muscular normal resting tone restoration .here is a great example that bring to my question : how this data(fascia contain some smooth muscles) can be applicable to achieve fascia release ?
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You wrote: the connection that still has to be made is in your argument it doesn't effect a decrease in sympathetic activity because they cannot constrict or the opposite.
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probably I didn't explain clear enough my point .sorry have to repeat.
from my previous post: ” No doubt that soft tissue manipulation stimulating proprioceptors and activating electrical potentials that inhibiting sympathetic activities but fascia release in my opinion cannot be attributing to depression of sympathetic activities because fibers of fascia has no potential to constrict or opposite.

What I'm trying to say that fascia release cannot be tributed to sympathetic activities inhibition because fibers of fascia has no potential to constrict or opposite.
Muscles relaxing as the results of sympathetic activities inhibition but fascia we physically pulling out /straightening up mechanically. Dear Steven. Again let's assume that fascia does contain some quantities of smooth muscles. by creating action potential will be we able to release fascia tensions?
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
you wrote:” autonomic response is at the heart of soft-tissue change when we use fascial release techniques and the tissue response is of a system event, or as Michael Shea points out, the nervous system discharges, the soft-tissue releases”
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on this part of your statement:” autonomic response is at the heart of soft-tissue change” I absolutely agree with you. Massage therapy is the most powerful reflexive therapy. I'm sorry. Not familiar with Michael Shea points. But Prof. Sherback who research and proposed Russian medical massage therapy on the record was the first one who fully open up I will use your phrase:” ” autonomic response is at the heart of soft-tissue change” lately in 50s two German physicians Drs. Glaser and Deliho based on Prof. Sherback data published segment reflex massage-medical massage text book. Bottom line conclusion of this book is that autonomic response is at the heart of soft-tissue change as well other positive changes in functions of organs and systems”
I have two cousins in our fields. And often we disagree in our professional public discussions, mostly at Europeans and Russians professional forums. I enjoyed my discussion with you and it very much reminds me my” bottles” with my cousins. Often in discussions could happen miss understanding or need to clarify but for me was very important that we both understand the principles of medical massage which is:” autonomic response on the original soft tissue stimulations by massage is at the heart of…………..
thanks again.
Best wishes.
Boris

Comment by Steven David Goldstein on September 3, 2010 at 9:48pm

Hello Boris,
Thank-you for your thought provoking response and your excellent article on Energy Work.
Research from the 2007 Fascial Congress showed a study by Kingler, Horn & Schleip in Germany thatr support the argument Fascia is able to contract in a smooth-muscle manner and thereby influence musculoskeletal mechanics.
Fascia is a contractile organ due to the presence of myofibroblasts. the connection that still has to be made is in your argument it doesn't effect a decrease in sympathetic activity because they cannot constrict or the opposite. I can't currently prove you are wrong, but clearly from clinical experience, which is 25yrs plus, autonomic response is at the heart of soft-tissue change when we use fascial release techniques and the tissue response is of a system event, or as Michael Shea points out, the nervous system discharges, the soft-tissue releases.
Regards,
Steven

Comment by Boris Prilutsky on September 3, 2010 at 7:45pm

Hi Steven .
you wrote :Your position is that for any accepted new concept that is espoused, it needs rigorous clinical science with sound clinical outcomes that are measured through medical statistics?
And if it is not under these guidelines you then cannot accept it?”
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In principle yes. Any theory have to be related to massage therapy, supported by high standards research but most important and first of all, have to be clinically proven otherwise this is dead theory. Having stated it, this is not exactly fundamental position of mine when it come to evidence-based therapies.
I'm sorry factually you misunderstood my comments on Schleips’ foundings and I didn't challenge Schleips’ credibility and didn't deny potentials of propriceptors .if you will carefully review my comments on Shleips founding you will see that my point was :

from my previous post: ” No doubt that soft tissue manipulation stimulating proprioceptors and activating electrical potentials that inhibiting sympathetic activities but fascia release in my opinion cannot be attributing to depression of sympathetic activities because fibers of fascia has no potential to constrict or opposite.
David please keep in mind that we discussing techniques for fascia release. My hope you will agree that when as massage therapists we accept new foundings we should see how this theory can help to release fascia. It became pandemic in America, to pull out some theory, to use it as a reference, and to try to push techniques into it, with no at least clinical trials/ observations , then following creating of very costly to massage therapists certifications, trademarks Est. I'm not against business but mentioned above phenomenons do not advance our professional community. Only sustained results will advance our industry and if we will stop compromise on “feels good “ Please review all discussions on deep massage as well discussions on other topics. Plus minus we have to have a unified approach. We don't have it because in my opinion every time “NEW” not only confusing practitioners but installing not healthy atmosphere in our industry. This is impossible that almost every month somebody declaring on new findings, and new massage methodology development. Using the opportunity I would like to make clear:” that I am very open mind person to evidence-based therapies and similar stuff with clinical evidence.
You're welcome to view my discussion on energy work. If you have time please click link below.
http://www.massageprofessionals.com/group/energyworkers/forum/topic...
Best wishes.
Boris

Comment by Steven David Goldstein on September 3, 2010 at 5:31pm

Dear Boris, I guess I have a few comments concerning this professional discussion. I would like to clarify your thinking, manner and orientation regarding how you accept new theoretical concepts.
Your position is that for any accepted new concept that is espoused, it needs rigorous clinical science with sound clinical outcomes that are measured through medical statistics?
And if it is not under these guidelines you then cannot accept it?

You challenge Schleips credibility when discussing sensory receptor activation & proprioceptive feedback as a form of manipulative control for soft-tissue change? I get you do not agree with his lack of rigor or science. However Chaitow's journal seems to think otherwise.
What about Blackburns article on Presence published in the Journal of Movement & Bodywork Therapies? Because he is discussing Intention, intuition & awareness, this has no relevance because a controlled study cannot adequately measure or prove it, it has no place in a clinical context?
What about Zachary Comeaux's DO work on Harmonic Healing, a guide to Facilitated Oscillatory Technique.He reviews neuroreflexive models that underlie somatic dysfunction, a favorite discussion for osteopaths. He looks at competitive theoretical models, not necessarily proven, but still strong hypothesis that dysfunction is "due to the mis-coordination of the neural circut (gamma afferent & alpha and gamma motor neuron response, that coordinates the resting length of the muscle. After strain, this mis-corrdination would cause the muscle to remain in a semi-contracted state, which could cause postural imblance or muscle pain. In other words, proprioceptive miscoordination is primary and nerve conduction of pain signals as well as articular symmetries is secondary."
Comeaux also espouses a more current and sophisticated model of the dynamic of sensory motor interplay by talking about neuronal population coding, with a fair bit scientific research to underpin his arguments.
I guess my point is the classical straightforward approach and need to define massage in such clinical terms doesn't really appreciate the holographic consciousness intutive non measurable sides that have through time have had scientific enquiry, but have found mainstream minds are unable to accept even if a form of proof appears, because it is not 100% certain when held to those measuring systems.
I just don't agree with you Boris, and I appreciate your position. I however, don't need for what I explore clinically to always measure up to how you would view it acceptable under your stringent approach.

kind regards,
Steven Goldstein BHSc MST BA Education

Comment by Boris Prilutsky on September 1, 2010 at 12:40am

Dear Paula.
Because we involved in professional discussion I have to agree with you
that all sounds :" like a whole lot of gobble-d-g***"and even more.my question was simple:"I will appreciate very much if you will explain further your statement:subtle work using neurotransmitters and other biochemical forms seems to be the way of the future " I mean please explain how this statement related to our profession ?". In this case and for the sake and respect for our occupation I will share my opinion on past, present and future of our occupation which is clinical outcome/results. We living in an era of technological, development and different new softwares are better than others. Having said this" NEW theoretical establishments not so fast applied to our occupation because it have to :"during prolonge time clinically to be proven as a safe and effective treatment that lead to sustain results.using the opportunity I would like to advice to my colleagues. Before you will get exciting by "new"just take time to research of background of this new.a) maybe this theory sounds good but how this applied to our occupation? Was massage techniques/protocol developed according to NEW theoretical concept ?c)Was this protocol submitted to IRB?is control group was included?was Medical statistics applied?
Dear Paula.I would recommend that we will change topic of our discussion. Would like to respect you as well to be respected. If ever I will be not able to answer on your question instead to make it more complicated I promise to respect you by answering:" I'm sorry I don't have answer"
Best wishes.
Boris

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