Terry - it is important to check where the restrictions are coming from. Just a few thoughts - is her pelvis level? Is it internally or externally rotated? That's a good place to start. Check for restrictions and then release them gently, with either compression or a leg pull or whatever is needed. Be patient and don't rush things. If you are not getting releases - back off on the pressure, don't go deeper!
My first question is, "Has the client seen a doctor? If so any diagnosis?" Past that orthopedic testing may point to possibilities of ligament damage or patellar issues. Also, how does the knee track? What is the position of the patella when going into a squat. Does the client display a valgus (knock kneed) or varus (bow legged) pattern? If it is fascial assess and treat the superficial front and back lines as well as the lateral line, from Myers' Anatomy Trains.
Phil's assessment suggestions sound solid to me too. I do Fascial Link therapy, and would address the joints above and below the knee, to reduce load on strained tissues at the knee as well. Is ITB hypertonic? How about the psoas attachment at the femoral attachment site, which compensates for ITB? Are the soleus tendons at the tibia and thru the achilles tight? These are common fascial patterns that wrap into the knee. Also, consider the condition that plantar fascia has on the entire fascial load of the leg. If it's hypertonic, weaker tissues around the knee may be the only easily movable fibers throughout the leg and bear more stress from activities.
I've just done my Myofascial release courses here in the UK and I can already see how good it will be to intigrate it in to my work.
Some fellow students had some major emotional unwindings, did this happen on your course ?
One lady in my course had some terrible life experiences that she was working through. The unwinding brought these very emotional incidents up for her and she cried and trembled, but felt much lighter and freer afterward. It was a powerful thing to see.
Thanks for your reply Elizabeth.
I called a fellow practitioner/student today to see how she was 3 weeks after her major emotional unwinding and am glad to report she's doing really well. Having had a huge amount of sh1t to dealwith in the last 3 yrs she is now able to move on in her private life.:)
Thanks for the plug. If you have any that you'd like to share with others, let me know and I'll out them up.
I got tired of the mantra that "research hasn't caught up with what we do" and decided a few years back to start seeking it out. While the foundational basis for MFR remains unclear and controversial, there is no doubt that MFR is well represented in current research.
I need some more technique ideas for the abdominal area. I have a client that has a trigger point in her lower rectus abdominus, below the naval. She had a hysterectomy a year ago, and that one particular area is still tender to touch or when leaning against the counter doing dishes. How do I help alleviate this issue? Any suggestions? Thanks!
Giving technique without training is a little difficult. Might I ask your training? This may make it easier for me or someone else to make suggestions.
Melissa I agree with Walt's last comment. Also, there are so many factors that enter into what technique is appropriate. Here are some questions that come to mind for me- Is it a specific focal point of tenderness to pressure, indicating a possible TrP, or a larger area and is there other surrounding tender points? A local taut band palpated? Also, is there referral to another area upon digital compression and if so to what referral zone and how does the client describe the sensation? Is the tenderness reported with superficial, moderate or deep compression? I would also be interested in knowing your impression regarding her abdominal muscle tone, fascial condition and pelvic position, i.e., anterior, neutral or posterior pelvic tilt. Finally, was the surgical procedure performed using abdominal or vaginal incision?
September 17-19, 2010. Rochester, NY
Foundations in Myofascial Release: A 20 contact hour seminar, approved NCBTMB and NYS Physical therapy CEU’s. Appropriate for beginners and advanced therapists. Highly hands-on in nature. Please log onto www.FoundationsinMFR.com for more details.
Walt Fritz, PT
I am happy to invite you to join my group:” Medical and Sports Massage” including FREE Medical and Sports massage lessons. Not alot of practitioners in the US are familiar with Russian Medical and Sports massage as it was proposed by a Russian physician professor of medicine Anatoly Sherback . I'm happy to offer you information about this methodology as well as some additional information about me. I hope that our friendship will be pleasant and mutual beneficial. I believe in sharing knowledge. In such a case you will be able to learn from me as well as I can learn from you . If after reading information about medical and sports massage, or viewing lessons you will have any question I'm encouraging you to make comments or initiate discussion topic . In such a case my replies will be available for many to read, as well as your replies. Looking forward for great relationship.
Hello to one and all,
I am from Brisbane Australia and use MFR in almost of my treatment choices with my patients. along with low load muscle recruitment I find it one of the strongest tools to correct the body's alignment issues.
Cheers
Paula Nutting
I tend to agree with Paula, the combination of direct mfr, low load recruitment not just directed at muscles, but for me utilized for joint play, with other indirect osteopathic approaches: which is actually where low load recruitment classically came from, are very, very effective.
As educator, history for me, becomes very important. tracing the lineage and looking back at how various leaders in the field of osteopathy, chiropractic, physiotherapy, structural integration, all have led us to practice in the manner we do. If I thought of an approach independent of any teachings, you can historically trace someone else has as well....
Cheers all,
I have used mfr for some time now and agree that it can be one of the most effective ways of helping a client return to their most natural alignment position. However, I have not had training in Rolfing but what I have heard it sounds every similar. Can anyone give so feedback here? Thanks!
Hello Charlie,
You certainly do not need to be trained in Rolfing to practice mfr effectively. Rolfing is how Ida Rolf viewed her version of working with myofascia and then a whole school of thought, application, protocol and thought evolved from her landmark teachings.
But physios, osteos, manual therapists of all stripes practice some form of mfr...a very large 'church'
Regards, Steven
I would concur that it is indeed a very large church. Theorists and practitioners broke off from Rolf's concepts, as well as earlier osteopathic concepts, to form their own "churches". Concepts and technique show both similarities and vast differences. When I get a call or email asking if I treat with Myofascial Release, it often takes a bit of probing to discover what they are looking for. Trigger point therapy, soft tissue mob., MFR as I define it, rolfing, etc., all fall under the heading of MFR. All are and can be effective. I truly believe that more falls to the practitioner, rather than the training, to make MFR effective.
Steve & Walt, it sounds like you guys think that mfr can cover a very large group of client problems and I would agree, However, helping a client's body solve a particular physical problem with massage therapy opens up many many options & modalities as you well know. We all probably agree that the more you know the better you can help support your client's body healing process. "Nice" All I can says is Thanks! And this website will change the way massage therapists look at and think about their profession for years to come! Cheers!
I agree, there are very few sessions in which I don't first refer to MFR as a basis for the other techniques anymore, a sort-of epiphany that has arrived over time and practice. The end result is so much better.
its interesting when we start talking about this technique or that technique...especially those that are being marketed by our peers. When you come right down to it...of course we use MFR...or I should say myofascial release (so as not to impinge on someone's trademark!) and I use ART but I don't call it ART cause that's a trademark and I can't do ART because I didn't cough up the dough to attend the "ground-breaking" technique...but I have actively been releasing muscles, etc since before the developers of ART were in kindergarten.
Boys and Girls...think about it. There are some basic stuff we all should do when treating our fellow man. palpating, trigger work, myofascial release, stretching and some basic understanding of soft tissue and how it works...and what it feels like when it doesn't.
I use MFR in almost every session. My teacher is a Heller worker ( an off-shoot of Rolfing) and with my athlete clients I add AIS, PNF stretches and Soft Tissue Release ( pin and stretch, the father of ART) . I am looking very closly at combining some Rossiter techniques as well.Am constantly seeking to refine my touch with MFR. It's all good.
Hello Larry.
what does it mean trademark for techniques?also will appreciate if you will explain to me what ART stands for. Up front thank you.
Best wishes.
Boris
I had a student show me ART and when I went through school we called in pin and stretch too. as for trigger point release, I havent used this technique for a long time, I prefer to use the hypertonic tissue as an assessment tool in its own right - I mean its there to tell me there is excessive load going on somewhere so the last thing I want to do is lose it, 99% of the time they go when I balance up the lines of pull that are affecting the levers anyway.
As for Larry's question regarding trademarking of techniques, it is mostly impossible to own a technique when push comes to shove, only the copy right of the written material as far as I am aware. Unless it has loads of specific research as background e.g. Functional fascial taping by Ron Alexander or Rolfing by Ida.
give me low load exercise to re-initial the firing patterns of the muscles within Tom Myers anatomy trains anytime for no fuss, no pain, easy return of muscle tone, neural tension and vascular perfusion.
Cheers!
According to the Foreward in the book "Release Your Pain" by Dr. Brian Abelson, DC and Kamali Abelson, BSE, "ART is a patented, state-of--the-art soft tissue system that treats problems with muscles, tendons, ligaments, fascia and nerves." ART should only be performed by an ART-certified practitioner (one who has gone through several rather expensive sessions)
thank you Larry.
from your reply,my understanding is that this people developed some ART machine/ equipment for soft tissue mobilization. am I right?thanks for replying
Best wishes.
Boris
Dear Jessica.
I'm sorry. I have missed your explanation on ART and post a question to Larry.
Thank you very much.
Honestly couldn't find no paper published on this techniques. I grew up in professional society (and I believe it also international rules) that before you are performing any study on human subject you must submit research protocol to IRB for an approval. Than you conducting study that including control group to test it against placebo as well in the end applying very specific medical statistic techniques to determine effectiveness of methodology as well if this safe. Then paper must be published, and protocol must be present in the way that any professionals all over the globe possible can study this methodology.no trademarks just recognitions of methodology developers. In case if in scientific experiment taking place equipment or specific medication , you first do patent and then applying to IRB. To me it sounds absolutely strange that one will make trademarks on methodology of treatment.possible that I am confusing copyrights on book or DVDs est. otherwise it is very foggy.
Best wishes.
Boris
I find as I grow as a therapist finding the techniques that will best help my clients is the direction I go. I enjoy myofascial release and use it frequently. I enjoy figuring out orthopedic dysfunction and figuring out the technique(s) that can help the client learn to relax, be in the moment and carry that experience with them into the world. If you connect strongly to a technique(s) that is great b/c it makes your clients experience that much better. There are so many techniques with all of these special names for marketing purposes that it becomes confusing. So, stick with your heart and if you resonate with a particular style, awesome.
ART is Active Release techniques, a series of techniques that have been patented. here is a link: http://www.activerelease.com/
Their website states: ART is a patented, state of the art soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves.
Sounds like a form of MFR to me! I do know that it is very expensive to take ART courses and expensive to maintain your certification. I believe a majority of practitioners are chiropractors.
Thanks for the link Marion, "the gold standard in soft tissue release" and patented to boot.
What on earth shall we do ? ...........run to the hills ! :)
Better not put here what my heart is telling me about this.
Dear Stephen.
Why not to tell what your heart is telling you about this?even in former Soviet Union environment but on professional issues we spoke out. On the other hand (I disagree with you on not speaking out) I do understand and suspect why you don't speak out your heart.if I am wrong please correct me. In America in many cases when you try to open professional discussion or honestly would try to speak out on some professional issues, it's coming out to arguments with no good reason for it. In discussions we can agree or disagree but we all can learn.Marion thank you for providing website address.
I couldn't learn on ART nothing from this site.in my opinion all was about promoting sales of something .again I know nothing about ART and cannot offer my opinion. Maybe this some good approach? The little information was dedicated to little description of strain
something like over worked muscles......... and that ART is basically being massage therapy. If ART is massage therapy why to call new name to it? massage therapy techniques is a soft tissue mobilizations including fascia/ muscles techniques, trigger point therapy and Russian medical massage protocols also including post isometric relaxation techniques.traditionally we call this methodology massage and in my opinion should continue to call it massage.Stephen.we are old friends and due to respect to our friendship I decided not to write to you personally.only true will set us free.
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will appreciate if some body will explain to me the principles of myofascial release. I mean all this years as a part of protocol I am implementing
MFR but in members descriptions and on websites I see different understanding/explanation on principles of MFR.
With deepers respect to all.
Boris
Myo (msucle) and fascia (connective tissue) hence myofascial release is the process of stretching and lengthening the connective tissue surrounding the muscle. Often the connective tissue is tight, constricting the muscle. When trigger points appear in the fascia, there is contraction, squeezing the muscle into smaller space. Take a hamburger; wrap it in sarah wrap...now you have a myofascial relationship. Even with deep tissue work, one often changes the shape of the fascia. Put your thumb or elbow into the saran wrap...now there is a dent, squeezing the muscle in to smaller space...hence...inflammation.
Myofascial release is the gentle process of stretching the fascial so the muscle it surrounds has the right amount of space. We use MFR often after eliminating trigger points as the slow, gentle stretching that releases everything.
Its nothing new. I worked with Dr. Travel when she was the White House physician under President Kennedy. You should have watched her do MYF after treating trigger points.
You have a choice when it comes to explaining the principles of MFR. The traditional view, which is pretty much what has been taught for years by dozens of teachers, involves the proposed mechanical properties of fascia. Thumbnail version; stretch the soft tissue (you cannot be selective) through the elastic range until you meet the collagenous barrier. Waiting at this barrier for a sufficient time causes a change in the ground substance, which allows the tissue to lengthen. Following through successive barriers will bring things back to a more neutral tension.
Unfortunately this view has scant evidence to prove it. There is quite a bit of newer research and hypotheses that point toward a neuro-biological explanation. Robert Scheip has been one of the leaders in these theories. He admitted to me that the real explanation probably lies with a combination of the two theories.
If you are interested, I've got much of the available research on my website's research page, www.MyofascialResource.com.
Dear Walt.
Thank you very much for offering information. It's kind interesting.
Very difficult to agree with Robert Schleip
Robert Schleip :“Stimulation of these sensory receptors has been shown to lead to a lowering of sympathetic tonus as well as a change in local tissue viscosity”.
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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.
Robert Schleip “Fascia and the autonomic nervous system appear to be intimately connected. “
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I believe that most of organ and system intimately connected to autonomic nervous system therefore power of massage in to balance sympathetic and parasympathetic activities affecting positive all function and conditions but not directly I mean not immediately releasing tension within fascia.
Robert Schleip “Stimulation of fascial mechanoreceptors can trigger viscosity changes in the ground substance. “
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decrease of viscosity in the ground substance can be only partially attributed to” Stimulation of fascial mechanoreceptors” The attribute to decrease in viscosity is to diffusion process that we activating by relaxing muscles as well due to vascular deletions as a result of sympathetic activity depression.
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Robert Schleip “The discovery and implications of the existence of fascial smooth muscle cells ">>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
I'm sorry there is no groundbreaking histological studies that will support this statement. And even if some quantity of smooth muscles would be existed within fascia as a matter of fact it's not enough quantities to constrict or relax.
I believe in simple approach to massage therapy and therefore care for any new theory but most important is that a theory must be proven clinically. I mean many of us manipulating successfully fascia by different techniques but with deep understanding that fascia have to be released by being pull mechanically. First concept of connective tissue massage was proposed by German /Austrian scientist Dickle in 1929. Since then Dickle techniques was little adjusted especially techniques for second layer mobilization. For many decades this techniques clinically proven as working. During my career I was witness of many beautiful theory proposals that died as a beautiful theory because clinically couldn't be proved as working theory. New is not always good or right. I believe for our recognition we have to provide safe and sustained results. I strongly believe that for sustained results we have to apply comprehensive soft tissue mobilization that will include muscular/fascia mobilization, adequate trigger point therapy, as well circulatory techniques. Mentioned above techniques could have different various and based on different theory but must serve the same goals.
Don't get me wrong and I'm talking sincerely, my intuition that you and most of the members applaing and teaching techniques that leading to results but with do all respect not based on this new theory. I got to this conclusions mentioned above because I have spent some time to read posts of members /practitioners who successfully practicing including myself this techniques much before this theory was even proposed. Decided to writing this extensively because really care and would love to see that my colleagues will be less excited and distracted by new theories. I must to finish my post by absolutely not political statement. I do believe in your work based on what I have learn from your website including your background. In my opinion you know what you're talking about. My argument was with Robert Schleip theory.
Best wishes and with deepest respect.
Boris
Walt are you any relation to Sandy Fritz?
BTW Schleip is a master of research and at the initial Fascial Congress in Boston 2 years ago, the scientists, anatomists and doctors blew a hell of a lot of original empirical theories right out of the water.
subtle work using neurotransmitters and other biochemical forms seems to be the way of the future
Ah neurotransmitters...manipulation of the ANS and proprioception is the 'art' form for change in soft-tissue...you are so spot on Paula....I'm reading Zachary Comeaux's Harmonic Healing : Facilitated Oscillatory Rhythmic Myofascial Techniques...what an excellent text, especially the lineage of luminaries in osteopathic thought & application....
Dear Paula.
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 . To be more precise , please explain your statement in relation to practical applications in massage therapy procedure.up front thank you .
Boris
Sorry that it has taken me this long to respond.
If you agree with some of the more recent research into how the muscle is activated or rather how the normal tonus can be affected by manual therapy then applying the same intent during a hands on session can have exremely positive effects on the myofascial and neural tension.
I am both a remedial massage therapist and have a musculoskeletal degree so tend to offer slightly different treatment choices including some kineseological assessment and neuromuscular activation (see Dougal Heel), Improving the muscle length and strength of the core ie diaphragm, psoas, TA, pelvic floor via this process (all soft tissue stimulatory), then looking at sagital, frontal, posterior slings for correction of length and strength makes it far easier to apply the more conventional styles of soft tissue release.
hope this doesnt sound like a whole lot of gobble-d-g***.
cheers
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
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
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
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
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?
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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
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 ?
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
Randy Miller
Dec 26, 2009
Marion McCall
Jan 2, 2010
Phil Cutrell, LMT, BCTMB
Jan 7, 2010
Allison Ishman
Jan 7, 2010
Stephen Jeffrey
Some fellow students had some major emotional unwindings, did this happen on your course ?
Feb 14, 2010
Elizabeth Yon
Feb 15, 2010
Stephen Jeffrey
I called a fellow practitioner/student today to see how she was 3 weeks after her major emotional unwinding and am glad to report she's doing really well. Having had a huge amount of sh1t to dealwith in the last 3 yrs she is now able to move on in her private life.:)
Mar 5, 2010
Stephen Jeffrey
http://www.myofascialpainrelief.com/MFRresearch.html
Nice one Walt :)
Mar 5, 2010
Walt Fritz, PT
Thanks for the plug. If you have any that you'd like to share with others, let me know and I'll out them up.
I got tired of the mantra that "research hasn't caught up with what we do" and decided a few years back to start seeking it out. While the foundational basis for MFR remains unclear and controversial, there is no doubt that MFR is well represented in current research.
Mar 5, 2010
Walt Fritz, PT
Mar 5, 2010
Melissa Bariring
Jun 8, 2010
Walt Fritz, PT
Jun 8, 2010
Phil Cutrell, LMT, BCTMB
Jun 8, 2010
Walt Fritz, PT
Foundations in Myofascial Release: A 20 contact hour seminar, approved NCBTMB and NYS Physical therapy CEU’s. Appropriate for beginners and advanced therapists. Highly hands-on in nature. Please log onto www.FoundationsinMFR.com for more details.
Walt Fritz, PT
Jul 14, 2010
Boris Prilutsky
I am happy to invite you to join my group:” Medical and Sports Massage” including FREE Medical and Sports massage lessons. Not alot of practitioners in the US are familiar with Russian Medical and Sports massage as it was proposed by a Russian physician professor of medicine Anatoly Sherback . I'm happy to offer you information about this methodology as well as some additional information about me. I hope that our friendship will be pleasant and mutual beneficial. I believe in sharing knowledge. In such a case you will be able to learn from me as well as I can learn from you . If after reading information about medical and sports massage, or viewing lessons you will have any question I'm encouraging you to make comments or initiate discussion topic . In such a case my replies will be available for many to read, as well as your replies. Looking forward for great relationship.
Best wishes.
Boris
Jul 27, 2010
Paula Nutting
I am from Brisbane Australia and use MFR in almost of my treatment choices with my patients. along with low load muscle recruitment I find it one of the strongest tools to correct the body's alignment issues.
Cheers
Paula Nutting
Aug 14, 2010
Steven David Goldstein
I tend to agree with Paula, the combination of direct mfr, low load recruitment not just directed at muscles, but for me utilized for joint play, with other indirect osteopathic approaches: which is actually where low load recruitment classically came from, are very, very effective.
As educator, history for me, becomes very important. tracing the lineage and looking back at how various leaders in the field of osteopathy, chiropractic, physiotherapy, structural integration, all have led us to practice in the manner we do. If I thought of an approach independent of any teachings, you can historically trace someone else has as well....
Aug 14, 2010
Charlie Peebles CMT/LMT
I have used mfr for some time now and agree that it can be one of the most effective ways of helping a client return to their most natural alignment position. However, I have not had training in Rolfing but what I have heard it sounds every similar. Can anyone give so feedback here? Thanks!
Aug 14, 2010
Steven David Goldstein
You certainly do not need to be trained in Rolfing to practice mfr effectively. Rolfing is how Ida Rolf viewed her version of working with myofascia and then a whole school of thought, application, protocol and thought evolved from her landmark teachings.
But physios, osteos, manual therapists of all stripes practice some form of mfr...a very large 'church'
Regards, Steven
Aug 14, 2010
Walt Fritz, PT
Walt Fritz, PT
www.MyofascialResource.com
Aug 15, 2010
Charlie Peebles CMT/LMT
Aug 15, 2010
Stephen Jeffrey
Aug 16, 2010
Marilyn St.John
Aug 16, 2010
Larry Warnock
Boys and Girls...think about it. There are some basic stuff we all should do when treating our fellow man. palpating, trigger work, myofascial release, stretching and some basic understanding of soft tissue and how it works...and what it feels like when it doesn't.
Doesn't it make one feel good after a short rant!
Aug 16, 2010
Rick Johnson
Aug 17, 2010
Boris Prilutsky
what does it mean trademark for techniques?also will appreciate if you will explain to me what ART stands for. Up front thank you.
Best wishes.
Boris
Aug 17, 2010
Jessica Weagle
Aug 18, 2010
Paula Nutting
As for Larry's question regarding trademarking of techniques, it is mostly impossible to own a technique when push comes to shove, only the copy right of the written material as far as I am aware. Unless it has loads of specific research as background e.g. Functional fascial taping by Ron Alexander or Rolfing by Ida.
give me low load exercise to re-initial the firing patterns of the muscles within Tom Myers anatomy trains anytime for no fuss, no pain, easy return of muscle tone, neural tension and vascular perfusion.
Cheers!
Aug 18, 2010
Larry Warnock
Aug 18, 2010
Boris Prilutsky
from your reply,my understanding is that this people developed some ART machine/ equipment for soft tissue mobilization. am I right?thanks for replying
Best wishes.
Boris
Aug 18, 2010
Boris Prilutsky
I'm sorry. I have missed your explanation on ART and post a question to Larry.
Thank you very much.
Honestly couldn't find no paper published on this techniques. I grew up in professional society (and I believe it also international rules) that before you are performing any study on human subject you must submit research protocol to IRB for an approval. Than you conducting study that including control group to test it against placebo as well in the end applying very specific medical statistic techniques to determine effectiveness of methodology as well if this safe. Then paper must be published, and protocol must be present in the way that any professionals all over the globe possible can study this methodology.no trademarks just recognitions of methodology developers. In case if in scientific experiment taking place equipment or specific medication , you first do patent and then applying to IRB. To me it sounds absolutely strange that one will make trademarks on methodology of treatment.possible that I am confusing copyrights on book or DVDs est. otherwise it is very foggy.
Best wishes.
Boris
Aug 18, 2010
Angela Raymond
Aug 18, 2010
Larry Warnock
Aug 18, 2010
Marion McCall
Their website states: ART is a patented, state of the art soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves.
Sounds like a form of MFR to me! I do know that it is very expensive to take ART courses and expensive to maintain your certification. I believe a majority of practitioners are chiropractors.
I like Paula and Larry's approach!
Aug 18, 2010
Stephen Jeffrey
What on earth shall we do ? ...........run to the hills ! :)
Better not put here what my heart is telling me about this.
Aug 19, 2010
Boris Prilutsky
Why not to tell what your heart is telling you about this?even in former Soviet Union environment but on professional issues we spoke out. On the other hand (I disagree with you on not speaking out) I do understand and suspect why you don't speak out your heart.if I am wrong please correct me. In America in many cases when you try to open professional discussion or honestly would try to speak out on some professional issues, it's coming out to arguments with no good reason for it. In discussions we can agree or disagree but we all can learn.Marion thank you for providing website address.
I couldn't learn on ART nothing from this site.in my opinion all was about promoting sales of something .again I know nothing about ART and cannot offer my opinion. Maybe this some good approach? The little information was dedicated to little description of strain
something like over worked muscles......... and that ART is basically being massage therapy. If ART is massage therapy why to call new name to it? massage therapy techniques is a soft tissue mobilizations including fascia/ muscles techniques, trigger point therapy and Russian medical massage protocols also including post isometric relaxation techniques.traditionally we call this methodology massage and in my opinion should continue to call it massage.Stephen.we are old friends and due to respect to our friendship I decided not to write to you personally.only true will set us free.
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will appreciate if some body will explain to me the principles of myofascial release. I mean all this years as a part of protocol I am implementing
MFR but in members descriptions and on websites I see different understanding/explanation on principles of MFR.
With deepers respect to all.
Boris
Aug 19, 2010
Larry Warnock
Myofascial release is the gentle process of stretching the fascial so the muscle it surrounds has the right amount of space. We use MFR often after eliminating trigger points as the slow, gentle stretching that releases everything.
Its nothing new. I worked with Dr. Travel when she was the White House physician under President Kennedy. You should have watched her do MYF after treating trigger points.
Aug 19, 2010
Walt Fritz, PT
You have a choice when it comes to explaining the principles of MFR. The traditional view, which is pretty much what has been taught for years by dozens of teachers, involves the proposed mechanical properties of fascia. Thumbnail version; stretch the soft tissue (you cannot be selective) through the elastic range until you meet the collagenous barrier. Waiting at this barrier for a sufficient time causes a change in the ground substance, which allows the tissue to lengthen. Following through successive barriers will bring things back to a more neutral tension.
Unfortunately this view has scant evidence to prove it. There is quite a bit of newer research and hypotheses that point toward a neuro-biological explanation. Robert Scheip has been one of the leaders in these theories. He admitted to me that the real explanation probably lies with a combination of the two theories.
If you are interested, I've got much of the available research on my website's research page, www.MyofascialResource.com.
Aug 19, 2010
Boris Prilutsky
Thank you very much for offering information. It's kind interesting.
Very difficult to agree with Robert Schleip
Robert Schleip :“Stimulation of these sensory receptors has been shown to lead to a lowering of sympathetic tonus as well as a change in local tissue viscosity”.
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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.
Robert Schleip “Fascia and the autonomic nervous system appear to be intimately connected. “
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I believe that most of organ and system intimately connected to autonomic nervous system therefore power of massage in to balance sympathetic and parasympathetic activities affecting positive all function and conditions but not directly I mean not immediately releasing tension within fascia.
Robert Schleip “Stimulation of fascial mechanoreceptors can trigger viscosity changes in the ground substance. “
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decrease of viscosity in the ground substance can be only partially attributed to” Stimulation of fascial mechanoreceptors” The attribute to decrease in viscosity is to diffusion process that we activating by relaxing muscles as well due to vascular deletions as a result of sympathetic activity depression.
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Robert Schleip “The discovery and implications of the existence of fascial smooth muscle cells ">>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
I'm sorry there is no groundbreaking histological studies that will support this statement. And even if some quantity of smooth muscles would be existed within fascia as a matter of fact it's not enough quantities to constrict or relax.
I believe in simple approach to massage therapy and therefore care for any new theory but most important is that a theory must be proven clinically. I mean many of us manipulating successfully fascia by different techniques but with deep understanding that fascia have to be released by being pull mechanically. First concept of connective tissue massage was proposed by German /Austrian scientist Dickle in 1929. Since then Dickle techniques was little adjusted especially techniques for second layer mobilization. For many decades this techniques clinically proven as working. During my career I was witness of many beautiful theory proposals that died as a beautiful theory because clinically couldn't be proved as working theory. New is not always good or right. I believe for our recognition we have to provide safe and sustained results. I strongly believe that for sustained results we have to apply comprehensive soft tissue mobilization that will include muscular/fascia mobilization, adequate trigger point therapy, as well circulatory techniques. Mentioned above techniques could have different various and based on different theory but must serve the same goals.
Don't get me wrong and I'm talking sincerely, my intuition that you and most of the members applaing and teaching techniques that leading to results but with do all respect not based on this new theory. I got to this conclusions mentioned above because I have spent some time to read posts of members /practitioners who successfully practicing including myself this techniques much before this theory was even proposed. Decided to writing this extensively because really care and would love to see that my colleagues will be less excited and distracted by new theories. I must to finish my post by absolutely not political statement. I do believe in your work based on what I have learn from your website including your background. In my opinion you know what you're talking about. My argument was with Robert Schleip theory.
Best wishes and with deepest respect.
Boris
Aug 19, 2010
Paula Nutting
BTW Schleip is a master of research and at the initial Fascial Congress in Boston 2 years ago, the scientists, anatomists and doctors blew a hell of a lot of original empirical theories right out of the water.
subtle work using neurotransmitters and other biochemical forms seems to be the way of the future
Aug 19, 2010
Steven David Goldstein
Aug 20, 2010
Boris Prilutsky
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 . To be more precise , please explain your statement in relation to practical applications in massage therapy procedure.up front thank you .
Boris
Aug 20, 2010
Paula Nutting
If you agree with some of the more recent research into how the muscle is activated or rather how the normal tonus can be affected by manual therapy then applying the same intent during a hands on session can have exremely positive effects on the myofascial and neural tension.
I am both a remedial massage therapist and have a musculoskeletal degree so tend to offer slightly different treatment choices including some kineseological assessment and neuromuscular activation (see Dougal Heel), Improving the muscle length and strength of the core ie diaphragm, psoas, TA, pelvic floor via this process (all soft tissue stimulatory), then looking at sagital, frontal, posterior slings for correction of length and strength makes it far easier to apply the more conventional styles of soft tissue release.
hope this doesnt sound like a whole lot of gobble-d-g***.
cheers
Aug 31, 2010
Boris Prilutsky
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
Sep 1, 2010
Steven David Goldstein
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
Sep 3, 2010
Boris Prilutsky
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
Sep 3, 2010
Steven David Goldstein
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
Sep 3, 2010
Boris Prilutsky
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?
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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
Sep 3, 2010
Stephen Jeffrey
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...
Sep 4, 2010
Boris Prilutsky
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
Sep 4, 2010