Do you have any thoughts on the work of Luigi Stecco ?

Replies to This Discussion

Permalink Reply by Walt Fritz, PT on September 7, 2010 at 6:56am

Stephen,

Until you posted this link earlier, I've not ehard of him or his work. Can you elaborate?

Walt Fritz, PT
www.MyofascialResource.com

Permalink Reply by Walt Fritz, PT on September 7, 2010 at 7:31am

Link not working...

Permalink Reply by Stephen Jeffrey on September 7, 2010 at 7:48am

http://www.fascialmanipulation.com/Portals/0/Article%20for%20Terra%...

Hi Walt hope this works :)

Walt Fritz, PT said:

Link not working...

Permalink Reply by Daniel Cohen on September 7, 2010 at 8:04am

Thanks for the introduction to this. The article is very interesting. I use fascia work with my clients during most sessions. It is certainly deep tissue work. I often find that exploring a new modality or a different angle on an old one gives me better understanding of what I do with the modalities I use.

Permalink Reply by Stephen Jeffrey on September 7, 2010 at 8:09am

Hi Daniel, totally agree with you on this ! I love the way bridges spring to light between diffirent approaches.

Daniel Cohen said:

Thanks for the introduction to this. The article is very interesting. I use fascia work with my clients during most sessions. It is certainly deep tissue work. I often find that exploring a new modality or a different angle on an old one gives me better understanding of what I do with the modalities I use.

Permalink Reply by Peter Lelean on September 9, 2010 at 6:40pm

Greetings all. Good to see some focus on the work of Luigi Stecco. Nevertheless, others tackling the frontiers of fascia are all contributing insights which form a developing understanding of what we encounter in everyday practice. There seems to be, however, a sense of something missing; a unifying concept with which everyone agrees. Lots of theories, observations and occasional epiphanies. We now have a much better understanding of fascial behaviour, and want to know how that relates to body movement and trauma. In the context of an essentially balanced body, assumptions can be made and tested.
My small contribution to the forum is to say that there is a fundamental lesion affecting musculoskeletal integrity that as yet has not been taken on board. It is in fact the common underlying and unifying factor that affects EVERY myofascial mishap, and augments the views provided by leading authors (you know who they are). The phenomenon of migrating fascia has been my focus in recent years, and its fascinating to see various modalities and authors coming so close to real success. Can you imagine rolfing to the power of 10? can you imagine achieving full body balance in 50 minutes? No, I'm not selling a course, books or DVD's - just alerting you that there is more to learn about fascial behaviour than exists in any current BOK! I encourage the re-evaluation of what you think you're palpating!
Regarding the dissemination of this discovery . . . well, I just put it out to the universe, hoping that something will eventuate in Los Angeles in November. The website will carry any news that develops from that. Peace to all.

Permalink Reply by Stephen Jeffrey on September 10, 2010 at 6:37am

Here is an article in relation to Peter Lelean's theory.

http://www.researchgate.net/publication/26819549_The_migratory_fasc...

If I am palpating what Peter descibes as migratory Fascia, IMO, it means a thickening of the normal fascial sheets that cross the iliac crest, gluets, sacrum and lumber vertibra.??

Peter Lelean said:

Greetings all. Good to see some focus on the work of Luigi Stecco. Nevertheless, others tackling the frontiers of fascia are all contributing insights which form a developing understanding of what we encounter in everyday practice. There seems to be, however, a sense of something missing; a unifying concept with which everyone agrees. Lots of theories, observations and occasional epiphanies. We now have a much better understanding of fascial behaviour, and want to know how that relates to body movement and trauma. In the context of an essentially balanced body, assumptions can be made and tested.
My small contribution to the forum is to say that there is a fundamental lesion affecting musculoskeletal integrity that as yet has not been taken on board. It is in fact the common underlying and unifying factor that affects EVERY myofascial mishap, and augments the views provided by leading authors (you know who they are). The phenomenon of migrating fascia has been my focus in recent years, and its fascinating to see various modalities and authors coming so close to real success. Can you imagine rolfing to the power of 10? can you imagine achieving full body balance in 50 minutes? No, I'm not selling a course, books or DVD's - just alerting you that there is more to learn about fascial behaviour than exists in any current BOK! I encourage the re-evaluation of what you think you're palpating! Regarding the dissemination of this discovery . . . well, I just put it out to the universe, hoping that something will eventuate in Los Angeles in November. The website will carry any news that develops from that. Peace to all.

Permalink Reply by Peter Lelean on September 10, 2010 at 4:16pm

Hi Stephen. Your presumption is essentially correct. The abstract on Researchgate refers to the migration that occurs in the crest area. All the fascia is indeed normal - its just that we hadn't yet found all of it. In the course of standard dissections, the fascia is mostly "blunt" reflected to reveal the muscles and deep fascia. Little did we realise that contained within the reflected material was a key structural element. Its just available for sensitive palpation (in normal position) medial to the crest, and feels like a fine fishing line. It serves as, among other things, a mediator of pelvic myofascial recruitment patterns. Think of it as a securing belt for the fascial suit. Regarding migration, since that paper came out several other sites have been identified. These are now part of an assessment and treatment protocol and enable restitution of body balance before others have even started session six. Manips are involved, naturally. Good luck with your palpatory expeditions - we don't yet know all that we should! Cheers Peter

Permalink Reply by Stephen Jeffrey on September 11, 2010 at 6:01am

Not only has fascia been sadly under investigated by dissection anatomists, the fascia itself changes so much so quickly after death, that according to Schliep, investigating, fresh cadavers/biopsy samples is essential !...............at the moment I am more captivated by in vivo footag like .J.C.Guimberteau's compelling video, "Strolling Under the Skin".

Peter Lelean said:

Hi Stephen. Your presumption is essentially correct. The abstract on Researchgate refers to the migration that occurs in the crest area. All the fascia is indeed normal - its just that we hadn't yet found all of it. In the course of standard dissections, the fascia is mostly "blunt" reflected to reveal the muscles and deep fascia. Little did we realise that contained within the reflected material was a key structural element. Its just available for sensitive palpation (in normal position) medial to the crest, and feels like a fine fishing line. It serves as, among other things, a mediator of pelvic myofascial recruitment patterns. Think of it as a securing belt for the fascial suit. Regarding migration, since that paper came out several other sites have been identified. These are now part of an assessment and treatment protocol and enable restitution of body balance before others have even started session six. Manips are involved, naturally. Good luck with your palpatory expeditions - we don't yet know all that we should! Cheers Peter

Permalink Reply by aaron driver on October 15, 2010 at 4:16pm

i find fascial manipulation has its strength in the explanation of lesions between body segments that may cause somatic dysfunction. to fully grasp his concept one must build the knowledge about acupuncture and meridians which he has kindly put into his books. i have diligently analysed what is written and i have found some discepancies between what is written about the association of acupuncture points and fascial manipulation points. this needs to be clarified properly. i feel that the points he refers to are not the only sites of interest i have been relying on my palpatory skills to detect lesions along the myofascial planes (sequences) and assess there effects on the condition in question.

for example when a patient presents with shoulder pain assess their AROM into the cardinal planes, first perform a mobilisation with movement at the glenohumeral joint and sustained apophyseal glides at the cervical and thoracic segments to identify whether the condition is arthrogenic or myofascial in nature these are mulligan techniques. use the knowledge of sclerotomes, myotomes and cutaneous sensation dermatomes to identify the corresponding levels. if the muliigan technique does not have an effect or aggravates the condition this inidcates that the condition may be myofacial in nature the movement has a correlation with the meridian channels, assess the extraordinary acupuncture points on the wrists for confirmation of the meridian in question. the affected meridian will be tender on palpation. go the the segmental section that is appropriate eg for shoulder pain the scapular or the humerus but further anaylsis may be required further into the forearm or wrist and torso and neck.. i have found that the correct location of the point will have an immediate effect on the AROM. if you sustain the pressure on the lesion site ask the patient to perfrom the affected movement into the plane of movmemnt in question, you should see an immediate effect and within 3 repititions an immediate change in improving range of movment or pain with movment. if not go elsewhere

Permalink Reply by Stephen Jeffrey on April 23, 2011 at 1:51am

I have just veiwed the price of Stecco's two books and it would be way too easy to pass over this work due to these charges.

Although I have struggled with the shear depth and uniqueness of his theory I have to say  imo that the cost is worth it.

 

Beg or borrow from someone, somewhere, it has a huge potential to directly influence your mind/intuition and therefore your work and results.

Workshops and demonstration lectures are now available, on this clip therapists talk about his methodology.  

http://www.youtube.com/watch?v=Y3fSFjz40qg