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(OW TO GET THE MOST OUT OF YOUR &ASCIAL 2ESEARCH #ONGRESS .OTES ON FASCIA ISOMETRIC CONTRACTIONS AND STRETCHING A SUMMARY OF PREVIOUS RESEARCH
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The Third International Fascia Research Congress March 28-30, Vancouver, Canada 2012 www.fasciacongress.org
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PROGRAM AT A GLANCE
Posters available to view during lunch breaks
WEDNESDAY, MARCH 28
FRIDAY, MARCH 30
Keynote:
Mary Francis Barbe, PhD Temple University, Philadelphia Changes in Fascia Related to Repetitive Motion Disorders
Keynote:
Carla Stecco, MD University of Padova, Italy Fascial Anatomy Overview
Panel:
Keynote:
Michael Kjaer, MD, DMsc University of Copenhagen, Denmark. Adaptations of tendinous connective tissues to exercise
Fascial Imaging Techniques Leon Chaitow ND, DO — Moderator
Keynote:
Jay P. Shah, MD National Institutes of Health in Bethesda, Maryland Ultrasound & Microanalytical Techniques to Identify Objective Abnormalities in Hard, Painful Myofascial Trigger Points
Parallel:
Platform presentations by various authors
Panel:
Art and Science / Research and Practice:Mechanisms to Improve Communicaton to Promote Translation Brian F. Degenhardt, DO — Moderator
Parallel:
Platform presentations by various authors
Panel:
Scars and Adhesion Panel Geoffrey Bove, DC, PhD — Moderator
Keynote:
Albert J. Banes, PhD University of North Carolina School of Medicine. Mechanical Loading & Fascial Changes: Tendon Focus
THURSDAY, MARCH 29
Theme:
WHAT DO WE KNOW? WHAT DO WE NOTICE? CONTINUING THE SCIENTIST-CLINICIAN DIALOGUE
Keynote:
Rolf K. Reed, PhD University of Bergen, Norway. Fluid Dynamics
Panel:
Fluid Dynamics: Clinical Implications Michael L. Kuchera, DO, FAAO — Moderator
Keynote:
Gerald H. Pollack, PhD University of Washington, USA Interfacial Fluid: The Secret Life of Water
ACADEMIC SUPPORTERS: American Academy of Osteopathy Philadelphia College of Osteopathic Medicine Ulm University University of New England University of Westminster
Parallel:
Platform presentations by various authors
Keynote:
Karen J. Sherman, PhD, MPH Group Health Research Institute, Seattle. Developing Clinical Trials for Bodywork and Massage: A Guide for the Perplexed
FOR MORE INFORMATION: WWW.FASCIACONGRESS.ORG
25*$1,=$7,216 ,17(5(67(' ,1 %(&20,1* ),1$1&,$/ SPONSORS CONTACT: INFO@FASCIACONGRESS.ORG
HOSTED BY THE MASSAGE THERAPISTS’ ASSOCIATION OF B.C.
$ 352-(&7 2) 7+( 7+( ,'$ 3 52/) RESEARCH FOUNDATION
B C M A S S A G E T H E R A P I S T S ´ J O U R N A L Ă &A L L
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0RESIDENT´S -ESSAGE
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-ASSAGE -ATTERS ! *OURNAL FOR 2EGISTERED -ASSAGE 4HERAPISTS
ADDITIONAL DEMANDS PLACED ON THEM BY 'OVERNMENT ALL HEALTH PROFESSIONS DESIGNATED IN THE (0! SHARE THE BASIC TENANTS OF THE LAW /NE OF THE ½RST IS THAT A #OLLEGE IS CREATED AND THE #OLLEGE FOR EACH HEALTH PROFESSION HAS THE LEGISLATED DUTY TO AT ALL TIMES SERVE AND PROTECT THE PUBLIC AND EXERCISE ITS POWERS AND DISCHARGE ITS RESPONSIBILITIES UNDER ALL ENACTMENTS IN THE PUBLIC
0LEASE DIRECT YOUR COMMENTS TO DAVE MASSAGETHERAPY BC CA SUBJECT HEADING ±,ETTERS ² WHERE THEY WILL BE FORWARDED TO THE -4!"# "OARD FOR REVIEW %DITOR IN #HIEF $AVID $E7ITT
INTEREST 4HIS REQUIRES A HIGH LEVEL OF TRUST BETWEEN THE PUBLIC AND THE PROFESSIONALS 4RUST IS NOTHING NEW TO 2-4S 4RUST INCLUDES THE TRUST OUR OWN PATIENTS PLACE IN US WHEN THEY COME FOR TREATMENT 7E ARE ETHICALLY AND LEGALLY OBLIGED TO ACT IN THE BEST INTERESTS OF OUR PATIENTS 7E DO NOT ALLOW EXTERNAL IN¾UENCES TO GUIDE US BUT INSTEAD WE FOCUS ON THE PATIENT AND THE PATIENT´S SITUATION AND BEST INTERESTS
%DITOR ,ORI (ENRY 0UBLISHED BY ")6 -EDIA 'ROUP %AST TH !VENUE 6ANCOUVER "RITISH #OLUMBIA 6 4 ' 4EL
-ORE THAN THAT THIS TRUST EXTENDS TO PEOPLE WE WILL NEVER MEET PEOPLE WHO WILL NEVER BE OUR PATIENTS !CTING IN THE PUBLIC INTEREST REFERS TO THE MILLION PLUS PEOPLE WHO LIVE HERE IN "# )T IS THAT TRUST THAT ALSO HAS TO BE UPHELD AND THE MECHANISM FOR ACCOMPLISHING THAT IS SELF REGULATION 3ELF REGULATION GIVES EACH HEALTH PROFESSION THE LEGAL RIGHT AND THE LEGAL OBLIGATION TO PROTECT THE PUBLIC %ACH #OLLEGE IS EMPOWERED TO INVESTIGATE ALLEGATIONS TO DISCIPLINE TO
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%DITORIAL "OARD 3ANDRA #OLDWELL "ODHI (ARALDSSON !NITA 7ILSON "RENDA ,OCKE $EE 7ILLOCK $AMON -ARCHAND -ISSION 3TATEMENT 4HIS PUBLICATION IS INTENDED TO PROVIDE A VOICE TO "#´S 2EGISTERED -ASSAGE 4HERAPISTS A SOURCE FOR THE LATEST RESEARCH AND A VEHICLE FOR THE GENERAL POPULATION TO UNDERSTAND AND RESPECT THE VALUABLE WORK OF OUR 2-4S -ASSAGE -ATTERS IS PUBLISHED THREE TIMES A YEAR FOR 2EGISTERED -ASSAGE 4HERAPISTS &UNDING IS PROVIDED FROM THE -4!"# AND ADVERTISING REVENUES -ASSAGE 4HERAPISTS´ !SSOCIATION ¯ -4!"# 7EST RD !VENUE 6ANCOUVER "RITISH #OLUMBIA 6 0 ' 4EL &AX 4OLL &REE %MAIL MTA MASSAGETHERAPY BC CA
REGISTER NEW MEMBERS AND TO ESTABLISH MONITOR AND ENFORCE STANDARDS OF PRACTICE 7E ARE 2-4S MUST ACT IN THE PUBLIC INTEREST THE DECISIONS OF BOTH INDIVIDUAL 2-4S AND OF THE INTERESTS OF THE PUBLIC WITH PUBLIC SAFETY AT THE FOREFRONT 4HE "# 'OVERNMENT STATES THIS IN THE (0! 4HERE IS NO DOUBT THAT THE #-4"# REGULATES 2-4S 4HERE IS ALSO NO DOUBT THAT THE #OLLEGE IS REQUIRED BY ITS OWN BYLAWS TO LISTEN TO ITS MEMBERS ! RESOLUTION PASSED BY A MAJORITY OF REGISTRANTS BINDS #-4"#´S FUTURE ACTIONS UNLESS OF COURSE THE RESOLUTION WOULD COMPROMISE THE PUBLIC GOOD /UR #OLLEGE ABSOLUTELY MUST OBEY ITS GOVERNING !CT AND ALL PERTINENT ENACTMENTS OR IT RISKS WEAKENING OR COMPLETELY SEVERING THE PUBLIC TRUST AND CREDIBILITY IT SHOULD RIGHTFULLY HOLD 4O IGNORE THE VOICE OF ITS MEMBERSHIP WHERE EACH REGISTRANT ACTS IN THE PUBLIC INTEREST IS TO BREACH BOTH THE SPIRIT AND THE LETTER OF THE LAW "UT THERE IS A MORAL COMPONENT TO SELF REGULATION )T IS THE OBLIGATION OF EVERY ONE OF US TO PARTICIPATE IN OUR PROFESSIONAL GOVERNANCE 7E MUST ASK QUESTIONS SO THAT WE UNDERSTAND PROCESSES 7E MUST SATISFY OURSELVES THAT THESE PROCESSES ARE FAIR AND TRANSPARENT 7E MUST QUESTION THE DECISION MAKERS WHEN WE DON´T UNDERSTAND HOW OR DON´T AGREE THAT THE PUBLIC IS BEING PROTECTED !S HEALTH PROFESSIONALS WE HAVE THE DUTY TO HOLD DECISION MAKERS ACCOUNTABLE FOR THEIR ACTIONS )T IS IN MY OPINION ONE OF THE MOST FUNDAMENTAL COMPONENTS OF SELF REGULATION /UR PATIENTS EXPECT US TO ACT JUDICIOUSLY ETHICALLY AND SKILLFULLY WE SHOULD EXPECT NOTHING LESS FROM OUR OWN #OLLEGE
$AMON -ARCHAND 0RESIDENT
WWW MASSAGETHERAPY BC CA
B C M A S S A G E T H E R A P I S T S ´ J O U R N A L Ă & A L L Ă
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CONTENTS IN THIS ISSUE #OVER
(EALTHCARE
3CIENCE
%DUCATION
)NTERVIEW
#LASSI½ED
(OW TO GET THE MOST OUT OF YOUR &ASCIAL 2ESEARCH #ONGRESS BY CATHY RYAN
! SUMMARY OF PREVIOUS FASCIA RESEARCH
#ONNECTING THE 7HITE 3TUFF BY SUSAN CHAPELLE 2-4
BY LEON CHAITOW AND CATHY RYAN
&ASCIA MULTI LAYERED MULTI FACETED MULTI TASKER !N )NTERVIEW WITH *ULIE !NN $AY 04 BY CATHY RYAN 2-4
#OVER PHOTO CREDIT 2OBERT 3CHLEIP 0H$
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B C M A S S A G E T H E R A P I S T S ´ J O U R N A L Ă &A L L
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#OVER
&ASCIA 2ESEARCH #ONGRESS /FF THE PAGE AND ONTO THE TABLE (OW TO GET THE MOST OUT OF YOUR &2# EXPERIENCE
BY CATHY RYAN RMT /KAY SO ) RECOGNIZE THAT NOT EVERYONE REVELS IN THE THOUGHT OF LOUNGING ON A TROPICAL BEACH TEARING THROUGH RESEARCH ABSTRACTS LIKE A JUICY NOVEL ¯ ) AM ODD THAT WAY $OES CONTEMPLATING ALL THAT ±SCIENCE SPEAK² BORE YOU SCARE YOU ¯ SEND YOU RUNNING AND SCREAMING #ONSIDER THIS WHAT WE WERE TAUGHT ¯ EVEN A FEW YEARS AGO ¯ IS QUICKLY BECOMING AS ANTIQUATED AS LAST YEAR´S LAPTOP AND ) THINK MOST OF YOU WOULD AGREE THAT KEEPING OUR KNOWLEDGE AND SKILL CURRENT GOES A LONG WAY IN HELPING OUR ±CAUSE² AND OUR CLIENTS ) ATTENDED THE &IRST &ASCIA 2ESEARCH #ONGRESS &2# IN "OSTON AND IT PROVIDED A NUMBER OF !H (A MOMENTS -YO½BROBLASTS FOR EXAMPLE PROVIDE FASCIA WITH THE ABILITY TO CONTRACT AND RELAX ¯ IT IS NOT JUST ABOUT THE MUSCLES ANY MORE #LICK YOUR HEELS ALL YOU WANT $OROTHY ¯ THERE´S NO GOING BACK TO +ANSAS 7ITH FASCIA ±IN THE MIX² WE MUST RECONSIDER OUR PERSPECTIVES ON SOFT TISSUE !NATOMY BIOMECHANICS NEUROBIOLOGY ASSESSMENTS PAIN DYSFUNCTION AND TREATMENT !NYONE OUT THERE ENGAGED IN A SOFT TISSUE RELATED MODALITY WOULD BE WELL SERVED TO EXPAND THEIR FASCIAL KNOWLEDGE AND THERE IS NO BETTER PLACE TO DO THAT THAN AT THE &2# (ERE ARE SOME SUGGESTIONS ON HOW TO GET THE MOST OUT OF YOUR &2# EXPERIENCE !RRIVE ±FASCIALLY² INFORMED 9OU MIGHT ½ND THE EXPERIENCE MORE ENJOYABLE IF YOU ARRIVE WITH SOME ½RMLY ENTRENCHED BASICS AS YOUR FOUNDATION UPON WHICH TO BUILD -ANY OF US HAD ±DEER IN THE HEADLIGHTS² MOMENTS AT THE ½RST &2# ¯ BUT NOW MYO½BROBLAST ROLLS OFF OUR TONGUES AS EASILY AS STERNOCLEIDOMASTOID 4HANKS TO THE PREVIOUS &2#S A PLETHORA OF FASCIA INFORMATION IS READILY AVAILABLE OUT THERE IN THE WEB ETHERS (ELPFUL INFORMATION E G GLOSSARY OF TERMS CAN BE FOUND ON THE THIRD &2# WEBSITE AT WWW FASCIACONGRESS ORG /N THE TOP MENU BAR GO TO ±#ONFERENCE² ¯ SCROLL DOWN TO ±7HAT IS &ASCIA ² THIS IS A GOOD PLACE TO START ¯ OTHER USEFUL LINKS ARE POSTED THROUGHOUT THE THIRD &2# WEBSITE 3UPPORT WHAT YOU KNOW AND GROW !TTEND PRESENTATIONS SESSIONS AND WORKSHOPS THAT CAN HELP REINFORCE YOUR STRENGTHS /2 ONES THAT CAN HELP YOU EXPAND IN AREAS THAT YOU ARE LESS FAMILIAR WITH 7E CAN
-IX MINGLE GATHER AND SHARE "RING ALONG YOUR BUSINESS CARDS TO EXCHANGE WITH PEERS AND PRESENTERS #ATHY 2YAN PHOTO #ATHY 2YAN´S #OLLEAGUE
ALL BENE½T FROM A BIT OF A CON½DENCE BOOST FROM TIME TO TIME E G HAVING WHAT YOU ARE SOLID IN REINFORCED AND EVIDENTIALLY VALIDATED /N THE OTHER HAND ONE CAN´T REST ON THEIR ±LAURELS² E G WHAT WAS LEARNED DURING YOUR ENTRANCE TO PRACTICE TRAINING ! CON½DENCE BOOST AND NEW GROWTH WILL HELP SUPPORT YOUR PROFESSIONAL VIABILITY VIBRANCY AND CONTINUAL IMPROVEMENT OF QUALITY OF CARE #LARIFY YOUR CONFERENCE OBJECTIVES AND CREATE A GENERAL ITINERARY 2EVIEW THE CONFERENCE PROGRAM AND GET A SENSE OF WHO THE PRESENTERS ARE WHAT THEIR AREA OF EXPERTISE IS AND WHEN THEY WILL BE PRESENTING )DENTIFY KEY PEOPLE YOU WOULD LIKE TO MEET NETWORK WITH AND WHICH PRESENTATIONS SESSIONS YOU MAY WANT TO ATTEND 4HIS IS A GREAT OPPORTUNITY TO GET TO KNOW WHO THE LEADERS IN THE ½ELD ARE AND GET A SENSE OF WHO YOU MIGHT WANT TO CONSIDER DOING SOME CONTINUING EDUCATION WITH -IX MINGLE GATHER AND SHARE "RING ALONG YOUR BUSINESS CARDS TO EXCHANGE WITH PEERS AND PRESENTERS 5TILIZE THIS FABULOUS OPPORTUNITY TO NETWORK SHARE INFORMATION AND PERSPECTIVES -ANY OF US WORK IN ISOLATION AND AN OPPORTUNITY TO ENJOY SOME CAMARADERIE AND ENGAGE #ONTINUED ON PAGE
B C M A S S A G E T H E R A P I S T S ´ J O U R N A L Ă & A L L Ă
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#OVER
7ITH FASCIA ±IN THE MIX² WE MUST RECONSIDER OUR PERSPECTIVES ON SOFT TISSUE !NATOMY BIOMECHANICS NEUROBIOLOGY ASSESSMENTS PAIN DYSFUNCTION AND TREATMENT PHOTO &ROM .ISHIMURA 4 ET AL !CTA !NATOMICA /RIGINAL PHOTO FROM 3 +ARGER !' "ASEL
IN A BIT OF ±SHOP TALK² IS A GREAT WAY TO PROFESSIONALLY RE EXCITE YOURSELF AND OFFSET BURNOUT %NJOY THE EXPERIENCE ¯ TAKE BRIEF NOTES AND SORT OUT THE PARTICULARS LATER 4HE PRESENTATIONS AT THE ½RST &2# WERE SHORT LOADED WITH FANTASTIC VISUALS AND MANY OF THE PRESENTERS WERE DELIGHTFULLY ENTERTAINING ¯ SOME QUITE HILARIOUS ACTUALLY $E½NITELY NOT A DRY AND TEDIOUS EXPERIENCE AT ALL ¯ IT WAS SURPRISINGLY FUN *OT DOWN KEY TERMS OR CONCEPTS THAT STRIKE A CHORD OR PERHAPS THINGS YOU HAVE NOT PREVIOUSLY HEARD OF 4RY NOT TO GET LOST IN DETAILED NOTE TAKING OR THE SCIENCE SPEAK 9OUR REGISTRATION PACKAGE INCLUDES A CONFERENCE PROCEEDINGS BOOK ENABLING YOU TO REVIEW THE MATERIAL PRESENTED POST CONFERENCE !LSO MOST OF THE MASSAGE MANUAL THERAPY JOURNALS MAGAZINES WEB SITES BLOGS ETC WILL HAVE POST CONFERENCE OVERVIEWS TO HELP YOU CLARIFY AND STREAMLINE THE INFORMATION /NE CAN ONLY TAKE IN SO MUCH INFORMATION BEFORE HIS HER BRAIN IMPLODES ¯ IT TOOK ME SEVERAL MONTHS TO FULLY GRASP AND INTEGRATE THE INFORMATION PRESENTED AT THE ½RST &2# !SK QUESTIONS !T THE ½RST &2# PRESENTERS SEEMED TO BE QUITE OPEN AND APPROACHABLE -ANY OF US APPROACHED WITH QUESTIONS DURING BREAKS OR AFTER THE DAYS´ SCHEDULED EVENTS OF COURSE RESPECTFULLY INITIATING WITH ±IS THIS AN OKAY TIME TO ASK A QUESTION ² /R ASK IF YOU CAN EMAIL YOUR QUESTIONS AFTER THE CONFERENCE MAKE SURE YOU GET THEIR BUSINESS CARD EMAIL ADDRESS -OVING INFORMATION OFF THE PAGE AND ONTO THE TABLE %VIDENTIAL INFORMATION HAS ITS ±MOMENT² WHEN IT CAN BE SUCCESSFULLY UTILIZED TO
Ä‚
IN¾UENCE CHANGES IN CLINICAL DECISIONS AND BEHAVIORS THAT RESULT IN IMPROVING THE DELIVERY OF QUALITY OF CARE +NOWLEDGE TRANSFER IS CRUCIAL OTHERWISE WHAT IS THE POINT OF ALL THAT FANTASTIC INFORMATION 4HE KNOWLEDGE TRANSFER PROCESS CAN BEGIN WITH A CLINICIAN IDENTIFYING A PROBLEM AND THEN SEARCHING FOR NEW INFORMATION THAT MIGHT PROVIDE A SOLUTION 3INCE THE NATURE OF FASCIA IS A NEW FRONTIER THE THIRD &2# MAY PROVIDE ±AH HA² MOMENTS FOR A VARIETY OF PROBLEMATIC PRESENTATIONS YOU ENCOUNTER IN YOUR PRACTICE #OMMIT TO REPLENISH AND RECHARGE !TTENDING A CONFERENCE IS A GREAT WAY TO GET JAZZED UP ABOUT YOUR PROFESSION AND OFFSET BURNOUT #REATE A RELAXED SCHEDULE FOR YOURSELF AND SUPPORT YOUR WELL BEING "RING WATER HEALTHY SNACKS BE WELL RESTED AND AVOID OVERWHELMING OR OVEREXTENDING YOURSELF IT IS NOT MANDATORY TO ATTEND EVERY SESSION !FTER THE CONFERENCE PERHAPS CONSIDER A DAY OR TWO OFF TO HAVE SOME FUN AND RETURN TO WORK FEELING ±JUICED² AND REJUVENATED ,AST BUT NOT LEAST ¯ GIVE BACK 4HE SCIENTISTS AND CLINICIANS PRESENTING HAVE SPENT COPIOUS AMOUNTS OF TIME AND ENERGY RESEARCHING AND COMPILING THE INFORMATION BEING PRESENTED #LAPPING CHEERING AND EVEN RAUCOUS STANDING OVATIONS HAPPENED AT THE PREVIOUS &2#S 4HE SCIENTISTS LOOKED PLEASANTLY SHOCKED AND SOME EVEN EMOTIONALLY MOVED BY THE OUTWARD DISPLAY OF ACKNOWLEDGEMENT AND GRATITUDE ,ET THEM KNOW THAT THEIR CONTRIBUTION MAKES A DIFFERENCE AND THAT THEIR WORK AND EFFORT IS APPRECIATED VALUED AND WILL BE PUT TO GOOD USE %XPRESS %MOTE 4HANK THEM AND SHAKE THEIR HANDS PROBABLY NOT MUCH OF A STRETCH FOR US TOUCHY FEELY TYPES ANYWAY Ă
B C M A S S A G E T H E R A P I S T S ´ J O U R N A L Ă &A L L
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Kinesio
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(OW CAN WE PRESERVE AND PROTECT THE #ANADIAN HEALTHCARE SYSTEM FOR FUTURE GENERATIONS )N EARLY THE FORMER (ONOURABLE $EB -ATTHEWS -INISTER OF (EALTH AND ,ONG 4ERM #ARE WITH THE 'OVERNMENT OF /NTARIO OUTLINED A THREE POINT PLAN AT AN %CONOMIC #LUB OF #ANADA
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NISA
Basic Course (28 hours) NISA is a deep tissue technique that works directly on the fascia of the body. It provides long lasting changes to chronic postural habits, and most clients feel increased ROM and less restriction after one or two treatments. NISA is a softer, more gentle derivative of RolďŹ ng, and can be performed in individual treatments or in a speciďŹ c series of twelve weekly sessions with a direct focus of improving the person’s posture. The four day basic training is an intensive, practical, hands-on workshop. The entire body will be covered, and the techniques can easily be incorporated into your massage practice. Pre-requisites: must be a practicing massage therapist. Vancouver - Happening right before the Third International Fascia Research Congress! March 23, 24, 25, 26, 2012 - 9:30am to 5:30pm. Register and pay by Feb 10, 2012 = $745 (incl. HST) Register and pay after Feb 10, 2012 = $795 (incl. HST) Worth 24 credits from CMTBC (PE/A2)
Instructor: Linda Simpson, B.Sc., RMT (Ont) linda@lindasimpson.ca - 519-594-1717 www.lindasimpson.ca
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-AKE HEALTHCARE MORE LOCALLY DRIVEN AND BETTER INTEGRATED -ATTHEWS POINTED TO A 4ORONTO INITIATIVE INVOLVING LONG STAY PATIENTS°THOSE WHO WERE ADMITTED TO HOSPITAL AND WEREN´T ABLE TO LEAVE DUE TO A LACK OF EXTERNAL SUPPORT°AS AN EXAMPLE 4HIS INITIATIVE GOT PEOPLE OUT OF THE HOSPITAL AND INTO A MORE APPROPRIATE CARE SITUATION SAVING AN ESTIMATED MILLION 3HE ALSO DESCRIBED A +INGSTON PROGRAM IN WHICH THE LOCAL HEALTH NETWORK HELPED A GROUP OF SENIORS GET ACCESS TO SERVICES SUCH AS A SUPPER CLUB AN EXERCISE GROUP AND AN ONSITE PERSONAL SUPPORT WORKER ¹4HAT KIND OF INTEGRATION JUST COULD NOT HAPPEN FROM AROUND THE BOARDROOM AT 1UEEN´S 0ARK ² SHE SAID ADDING THAT SHE HOPES FOR A SIMILARLY INTEGRATED STRATEGY AROUND MENTAL HEALTH -AKE HEALTHCARE MORE OUTCOME FOCUSED AND EVIDENCE BASED -ATTHEWS CITED THE %XCELLENT #ARE FOR !LL !CT WHICH AIMS TO PUT PATIENTS ½RST AND FOCUS ON PRACTICES WITH DEMONSTRABLE RESULTS°FOR EXAMPLE INVESTING IN PREVENTATIVE MEASURES SUCH AS BREAST CANCER SCREENING SMOKING CESSATION AND VACCINES ³)T´S NOT ENOUGH TO PROVIDE CARE WE HAVE TO PROVIDE THE HIGHEST QUALITY CARE ² SHE DECLARED 4AKE ADVANTAGE OF OPPORTUNITIES IN TECHNOLOGY THROUGH E(EALTH $ESPITE SIGNI½CANT CHALLENGES WITH E (EALTH TO DATE -ATTHEWS BELIEVES THAT TECHNOLOGY WILL PLAY A MAJOR ROLE IN SHAPING HEALTHCARE DELIVERY IN THE FUTURE ¹(EALTHCARE TOMORROW IS GOING TO BE CONNECTED ² SHE PREDICTED ¹4HE POTENTIAL OF E(EALTH IS STAGGERING AND WE HAVE BARELY SCRATCHED THE SURFACE ² -ATTHEWS OUTLINED A RECENT PROJECT TO SHARE #4 SCANS ELECTRONICALLY EXPLAINING THAT IT ¹TRANSFERS IMAGES SO WE DON´T HAVE TO TRANSFER PATIENTS ² 7HILE THE PROJECT IMPLEMENTATION COST WAS MORE THAN MILLION IT HAS SO FAR SAVED MILLION THROUGH AVOIDANCE OF UNNECESSARY HOSPITAL TO HOSPITAL TRANSFERS SHE NOTED ¹4HAT´S VALUE FOR MONEY 4HAT´S BETTER CARE FOR PATIENTS ² -ATTHEWS ALSO EXPRESSED HER ONGOING SUPPORT FOR THE #ANADIAN HEALTHCARE SYSTEM WHICH WAS BUILT ON THE FOUNDATION THAT WE HAVE A COLLECTIVE RESPONSIBILITY TO HELP THOSE WHO ARE ILL TO GET THE CARE THEY NEED ¹5NIVERSAL HEALTHCARE HAS CHANGED OUR WORLD FOR THE BETTER ² Ă /RIGINALLY PUBLISHED ON "ENE½TS #ANADA´S WEBSITE WWW BENE½TSCANADA COM
B C M A S S A G E T H E R A P I S T S ´ J O U R N A L Ă &A L L
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3CIENCE
.OTES ON FASCIA ISOMETRIC CONTRACTIONS AND STRETCHING A SUMMARY OF PREVIOUS RESEARCH ,EON #HAITOW .$ $/ %DITOR IN #HIEF *OURNAL OF "ODYWORK -OVEMENT 4HERAPIES WWW LEONCHAITOW COM
BY LEON CHAITOW AND CATHY RYAN 4HE UPCOMING )NTERNATIONAL &ASCIA 2ESEARCH #ONGRESS &2# IS THE THIRD IN A CONTINUING SERIES OF CONFERENCES THAT BRINGS TOGETHER SCIENTISTS AND CLINICIANS DEDICATED TO FASCIA STUDIES )N SUCH A SETTING SCIENTISTS MAY SEE POTENTIAL APPLICATIONS FOR THEIR YEARS OF HARD WORK PERHAPS APPLICATIONS THEY MAY NOT HAVE PREVIOUSLY CONSIDERED OR SEE A POTENTIAL DIRECTION FOR FUTURE RESEARCH #LINICIANS MAY GAIN INSIGHT INTO MECHANISMS THAT COULD EXPLAIN AND VALIDATE THE EF½CACY OF THEIR WORK AND POTENTIALLY DIRECT THEM TOWARD NEW CLINICAL BEHAVIOURS E G ASSESSMENT PROCEDURES TREATMENT APPLICATIONS AND PREVENTION MEASURES 4HE FOLLOWING SUMMARY BY ,EON #HAITOW .$ $/ %DITOR IN #HIEF OF THE *OURNAL OF "ODYWORK -OVEMENT 4HERAPIES OUTLINES SOME OF THE SIGNI½CANT HIGHLIGHTS FROM THE ½RST AND SECOND &2#S !CCORDING TO -C#OMBE ET AL FASCIA FORMS A GLIDING INTERFACE WITH UNDERLYING MUSCLE ALLOWING FREE EXCURSION OF THE MUSCLE UNDER THE RELATIVELY IMMOBILE SKIN %ASE OF SLIDE GLIDE REDUCES THE AMOUNT OF FRICTION WHICH IN TURN DECREASES TISSUE DISTRESS ! PLANE OF POTENTIAL ¯ LARGELY GLIDING ¯ MOVEMENT EXISTS IN THE FORM OF THE AREOLAR TISSUE LAYER APPARENTLY LINED WITH A LUBRICANT HYALURONIC ACID (! )T IS SUGGESTED THAT ALTERATIONS IN (! AMOUNT AND ORGANIZATION MAY PLAY A ROLE IN TISSUE CHANGES FOLLOWING FASCIAL MANIPULATIONS E G TISSUE SOFTENING AND
-ICROSCOPIC CLOSE UP OF FASCIA PHOTO .ISHIMURA 4 ET AL !CTA !NATOMICA /RIGINAL PHOTO FROM 3 +ARGER !' "ASEL
IMPROVED EXCURSION OR SLIDE GLIDE ¯ %VANKO 7IGHT SECOND &2# (! IS AN EXTREMELY HYDROPHILIC COMPOUND )N A STATE OF DEHYDRATION (! TENDS TO POLYMERIZE A PROCESS IN WHICH SMALLER MOLECULES BIND TOGETHER RESULTING IN INCREASED DENSITY (! POLYMERIZATION HAS BEEN LINKED TO THE FORMATION OF MICRO ADHESIONS I E COLLAGEN CROSS LINKING THAT CAN IMPACT TISSUE SHOCK ABSORPTION AND FORCE DISTRIBUTION CAPABILITIES !DDITIONALLY WHEN FASCIA IS EXCESSIVELY MECHANICALLY STRESSED IN¾AMED OR IMMOBILE ITS COLLAGEN AND MATRIX DEPOSITION TENDS TO BECOME DISORGANIZED RESULTING IN ½BROSIS AND ADHESIONS ,ANGEVIN
#ONSEQUENT CHRONIC MUSCLE CONTRACTION MAY THEN RESULT IN Ă&ASCIAL ±THICKENING² ,ANGEVIN ET AL Ă ±$ENSI½CATION² INVOLVING DISTORTION OF MYOFASCIAL RELATIONSHIPS I E MYOKINETIC CHAINS RESULTING IN ALTERATION OF MUSCLE BALANCE AND PROPRIOCEPTION 3TECCO ET AL Ă"INDING OR ADHERENCE OF LAYERS THAT SHOULD STRETCH GLIDE AND OR SHIFT ON EACH OTHER POTENTIALLY IMPAIRING MOTOR FUNCTION &OURIE Ă#HRONIC TISSUE LOADING WHICH CAN LEAD TO ±GLOBAL SOFT TISSUE HOLDING PATTERNS² -YERS /NE MODEL OF TREATMENT ADVOCATED BY 3TECCO ET AL ±&ASCIAL -ANIPULATION‡² INVOLVES CAREFUL IDENTI½CATION OF ±DENSI½ED² TISSUE AROUND KEY FASCIAL COORDINATING AREAS THAT RECEIVE DIRECT MANUAL ±FRICTIONAL² COMPRESSION INVOLVING APPROXIMATELY KILOGRAMS FOR AROUND ½VE MINUTES "ORGINI ET AL 7ATER AND FASCIA +LINGLER 3CHLEIP MEASURED WET AND DRY FRESH HUMAN FASCIA 4HEY FOUND THAT DURING AN ISOMETRIC STRETCH WATER IS EXTRUDED !S WATER EXTRUDES TEMPORARY RELAXATION OCCURS IN THE LONGITUDINAL ARRANGEMENT OF THE COLLAGEN ½BRES ALLOWING GREATER FREEDOM OF MOVEMENT 7ITH MODERATE THERE ARE NO MICRO INJURIES AND WITH AN ADEQUATE REST PERIOD WATER SOAKS BACK INTO THE TISSUE RESTORING NORMAL FASCIAL STIFFNESS )T IS CONSIDERED THAT SOME TISSUE RESPONSES TO MANUAL THERAPY MAY RELATE TO THIS #ONTINUED ON PAGE
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SPONGE LIKE SQUEEZING AND RE½LLING IN THE SEMI LIQUID GROUND SUBSTANCE WITH ITS WATER BINDING GLYCOSAMINOGLYCANS E G (! AND PROTEOGLYCANS 4HE SQUEEZING AND RE½LLING MECHANISM CAN ALSO BE APPLIED TO ½TNESS TRAINING !S PART OF RUNNING TRAINING IT IS RECOMMENDED TO INTERSPERSE RUNNING WITH SHORT WALKING INTERVALS 'ALLOWAY 5NDER STRAIN AS THE ¾UID IS PRESSED OUT THE FASCIAL TISSUES BEGIN TO FUNCTION LESS OPTIMALLY E G THEIR ELASTIC AND SPRINGY RESILIENCE SLOWLY DECREASES 3HORT WALKING PAUSES PROVIDE THE TISSUES WITH AN OPPORTUNITY TO RE HYDRATE AND TAKE UP AVAILABLE NOURISHMENT &OR AN AVERAGE BEGINNER RUNNER IT IS RECOMMEND THAT WALKING PAUSES OF ONE TO THREE MINUTES OCCUR IN BETWEEN EVERY MINUTES OF RUNNING -~LLER 3CHLEIP
3TRETCHING AND FASCIA 3TECCO ET AL FOUND THAT ±THE OUTER LAYERS OF THE DEEP FASCIA CONTAINED A RICH VASCULAR AND NERVE SUPPLY WITH INTRAFASCIAL NERVE ½BRES SEEN THROUGHOUT ;SOME WERE= PRESUMED TO BE STRETCH RECEPTORS ² ,OOSE CONNECTIVE TISSUE RESPONDS TO LIGHT TISSUE STRETCH WHICH ±MAY BE KEY TO THE THERAPEUTIC MECHANISM OF TREATMENTS USING MECHANICAL STIMULATION OF CONNECTIVE TISSUE² ,ANGEVIN -YERS SUGGESTS THAT STRETCHING CAN BE APPLIED NOT ONLY TO ±LENGTH² PROBLEMS BUT ALSO TO ±STUCK LAYER² PROBLEMS USING SHEAR STRESS TO ALLOW THE RESTORATION OF INCREASED RELATIVE MOVEMENT BETWEEN THE ADJACENT PLANES OF FASCIA 3CHWIND &OURIE AND ,ANGEVIN BOTH SUGGEST THAT THEIR STUDIES INDICATE THE IDEAL DEGREE OF STRETCH REQUIRED TO LENGTHEN LOOSE
CONNECTIVE TISSUE SHOULD NOT EXCEED AROUND OF THE AVAILABLE ELASTICITY )N OTHER WORDS STRONG STRETCHING IS NOT RECOMMENDED )SOMETRIC CONTRACTIONS AND FASCIA 0ARADOXICALLY IT SEEMS THAT IT IS POSSIBLE TO STRETCH FASCIA BY ISOMETRICALLY CONTRACTING ASSOCIATED MUSCLES !N ISOMETRIC CONTRACTION ¯ AS USED IN -USCLE %NERGY 4ECHNIQUE -%4 ¯ INTRODUCES A LENGTHENING OF THE SERIES ELASTIC COMPONENT FASCIAL TENDINOUS OF SARCOMERES WHILE THE PARALLEL ELASTIC ACTIN MYOSIN COMPONENT SHORTENS ¯ SO THAT THE MUSCLE DOES NOT CHANGE LENGTH 2EPETITIONS OF ISOMETRIC CONTRACTIONS EFFECTIVELY LENGTHENS THESE STRUCTURES OVERALL ¯ PARTICULARLY IF ADDITIONAL ACTIVE OR PASSIVE STRETCHING IS ADDED ,EDERMAN !N EFFECTIVE MYOFASCIAL TRIGGER POINT RELEASE TECHNIQUE UTILISES THIS PROCESS )T INVOLVES #ONTINUED ON PAGE
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Access the myofascial structure with amazing efficiency! SMFT is a course designed to empower you with the knowledge and skill to treat the body’s myofascial system. With deep, hands on therapeutic techniques, slow deliberate maneuvers and postural somatic awareness exercises - don’t wait to attend - this course will enrich any practice, from massage therapists to physiotherapists, athletic therapists and osteopaths.
STRUCTURAL MYOFASCIAL THERAPY
BETSYANN BARON is a Board Certified Structural Integrator and member of the International Association of Structural Integrators (IASI). She is also a member of the Fédération Québecoise des Massothérapeutes (FQM).
LEVEL 1 CONNECTING WITH THE FASCIA U Full body myofascial protocol U Evaluation technique: Postural Somatic Awareness U Triple paradigm treatment structure: palliative, corrective, integrative
SESSION DATES 2011-2012
LEVEL 2 CREATING SPECIFICITY U Advanced specific techniques conclude with dural balancing
EDMONTON Level 1 - Nov 18 - 20 Level 2 - Mar 23 - 25 Level 3 - Jun 1 - 3
LEVEL 3 DELVING DEEPER Linking up new fascial techniques throughout the deep fascial continuum.
VANCOUVER Level 1- Feb 17 - 19 Level 2 - Apr 27 - 29
U
COURSE COST $625 plus HST MONTREAL (French) Level 1 - Nov 5 - 7 Level 2 - Mar 9 - 11 Level 3 - May 11 - 13
For more information, or to join our email list, please contact: Tania Ciaccia at education@baronbodyworks.ca or 514-577-5355
SAVE $100
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CEUs: NHPC = 15 CMTBC = 21 MTAA = 24
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)LLUSTRATIONS OF MICROSCOPIC CROSS SECTIONS OF FASCIA PHOTO 2OBERT 3CHLEIP 0H$
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REPETITION OF A SERIES OF ISOMETRIC CONTRACTIONS AND RELEASES ¯ EACH OF WHICH ARE ACHIEVED BY A GENTLE VOLUNTARY CONTRACTION OF THE MUSCLE ¯ FOLLOWED BY ACTIVE OR PASSIVE ELONGATION OF THE MUSCLE TO RESTORE FULL PAIN FREE RANGE OF MOTION AND TO INACTIVATE ITS TRIGGER POINTS 3IMONS ¹)SOLYTIC² -%4 ISOTONIC ECCENTRIC THAT INVOLVES SLOWLY STRETCHING THE TISSUES WHILE
THEY ARE CONTRACTING WAS COMPARED WITH STANDARD PASSIVE STRETCHING IN AN ATTEMPT TO INCREASE KNEE RANGE OF MOTION 2/- AND DECREASE PAIN IN PATIENTS FOLLOWING SURGERY FOR HIP FRACTURE -%4 WAS FOUND TO BE MORE EFFECTIVE IN PAIN REDUCTION THAN STANDARD STRETCHING P "OTH METHODS INCREASED 2/- EQUALLY 0 0ARMAR 3O IN SUMMARY FASCIA CAN BE STRETCHED BY STRETCHING ÂŻ LIGHTLY ÂŻ OR BY USE OF ISOMETRIC
L.A.S.T. Ligamentous Articular Strain Technique
L.A.S.T. Course List Upper Body & Extremities Lower Body & Extremities Thorax, Abdomen & Pelvis The Bowstring & Diaphragms
Based on current scientific research...
Check website for upcoming course dates and registration.
L.A.S.T. affects the connective tissues of the body, mainly ligaments, joint capsules, fascia, muscles, tendons, and, indirectly, lymphatic and blood flow.
Robert Libbey, RMT
For more information about L.A.S.T. visit www.lastsite.ca.
CONTRACTIONS OR BY COMPRESSION¨ AND THE EFFECTS MIGHT BE MECHANICAL NEUROLOGICAL OR HYDRAULIC ¯ OR ALL OF THESE &ASCIA CONTINUES TO BE FASCINATING ¯ WE HAVE SO MUCH MORE TO LEARN ¯ PERHAPS BY ATTENDING THE NEXT &ASCIA 2ESEARCH #ONFERENCE IN 6ANCOUVER IN -ARCH WE WILL LEARN EVEN MORE $ETAILS FROM WWW FASCIACONGRESS ORG Ă
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# "4 ) & '% *#"$$ "& ) &" $ * ) $ +! ) (0 &+$ ) $" &% &+ %' $"+0 ')) +"& ) *+)" +"'&* "& +! ' 0 +' ) $" - ( "& "& ) * %' "$"+0 & ) , *+) ** )& +! +! ')0 & () +" $ '%( + & " * +' '% & 4 +"- () +"+"'& )
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%DUCATION
#ONNECTING THE 7HITE 3TUFF &ASCIA #ONGRESS
BY SUSAN CHAPELLE -Y RELATIONSHIP WITH FASCIA BEGAN WHEN ) WAS VERY YOUNG -Y FATHER USED TO TAKE ME TO THE 5NIVERSITY OF 4ORONTO´S MEDICAL SCHOOL OPEN HOUSE AT WHICH ) RECEIVED MY ½RST EXPOSURE TO HUMAN ANATOMY ) KNEW THEN THAT ) WANTED TO WORK WITH NERVES AND WHATEVER THAT WHITE STUFF WAS THAT CONNECTED EVERYTHING TOGETHER !S TO BE EXPECTED IN LIFE MY PATH LED ME TO A CAREER AS A DIFFERENTIAL STRUCTURAL ANALYST ) BECAME A STEEL RIGGER FOR ROCK CONCERTS AND THEATRE STRUCTURE AND FUNCTION !S MY KNOWLEDGE OF HEALTH CARE EXPANDED THERE WAS ONLY ONE CLEAR PATH FOR ME ) BECAME A MASSAGE THERAPIST WORKING WITH STRUCTURE DAY IN AND DAY OUT ! PARALLEL CAREER ) THOUGHT ) WAS STILL LOOKING AT RIGGING STRUCTURE AND FUNCTION AS WELL AS LOADS AND LEVERS !S CAREERS GO IT WAS A DECISION THAT CAME LATE IN LIFE AND LIKE ALL THINGS GLORIOUS BECAME AN EVANGELICAL TYPE OF CONVERSION !S AN 2-4 ) FOCUSED ON PATIENTS FROM THE PERFORMING ARTS ) TREATED A LARGE VOLUME OF TENDONOPATHIES COMING THROUGH THE CLINIC ) WONDERED ABOUT IN¾AMMATION ABOUT CONNECTIVE TISSUE AND HOW ) COULD POSSIBLY RESTORE TISSUE WITH ONLY MY HANDS ) UNDERSTOOD ALL OF MY TEACHING FROM SCHOOL
&ASCIA 2OLF &INGERS PHOTO 2OBERT 3CHLEIP 0H$
NEUROLOGY IN PARTICULAR AND ) UNDERSTOOD HOW ) COULD USE MY HANDS TO MOVE TISSUE AND FEEL DIFFERENCES IN TEXTURE AND PLIABILITY ) DID NOT HOWEVER HAVE A CLEAR UNDERSTANDING OF WHAT ) COULD DO TO INTERTWINE MY KNOWLEDGE OF ANATOMY WITH WHAT ) WAS FEELING WITH MY HANDS ) WENT BETWEEN MY HEAD AND MY HANDS CONSTANTLY TRYING TO RELATE WHAT ) WAS FEELING
WITH WHAT ) WAS READING ) STARTED TO RECOGNIZE THE DIFFERENCE IN TISSUE THAT HAD BEEN INJECTED WITH CORTISONE ) FELT DIFFERENCES IN IN¾AMED TISSUE THAT WAS ISCHEMIC VERSUS HEALTHY CONTRACTILE TISSUE COLLAGEN VERSUS MUSCLE ½BER !S A NEW THERAPIST ) STILL THOUGHT OF ANATOMY IN PARTS -USCLES WERE PRETTY LITTLE .ORMAN #ONTINUED ON PAGE
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2OCKWELL RENDITIONS ALL SEPARATE AND ALL MOVING IN A SPECI½C DIRECTION DEPENDING ON THEIR INSERTION !S TIME WENT ON MY HANDS TOLD ME A DIFFERENT STORY ) BECAME ACUTELY INTERESTED IN HOW MY HANDS COULD MAKE A DIFFERENCE AT A DEEP AND CELLULAR LEVEL -Y ½RST RESEARCH PROJECT WAS AMAZING IN RETROSPECT .OT KNOWING ANYTHING ABOUT RESEARCH BUT SURE ) WAS ONTO SOMETHING ) CHALLENGED THE PHYSICIANS AND SURGEONS AT THE 4ORONTO 'ENERAL (OSPITAL HAND CLINIC TO SHOW ME THAT INJECTING CORTISONE INTO TISSUE WAS STILL A GOOD IDEA DESPITE THE LITERATURE ) WAS READING TELLING ME THAT CORTISONE BROKE DOWN ALL TISSUE 7HAT ) WAS FEELING WITH MY HANDS WAS A SHORT TERM
BC Massage Fall2011.indd 15
REDUCTION OF IN¾AMMATION BUT LONG TERM DAMAGE FROM BROKEN DOWN TISSUE $R (ERB 6ON 3HROEDER TOOK THE PROJECT ON AND WE DEVELOPED THE ½RST !LLOPATHIC VERSUS -ASSAGE THERAPY PROTOCOL IN /NTARIO 4HE PROJECT WAS ONE OF THE ½RST FUNDED RESEARCH PROJECTS TO INTERMINGLE MEDICINE WITH COMPLIMENTARY THERAPY )T ALL FELL APART DIRECTLY AFTER RECEIVING FUNDING WHEN A MEETING OF MEDICAL MINDS DECIDED THAT CORTISONE WAS INDEED NOT THE BEST TREATMENT FOR TENDONOPATHIES AND REFERRING OUT TO PHYSIOTHERAPY WAS NOW A DISTINCT PART OF MEDICAL PROTOCOL 4HE HAND CLINIC WAS GOING TO REFER OUT TO MASSAGE AND PHYSIOTHERAPY 4HE PROJECT HAD ½NISHED BEFORE IT STARTED AND ) MOVED OUT WEST
9EARS RAN INTO YEARS -Y NEXT PROJECT INVOLVED BREAST CANCER TISSUE A PERFECT STORM OF POST SURGICAL MESS THAT RESULTS IN A LARGE PORTION OF WOMEN WITH RANGE OF MOTION PROBLEMS RADIATING PAIN LYMPHEDEMA AND IMMOBILE SCAR TISSUE 3URPRISINGLY THESE WOMEN ARE NOT TYPICALLY REFERRED FOR TREATMENT -Y EXPERIENCE TOLD ME THAT EARLY INTERVENTION WAS THE ONLY WAY AND ) WANTED NUMBERS TO PROVE IT 4HIS PROJECT DROVE ME TO DISTRACTION AS WELL AS TO THE &ASCIA 2ESEARCH #ONGRESS IN HOPING TO ½ND SOME ANSWERS TO MAKE THE PROJECT SOMETHING VIABLE )N ) READ ABOUT THE &ASCIA 2ESEARCH #ONGRESS 4HIS WAS THE ½RST RESEARCH CONFERENCE TO BE HELD ON FASCIA AND IT WAS TO BE HELD IN "OSTON AT (ARVARD 5NIVERSITY ±4HEY MUST BE SMART² ) TOLD MYSELF AND DESPERATELY WANTED TO ATTEND 4HE BIRTH OF OUR SECOND CHILD AND A FAMILY ROAD TRIP MADE "OSTON NOT POSSIBLE )NSTEAD ) ATTENDED ONE OF THE MANY 6ANCOUVER PLAY BACK SESSIONS AVAILABLE AFTER THE CONGRESS AND DECIDED THAT ATTENDING THE &ASCIA 2ESEARCH #ONGRESS IN !MSTERDAM WOULD BE MY NEXT GOAL ) WAS DETERMINED TO ½ND A TOOL TO MEASURE THE EXTENSIBILITY OF FASCIA 3URELY ONE OF THESE AMAZING PEOPLE WOULD BE ABLE TO POINT MY PROJECT IN THE CORRECT DIRECTION ) BOOKED MY TICKET TO !MSTERDAM 'OING TO !MSTERDAM GAVE ME BUTTER¾IES 3O MANY AMAZING SCIENTISTS CLINICIANS AND PRACTITIONERS ALL GATHERED UNDER ONE ROOF WITH INTEREST IN CONNECTIVE TISSUE ) FELT LESS LIKE A GEEK AND MORE LIKE ) HAD FOUND THE CORRECT PLACE FOR ME SOME WOULD SAY HOME !LL ) WANTED TO TALK ABOUT WAS THE POSSIBILITY OF
-ICROSCOPIC CLOSE UP OF FASCIA PHOTO &ROM .ISHIMURA 4 ET AL !CTA !NATOMICA /RIGINAL PHOTO FROM 3 +ARGER !' "ASEL
A MEASURING TOOL TO STANDARDIZE TISSUE EXTENSIBILITY %VERY DAY WAS AMAZING %VERY DAY ) LISTENED WHILE WHAT ) PRACTICED WITH MY HANDS WAS EXPLAINED WITH SCIENCE 1UESTIONS THAT ) HAD BEEN ASKING FOR YEARS WERE SPEAKERS´ TOPICS AND PANEL DISCUSSIONS WERE HEATED DEBATES BETWEEN BELIEF SYSTEMS AND SCIENCE ) WANTED TO JOIN THE DEBATE ) WANTED TO SHOW THAT WHAT WE DID AS A PROFESSIONALS WAS EFFECTIVE ) REALIZED THE ±DISCONNECT² THAT MANY PROFESSIONS HAD WITH SCIENCE 4HE GAP NEEDED CLOSING -Y CURRENT AND FORMAL COLLABORATION WITH SCIENCE STARTED AT THE &ASCIA 2ESEARCH #ONFERENCE IN !MSTERDAM ) MET $R 'EOFFREY "OVE IN THE LUNCHROOM AT THE HOTEL AND WE TALKED ABOUT MY PROJECT (E AGREED TO HAVE A LOOK AT THE BREAST CANCER PROTOCOL THAT ) HAD DEVELOPED 7E STARTED COMMUNICATING NOT JUST ABOUT BREAST CANCER BUT ALSO ABOUT MANY OTHER TOPICS WHICH REQUIRED ME TO EXAMINE WHAT ) SAID WAS POSSIBLE WITH MY HANDS (E NEVER DISBELIEVED ME BUT CHALLENGED ME TO THINK MORE ABOUT MECHANISM AND STARTED ME ON A READING
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FRENZY THAT CONTINUES TO THIS DAY READING MEDICAL CHIROPRACTIC AND PAIN RESEARCH AND WHATEVER ) CAN GET MY HANDS ON 7ITH THE PATIENTS´ CONSENT $R "OVE BEGAN COMING INTO CLINIC TO OBSERVE SOME VISCERAL TREATMENTS /N A DAY WHEN A PATIENT WALKED IN BENT OVER ) FOUND WITH MY HANDS WHAT ) THOUGHT WAS A POSSIBLE PSOAS ADHESION TO THE DESCENDING COLON )T WAS EASILY RELEASED WITH AN AUDIBLE POP $R "OVE ASKED WHAT ) HAD JUST DONE TO MAKE THE MAN GET UP AND WALK OUT WITH HIS PANTS DONE UP ) EXPLAINED WHAT ) THOUGHT ) HAD DONE AND STRAIGHT OUT $R "OVE ASKED ME TO PROVE IT /VER THE NEXT FEW WEEKS OUR ½RST PROJECT WAS DESIGNED AND A COLLABORATION FORMED BETWEEN
A MOST AMAZING SCIENTIST AND A CLINICIAN )T IS A DREAM TO BE ABLE TO EXAMINE WHAT WE DO WITH OUR HANDS IN A LAB AT A DEEP AND MEANINGFUL LEVEL 2ESEARCH IS DIF½CULT 4HOSE INVOLVED ARE INCREDIBLY COMMITTED WELL EDUCATED AND DEVOTED TO A LIFETIME OF ANSWERING DIF½CULT QUESTIONS 2ESOURCES ARE NOT ABUNDANT ESPECIALLY IN THIS ½NANCIALLY DIF½CULT TIME WHERE FUNDING ESPECIALLY FOR COMPLIMENTARY THERAPY IS ALMOST NON EXISTENT 4HROUGH THE &ASCIA 2ESEARCH #ONGRESS MY PRACTICE AND APPROACH TO TREATMENT HAS GROWN AND CHANGED ) AM MUCH MORE CON½DENT WITH MY TREATMENTS ) HAVE BEEN ABLE TO WORK COLLABORATIVELY TO DESIGN
STUDIES THAT ARE BEGINNING TO SHOW THAT OUR WORK HAS AN EFFECT ) AM NOW CONTRIBUTING TO THE BODY OF SCIENCE TO GO WITH OUR PRACTICE AND WORKING TO ANSWER SOME TOUGH QUESTIONS IN OUR WORK -Y MOST PRESSING QUESTION REMAINS (OW DOES MOBILIZING TISSUE AFFECT THE SYSTEM ) HOPE TO BE ABLE TO ADDRESS THIS IN THE FUTURE .EXT YEAR 6ANCOUVER "RITISH #OLUMBIA IS PRIVILEGED TO BE HOSTING THE 4HIRD &ASCIA 2ESEARCH #ONFERENCE !S THE CONFERENCE IN !MSTERDAM SET SUCH A HIGH BAR ) WILL BE LOOKING FOR THE SAME HIGH LEVEL OF SCIENTI½C PRESENTATIONS ) WILL BE PRESENTING ON MY PASSION 3CARS AND !DHESIONS IN A PANEL DISCUSSION AS WELL AS PRESENTING A POST CONFERENCE COURSE WHICH
WILL INCLUDE OUR RESEARCH ½NDINGS ON TREATMENT OF SCARRING ) LOOK FORWARD MORE AMAZING COLLABORATION NEW IDEAS AND DISCUSSIONS ABOUT FASCIA WITH SOME OF THE MOST KNOWLEDGEABLE CLINICIANS AND SCIENTISTS OF OUR TIME (OWEVER WHAT ) LOOK FORWARD TO THE MOST IS HAVING MY OLD IDEAS SHREDDED BY NEW EVIDENCE AND HAVING INCORPORATE NEW IDEAS INTO MY PRACTICE ONCE AGAIN EXAMINING THE MOST EFFECTIVE FORM OF TREATMENT FOR MY PRACTICE ) LOOK FORWARD TO CONTRIBUTING TO THE DAY WHERE -ANUAL 4HERAPY IS NOT ONLY COMPLIMENTARY BUT PREVENTIVE AND SUPPORTED BY OUR #ANADIAN (EALTH #ARE SYSTEM 4HE 4HIRD &ASCIA 2ESEARCH #ONGRESS WILL BE LEADING THE WAY Ă
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!N EXPERIENCE FROM THE 3ECOND )NTERNATIONAL &ASCIA 2ESEARCH #ONGRESS BY DON SOLOMON ±$ON´T EVEN THINK ABOUT COMING HOME FROM !MSTERDAM WITHOUT A PIECE OF ³$ELFT CHINA´² WERE MY WIFE´S WORDS WHEN ) TOLD HER ) HAD BOOKED MY TICKET TO THE 3ECOND )NTERNATIONAL &ASCIA 2ESEARCH #ONGRESS &2# ³! MATRIMONIAL WARNING NOT WORTH IGNORING´ ) WAS TAKING TIME AWAY FROM MY PRACTICE AND SPENDING A LOT OF MONEY TO JOURNEY ACROSS HALF THE WORLD TO GO TO A CONFERENCE ON FASCIA 7HAT COULD ) POSSIBLY LEARN THAT ) COULD NOT HAVE PICKED UP AT ONE OF THE -4! &ASCIA REPLAYS 4HIRTY NINE FELLOW "# TRAINED 2-43 HAD DECIDED TO MAKE THE TRIP 4HE #ONGRESS WAS PACKED FULL OF INFORMATION WITH THIRTY TWO PRESENTERS OVER JUST FOUR DAYS 4HE #ONGRESS WAS COMPRISED OF A MIX OF PRESENTATIONS ON VARIOUS SCIENTI½C RESEARCH STUDIES ALL ENDING IN A TERRI½C 0ANEL DISCUSSION ON CLINICALLY RELEVANT OBSERVATIONS BY A MIXED GROUP OF SCIENTISTS AND LEADING PRACTITIONERS !LL IN ALL IT WAS LIKE BEING IN A KNOWLEDGE PRESSURE COOKER )T TOOK ME WEEKS AND EVEN MONTHS TO TRULY START TO INTEGRATE THE INFORMATION INTO MY PRACTICE ) CAN´T SAY THERE WAS ONE PIECE OF KNOWLEDGE OR ONE STUDY THAT AFFECTED ME THE MOST BUT RATHER THE TOTAL EXPERIENCE 3ITTING HERE IN -ID ) ASKED THE QUESTION WAS IT WORTH THE TIME AND MONEY )´D HAVE TO SAY YES &OR TWO REASONS &IRST !TTENDING THE CONFERENCE HELPED INTRODUCE ME TO A NEW DIRECTION OF THINKING A NEW DIMENSION .AMELY THAT FUNCTION DRIVES THE ANATOMY /UR SYSTEMS ARE ADAPTIVE TO THE REQUIREMENTS OF ENVIRONMENT WE ½ND OURSELVES IN 7E MUST NEVER LOOK AT THE FASCIA IN ISOLATION AS ITS OPERATION DEPENDS ON MANY PARTICIPATING COMPONENTS FROM MICRO LOCAL FACTORS TO AND INCLUDING THE COMPLEXITIES OF THE #ENTRAL .ERVOUS 3YSTEM )T´S ALL ONE BIG MATRIX )N A RECENT CONVERSATION 'AIL 3ELBIE A 3COTS
-ICROSCOPIC CLOSE UP OF FASCIA PHOTO &ROM .ISHIMURA 4 ET AL !CTA !NATOMICA /RIGINAL PHOTO FROM 3 +ARGER !' "ASEL
-ASSAGE 4HERAPIST SAID IT BEST ±9OU KNOW GOING TO THE FASCIAL CONGRESS DID CHANGE THE WAY ) WORKED .OT BECAUSE ) WAS GIVEN A NEW SET OF TECHNIQUES BUT BECAUSE IT OPENED UP A ½ELD FOR ME THAT TO BE HONEST ) DIDN´T REALLY PAY MUCH ATTENTION TO BEFORE ² 'AIL WENT ON TO SAY ±) HAD ATTENDED FASCIA WORKSHOPS SEMINARS AND TOOK AWAY SOME NEW TECHNIQUES BUT NOT A NEW WAY OF THOUGHT )T TOOK THE CONGRESS AND ITS NON CLINICALLY RELEVANT 2ESEARCH 3CIENCE INFORMATION TO CHANGE THE WAY ) THOUGHT ABOUT THINGS AND NOT JUST FASCIA² 'AIL SAID SHE HAD BEEN ENCOURAGED TO CONSIDER THE WHOLE BODY FROM NERVES MUSCLE LOADING STRAIN AND FORCE TRANSFER TO HOW TRAUMATIC INJURY MAY TRAVEL THROUGH THE STRUCTURES AND SUB STRUCTURES OF THE PATIENT´S SHE SEES IN PRACTICE 3HE ½NDS HERSELF NOW ANALYZING EACH PATIENT´S CARE ASKING THE QUESTION ±WHEN IS SOMETHING CLINICALLY RELEVANT AND WHEN IS IT NOT² 3ECONDLY IT WAS THE PEOPLE AND THE SENSE
OF A NEW MOVEMENT IN MEDICINE A NEW TRIBE 4HE ½RST DAY ) SAT DOWN AND BEGAN INTRODUCING MYSELF TO MY NEIGHBOURS 4O MY LEFT WAS A HAND SURGEON FROM 'ERMANY TO MY RIGHT WAS A -$ NEXT TO HER A -ASSAGE 4HERAPY 3CHOOL OWNER FROM $ENMARK )N FRONT WAS 4HOMAS -EYERS !NATOMY 4RAINS !UTHOR AND BEHIND ME WAS #AROL $AVIS $EAN OF 0HYSIOTHERAPY 5 -IAMI ! THOUGHT SUDDENLY STRUCK ME WE WERE ALL THERE TO LEARN TO EXCHANGE IDEAS )N ESSENCE WE WERE ALL EQUALS IN THE PURSUIT OF KNOWLEDGE NO ONE PROFESSION HELD THE FASCIA HIGH GROUND ,IKE THE SUBJECT WE HAD COME TO STUDY WE WERE BOUND TOGETHER YET STILL APART 3O THE GREAT CONVERSATION STARTED AND STILL GOES ON TO THIS DAY #OME BE PART OF IT AND JOIN US AT 4HIRD )NTERNATIONAL &ASCIA 2ESEARCH #ONGRESS -ARCH TH IN 6ANCOUVER ±!NYTHING TO DECLARE² SAID THE #USTOMS OF½CER AS SHE TIREDLY LOOKED AT ME ±ONE SMALL $ELFT CHINA VASE WORTH ABOUT DOLLARS² ) SAID Ă
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)NTERVIEW
&ASCIA MULTI LAYERED MULTI FACETED MULTI TASKER !N )NTERVIEW WITH *ULIE !NN $AY 04
$EEPER LAYERS OF FASCIA ARE EXPOSED AS YOU MOVE FROM LEFT TO RIGHT ! 4HE SUPERFICIAL FASCIA " 4HE DEEP INVESTING AXIAL AND APPENDICULAR FASCIA AND # -USCLE AND APONEUROTIC SHEETS
BY CATHY RYAN RMT &ASCIA THE SOFT TISSUE COMPONENT OF CONNECTIVE TISSUE WEAVES ITS WAY THROUGHOUT THE BODY ENVELOPING INVESTING AND SUPPORTING VARIOUS MUSCULOSKELETAL ELEMENTS &ASCIA IS HIGHLY VARIABLE IN ITS PRESENTATION I E HISTOLOGICAL COMPONENTS ½BER RATIOS AND ARRANGEMENT AND INNERVATIONS AND FASCIA´S PRESENTATION IS DETERMINED BY ITS ROLE OR FUNCTION IN TURN THE DEMANDS PLACED UPON FASCIA WILL IN¾UENCE ITS PRESENTATION 2ECENT RESEARCH HAS IDENTI½ED THAT FASCIA IS DENSELY POPULATED WITH NERVE RECEPTORS
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3UCH ELEMENTS PROVIDE FASCIA WITH THE ABILITY TO PERCEIVE AND RESPOND TO STIMULI INCLUDING STIMULI IN THE FORM OF PAIN PROPRIOCEPTION AND MANUAL THERAPY 4RADITIONALLY AMONG THE VARIOUS TISSUES INVOLVED IN MUSCULOSKELETAL DYNAMICS ¯ FASCIA HAS RECEIVED COMPARATIVELY LITTLE SCIENTI½C
ATTENTION GIVEN FASCIA´S PERVASIVENESS AND MULTI TASKING CAPABILITIES 4HIS LACK OF CONSIDERATION GIVEN TO FASCIA COULD EXPLAIN WHY SOME INDIVIDUALS DO NOT FULLY RESOLVE THEIR ³SOFT TISSUE´ PAIN AND DYSFUNCTION FOLLOWING FOR EXAMPLE A WHIPLASH OR A WORK RELATED BACK INJURY
)N GAINING A BETTER UNDERSTANDING OF FASCIA´S FUNCTIONAL ROLE WE CAN BETTER COMPREHEND THE IMPLICATIONS OF ITS DYSFUNCTION AND THEREBY DEVISE MORE EFFECTIVE TREATMENT INTERVENTIONS
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*ULIE $AY 04
4HE )NTERNATIONAL &ASCIA 2ESEARCH #ONGRESS &2# IS A CONTINUING SERIES OF CONFERENCES DEDICATED TO THE EMERGING ½ELD OF FASCIA STUDIES /NE STANDOUT AT THE ½RST &2# "OSTON WAS THE WORK OF ,UIGI 3TECCO 04 WHO FORMULATED AND RE½NED HIS &ASCIAL -ANIPULATION APPROACH OVER PLUS YEARS OF CLINICAL EXPERIENCE 0HYSIOTHERAPIST *ULIE !NN $AY HAS BEEN AN INTEGRAL PART OF THE ±3TECCO COLLABORATIVE² SINCE SHE HAS BEEN ONE OF THE AUTHORIZED INSTRUCTORS OF &ASCIAL -ANIPULATION ¯ 4HE 3TECCO -ETHOD SINCE AND IS ALSO THE TRANSLATOR OF &ASCIAL -ANIPULATION FOR -USCULOSKELETAL 0AIN AND &ASCIAL -ANIPULATION ¯ 4HE 0RACTICAL 0ART %NGLISH EDITIONS AND /RIGINALLY FROM 3OUTH !USTRALIA SHE COMPLETED HER DIPLOMA IN AND HAS BEEN LIVING AND WORKING IN )TALY SINCE MOSTLY IN THE ½ELD OF ORTHOPEDICS AND CONNECTIVE TISSUE MASSAGE *ULIE IS A FOUNDING MEMBER OF THE &ASCIAL -ANIPULATION !SSOCIATION !-& 3HE HAS TAUGHT INTERNATIONALLY AND WAS PART OF THE GROUP THAT WON THE BEST POSTER AWARD AT THE ST &2# HELD AT (ARVARD IN )N THE FOLLOWING INTERVIEW WITH *ULIE WE WILL EXPLORE THE NATURE OF FASCIA AND WHY IT SHOULD BE CONSIDERED WHEN TREATING ISSUES PRESENTING WITH MUSCULOSKELETAL PAIN AND DYSFUNCTION
#2 2ESEARCH ½NDINGS NOTED BY THE 3TECCO COLLABORATIVE IDENTI½ED SOME KEY REGIONAL DIFFERENCES IN FASCIA´S PRESENTATION IN PARTICULAR THE TRUNK AND LIMBS *ULIE CAN YOU DESCRIBE FOR US THE BIOMECHANICAL SIGNI½CANCE OF THESE VARIATIONS IN PRESENTATION *$ &IRST OF ALL WE NEED TO DISTINGUISH BETWEEN THE SUPER½CIAL FASCIA AND THE DEEP FASCIA 4HE SUPER½CIAL FASCIA IS A MEMBRANOUS LAYER LYING WITHIN THE HYPODERMIS 4HE HYPODERMIS IS INVOLVED IN THE GLIDING OF SKIN ON UNDERLYING STRUCTURES THERMOREGULATION METABOLIC EXCHANGE AND THE PASSAGE OF NERVES BLOOD AND LYMPHATIC VESSELS 4HE DEEP FASCIA SURROUNDS MUSCLES AND HAS A MORE MECHANICAL FUNCTION OF FORCE TRANSMISSION AS WELL AS A POSSIBLE PROPRIOCEPTIVE ROLE &ASCIAL ANATOMY STUDIES HAVE SHOWN THAT THE DEEP FASCIA LAYER IN THE TRUNK IS QUITE DIFFERENT BOTH MORPHOLOGICALLY AND FUNCTIONALLY FROM THAT OF THE LIMBS 'ENERALLY APART FROM THE THORACOLUMBAR REGION TRUNK FASCIA IS THINNER APPROXIMATELY ”M 4HE LARGE SUPER½CIAL MUSCLES OF THE TRUNK REGION E G PECTORALIS MAJOR LATISSIMUS DORSI AND TRAPEZIUS HAVE DEVELOPED WITHIN THE SUPER½CIAL LAMINA OF THE DEEP FASCIA AND ARE NOT SEPARABLE FROM THE SAME 4HE DEEP FASCIA IN THE LIMBS IS A RELATIVELY AUTONOMOUS STRUCTURE WITH RESPECT TO THE UNDERLYING MUSCULAR PLANE )T IS A MUCH THICKER MM WITH MULTI LAYERS OF PARALLEL COLLAGEN ½BRE BUNDLES EACH LAYER ORIENTED IN A DIFFERENT DIRECTION AND SIGNI½CANTLY FEWER ELASTIC ½BRES )T IS EASILY SEPARABLE FROM THE UNDERLYING MUSCLES DUE TO THE PRESENCE OF THE EPIMYSIUM WHICH PERMITS THE MUSCLES TO SLIDE INDEPENDENTLY FROM THE OVERLYING DEEP FASCIA ! THIN LAYER OF LOOSE CONNECTIVE TISSUE BETWEEN DEEP FASCIA AND EPIMYSIUM FACILITATES SLIDING BETWEEN FASCIA AND THE MUSCULAR PLANES 7E CAN SAY THAT LIMB FASCIA IS LESS ADAPTABLE THAN TRUNK FASCIA BUT IT IS IDEAL FOR THE TRANSMISSION OF FORCE ALONG LIMBS SO IT IS SUITED TO THE FUNCTION REQUIRED OF OUR LIMBS #2 )T IS BECOMING MORE EVIDENT THAT THAT FASCIA DISPLAYS ESSENTIALLY TWO DISTINCT
FUNCTIONS IT SEPARATES ALLOWING FOR SLIDE AND GLIDE IT CONNECTS AUGMENTING THE TRANSFER OF FORCES AND PROVIDING STABILITY 7ITH THESE BASIC FUNCTIONS IN MIND CAN YOU SUMMARIZE THE &ASCIAL -ANIPULATION "IOMECHANICAL -ODEL´S PERSPECTIVE THAT IDENTI½ES FASCIA´S ROLE AS A UNIFYING CONNECTING AND COORDINATING ELEMENT *$ 4HE BODY IS A COMPLEX SYSTEM MADE UP OF INTERACTING SUB SYSTEMS 7E REQUIRE INTERPRETATIVE MODELS THAT SIMPLIFY THE COMPLEXITY 3TECCO´S BIOMECHANICAL MODEL IS AN INTERPRETATION OF ONE OF THE BODY´S SUB SYSTEMS THE FASCIAL SYSTEM )T SUGGESTS THAT DEEP MUSCULAR FASCIA COULD ACT AS A COORDINATING COMPONENT FOR MOTOR UNITS GROUPED TOGETHER INTO FUNCTIONAL UNITS AND THAT IT UNITES THESE FUNCTIONAL UNITS TO FORM MYOFASCIAL SEQUENCES )N SYNTHESIS 3TECCO DIVIDES THE BODY INTO FOURTEEN SEGMENTS 3IX MYOFASCIAL UNITS MOVE AND COORDINATE EACH BODY SEGMENT ! SINGLE MYOFASCIAL UNIT -&5 INCLUDES MOTOR UNITS INNERVATING AND ACTIVATING MONOARTICULAR AND BIARTICULAR MUSCLE ½BRES THE DEEP FASCIA THAT UNITES THESE ½BRES TOGETHER AND THE JOINT THAT THEY MOVE WHEN THE MUSCLE ½BRES CONTRACT -&5´S CAN BE CONSIDERED AS THE FUNCTIONAL BUILDING BLOCKS OF THE MYOFASCIAL SYSTEM 4HE INTRICATE ARCHITECTURE OF DEEP FASCIA CORRESPONDS TO PRECISE MOTOR DIRECTIONS AND IS INTIMATELY INVOLVED IN MUSCULOSKELETAL FUNCTION 4HE PREMISE IS THAT IF MANUAL WORK CAN RESTORE GLIDING TO THE DEEP FASCIA IN THESE KEY AREAS THEN IT CAN IN¾UENCE POOR MUSCLE RECRUITMENT MYOFASCIAL FORCE TRANSMISSION FAULTY MOVEMENT AND PAIN AVOIDANCE PATTERNS #2 7HAT IS KNOWN THUS FAR ABOUT THE IMPACT OF TRAUMA INJURY ON FASCIA *$ &URTHER STUDIES WILL BE NECESSARY TO BETTER CLARIFY THE POSSIBLE ALTERATIONS OF THE FASCIAE IN PATHOLOGICAL CONDITIONS $IFFERENT AUTHORS CLAIM THAT TRAUMA INJURY CAN ALTER PROPERTIES OF THE EXTRACELLULAR MATRIX DUE TO NEUROPHYSIOLOGICAL IN¾UENCES WITH WATER LOSS IN THE TISSUE IN¾UENCING COLLAGEN ½BER BUNDLE FORMATION AND ORIENTATION /THERS IMPLICATE CHANGES IN ½BROBLASTS
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CLASSI½ED &ALL ANATOMY & YOGASANA I & II: 24 CEC’s Maui, HI Retreat March 19th to 26th, 2012
¹! HAND GUIDED BY DEEP SCIENTI½C KNOWHOW CAN SOLVE WELL AND QUICKLY A MUSCULOSKELETAL PROBLEM 4HE MORE KNOWLEDGE YOU HAVE THE MORE EASILY YOU CAN ½ND THE CAUSE OF PAIN AND JOINT DYSFUNCTION ² ,UIGI 3TECCO 04
&ROM PAGE
WITH THEIR TRANSFORMATION INTO MYO½BROBLASTS 2EDUCED GLIDING BETWEEN LAYERS OF COLLAGEN ½BRE BUNDLES WITHIN THE DEEP FASCIA COULD RESULT IN AN ALTERATION OF THE MECHANICAL PROPERTIES OF THE FASCIA #2 3HOULD FASCIA BE GIVEN SERIOUS CONSIDERATION WHEN TREATING REPETITIVE STRAIN INJURIES 23)´S AND WHY *$ )F WE CONSIDER THAT MUSCLES AND FASCIA ARE FUNCTIONALLY INSEPARABLE THEN IT FOLLOWS THAT FASCIA SHOULD PLAY AN IMPORTANT ROLE IN THESE DYSFUNCTIONS )NTERESTINGLY NOT ALL PEOPLE EXPOSED TO THE SAME CONTINUOUS STRESS DEVELOP 23) INJURIES 4HIS IMPLICATES THAT A TENSIONAL MALFUNCTIONING EITHER IN THE SAME REGION OR IN ADJACENT REGIONS IS A PROBABLE COMPONENT IN 23) SYNDROMES -ANUAL THERAPY CAN POTENTIALLY RESTORE ELASTICITY MALLEABILITY TO THIS TISSUE AND RE ESTABLISH CORRECT TENSIONAL INTERPLAY BETWEEN MUSCLES AND THEIR FASCIA )N 23) INJURIES IT IS OFTEN IMPORTANT TO LOOK BEYOND THE LOCAL AREA OF
STRAIN QUESTIONING OUR CLIENTS CAREFULLY ABOUT PAST INJURIES IN ORDER TO IDENTIFY AREAS THAT MAY HAVE NEVER RESOLVED COMPLETELY IN TERMS OF FASCIAL GLIDING #2 7E CLINICIANS CAN SEE AND FEEL CHANGES IN OUR CLIENT´S BODY IN RESPONSE TO TREATMENT BUT WHAT IS ACTUALLY HAPPENING BENEATH OUR HANDS 7HAT IS FASCIA´S RESPONSE TO MANUAL MANIPULATION ¯ WHAT CAN OUR HANDS INžUENCE *$ 4HIS IS A BIG QUESTION THAT REQUIRES FURTHER STUDIES 4HE PERCEPTION OF ALTERED SEGMENTAL TISSUE TEXTURE AND ITS MODI½CATION DURING THERAPY IS A DAILY EXPERIENCE FOR MOST MANUAL THERAPISTS &ASCIA DEMONSTRATES VISCOELASTICITY A MATERIAL PROPERTY WHEREBY THE DEFORMATION STRAIN THAT RESULTS FROM A LOAD STRESS WILL VARY WITH CHANGES IN THE RATE AND AMOUNT OF LOADING (OPEFULLY WE WILL GAIN A LOT MORE INFORMATION ABOUT THIS SUBJECT AT THE NEXT &ASCIA 2ESEARCH #ONGRESS IN 6ANCOUVER Ă
2EFERENCE &ASCIAL -ANIPULATION FOR -USCULOSKELETAL 0AIN AND &ASCIAL -ANIPULATION ¯ 4HE 0RACTICAL 0ART %NGLISH EDITIONS AND ! FEW SIGNI½CANT RESOURCES FOR FASCIA INFORMATION 4HE 3TECCO WEB SITE WWW FASCIALMANIPULATION COM )NTERNATIONAL &ASCIA 2ESEARCH #ONGRESS WWW FASCIACONGRESS ORG 2OBERT 3CHLEIP´S WEB SITE WWW SOMATICS DE &OR MORE INFORMATION ON *ULIE !NN $AY 04 AND !NTONIO 3TECCO -$ 0- 2 GO TO WWW FASCIACONGRESS ORG
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Combine Yoga and Anatomy for an education vacation. Travel, relax, learn and earn credit while studying the anatomy of the yoga body; apply what you learn in your massage therapy or yoga practice. Limited to 16, apply now to reserve your place. Leigh Milne RMT, E-RYT500 is an experienced RMT, yoga teacher and educator. For course and instructor details and registration information visit www.thesadhanacentre.com leigh@thesadhanacentre.com Leigh 902-273-9642
Touch for Health in Vancouver, with Janice Golub Level 1-4: 14 CECs for each level Level 1: Sat. & Sun., Oct. 22 & 23 Level 2: Sat. & Sun., Nov. 19 & 20
Workshops focus on self-testing, as well as muscle-testing patients. To register or for more information: jgolub@telus.net/604-220-1992.
Ann Sleeper is offering
private courses for 2-5 people in her home in central Vancouver. Review sessions are also available to improve your techniques. In these small groups, you can take any of the muscle energy or osteopathic technique courses listed in this journal or at
www.annsleeper.com E-mail Ann at sleeplow@telus.net or leave message at 604-872-1818
DR. VODDER MLD COURSES Basic, Therapy I, Therapy II & III October/November 2011 and April/May 2012
WWW.VODDERSCHOOL.COM
800-522-9862
Myofascial Mobilization and Release INSTRUCTOR: LOCATION: DATE: FEE:
NATALE RAO RMT BUCERIAS, MEXICO (y into Puerto Vallarta ) FEB. 19TH - 25TH 2012 $850.00 early-bird rate – register by Oct. 1st, 2011; includes shared accommodation ($400.00 deposit fee due by Sept. 01, 2011; balance due by Oct.15, 2011)
21 hours – 21 Continuing Education Credits. The workshop will take place over 6 days – with one full day off mid week!!! The workshop is designed for the RMT wishing to improve their knowledge and skill level through the application of Myofascial Release and its principles. Its speciďŹ c intention is to help the RMT identify “densiďŹ ed fasciaâ€? and myofascial restrictions. Visual and Manual assessment techniques will be used. Some examples of structures that will be examined include: In the Lumbo-Sacral area: abdominals, gluteals, thoracolumbar fascia, iliopsoas, latissimus dorsi and lower trapezius. Some ligaments; sacrotuberous, inguinal and iliolumbar. In the Shoulder complex region: biceps, pectoralis major & minor, subscapularis, lats & teres major, corocobrachalis, middle trapezius; the corococlavicular ligaments. Within the Cervical complex: the deep fascial layer of the cervical region, SCM, upper trapezius; levator scapula; scalenes. Lower extremity complex: adductors, quadriceps, hamstrings: inuencing I.T.B. presentation. For more information, email: raomail@telus.net OR call: 250.838.9884 Natale brings 31 years of clinical practice and 21 years of instructional experience which includes 15 years of Fascial experience, to each of his workshops.
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CLASSI½ ED &ALL
Advertisement only. No endorsement by the MTABC intended or implied.
A YOGIC APPROACH
to Visceral Manipulation Enhance your Visceral Manipulation skills and learn remedial exercise to stimulate the viscera. YVM 1 (12 CEC’s) Nelson, B.C. February, 2012 Courtenay, B.C. May 2012 YVM Refresher (6 CEC’s) Vancouver, B.C. October 2012 Contact Yvonne Poulin, R.M.T. www.yogicvm.homestead.com 604-551-5388
For service or refurbished tables Call: Marten Gabriel
The Function of the Ankle and the Foot as seen in the Muscles, Their dysfunction from Myofascial Trigger Points and their treatment, One day Seminars in Toronto, Montreal and Vancouver. Seminar in Vancouver 1st of April 2012
250.335.3084
For full information, contact Brian S. Joseph, DO.FHEA, 5IF +PTFQI 4ZTUFN PG 'PPU .PCJMJTBUJPO r footmobilisation@gmail.com
Care Tech lift tables
-ASSAGE -ATTERS TO ADVERTISE CALL 6ICTORIA #HAPMAN AT VCHAPMAN BIV COM
$0/5*/6*/( &%6$"5*0/ 0/ -*/& IPVST QFS DPVSTF GPS $&6ÂąT $PVSTFT BSF JODM ( 4 5 &BTZ BOE FGÂşDJFOU XBZ UP BDDSVF ZPVS $&6ÂąT _ OP USBWFMJOH OP UJNF BXBZ GSPN XPSL _ XXX DFQE DB Â… DBMM GPS EFUBJMT
BANYAN THAI MASSAGE
CMTBC CEU Approved Courses
A teaching affiliate with the famous “ITM School� of Chiang Mai, Thailand ~ Traditional Thai Massage: ITM Chiang Mai Level 1, 24 CEU’s ~ Traditional Thai Massage: ITM Chiang Mai Level 2, 24 CEU’s ~ Thai Foot Reflexology Massage: 7 CEU’s (1-day course) ~ Intro. To Thai Yoga Massage: 6 CEU’s (1-day course) ~ Assisted Stretch Therapy ~ Thai Yoga Method: 3 CEU’s (1/2 day course) Course Location: “Alchemy & Elixir Wellness Centre�, Vancouver Please visit our website to view our 2011 Course Schedule. On-line registration available at www.BanyanThaiMassage.com or contact: Sharon Brown-Horton, Instructor at 604.773.2645 COMING SOON – SUMMER 2012! Retreat courses, Yoga, Meditation & hiking expeditions at the “Gambier Island Retreat & Study Centre�.
DR. STUART McGILL Building the Ultimate Back: From rehabilitation to performance 14 CECs Nov. 12 & 13/11 from 9am–5pm Simon Fraser University Harbour Centre 515 W. Hastings St. - Vancouver, BC V6B 5K3 Visit REDelivery.ca/events/ to register today and for more event information. Regular: $600+HST (until Oct. 31/11) Late: $650+HST (Nov. 1–11/11) Student: $400+HST COURSE OBJECTIVES: Update on the most recent developments in clinical biomechanics of the lumbar spine to support an evidence-informed approach to clinical decision-making Provide guidance in the application of this foundation of knowledge to reduce the risk of injury, optimize health outcomes, and enhance performance. Enhance skill and technique in client assessment and exercise prescription.
APPLIED SOMATICS CLINICAL SOMATIC EDUCATION This client stood 3 inches taller in 4 weeks and felt like he was “walking on air�. These types of results consistently happen with Applied Somatics.
Four weeks of Applied Somatics at 79 years. Read Cliff’s story at www.appliedsomatics.com/ healthcarepros/hcp.htm
BEFORE
AFTER
INSTRUCTOR: Andrew Teufel, RMT CHSE, RYT 500 TO REGISTER: Call Applied Somatics 250-748-6600 email: info@appliedsomatics.com Plan to attend the upcoming courses. Begin training for Certification. October 14 - 16: Applied Somatics for the Stooping Body TMJ 18 CEU, Level I, Vancouver
BEFORE
AFTER
November 25 - 26: Applied Somatics for the Extremities and TMJ 18 CEU, Level II, Duncan February 24 - 26, 2012: Applied Somatics for the Arching Body 19 CEU, Duncan. April 27 - 29, 2012: Applied Somatics for the Tilting Body 18 CEU, Vancouver All courses $485 early registration, $565 less than 1 month. $100 non-refundable deposit.
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CLASSI½ED &ALL
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“It’s all my favourite techniques from over 30 years of practising eastern and western modalities.”
“Fusion Works" for 24 CEUs Oct 21-23 New Westminster Nov 4-6 Salt Spring Island "Thai Massage on The Table" for 12 CEUs October 24 & 25 – New Westminster Nov 7-8 Salt Spring Island
Vancouver/Kelowna/Salt Spring Island
250-537-1219
Systemic Deep Tissue Therapy® Workshops (also known as SDTT) (Systemic Deep Tissue Therapy® should not be confused with high pressure treatments)
O
riginated and developed by Armand Ayaltin DNM, RHT, RMT, and taught by him since the late 1980’s. It consists of its own scientifically-based philosophy, therapist-friendly assessment and treatment. To reduce burn-out, body and hand postures are ergonomically designed. Therapy takes its cue directly from the assessment. This innovative procedure is designed to minimize the mental and physical stress of the Tx room. In these Workshops we will teach: s Philosophy and background s How to treat the underlying cause of pain, often realizing quick and lasting results s How to Structurally Realign the body by collapsing the compensatory-matrix, using specific SDTT techniques at the physical and energetic levels which are: s recognizing the compensatory-matrix s engaging the SNS s manipulating the Fascial-muscle-joint systems s therapeutic intent s treating the relevant meridians s stimulating the patient’s quantum field of healing If as a Therapist, gaining self-confidence, self-sufficiency and effectiveness with reduced chances of self-injury is important, taking these workshops and adopting the Systemic Deep Tissue Therapy® is for you. Testimonials: “Thank you so much for this amazing workshop. It will change my life!” W.M. RMT. “This course surpassed my expectations...” B.C. RMT. “Thank goodness there is a way to read the body and respond to its core needs.” J.W. RMT. “Great coverage of biomechanics and application. I like these instructors, cool guys” J.L. RMT. Fall 2011 – Introductory: September 10-11; Intermediate: October 15-16, (CEC 28 for both courses combined), Cost: $399 each. Spring 2012 – Introductory: February 25-26; Intermediate: March 24-25, Cost: $399. For more info and to register, phone: 604.984.2611 s web: systemicdeeptissuetherapycenter.com
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CLASSI½ ED &ALL
Advertisement only. No endorsement by the MTABC intended or implied.
MTABC CEC COURSES 2011 REGISTRATION AT MTABC 604.873.4467 OR MTA@MASSAGETHERAPY.BC.CA. OR MAIL TO MTABC 180-1200, WEST 73RD AVE, VANCOUVER, BC, V6P 6G5. PROVIDE NAME, PHONE AND EMAIL. CANCELLATION WITHIN 3 WEEKS OF A COURSE RESULTS IN 20% PENALTY; WITHIN 2 WEEKS, 40%; AND WITHIN 5 DAYS OR “NO SHOWS�, NO REFUND. ALL PRICES IN CAN. DOLLARS
Massage Therapists’ Association of British Columbia
MARK FINCH -FASCIA: ITS STRUCTURE AND FUNCTION THE SHOULDER - 14 CREDITS HOLIDAY INN - 711 WEST BROADWAY VANCOUVER APRIL 28-29, 2012 - SAT AND SUN 9AM TO 5 PM PRICES: MTA ONE MONTH EARLY $322 REGULAR $350 NON-MTA ONE MONTH EARLY $450 REGULAR $495 DR. DAVE DEMILLIS, D.C. F.C.C.S. (C) END-RANGE LOADING - BONES AND JOINTS - 14 CREDITS NOV 5-6, 2011 - SAT. 10:00 - 4:30 AND SUNDAY 9:00 - 3:30 END-RANGE LOADING - GENERAL - 14 CREDITS MAY 5-6, 2012 - SAT. 10:00 - 4:30 AND SUNDAY 9:00 - 3:30 WCCMT NEW WESTMINSTER PRICES: MTA ONE MONTH EARLY $280 REGULAR $310 NON-MTA ONE MONTH EARLY $390 - REGULAR $430
ANN SLEEPER, RMT FOR MORE COURSES, SEE ANN’S WEB PAGE WWW.ANNSLEEPER.COM INTRODUCTION TO OSTEOPATHIC TECHNIQUES, PART ONE. 12 CREDITS - VANCOUVER – HOLIDAY INN SAT AND SUN APRIL 14-15, 2012 SAT AND SUN MAY 26-27, 2012 SAT AND SUN - 10AM TO 5 PM EACH DAY PRICES: MTA ONE MONTH EARLY $275 REGULAR $300 NON-MTA ONE MONTH EARLY $385 - REGULAR $425
-ASSAGE -ATTERS #LASSI½ ED !DVERTISING
MUSCLE ENERGY TECHNIQUE FOR THE LOW BACK PART 1 - LUMBAR & ILIA 14 CREDITS VANCOUVER – HOLIDAY INN - SAT AND SUN, MAY 5-6, 2012 SAT AND SUN 9 AM - 5 PM PRICES: MTA ONE MONTH EARLY $322 REGULAR $350 NON-MTA ONE MONTH EARLY $450 - REGULAR $495 MIKE DIXON, RMT THORACIC AND LUMBAR BALANCING 14 CREDITS VERNON - OVCMT APRIL 21-22, 2012 VICTORIA - PACIFIC RIM COLLEGE MAY 5-6, 2012 SAT AND SUN 9 AM – 5 PM PRICES: MTA ONE MONTH EARLY $390 - REGULAR $425 NON-MTA ONE MONTH EARLY $545 - REGULAR $600 FOR MORE COURSE DETAILS, SEE MTABC WEB SITE WWW.MASSAGETHERAPY.BC.CA
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REGISTERED MASSAGE THERAPISTS
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Are you looking for a great job & lifestyle? Mike Wiegele Helicopter Skiing is one of the finest heliski resorts in the world. MWHS is located in Blue River, BC and operates in the hospitality industry which caters to an elite and exclusive customer base.
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This is a seasonal position which begins Dec. 2011. Availability to work during our peak weeks is also beneficial as our demand spikes between Jan. and Mar. REQUIREMENTS: Registered Massage therapist â– Experience evaluating and adjusting treatments â– Able to complete administrative tasks â– Available to lead stretch classes â– Polished presentation and high level of grooming â– Energetic and personable â– Must be able to work in a team environment
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Apply online www.wiegele.com through email to jobs@wiegele.com, or by fax to 250-673-8464
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