Massage Matters, Spring 2012

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! * O U R N A L FO R 2E G I S T E R E D - A S S A G E 4 H E RA P I S T S

$IFFERENTIALLY DIAGNOSING MECHANICAL LOW BACK PAIN 4HE FASCIAL NETWORK AN EXPLORATION OF ITS LOAD BEARING CAPACITY AND ITS POTENTIAL ROLE AS A PAIN GENERATOR

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0RESIDENT´S -ESSAGE

I

HAD THE OPPORTUNITY RECENTLY TO PROVIDE AN EXPERT OPINION TO THE POLICE WHO WERE INVESTIGATING AN ALLEGATION FROM A PATIENT

ABOUT AN 2-4 !T THE HEART OF THIS ISSUE IS OUR OBLIGATION AS 2-4S TO RESPECT AND UPHOLD THE THERAPEUTIC RELATIONSHIP WITH OUR PATIENTS 4HIS PARTICULAR 2-4 AND PATIENT HAD WHAT BOTH THOUGHT WAS A GREAT

Massage Therapists’ Association of British Columbia

-ASSAGE -ATTERS

THERAPIST PATIENT RELATIONSHIP 4HEY SHARED FRIENDLY CONVERSATIONS THAT WENT WELL BEYOND THE MEDICAL ISSUE AT HAND "UT THAT WAS OK THEY THOUGHT AS NO ONE WAS COMPLAINING $URING TREATMENT THE THERAPIST SAID SOMETHING THAT THE PATIENT

! *OURNAL FOR 2EGISTERED -ASSAGE 4HERAPISTS

SLOUGHED OFF AS INNOCUOUS "UT LATER AS THE PATIENT RECOUNTED THE STORY TO FRIENDS THOSE FRIENDS 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 %DITOR ,ORI (ENRY 0UBLISHED BY ")6 -EDIA 'ROUP %AST TH !VENUE 6ANCOUVER "RITISH #OLUMBIA 6 4 ' 4EL 3ALES 6ICTORIA #HAPMAN VCHAPMAN BIV COM $ESIGN 3ORAYA 2OMAO %DITORIAL "OARD "ODHI (ARALDSSON !NITA 7ILSON "RENDA ,OCKE $EE 7ILLOCK $AMON -ARCHAND -ICHAEL 2EOCH -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

STARTED RAISING RED ¾AGS %VEN THOUGH BOTH PEOPLE AT THE TIME FELT THERE WAS NOTHING WRONG CLEARLY IT WASN´T RIGHT ) THINK IT´S EASY FOR SOME OF US TO TAKE THINGS LIKE THE THERAPEUTIC RELATIONSHIP FOR GRANTED 7E LEARNED IT YEARS AGO AND MAY HAVE FORGOTTEN KEY COMPONENTS 7E GET BUSY WITH OUR PRACTICES AND SOMETIMES WE EVEN REALLY REALLY LIKE OUR PATIENTS AND WANT TO BE FRIENDS "UT IN FACT A PATIENT IS A PATIENT AND NOTHING MORE 0ATIENTS RELY ON US FOR ADVICE AND HELP AND ARE VULNERABLE WHEN THEY PRESENT THEMSELVES FOR TREATMENT 4HEY´RE OFTEN IN PAIN 7E MUST TAKE THEM SERIOUSLY AND PROVIDE ASSISTANCE WITHOUT JUDGMENT 4HAT´S ONE OF THE ½RST COMPONENTS OF THE THERAPEUTIC RELATIONSHIP TO GIVE EACH PATIENT FOCUSED AND PRESENT ATTENTION WITH ENERGY AND COMPASSION ALL UNDER THE UMBRELLA OF UNCONDITIONAL ACCEPTANCE -OST OF US HAVE GOOD LISTENING SKILLS BUT WE NEED TO BE VERY AWARE OF OUR OWN COMMUNICATION SKILLS )T´S THE FOUNDATION OF INTENTIONALITY %VERYTHING THAT AN 2-4 DOES IS DONE WITH GOOD INTENT FOR THE BETTERMENT OF THE PATIENT 7E NEED TO REMIND OURSELVES OF OUR OWN EMOTIONAL RESPONSE TO EVERY PATIENT BECAUSE THINGS CAN AND DO HAPPEN WHEN THERAPISTS STOP PAYING ATTENTION AND THINGS SPIRAL OUT OF CONTROL 4HINK ABOUT THE AMOUNT OF CONTROL YOU HAVE OVER YOUR PATIENTS 4HEY ARE HURT AND ARE ASKING FOR YOUR HELP 4HEY ARE EAGER TO OBEY YOUR INSTRUCTIONS 4HEY TRUST YOU 3O WE IN TURN MUST BE MINDFUL OF WHAT WE TELL THEM /UR ADVICE IS CLOAKED WITH TRUST SO WHEN THAT ADVICE HAS LITTLE VALUE WE HAVE FAILED OUR PATIENTS 4HE PROBLEM AS WE SAW WITH THE EXAMPLE THE POLICE BROUGHT TO MY DOOR IS THAT NONE OF US CONTROL THE MESSENGER )F WE TELL OUR PATIENTS ONE THING THAT IS UNTRUE EVEN IF WE DO SO WITH ALL GOOD INTENTIONS THEY MAY REPEAT IT TO FRIENDS WHO MAY REPEAT IT TO THEIR OWN HEALTH CARE PROFESSIONALS 4HE OTHER PROFESSIONAL MAY RESPOND WITH THE THOUGHT ±IS THAT WHAT 2-4S ARE SAYING ² )T´S A NEGATIVE RE¾ECTION ON OUR PROFESSION AND WE CAN PUT AN END TO IT NOW 9OU CAN HELP BRING A HIGHER LEVEL OF INTEGRITY TO OUR PROFESSION BY UNDERSTANDING AND RESPECTING THE THERAPEUTIC RELATIONSHIP AND ITS COMPONENTS LIKE ACTIVE LISTENING SHOWING EMPATHY RECOGNIZING YOUR OWN LIMITATIONS REFERRING APPROPRIATELY KNOWING AND RESPECTING BOUNDARIES NOT ENGAGING IN INAPPROPRIATE RELATIONSHIPS AND TREATING EVERY PATIENT EQUALLY 4HE THERAPEUTIC RELATIONSHIP ALSO DISALLOWS SUCH THINGS AS INAPPROPRIATE TOUCHING OR TOPICS OF CONVERSATION 7HEN THE POLICE ASKED ME TO COMMENT ON THE ANONYMOUS 2-4 AND PROVIDED ME WITH THE DETAILS OF THE COMPLAINT ) COULD ONLY COME TO ONE CONCLUSION THE THERAPIST WANTED TO HELP AND THIS WAS ALL PART OF THEIR NORMAL COURSE OF BANTER AND IT WAS ALL WRONG 4HIS THERAPIST

-ASSAGE 4HERAPISTS´ !SSOCIATION ¯ -4!"# 7EST RD !VENUE 6ANCOUVER "RITISH #OLUMBIA 6 0 ' 4EL &AX 4OLL &REE %MAIL MTA MASSAGETHERAPY BC CA

CROSSED THE LINE INTO INAPPROPRIATE CONDUCT AND VIOLATED THE #OLLEGE´S 3TANDARDS OF 0RACTICE

WWW MASSAGETHERAPY BC CA

GUIDELINES )T LED TO AN INVESTIGATION AND OUTCOME FOR THE THERAPIST IN QUESTION IT´S A CAUTIONARY TALE FOR THE REST OF US $AMON -ARCHAND 0RESIDENT

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CONTENTS IN THIS ISSUE #OVER

3CIENCE

)NTERVIEW

)NTERVIEW

#LASSI½ED

$IFFERENTIALLY $IAGNOSING -ECHANICAL ,OW "ACK 0AIN BY DR DAVID DE CAMILLIS

4HE FASCIAL NETWORK AN EX PLORATION OF ITS LOAD BEARING CAPACITY AND ITS POTENTIAL ROLE AS A PAIN GENERATOR BY DR ROBERT SCHLEIP

$EE 7ILLOCK ¯ ! 0ORTRAIT OF 0ASSION 0ROGRESS AND 0ATIENCE

&ASCIAL &ITNESS 2ESTRUCTURING YOUR !RCHITECTURE

BY COREY VAN´T HAAFF

BY CATHY RYAN

#OVER PHOTO CREDIT I3TOCKPHOTO

#ORRECTION )N THE LAST ISSUE ON PAGE THERE WERE THREE IMAGES OF A HUMAN BACK 4HE CREDIT WAS MISSING ±)MAGE COURTESY &RANK 7ILLARD 0H$ 5NIVERSITY OF .EW %NGLAND ²

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$IFFERENTIALLY $IAGNOSING -ECHANICAL ,OW "ACK 0AIN ! &OUR #ASE 2EPORT %ND 2ANGE ,OADING

BY DR DAVID DE CAMILLIS 4HIS IS THE FOURTH CASE REPORT PAPER )´VE WRITTEN FOR ³-ASSAGE -ATTERS´ 3UMMER &ALL 3UMMER ) REFER YOU TO THESE PREVIOUS EDITIONS FOR AN IN DEPTH EXPLANATION OF NON VASCULAR EDEMA -Y HYPOTHESIS IS AS FOLLOWS INCREASED PRESSURE AT A NERVE WILL CURTAIL ITS ARTERIAL BLOOD SUPPLY 4HE NERVE IS NOW COMPROMISED AND WILL NOT FUNCTION PROPERLY 4HE PRESSURE MAY BE CAUSED BY A BONEY STENOSIS AS SEEN IN NEUROGENIC CLAUDICATION OR IT MAY BE CAUSED BY SOFT TISSUE ENCROACHMENT AS SEEN IN A BULGING DISC 4HE INCREASED HYDROSTATIC PRESSURE MOST OFTEN SEEN IS THAT DUE TO AN OSMOTIC GRADIENT CAUSED BY A HIGH CONCENTRATION OF MACROMOLECULES IN THE EXTRA CELLULAR MATRIX 4HIS INCREASED HYDROSTATIC PRESSURE DUE TO THE DIFFUSION OF WATER WILL BE DISCUSSED BELOW 4HE ISCHEMIC NERVE WILL HAVE AN EFFECT ON THE TISSUES IT INNERVATES (ERE ARE TWO EXAMPLES 4HE EFFERENT VASOMOTOR FUNCTION COULD BE LOST AND THEREFORE BLOOD ISN´T ¾OWING INTO THE TISSUES 4HIS CAN BE SEEN IN CHRONIC TENDINOPATHIES 4HE AFFERENT PROPRIOCEPTIVE FUNCTION IS LOST AND THEREFORE A PARTICULAR JOINT WILL BE PRONE TO INJURY 4HIS CAN BE SEEN IN REPEATED ANKLE INVERSION SPRAINS !S A QUICK REVIEW OF INCREASED HYDROSTATIC PRESSURE ) WILL EXPLAIN THE COMMON PATHOPHYSIOLOGY !CCORDING TO "LAISE 0ASCAL´S PRINCIPLE ALL ¾UID ¾OWS FROM A HIGHER PRESSURE IF PATHWAYS OF EGRESSION

.OTE THE BELT IS OVER THE !3)3´S &LEXION AND LATERAL FLEXION IS APPLIED 3EE IN THE PICTURE ON THE RIGHT HOW LONG AXIS TRACTION IS APPLIED PHOTO $AVID $E#AMILLIS

EXIST /BVIOUSLY ARTERIAL BLOOD ALSO ¾OWS FROM A HIGHER PRESSURE TO A LOWER PRESSURE 4HE CONTRACTING VENTRICLE RAISES THE PRESSURE WITHIN THE CHAMBER AND SO BLOOD ¾OWS INTO THE AORTA AND CIRCULATES 7HEN NERVES CONNECTIVE TISSUE AND SMOOTH MUSCLE CELLS BECOME STRESSED THEY SECRETE GLYCOPROTEINS AND PROTEOGLYCANS INTO THE EXTRACELLULAR MATRIX 4HESE LARGE MOLECULES ARE HYDROPHILIC AND CAN ABSORB ½FTY TIMES THEIR OWN WEIGHT IN WATER MOLECULES )N SOME CHRONIC CONDITIONS THE CONCENTRATION OF PROTEOGLYCANS CAN BE FORTY TIMES GREATER THAN THE NORMAL AMOUNT WATER THEN DIFFUSES INTO THESE AREAS OF HIGH CONCENTRATION OTHERWISE KNOWN AS OSMOSIS 3PACE IS LIMITED

THEREFORE THE HYDROSTATIC PRESSURE INCREASES 4HIS NEW CELLULAR PRESSURE APPROACHES THAT OF THE SYSTOLIC PRESSURE IN THE CAPILLARIES -ICROCIRCULATION NOW SLOWS OR STOPS &ORTUNATELY THIS PROCESS IS REVERSIBLE NERVES AND THEIR ASSOCIATED CONNECTIVE TISSUE ARE VISCO ELASTIC AND CAN BE STRETCHED !S THE THERAPIST STRETCHES THE NERVE LOCAL PRESSURE WITHIN INCREASES RESULTING IN A NEW THERAPEUTIC PRESSURE THAT IS EVEN GREATER THAN THAT CAUSED BY PROTEOGLYCANS !GAIN BY APPLYING 0ASCAL´S PRINCIPAL WE UNDERSTAND THAT THE ¾UID NOW MOVES OUT OF THE AREA !FTER THE TREATMENT THE RESTING PRESSURE IS MORE PHYSIOLOGICALLY NORMAL AND REGULAR #ONTINUED ON PAGE

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BLOOD ¾OW RETURNS 4HE PATIENT PRESENTATION WILL DEPEND ON WHAT NERVES ARE AFFECTED 3INCE NERVES EXIST ALL THROUGH THE BODY THE RESULTING CONDITIONS WILL VARY #ONSIDER FOR A MOMENT THE PERIPHERAL NERVOUS SYSTEM INCLUDING VENTRAL AND DORSAL PRIMARY RAMI THE AUTONOMICS THE CRANIAL NERVES AND THOSE FORMED FROM NEUROGENESIS THIS SYSTEM SUPPLIES TISSUES FROM THE SKIN TO THE INTERNAL ORGANS AND EVERYTHING IN BETWEEN -ANY CONDITIONS COME TO MIND #ONSIDER NEXT THE NERVE ROOTS AND THE CAUDA EQUINA AND ½NALLY THE CENTRAL NERVOUS SYSTEM -OST OF THE FOLLOWING PROCEDURES ARE HELD FOR ½VE TO TEN SECONDS AND REPEATED ½VE OR SIX TIMES 4HIS METHOD SERVES TWO PURPOSES ENOUGH TIME IS ALLOTTED FOR THE ¾UID TO SHIFT LOCATIONS GIVING THE PATIENT ENOUGH TIME TO

RESPOND BEFORE THE THERAPIST MOVES FORWARD 4O DIFFERENTIALLY ASSESS AND TREAT CHRONIC LOWER BACK PAIN USING THIS MODEL ONE MUST LOOK AT THINGS FROM A FRESH VIEWPOINT 7HAT WE ARE CONCERNED WITH IS THE LACK OF OXYGEN TO THE NERVES AND THEREFORE DETERMINING ½RSTLY WHICH NERVES ARE INVOLVED AND SECONDLY HOW TO LOAD THEM 4HIS VIEWPOINT DOES NOT ALWAYS COINCIDE WITH MORE CLASSICAL OR WELL KNOWN DIAGNOSES AND TREATMENTS (ERE ) WILL INCLUDE A SHORT REVIEW OF LOCAL NEUROLOGY 4HOSE NERVES LOCATED PROXIMAL TO THE INTERVERTEBRAL FORAMEN INCLUDE THE CAUDA EQUINA NERVE ROOTS SINUVERTEBRAL NERVES NERVI NERVORUM AND INTERSTITIAL NERVES FORMED FROM NEUROGENESIS !FTER EXITING THE FORAMEN THE NERVE ROOTS BECOME THE SPINAL NERVE WHICH WILL THEN DIVIDE "OTH PRIMARY DORSAL AND VENTRAL RAMI ARE FOUND HERE AS

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WITH THE INTERVERTEBRAL DISC &OR EXAMPLE IF A PATIENT IS UNDER ½FTY YEARS OF AGE THERE IS A ½FTY PERCENT CHANCE THEIR PAIN IS DUE TO AN INTERNAL DISC DISRUPTION LUMBAR FACETS ARE ALSO PAIN GENERATORS THAT MAKE UP A SIGNI½CANT PERCENTAGE #ENTRAL AND LATERAL STENOSIS MAY BE THE CAUSE OF DISABILITY FOUND IN THE ELDERLY POPULATION AS WELL AS IN YOUNGER PEOPLE WHO ARE GENETICALLY PREDISPOSED !NOTHER AREA IS WITHIN THE INTERVERTEBRAL FORAMEN !S A POINT OF INTEREST NEUROGENESIS OFTEN HAS TAKEN PLACE AT THE SITE 4HE FOLLOWING CASE REPORTS DEMONSTRATE THESE FOUR LOCATIONS AND ALSO THE NERVES INVOLVED #ASE ) ! YEAR OLD MALE PRESENTED IN *ANUARY WAS IN GOOD HEALTH WEIGHED LBS AND STOOD ´ ² (E WORKS AS A REGISTERED MASSAGE THERAPIST

(ISTORY /NSET WAS BURNING PAIN STARTED IN EARLY ! FEW MONTHS LATER THE PAIN WAS RADIATING TO THE RIGHT POSTERIOR THIGH AND LATERAL LEG PERONEAL DIVISION -2) WAS NEGATIVE "Y THE RADIATING PAIN WAS MODERATE TO SEVERE AT TIMES AND AT OTHER TIMES ONLY MILD PAIN WAS EXPERIENCED 0AIN INDE½NITELY INCREASED WITH SITTING FOR LONG PERIODS 4HE DISTRIBUTION OF THE PAIN BECAME MORE DISTAL AND MORE INTENSE IN THE PERONEAL DIVISION AFTER ANY LIFTING ACTIVITIES %XCESSIVE ROWING ON AN EXERCISE MACHINE CAUSED COMPRESSION OR FRICTION IRRITATION TO THE RIGHT PELVIC AND ISCHEAL AREAS 3OME NUMBNESS OR PARASTHESIAS WERE IN THE PERONEAL DIVISION OF THE RIGHT LOWER LEG 0RE DISPOSING FACTORS INCLUDE A FRANK LABRAL DETACHMENT OF THE RIGHT HIP IN AND A 4

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The

A HOUR DAY 0OST 4REATMENT „ /BSERVATION .ORMAL GAIT „ 3YMPTOMS REDUCTION IN PAIN „ !$,´S /NLY MILD PAIN WHEN SITTING FOR LONG PERIODS NO PAIN DURING HIS WORK DAY „ 3TRENGTH .O CHANGE IN HIP žEXOR STRENGTH 4REATMENT %ND RANGE LOADING TISSUES WITHIN THE INTERVERTEBRAL FORAMINA OF THE LUMBAR SPINE .OTE THE BELT IS OVER THE !3)3´S &LEXION AND LATERAL žEXION IS APPLIED 3EE IN THE PICTURE ON THE RIGHT HOW LONG AXIS TRACTION IS APPLIED $IAGNOSIS .ON VASCULAR EDEMA WITHIN THE RIGHT LATERAL CANAL AND INTERVERTEBRAL FORAMEN OF THE LOWER LUMBAR SPINE AFFECTING BLOOD SUPPLY TO THE NERVES LOCATED HERE 2EFERENCE 9EUNG ! 4 9EUNG # ! )N VIVO

ENDOSCOPIC VISUALIZATION OF PATHO ANATOMY IN PAINFUL DEGENERATIVE CONDITIONS OF THE LUMBAR SPINE 3URG 4ECHNOL )NT #ASE )) ! YEAR OLD MALE PRESENTED IN -AY (E IS IN GOOD HEALTH AND WORKS AS A STOCK BROKER (ISTORY (E WAS IN A MOTOR VEHICLE ACCIDENT IN *UNE (IS VEHICLE REAR ENDED A CAR THAT HAD CUT IN FRONT (E WAS TRAVELLING AT MPH 3HORTLY AFTER HE SUFFERED FROM LOW BACK PAIN !FTER THE -6! AND PRIOR TO HIS ½RST VISIT WITH ME HE EXPERIENCED NO SIGNI½CANT IMPROVEMENT IN HIS LOWER BACK SYMPTOMS !FTER THE VARIOUS TREATMENTS HE HAD UNDERGONE AND PRESCRIBED HOME EXERCISES HE PERFORMED EVERY TIME HE ATTEMPTED TO GET BACK INTO HIS PRE ACCIDENT ROUTINES HE WOULD BECOME INJURED AGAIN AND GO BACK TO ³SQUARE ONE´

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. Cost = $745 (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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(E HAD NO PREDISPOSING FACTORS (E WAS SEEN IN MY OF½CE ON THIRTEEN OCCASIONS IN /UTCOMES -EASURES 0RE 4REATMENT „ 3YMPTOMS ,"0 PAIN ON 6!3 SCALE 2T LEG PARESTHESIAS „ )MAGING -2) , LEFT SIDED DISC BULGE „ /RTHOPEDIC TESTS 3,2 $EG BILATERALLY 2/- RESTRICTION IN TRUNK žEXION „ 0ALPATION , TENDERNESS TO DEEP PALPATION „ 5NABLE TO PERFORM ANY VIGOROUS EXERCISE „ 0SYCHOLOGICAL DEPRESSION ANXIETY POOR TEMPER DEGRADED SOCIAL PERSONAL LIFE MOOD SWINGS 0OST 4REATMENT „ 3YMPTOMS 'REATER THAN ABATEMENT OF SYMPTOMS „ /RTHOPEDIC TESTS 3,2 OVER DEG #ONTINUED ON PAGE

KINESIO TAPING $& DSFEJUT BQQSPWFE CZ $.5#$

Location: 7JDUPSJB #$ Dates: .BZ UI UI Location: &ENPOUPO "# Dates: .BZ UI UI Seminar fee includes XPSLTIPQ UVJUJPO DPOUJOFOUBM CSFBLGBTU BOE BO FEVDBUJPOBM QBDLBHF DPOTJTUJOH PG SPMMT PG ,JOFTJP 5BQF CPPLT BOE B NPOUI NFNCFSTIJQ UP BO JOUFSBDUJWF XFCTJUF Course Description: -FBSO UIF UIFPSZ BQQMJDBUJPO BOE DPODFQUT PG ,JOFTJP 5BJOH 5IJT UJNF FGÂş DJFOU NFUIPE BOE VOJRVF TUSFUDIZ UBQF JT VTFE UP SFMBY PWFSVTF TZOESPNFT TQBBTNT EFDSFBTF QBJO BOE TXFMMJOH PS TUJNVMBUF XFBL NVTDMFT XIJMF BMMPXJOH GVMM SBOHF PG NPUJPO Contact: 3PHFS #FSUPO %$ $,5* BU PS ESSPHFSC!ZBIPP DB Web Site: XXX LJOFTJPUBQF DB Brochure Link: IUUQ XXX LJOFTJPUBQF DB EPXOMPBET &ENPOUPO QEG IUUQ XXX LJOFTJPUBQF DB EPXOMPBET 7JDUPSJB QEG

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&OR CONVENIENCE SAKE THIS PROCEDURE HIS IS HELD FOR A LONGER PERIOD OF TIME

3OME FLEXION IN THE LUMBAR SPINE TO PREVENT FACET IMBRICATION ,ONG AXIS TRACTION CAN BE APPLIED 4HE AMOUNT OF FORCE AND THE DIRECTION OF FORCE IS ALL DETERMINED BY PATIENT RESPONSE

) ALWAYS TRY AND LOOK INTO THE PATIENTS´ EYES .OTICE THE BUTTOCKS ARE ACTUALLY RAISED OFF THE TABLE IN THE PICTURE ON THE RIGHT

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BILATERALLY FULL RANGE OF MOTION IN LUMBAR ¾EXION „ 0ALPATION .O TENDERNESS AT , TO DEEP PALPATION „ #AN PERFORM OF ALL VIGOROUS EXERCISES „ 0SYCHOLOGICAL MUCH IMPROVED #ASE ))) 4HIS YEAR OLD MALE RETIRED LAWYER PRESENTED IN /CTOBER (ISTORY (E WAS INVOLVED IN A MOTOR VEHICLE ACCIDENT IN AND HAS BEEN EXPERIENCING RIGHT SIDED LOWER BACK AND BUTTOCK PAIN EVER

SINCE (IS SYMPTOMS INCREASE WHEN WALKING )MAGING STUDIES HAS REVEALED A PRONOUNCED , , DISC DEGENERATION AND MODERATE , , DISC DEGENERATION (E WAS RECEIVING CHIROPRACTIC CARE FOR THE ½RST THREE YEARS AFTER THE -6! AND BE DOING EXERCISE THERAPY FOR THE LAST ½VE YEARS (IS SYMPTOMS HAD PLATEAUED OVER THE LAST SEVERAL YEARS (E HAD NO PRE EXISTING FACTORS (E WAS TREATED ON EIGHT OCCASIONS FROM EARLY /CTOBER TO EARLY .OVEMBER /UTCOMES -EASURES ¯ 0RE 4REATMENT 2IGHT SIDED LOWER BACK AND BUTTOCK PAIN

L.A.S.T. Ligamentous Articular Strain Technique

Based on current scientific research...

ON THE PAIN SCALE DIF½CULTY SLEEPING SOCIAL AND PERSONAL LIFE SIGNI½CANTLY CURTAILED ALWAYS MOVING WITH CAUTION EXPERIENCING CONSTANT EXHAUSTION SYMPTOMS EXACERBATE WITH WALKING HYPERTONIC LUMBAR MUSCULATURE MODERATE RESTRICTION IN LUMBAR EXTENSION 0OST 4REATMENT PERCENT ABATEMENT OF SYMPTOMS INCREASED RANGE OF MOTION IN LUMBAR EXTENSION FAR LESS HYPERTONICITY OF THE LUMBAR MUSCLES NO DIF½CULTY SLEEPING SOCIAL AND PERSONAL LIFE ALMOST BACK TO #ONTINUED ON PAGE

Upcoming Courses Vancouver - Feb 3, Jun 15, Jul 13 Calgary - TBA Edmonton - TBA Saskatoon - May 25 Regina - May 29 New Brunswick AGM - Nov 17 Contact us if you would like a course put on in your area.

L.A.S.T. affects the connective tissues of the body, mainly ligaments, joint capsules, fascia, muscles, tendons, and, indirectly, lymphatic and blood flow.

604-897-7554

For more information about L.A.S.T. visit www.lastsite.ca.

Check website for more upcoming course dates and registration.

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Learn the life changing stretching technique developed by Aaron Mattes. Active Isolated Stretching will increase joint ROM and help your clients achieve optimal exibility. This is an essential skill that every massage therapist should have on their list of services. All courses are CMTBC, NHPC, MTAA, MTAS and MTAM accredited. This 2-day course will enable you to: Ä‚ Safely and expertly assist your clients’ active stretching movements Ä‚ Work “smarter not harderâ€? by incorporating this cutting-edge stretching technique into your massage sessions Ä‚ Release fascial restrictions to relieve neck and back pain, correct postural imbalances, and improve athletic performance To register please visit: www.stretchforlife.ca and click on “Registrationâ€? For more information contact us toll free at: 1-877-757-1756 or email: denise@stretch-for-life.com Course cost: $430.00 plus GST (includes an AIS course manual) BC Seminar Dates: Victoria: April 14th & 15th Burnaby: April 18th & 19th Kelowna: May 16th & 17th Kamloops: May 19th & 20th CMTBC Credits = 14 credits NHPC Credits = 10 credits MTAA = 18 credits

Ä‚

MTAS = 16 credits MTAM = 16 credits

NORMAL NO EXACERBATION OF SYMPTOMS WITH WALKING DOESN´T MOVE WITH CAUTION ANYMORE 4REATMENT ,ONG AXIS LOADING OF THE LUMBAR SPINE WITH SOME LUMBAR žEXION $IAGNOSIS ,ACK OF BLOOD TO SOME NERVES IN THE CAUDA EQUINA 2EFERENCE 3PINE 0HILA 0A !PR %FFECTS ON IMPROVEMENT OF BLOOD žOW IN THE CHRONICALLY COMPRESSED CAUDA EQUINA 3EKIGUCHI - +ONNO 3 +IKUCHI 3 #ASE )6 ! YEAR OLD MALE #AUCASIAN MANUAL THERAPIST WAS ½RST SEEN IN /CTOBER (ISTORY ,OW BACK PAIN SINCE -ARCH WHEN HE HURT HIMSELF LIFTING A HEAVY OBJECT AND AGAIN REINJURED THE AREA WHEN FALLING AWKWARDLY FROM A LADDER (E HAD TO QUIT WORK BECAUSE OF THE DISABILITY THIS CAUSED 3INCE THAT TIME HE EXPERIENCED SYMPTOMS VARYING FROM ON THE PAIN SCALE (E HAD CONSTANTLY TO BE VIGILANT ABOUT HIS !$,´S SO AS NOT TO CAUSE A žARE UP RESULTING IN HIM BEING ALMOST INCAPACITATED FOR DAYS ON END 4HESE SETBACKS ARE OFTEN HERALDED BY žASHING PAINS RUNNING DOWN THE LEFT LOWER LIMB 5NTIL NOW HIS DISABILITY HAS BEEN CHARACTERIZED BY THESE PERIODS OF DISABILITY 4HIS PARTICULAR CASE IS INTERESTING BECAUSE OF THE PATIENT´S COMMUNICATION WITH ME AND HIS KNOWLEDGE OF THE SPINE .OT ½NDING RELIEF HAS LED HIM TO SEEK VARIOUS FORMS OF CARE AND SEVERAL CONSULTS WITH EXPERTS )MAGING STUDIES REVEALED SOME ANNULAR TEARS IN THE UPPER LUMBAR SPINE FACET DEGENERATION IN THE LOWER LUMBARS AND 3 AND SCLEROSING OF THE SACROILIAC JOINT (E UNDERWENT FACET BLOCKS ON TWO OCCASIONS #URIOUSLY THE DOCTOR COULDN´T PENETRATE THE LEFT LUMBOSACRAL APOPHYSEAL JOINT 3URGERY WAS NOT ADVISED (E TRIED ACTIVE THERAPY INCLUDING CORE STABILIZING EXERCISES MANIPULATION MEDICATIONS BED REST AND MODALITIES SUCH AS )-3 HEAT ETC /UTCOMES (E NOW IN .OVEMBER FEELS THE BEST HE HAS SINCE (E STILL EXPERIENCES žARE UPS BUT NOT AS BAD AND NOT LASTING AS LONG (E IS STILL VIGILANT IN HIS !$,´S BUT IS FREER TO DO MORE ACTIVITIES (E IS EVEN STARTING BACK TO WORK AS A MANUAL THERAPIST #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 ) Full body myofascial protocol 1 Evaluation technique: Postural Somatic Awareness 1 Triple paradigm treatment structure: palliative, corrective, integrative LEVEL 2 CREATING SPECIFICITY Advanced specific techniques conclude with dural balancing

1

LEVEL 3 DELVING DEEPER E Linking up new fascial techniques throughout the deep fascial continuum.

SESSION DATES SPRING 2012 COURSE COST $625 plus HST EDMONTON Level 1 - March - 23-25 Level 2 - June 1-3 VANCOUVER Level 1- April 27-29 Level 2 - Fall dates coming

SAVE $100

on each level by registering more than 30 days in advance.

MONTREAL (French) Level 1 - April 13-15 Level 2 - Mar 9 - 11 Level 3 - May 11 - 13

Keep an eye on our new web site for new dates and cities! www.baronbodyworks.ca

CEUs: NHPC = 15 CMTBC = 21 MTAA = 24

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) SEE HIM USUALLY ON A MONTHLY BASIS 4HIS KIND OF DEGENERATIVE CONDITION TENDS TO WORSEN AND THEREFORE HIS PROGNOSIS IS ONLY FAIR 4REATMENT %ND RANGE LOADING THE PRIMARY DORSAL RAMI OF THE LEFT LOWER LUMBAR SPINE !GAIN THE AMOUNT OF FORCE AND THE DIRECTION IS DETERMINED BY THE PATIENTS´ RESPONSE $IAGNOSIS )NSTABILITY OF THE LEFT LUMBOSACRAL APOPHYSEAL JOINT PERHAPS A FORM OF DEGENERATIVE SPONDYLOLISTHESIS RESULTING IN NON VASCULAR EDEMA AFFECTING BLOOD SUPPLY TO NERVES IN THIS JOINT 2EFERENCE -EDIAL BRANCH BLOCKS VERSUS PERICAPSULAR BLOCKS IN SELECTING PATIENTS FOR PERCUTANEOUS CRYODENERVATION OF LUMBAR FACET JOINTS "IRKENMAIER # 6EIHELMANN ! 4ROUILLIER (( (AUSDORF * VON 3CHULZE 0ELLENGAHR # 2EG !NESTH 0AIN -ED *AN &EB $ISCUSSION AND 3UMMARY .OTICE IN THE ABOVE CASES THE DIAGNOSIS WAS ENTERED AFTER THE TREATMENT 4HE LOGIC BEHIND THIS REPRESENTS A PARADIGM SHIFT IN CLINICAL REASONING 2EMEMBER WE ARE CONCERNED WITH CHRONIC MECHANICAL BACK PAIN IN THIS PAPER ) CAN ONLY BE COMFORTABLE WITH A DIAGNOSIS AFTER THE

PATIENT RESPONDS TO A TREATMENT 4HE TREATMENT PROCEDURE IS ALSO AN ORTHOPEDIC AND NEUROLOGICAL TEST AND THEREFORE THE THERAPIST IS ALWAYS LOOKING FOR PATIENT RESPONSES AS THE TECHNIQUES ARE BEING PERFORMED 4HIS COMMUNICATION ELICITS INFORMATION THAT LEADS TO THE CORRECT LOADING STRATEGY AND AS A RESULT THE DIAGNOSIS )N THESE FOUR STUDIES THE ACTUAL SITES OF THE PATHOLOGIES ARE LESS THAN ONE INCH FROM EACH OTHER ) CAN BE SURE THAT ANY ONE PROCEDURE IS GOING TO AFFECT MORE THAN ONE STRUCTURE 4AKE FOR EXAMPLE THE CAUDA EQUINA TECHNIQUE BOTH THE DISCS AND JOINT CAPSULS ARE GOING TO BE AFFECTED DURING THE PROCEDURE )N CASE ONE WE LOADED NERVES IN THE LATERAL CANAL NAMELY THE NERVE ROOTS THE SINUVERTEBRALS THE SYMPATHETICS AND THE INTERSTITIALS FORMED FROM NEUROGENESIS )N CASE TWO THE HYDROSTATIC PRESSURE WAS DECREASED WITHIN THE DISCS ALLOWING BLOOD TO ¾OW INTO THE SYMPATHETIC INTERSTITIAL ½BRES FORMED FROM NEUROGENESIS )N CASE THREE BY ¾EXION TRACTIONING THE LUMBAR SPINE BOTH THE CENTRAL AND LATERAL CANALS WERE AT A GREATER VOLUME DURING THE PROCEDURE

! " # $ ! " ! % & ' ( ) * +, ( %( * +- ( % +- ( %% +,

!GAIN THE AMOUNT OF FORCE AND THE DIRECTION IS DETERMINED BY THE PATIENT´S RESPONSE

THIS INCREASED VOLUME DECREASED THE PRESSURE WITHIN THE CANAL AND ALLOWED BLOOD TO ¾OW IN .ERVES AFFECTED HERE COULD BE ANY OF THE PARASYMPATHETICS SYMPATHETICS AND THE SPINAL NERVES )N MY OPINION TOO MUCH EMPHASIS IS PLACED ON NEUROGENIC CLAUDICATION WITH SPINAL STENOSIS 9OU WILL REMEMBER NERVES TO THE LEGS ARE FORMED FROM THE PLEXI WHICH ARE ONLY FROM THE PRIMARY VENTRAL ROOTS OF THE SPINAL NERVES ANY

OF THE NERVES WITHIN THE CAUDA COULD BE AFFECTED #ASE FOUR DEMONSTRATES NERVES FROM THE PRIMARY DORSAL RAMUS /N THE INITIAL PRESENTATION THERAPISTS MOST OFTEN ONLY GET A GENERAL IDEA OF THE PATIENT´S CONDITION )N THE CASES ABOVE IT TOOK SEVERAL VISITS BEFORE A DIAGNOSIS WAS FORMED THE FOURTH SUBJECT TOOK OVER A YEAR TO ASSESS PROPERLY 4HE PATIENT´S RESPONSE TO THE TREATMENT IS THE GUIDING LIGHT Ä‚

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4HE FASCIAL NETWORK AN EXPLORATION OF ITS LOAD BEARING CAPACITY AND ITS POTENTIAL ROLE AS A PAIN GENERATOR

BY DR ROBERT SCHLEIP /"*%#4)6%3 7HILE FASCIAE HAVE BEEN TREATED AS THE VIRTUAL ³CINDERELLA TISSUE OF ORTHOPEDIC RESEARCH´ DURING RECENT DECADES NEW METHODOLOGICAL ½NDINGS AND HYPOTHESES SUGGEST THAT THE BODYWIDE FASCIAL NETWORK MAY PLAY A MORE IMPORTANT ROLE IN MUSCULOSKELETAL MEDICINE THAN IS COMMONLY ASSUMED (OWEVER IN THE LITERATURE THERE IS GREAT DIVERSITY AS TO WHICH TISSUES ARE TO BE INCLUDED UNDER THE TERM ³FASCIA´ ¯ BE IT THE SUPER½CIAL FASCIA THE ENDOMYSIUM PERINEURIUM VISCERAL MEMBRANES APONEUROSES RETINACULAE OR JOINT ORGAN CAPSULES &OLLOWING THE PROPOSED COMPREHENSIVE TERMINOLOGY OF THE ST &ASCIA 2ESEARCH #ONGRESS THIS BRIEF REVIEW CONSIDERS ALL COLLAGENOUS CONNECTIVE TISSUES AS ³FASCIAL TISSUES´ WHOSE MORPHOLOGY IS DOMINANTLY SHAPED BY TENSIONAL LOADING AND WHICH CAN BE SEEN TO BE PART OF AN INTERCONNECTED TENSIONAL NETWORK THROUGHOUT THE WHOLE BODY &INDLEY 3CHLEIP 7HILE MORPHOLOGICAL DIFFERENCES BETWEEN APONEUROSES AND LATTICE LIKE OR IRREGULAR FASCIAE CAN STILL BE PROPERLY DESCRIBED WITH THIS TERMINOLOGY IT ALLOWS SEEING SPECI½C TISSUE ¯ E G SEPTAE CAPSULES AND LIGAMENTS ¯ AS LOCAL ADAPTATIONS OF THIS UBIQUITOUS NETWORK BASED ON SPECI½C LOADING HISTORIES 7HAT ARE THE BIOMECHANICAL FUNCTIONS OF THIS FASCIAL NETWORK AND WHAT ROLE DO THEY PLAY IN MUSCULOSKELETAL DYSFUNCTIONS 4HIS BRIEF LITERATURE REVIEW WILL HIGHLIGHT THE LOAD BEARING FUNCTION OF DIFFERENT FASCIAL TISSUES AND ALSO THEIR TENDENCY TO MICROTEARING DURING PHYSIOLOGICAL OR EXCESSIVE LOADING

)T WILL REVIEW HISTOLOGICAL STUDIES INDICATING THE PROPRIOCEPTIVE AS WELL AS NOCICEPTIVE INNERVATION OF FASCIA &INALLY THE POTENTIAL ROLE OF INJURY IN¾AMMATION AND OR NEURAL SENSITIZATION OF THE POSTERIOR LAYER OF THE HUMAN LUMBAR FASCIA IN NONSPECI½C LOW BACK PAIN WILL BE EXPLORED &).$).'3 &ASCIAL FORCE TRANSMISSION IS AN IMPORTANT PLAYER IN HUMAN BIOMECHANICS 7HILE THE TENSIONAL LOAD BEARING FUNCTION OF TENDONS AND LIGAMENTS HAS NEVER BEEN DISPUTED RECENT PUBLICATIONS FROM (UIJING ET AL REVEALED THAT MUSCLES VIA THEIR EPIMYSIA ALSO TRANSMIT A SIGNI½CANT PORTION OF THEIR FORCE TO LATERALLY POSITIONED TISSUES SUCH AS TO ADJACENT SYNERGISTIC MUSCLES AND ALSO ¯ MORE SURPRISINGLY TO ANTAGONISTIC MUSCLES (UIJING 4HE REPORTED CONTRIBUTION OF - TRANSVERSUS ABDOMINIS TO DYNAMIC LUMBAR SPINAL STABILITY HAS BEEN ASSOCIATED WITH THE LOAD BEARING FUNCTION OF THE MIDDLE LAYER OF THE LUMBAR FASCIAE IN HUMANS "ARKER ET AL 3IMILARLY %-' BASED MEASUREMENTS OF THE ³¾EXION RELAXATION PHENOMENON´ SUGGEST A STRONG TENSIONAL LOAD BEARING FUNCTION OF DORSAL FASCIAL TISSUES DURING HEALTHY FORWARD BENDING OF THE HUMAN TRUNK 4HIS LOAD SHIFTING IS REPORTEDLY ABSENT IN LOW BACK PAIN PATIENTS 3HIRADO ET AL 2ECENT ULTRASOUND BASED MEASUREMENTS INDICATE THAT FASCIAL TISSUES ARE COMMONLY USED FOR A DYNAMIC ENERGY STORAGE ;CATAPULT ACTION= DURING OSCILLATORY MOVEMENTS SUCH AS WALKING

,AYERS OF LUMBAR FASCIA IN A HORIZONTAL CROSS SECTION OF THE HUMAN TRUNK AT THE LAYER OF , .OTE THE LARGE DISTANCE BETWEEN THE POSTERIOR LAYER OF THE LUMBAR FASCIA 0,& AND THE AXIS OF SPINAL FLEXION MAKING THIS LAYER SUSCEPTIBLE TO LARGE STRAIN DEFORMATIONS DURING FORWARD BENDING .OTE ALSO THE CLOSE ASSOCIATION OF THE TRANSVERSUS ABDOMINIS INNERMOST ABDOMINAL MUSCLE WITH THE MIDDLE LAYER OF THE LUMBAR FASCIA -,& %3 ERECTOR SPINAE 03 PSOAS 1, QUADRATUS LUMBORUM !,& ANTERIOR LAYER OF LUMBAR FASCIA )LLUSTRATION ADAPTED FROM THE .0!# /,$! 6ISIBLE (UMAN 6IEWER ; = WITH PERMISSION

HOPPING OR RUNNING $URING SUCH MOVEMENTS THE SUPPORTING SKELETAL MUSCLES CONTRACT MORE ISOMETRICALLY WHILE THE LOADED FASCIAL ELEMENTS LENGTHEN AND SHORTEN LIKE ELASTIC SPRINGS &UKUNAGA ET AL &ASCIAL TISSUES ARE PRONE TO DEFORMATION &IBROUS COLLAGENOUS CONNECTIVE TISSUES ARE PRONE TO VISCOELASTIC DEFORMATIONS SUCH AS CREEP HYSTERESIS AND RELAXATION 3UCH TEMPORARY DEFORMATIONS ALTER FASCIAL STIFFNESS AND COMPLETE RECOVERY MAY TAKE UP TO SEVERAL HOURS ,OAD BEARING TESTS ALSO REVEAL THE EXISTENCE OF A GRADUAL TRANSITION ZONE BETWEEN REVERSIBLE VISCOELASTIC DEFORMATION AND COMPLETE TISSUE TEARING 6ARIOUS DEGREES OF MICROTEARING OF COLLAGENOUS ½BERS AND THEIR INTERCONNECTIONS HAVE BEEN DOCUMENTED TO OCCUR WITHIN THIS TRANSITION ZONE "UTLER ET AL 4HE FASCIAL NETWORK SERVES AS A SENSORY ORGAN &ASCIA IS DENSELY INNERVATED BY MYELINATED SENSORY NERVE ENDINGS WHICH ARE ASSUMED TO SERVE A PROPRIOCEPTIVE FUNCTION 4HESE INCLUDE 0ACINI AND PACINIFORM CORPUSCLES 'OLGI TENDON ORGANS AND 2UF½NI ENDINGS 3TECCO ET AL )N ADDITION THEY ARE INNERVATED BY FREE ENDINGS 7HEN INCLUDING PERIOSTEAL ENDOMYSIAL AND PERIMYSIAL TISSUES AS PART OF A BODYWIDE INTERCONNECTED NETWORK THIS #ONTINUED ON PAGE

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FASCIAL NET CAN BE SEEN AS OUR LARGEST SENSORY ORGAN )T IS DE½NITELY THE RICHEST SENSORY ORGAN FOR THE THE SOCALLED SIXTH SENSE THE SENSE OF PROPRIOCEPTION 3CHLEIP &ASCIA CAN BE A SOURCE OF NOCICEPTION -ORE RECENT HISTOLOGICAL EXAMINATIONS HAVE SHOWN THAT SOME OF THE FREE NERVE ENDINGS IN FASCIA ARE SUBSTANCE 0 CONTAINING RECEPTORS WHICH ARE COMMONLY ASSUMED TO BE NOCICEPTIVE 4ESARZ $ELAYED ONSET MUSCLE SORENESS $/-3 CAN BE INDUCED BY REPETITIVE ECCENTRIC CONTRACTION )NTERESTINGLY A RECENT EXPERIMENTAL STUDY REVEALED THAT THE EPIMYSIAL FASCIA OF THE AFFECTED MUSCULATURE PLAYS A MAJOR ROLE IN THE GENERATION OF $/-3 RELATED PAIN SYMPTOMS 'IBSON ET AL 4HE HUMAN LUMBAR FASCIA AS POTENTIAL GENERATOR OF LOW BACK PAIN 0ANJABI´S NEW EXPLANATORY MODEL OF LOW BACK PAIN INJURIES SUGGESTS THAT A SINGLE TRAUMA OR CUMULATIVE MICROTRAUMA CAUSES SUBFAILURE INJURIES OF PARASPINAL CONNECTIVE TISSUES AND THEIR EMBEDDED MECHANORECEPTORS THEREBY LEADING TO CORRUPTED MECHANORECEPTOR FEEDBACK AND RESULTING IN FURTHER CONNECTIVE TISSUE ALTERATIONS AND NEURAL ADAPTATIONS 0ANJABI /UR GROUP SUBSEQUENTLY PROPOSED AN EXTENSION OF THAT MODEL WHICH INCLUDES THE POSTERIOR LAYER OF THE LUMBAR FASCIA AS A POTENTIAL FOCUS OF SUCH MICROTRAUMA AND RESULTING MUSCLE CONTROL DYSFUNCTION &ACTORS RAISED IN SUPPORT OF THAT EXPLANATION INCLUDE THE LONG DISTANCE OF THIS LAYER FROM THE AXIS OF SPINAL ¾EXION &IG AS WELL AS ITS LESSER STIFFNESS COMPARED WITH SPINAL LIGAMENTS 3CHLEIP ET AL ,ANGEVIN REPORTS THAT THE POSTERIOR LAYER OF THE LUMBAR FASCIA TENDS TO BE THICKER IN CHRONIC LOW BACK PAIN PATIENTS )N ADDITION IT EXPRESSES LESS SHEAR MOTION DURING PASSIVE TRUNK ¾EXION ,ANGEVIN ET AL 3URGICAL EXAMINATIONS OF THE POSTERIOR LAYER OF THE LUMBAR FASCIA REVEALED FREQUENT SIGNS OF INJURY "EDNAR ET AL AND OF IN¾AMMATION $ITTRICH $ITTRICH IN LOW BACK PAIN PATIENTS )N ADDITION NEW HISTOLOGICAL EXAMINATIONS AT OUR LABORATORY HAVE SHOWN A HIGH DENSITY OF MYO½BROBLASTS THE EXISTENCE OF WHICH IS USUALLY ASSOCIATED

Ä‚

WITH EXCESSIVE LOADING OR INJURY REPAIR ¯ IN THE SAME FASCIAL LAYER 3CHLEIP ET AL !ND ½NALLY INJECTION OF THE IN¾AMMATORY AGENT &REUND !DJUVANS SOLUTION INTO THE RAT LUMBAR MUSCLES RESULTED IN A DRAMATIC INCREASE IN THE PROPORTION OF DORSAL HORN NEURONS WITH INPUT FROM THE POSTERIOR LUMBAR FASCIA 4AGUCHI ET AL #/.#,53)/.3 &ASCIAL TISSUES SERVE IMPORTANT LOAD BEARING FUNCTIONS 3EVERE TENSIONAL LOADING CAN INDUCE TEMPORARY VISCOELASTIC DEFORMATION AND EVEN MICROTEARING 4HE INNERVATION OF FASCIA INDICATES A POTENTIAL NOCICEPTIVE FUNCTION -ICROTEARING AND OR IN¾AMMATION OF FASCIA CAN BE A DIRECT SOURCE OF MUSCULOSKELETAL PAIN )N ADDITION FASCIA MAY BE AN INDIRECT SOURCE OF PHYSICAL PROBLEMS SUCH AS BACK PAIN DUE TO A SENSITIZATION OF FASCIAL NERVE ENDINGS ASSOCIATED WITH IN¾AMMATORY PROCESSES IN OTHER TISSUES WITHIN THE SAME SEGMENT !CKNOWLEDGEMENTS 4HE AUTHORS WOULD LIKE TO RECOGNIZE THE ½NANCIAL SUPPORT PROVIDED BY THE )NTERNATIONAL 3OCIETY OF "IOMECHANICS THE 2OLF )NSTITUTE FOR 3TRUCTURAL )NTEGRATION THE %UROPEAN 2OL½NG !SSOCIATION AND THE 6LADIMIR *ANDA !WARD FOR -USCULOSKELETAL -EDICINE Ä‚ 2EFERENCES "ARKER 0* 5RQUHART $- 3TORY )( ET AL 4HE MIDDLE LAYER OF LUMBAR FASCIA AND ATTACHMENTS TO LUMBAR TRANSVERSE PROCESSES IMPLICATIONS FOR SEGMENTAL CONTROL AND FRACTURE %UR 3PINE * "EDNAR $! /RR &7 3IMON '4 /BSERVATIONS ON THE PATHOMORPHOLOGY OF THE THORACOLUMBAR FASCIA IN CHRONIC MECHANICAL BACK PAIN ! MICROSCOPIC STUDY 3PINE "UTLER $, 'ROOD %3 .OYES &2 ET AL "IOMECHANICS OF LIGAMENTS AND TENDONS %XERC 3PORT 3CI 2EV #HANG 9 * #ODDINGTON 0 (UTCHENS + 6IEWING THE 6ISIBLE (UMAN USING *AVA AND THE 7EB )N 9ANG 9 ,I - %LLIS ! %DS 7EB 4ECHNOLOGIES AND !PPLICATIONS 0ROCEEDINGS OF THE !SIA 0ACI½C 7EB #ONFERENCE !07EB )NTERNATIONAL

!CADEMIC 0UBLISHERS 4OKYO P $ITTRICH 2* ,UMBODORSAL FASCIA AND RELATED STRUCTURES AS FACTORS IN DISABILITY * ,ANCET $ITRRICH 2* ,UMBODORSAL FASCIA AND RELATED STRUCTURES AS FACTORS IN DISABILITY !PPL 4HER &INDLEY 47 3CHLEIP 2 EDS &ASCIA RESEARCH ¯ BASIC SCIENCE AND IMPLICATIONS FOR CONVENTIONAL AND COMPLEMENTARY HEALTH CARE %LSEVIER 'MB( -UNICH &UKUNAGA 4 +AWAKAMI 9 +UBO + ET AL -USCLE AND TENDON INTERACTION DURING HUMAN MOVEMENTS %XERC 3PORT 3CI 2EV 'IBSON 7 !RENDT .IELSEN , 4AGUCHI 4 ET AL )NCREASED PAIN FROM MUSCLE FASCIA FOLLOWING ECCENTRIC EXERCISE ANIMAL AND HUMAN ½NDINGS %XP "RAIN 2ES (UIJING 0! %PIMUSCULAR MYOFASCIAL FORCE TRANSMISSION A HISTORICAL REVIEW AND IMPLICATIONS FOR NEW RESEARCH )NTERNATIONAL 3OCIETY OF "IOMECHANICS -UYBRIDGE !WARD ,ECTURE 4AIPEI * "IOMECH ,ANGEVIN (- 3TEVENS 4UTTLE $ &OX *2 ET AL 5LTRASOUND EVIDENCE OF ALTERED LUMBAR CONNECTIVE TISSUE STRUCTURE IN HUMAN SUBJECTS WITH CHRONIC LOW BACK PAIN "-# -USCULOSKELET $ISORD P 0ANJABI -- ! HYPOTHESIS OF CHRONIC BACK PAIN LIGAMENT SUBFAILURE INJURIES LEAD TO MUSCLE CONTROL DYSFUNCTION %UR 3PINE * 3CHLEIP 2 &ASCIAL PLASTICITY ¯ A NEW NEUROBIOLOGICAL EXPLANATION 0ART *OURNAL OF"ODYWORK AND -OVEMENT 4HERAPIES 3CHLEIP 2 6LEEMING ! ,EHMANN (ORN & ET AL ,ETTER TO THE %DITOR CONCERNING Â! HYPOTHESIS OF CHRONIC BACK PAIN LIGAMENT SUBFAILURE INJURIES LEAD TO MUSCLE CONTROL DYSFUNCTION± - 0ANJABI %UR 3PINE * 3CHLEIP 2 +LINGLER 7 ,EHMANN (ORN & &ASCIA IS ABLE TO CONTRACT IN A SMOOTH MUSCLE LIKE MANNER AND THEREBY IN¾UENCE MUSCULOSKELETAL MECHANICS )N &INDLEY 47 3CHLEIP 2 EDS &ASCIA RESEARCH ¯ BASIC SCIENCE AND IMPLICATIONS FOR CONVENTIONAL AND COMPLEMENTARY HEALTH CARE %LSEVIER 'MB( -UNICH P #ONTINUED ON PAGE

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$EE 7ILLOCK ¯ ! 0ORTRAIT OF 0ASSION 0ROGRESS AND 0ATIENCE BY COREY VAN´T HAAFF $EE 7ILLOCK STILL REMEMBERS THE DAY IN 3EPTEMBER WHEN SHE ½RST CLIMBED THE STEEP NARROW STAIRS OF A HOUSE ON TH !VENUE UP INTO THE TWO ROOM ATTIC THAT HAD BEEN CONVERTED INTO OF½CES ±)T WAS HILARIOUS 0ICTURE THIS IT WAS A BRIGHT BLUE HOUSE AND YOU WALKED UP TO THE THIRD ¾OOR AND THERE WERE TWO ROOMS /NE HAD AN OLD FASHIONED DESK A COUPLE OF CHAIRS AND ONE SHELF 4HE OTHER ROOM WAS EMPTY EXCEPT FOR BOXES OF OLD 0HYSICIANS´ 'UIDES ² SAYS $EE ±4HERE WAS A LITTLE MONOCHROME MONITOR AN OLD ANSWERING MACHINE AND NO FAX ) DIDN´T DO MUCH BUT SELL 0HYSICIANS´ 'UIDES ² 4HAT WAS HER INTRODUCTION TO THE -ASSAGE 4HERAPISTS´ !SSOCIATION OF "# 3HE GOT THE JOB ¯ ONE DAY A WEEK ¯ AND WAS THE ONLY EMPLOYEE OF THE THEN MEMBER ORGANIZATION ±3LOWLY BUT SURELY THE ORGANIZATION GREW 4HE JOB ROSTER WAS KEPT IN A SIMPLE BINDER AND WE ½LLED POSITIONS ONE PHONE CALL AT A TIME ² SHE SAYS ±)NITIALLY ) DID THE BIG MAIL OUTS BY HAND FROM MY LIVING ROOM ² 4HE -4!"# "OARD BECAME MORE ROBUST AND AN ADDITIONAL STAFFER WAS HIRED TO DEVELOP A DATABASE AND PROVIDE COMPUTER TRAINING "Y THE !SSOCIATION WAS BEGINNING TO RESEMBLE ITS CURRENT PRO½LE )T OFFERED INCREASED SUPPORT FOR 2-4S HAD PREPRINTED PAMPHLETS FOR CLINICS AND HAD INCREASED ITS GOVERNMENT LOBBYING -ANY MORE JOINED WHEN MALPRACTICE INSURANCE BECAME MANDATORY WITH AN EXCELLENT INSURANCE PRODUCT AVAILABLE THROUGH THE -4!"# 4ODAY MORE THAN PER CENT OF 2-4S IN "# BELONG TO THE !SSOCIATION "Y THE END OF THE S EVERYTHING STARTED CLICKING ALONG SAYS $EE %MAIL WAS THE NEW WAY TO COMMUNICATE 4HE !SSOCIATION MOVED TO A NEW OF½CE AT "ROADWAY AND (EATHER ±SO BIG ¯ THREE ROOMS ² SHE SAYS ±7E HAD TWO !'-S A YEAR 7E MADE IT FUN

$EE 7ILLOCK PHOTO $4$E7ITT

4HE NUMBERS WERE SMALL MAYBE 2-4S AT THE !'- ² SAYS $EE ±"UT THERE WAS A GREAT SENSE OF CAMARADERIE AND WE WERE ALL WORKING TO BUILD THE 2-4 PUBLIC PRO½LE ² ±7E BECAME MORE RELEVANT 7E HAD A STRONG GOVERNMENT LOBBY AND A LIAISON WITH )#"# AND $6! 7E BECAME VISIBLE TO #ROWN CORPORATIONS AND THIRD PARTY INSURERS ² SAYS $EE ±7E ALSO STARTED TO UNDERSTAND THAT WE NEEDED TO SERVE MEMBERS MORE AND TO PRODUCE PRODUCTS THEY COULD HAND OUT 7E HAD 02 TOOLS TO GIVE TO BOTH DOCTORS AND LEGISLATORS ² )N THE !SSOCIATION LAUNCHED A WEB SITE WHICH IN TURN TAUGHT IT MUCH ABOUT PUBLIC RELATIONS $EE SAYS )T WAS A BIG UNDERTAKING AND IT RECEIVED HUGE SUPPORT ±2ESEARCH ALSO BECAME BIG THERE WAS VERY LITTLE AT THE START ² SHE EXPLAINS ±!ND THERE WAS NO ONE IN HOUSE 7E WOULD HIRE ½RMS TO PROVIDE US WITH EVIDENCE TO SUPPORT THE EF½CACY OF MASSAGE THERAPY SO WE COULD DEMONSTRATE TO INSURERS AN 2-4´S INCREASING VALUE ² -UCH HAS CHANGED IN TWO AND A HALF DECADES $EE IS THE -ANAGER OF -EMBER 3ERVICES AND WORKS WITH FOUR FULL TIME AND TWO

PART TIME STAFF PLUS CONTRACT WORKERS TO PROVIDE SERVICES AND BENE½TS TO MORE THAN 2-4S IN "# !S PART OF ITS CONTINUED GROWTH THE -4!"# OF½CE AT !IRPORT 3QUARE RECENTLY UNDERWENT RENOVATIONS TO ACCOMMODATE ADDITIONAL OF½CES AND A LARGER CONFERENCE ROOM /VER THE YEARS SHE HAS WORKED AT THE !SSOCIATION $EE SAYS REGISTERED MASSAGE THERAPY AND THE -4!"# HAVE BECOME MORE RELEVANT TO HEALTH CARE ±4HE PUBLIC RECOGNIZES THE 2-4 BRAND 4HEY KNOW THE 2-4 REPUTATION ² SHE SAYS ±4HE 2-4 IMAGE HAS CHANGED AND THE !SSOCIATION HAS ACCOMPLISHED THIS ² "OTH PUBLIC EDUCATION AND CONTINUING EDUCATION FOR MEMBERS HAS GROWN AND TODAY THE -4!"# SUPPORTS 2-4S BY TEACHING THEM HOW TO RUN THEIR CLINICS BUILD THEIR PRACTICES AND UNDERSTAND THEIR OBLIGATIONS $EE´S OWN METAMORPHOSIS MIRRORS THE !SSOCIATION´S !S THE -4!"# BECAME MORE OF A PROFESSIONAL ORGANIZATION SO HAS $EE BECOME A PROFESSIONAL MANAGER AND EVENT PLANNER 7HAT STARTED AS A VERY PART TIME JOB WHILE HER DAUGHTER WAS IN SCHOOL TRANSFORMED INTO A CAREER THAT TAPPED INTO HIDDEN TALENTS ±4HIS JOB AND THE -4!"# HAVE BEEN A SUPPORT AND FOUNDATION FOR MY LIFESTYLE -Y POSITION WITH THE !SSOCIATION HAS ALSO HELPED ME TO DEVELOP INTO A TECHNICAL WRITER WHICH HAS BEEN OF GREAT BENE½T TO ME ² SAYS $EE 3HE LIKES WORKING IN MEMBER SERVICES AND SHE IS GOOD AT IT ±) TRY TO BE A GOOD LISTENER ) HAVE BECOME THE EAR OF THE -4!"# IN PART BECAUSE OF MY LONGEVITY BUT IN PART BECAUSE MEMBERS KNOW ) WILL HEAR WHAT THEY ARE SAYING ² SAYS $EE ±) UNDERSTAND THAT THE !SSOCIATION´S ROLE IS TO PROVIDE SERVICES TO MEMBERS TO GIVE THEM WHAT THEY NEED 4HEY´RE THE CUSTOMERS ² $EE ALSO COORDINATES -4!"#´S CONTINUING EDUCATION COURSES AND THE !'- MANAGING #ONTINUED ON PAGE

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3HIRADO / )TO 4 +ANEDA + 3TRAX 4% &LEXION RELAXATION PHENOMENON IN THE BACK MUSCLES ! COMPARATIVE STUDY BETWEEN HEALTHY SUBJECTS AND PATIENTS WITH CHRONIC LOW BACK PAIN !M * 0HYS -ED 2EHABIL 3TECCO # -ACCHI 6 0ORZIONATO ! ET AL 4HE !NKLE 2ETINACULA -ORPHOLOGICAL %VIDENCE OF THE 0ROPRIOCEPTIVE 2OLE OF THE &ASCIAL 3YSTEM #ELLS 4ISSUES /RGANS %PUB AHEAD OF PRINT 0-)$ 4ESARZ * 4HE INNERVATION OF THE FASCIA THORACOLUMBALIS )N (UIJING 0! (OLLANDER 0 &INDLEY 47 3CHLEIP 2 EDS &ASCIA RESEARCH )) ¯ BASIC SCIENCE AND IMPLICATIONS FOR CONVENTIONAL AND COMPLEMENTARY HEALTH CARE

Ä‚

%LSEVIER 'MB( -UNICH P 4AGUCHI 4 4ESARZ * -ENSE 3 4HE THORACOLUMBAR FASCIA AS A SOURCE OF LOW BACK PAIN )N (UIJING 0! (OLLANDER 0 &INDLEY 47 3CHLEIP 2 EDS &ASCIA RESEARCH )) ¯ BASIC SCIENCE AND IMPLICATIONS FOR CONVENTIONAL AND COMPLEMENTARY HEALTH CARE %LSEVIER 'MB( -UNICH P 0UBLISHED IN 6LEEMING ! ET AL 0ROCEEDINGS OF THE TH )NTERDISCIPLINARY 7ORLD #ONGRESS ON ,OW "ACK 0ELVIC 0AIN ,OS !NGELES .OVEMBER )3". PAGE &URTHER INFORMATION WWW FASCIARESEARCH COM % MAIL CONTACT ROBERT SCHLEIP UNI ULM DE

REGISTRATION GAINING REGULATORY APPROVAL HANDLING LOGISTICS HOSPITALITY AND SPEAKERS )T ALLOWS HER SHE SAYS TO MAKE ORDER OUT OF CHAOS SOMETHING SHE ENJOYS IMMENSELY 7RITING SHE DISCOVERED IS BOTH A PASSION AND AN INNATE ABILITY 3HE SAYS THE BIGGEST LESSON WHETHER WRITING OR WORKING WITH PEOPLE IS TO DRAW UPON THE COMBINATION OF SKILLS USED IN MANAGING AND IN UNDERSTANDING PEOPLE 4HESE SKILLS HONED AT THE -4!"# HAVE NOW OPENED A NEW DOOR FOR HER INTO PUBLISHING $EE HAS BEEN PRIVATELY TEACHING MEDITATION AND YOGA FOR YEARS /NE DAY WHILE HAVING HER OIL CHECKED AT A GAS STATION THE ATTENDANT ASKED

HER HOW TO MEDITATE 3HE REALIZED THAT FOR MANY PEOPLE THE DESIRE TO MEDITATE WAS NOT FOLLOWED BY THE ABILITY TO MEDITATE (ER BOOK &ALLING )NTO %ASY (ELP &OR 4HOSE 7HO #AN´T -EDITATE ANSWERS THE OFT ASKED QUESTION ³HOW DO ) MEDITATE ´ )T TEACHES THE READER TO UNDERSTAND THE MECHANICS OF MEDITATION IN ORDER TO ½ND PRACTICAL WAYS TO WORK WITH THE MIND AND ½NALLY LEARN TO MEDITATE )T´S NO SURPRISE REALLY THAT $EE WOULD BE IN A GOOD POSITION TO WRITE AND PUBLISH A BOOK &OR $EE IT IS JUST ANOTHER WAY THAT SHE CAN HELP OTHERS ½ND WHAT THEY NEED $EE´S BOOK CAN BE FOUND AT WWW FALLINGINTOEASY COM Ä‚

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&ASCIAL &ITNESS 2ESTRUCTURING YOUR !RCHITECTURE !N )NTERVIEW WITH 4HOMAS -YERS

)LLUSTRATION ABOVE 4WO MUSCLES HELD TOGETHER BY AREOLAR TISSUE ¯ ±FUZZ² 4HE ±STRAPPING TAPE² NATURE OF THE FASCIA COVERING THE QUADRICEPS 4HE VERY DELICATE HYDRATED TISSUE THAT ALLOWS CHANGE AND MOVEMENT BENEATH OUR SKIN BETWEEN OUR MUSCLES AND ANYWHERE ANATOMICAL STRUCTURES HAVE TO SLIDE ON EACH OTHER ¯ )MAGE USED WITH KIND PERMISSION FROM 4OM -YERS PHOTO &ROM .ISHIMURA 4 ET AL !CTA !NATOMICA

SYSTEM THAT CONSIDERS THE FASCIAL NETWORK IN THE MIX %VEN THE TERM MUSCULOSKELETAL SYSTEM COULD BE CONSIDERED INACCURATE ¯ AS THAT WHICH TIES IT ALL TOGETHER ISN´T EVEN INCLUDED 4O THAT AMENDS ¯ 2OBERT 3CHLEIP 0H$ HAS SUGGESTED THE TERM .EUROMYOFASCIAL WEB ¯ A MORE INCLUSIVE AND ACCURATE ACCOUNT OF THE TISSUES SYSTEMS INVOLVED IN HUMAN BIOMECHANICS &ASCIA "ASICS

/RIGINAL PHOTO FROM 3 +ARGER !' "ASEL

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BY CATHY RYAN ±4RADITIONAL ANATOMY TEXTS OF THE MUSCLES AND BONES ARE INACCURATE BASED ON A FUNDAMENTAL MISUNDERSTANDING OF OUR MOVEMENT FUNCTION &ASCIA WHICH TIES ONE TO THE OTHER IS MUCH MORE THAN ±PLASTIC WRAP AROUND THE MUSCLES ² &ASCIA IS THE ORGAN SYSTEM OF STABILITY AND MECHANOREGULATION² ¯ 4 -YERS #ONSEQUENTLY THIS MISUNDERSTANDING HAS RESULTED IN THE INABILITY TO FULLY COMPREHEND THE NATURE AND FUNCTIONING OF A SOFT TISSUE SKELETAL

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3TECCO # 0ORZIONATO ! ,ANCEROTTO , 3TECCO ! -ACCHI 6 $AY *! $E #ARO 2

±(ISTOLOGICAL STUDY OF THE DEEPFASCIAE OF THE LIMBS ² * "ODYW -OV 4HER

3TECCO , &ASCIAL -ANIPULATION FOR -USCULOSKELETAL 0AIN 0ICCIN 0ADOVA

%FTDSJQUJPO PG UIF $PVSTF

In this 2-day course, a specific assessment method for realignment of the body will be introduced. The assessment findings and the treatment approach, based on a unique concept and theory, will also be explored. The Corrective Myo-Spinal Alignment Technique, “CMAT” will be taught with a specific assessment method on the 2nd day of the course.

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#URRENT RESEARCH SUGGESTS THAT STRUCTURALLY FASCIA DISPLAYS TWO DISTINCT FUNCTIONS Ä‚TO SEPARATE ALLOWING FOR SLIDE AND GLIDE ½G Ä‚TO CONNECT AUGMENTING THE TRANSFER FORCES ½GS &ASCIA AS A TISSUE OF ³SEPARATION´ CREATES SPACE WHICH FUNCTIONS AS AN INTERFACE FOR EASE OF SLIDING AND GLIDING OF STRUCTURES TISSUES IN RELATION TO ONE ANOTHER 3PATIAL SEPARATION SUPPORTS UNIMPEDED MOTION AND MOTION ENSURES THE HEALTHY FUNCTIONING OF TISSUES STRUCTURES AND THE SLIDING GLIDING INTERFACE &ASCIA AS A TISSUE OF ³CONNECTION´ LINKS TOGETHER OUR VARIOUS ANATOMICAL BITS AND PIECES BONES JOINTS MUSCLES ETC THEREBY CREATING AN ARCHITECTURE THAT AUGMENTS THE TRANSFER OF FORCES ACROSS A BROADER ARRAY OF TISSUES STRUCTURES #ONNECTION ENHANCES STRENGTH STABILITY AND EF½CIENT COORDINATED MOVEMENT AND LOCOMOTION #URRENT RESEARCH HAS DETERMINED THAT FASCIA IS DENSELY POPULATED WITH MECHANORECEPTORS X´S MORE SO THAN MUSCLE PROVIDING FASCIA WITH THE ABILITY TO PERCEIVE STRETCH SHEAR AND PRESSURE AND REMODEL IN RESPONSE TO SUCH STIMULI AND SUGGESTING THAT THE MAJORITY OF PROPRIOCEPTION OCCURS IN THE FASCIAL NETWORK )T IS BECOMING EVIDENT THAT FASCIA PLAYS AN INTEGRATING FUNCTION AS A PROPRIOCEPTIVE ORGAN AND THAT IT CAN COORDINATE THE ACTION OF DIFFERENT MUSCLES BY ACTING AS A MYOKINETIC LINKAGE SYSTEM 4HE LINKAGE OF VARIOUS TISSUES STRUCTURES

IS WELL ILLUSTRATED BY -YERS´ !NATOMY 4RAINS VAN DER 7AL´S ±)N 3ERIES² CONCEPT AND 3TECCO´S &ASCIAL -ANIPULATION FOR -USCULOSKELETAL 0AIN ! MORE SOLID UNDERSTANDING OF THE NATURE AND FUNCTIONING OF FASCIA WOULD BENE½T MANUAL THERAPISTS SPORT PERFORMANCE TRAINERS AND MOVEMENT PRACTITIONERS ;OF ANY DENOMINATION= &ASCIAL &ITNESS IS THE COLLABORATIVE WORK OF 4HOMAS -YERS DIRECTOR OF +INESIS AUTHOR OF !NATOMY 4RAINS AND $R 2OBERT 3CHLEIP PROMINENT FASCIAL RESEARCHER AND 2OL½NG‡ TEACHER )N THE FOLLOWING INTERVIEW 4OM -YERS WILL PROVIDE SOME INSIGHT INTO A FASCIA INCLUSIVE APPROACH TO SPORT INJURY PRE REHABILITATION CONDITIONING AND TRAINING (ELLO 4OM WELCOME TO -ASSAGE -ATTERS #2 4OM THERE ARE MANY POTENTIAL CLINICAL APPLICATIONS COMING OUT OF THE CURRENT BODY OF FASCIA STUDIES 7HAT WAS THE CATALYST FOR DEVELOPING &ASCIAL &ITNESS 4- ) LIKE YOUR TERM FASCIA INCLUSIVE TRAINING BECAUSE ALL TRAINING INCLUDES FASCIA )T´S NOT LIKE FASCIA IS A NEW TISSUE BUT ;EVIDENCE BASED= MINDFUL INCLUSION IS RELATIVELY NEW 4HE RECENT BOOM IN FASCIA RESEARCH IS PROVIDING US WITH A MORE COMPREHENSIVE UNDERSTANDING OF FASCIA´S COLLAGEN ARCHITECTURE WHICH IN TURN HELPS US TRAIN MORE INTELLIGENTLY I E LESS INJURY AND QUICKER RECOVERY FROM INJURY AND TRAIN IN A WAY THAT INCLUDES THE ½BER THAT HOLDS THE BODY TOGETHER AS WELL AS THE MUSCLES

THAT MOVE IT AROUND )N THE PAST YEARS WE HAVE SEEN EACH DECADE BIRTH A ½TNESS FOCUS IN THE ´S IT WAS 0OWER ´S !EROBICS ´S .EURO RECRUITMENT ´S #ORE 3UPPORT AND NOW IN THE TEENS ITS &ASCIA ¯ A DIRECT RESULT OF FASCIA RESEARCH COMING ON THICK AND FAST &ASCIA &ITNESS IS DESIGNED TO FUNNEL THE RELEVANT RESEARCH ½NDINGS TO THE MANUAL AND MOVEMENT PRACTITIONER AS QUICKLY AS POSSIBLE #2 4OM CAN YOU PROVIDE US WITH A BRIEF OVERVIEW OF SOME FUNDAMENTAL PRINCIPLES OF &ASCIAL &ITNESS AND HOW THESE DIFFER FROM ³TRADITIONAL EXERCISE TRAINING CONCEPTS 4- 3TRETCH AND 3TRENGTHENING CONSIDERATIONS INCLUDE TEMPO VECTOR AND TAKING A MORE GLOBAL SYSTEM APPROACH )N GENERAL YOU NEED TO WORK MORE SLOWLY IF YOU WANT THE FASCIA TO ELONGATE I E PLASTICITY CHANGES 1UICKER BOUNCY STRETCHING HAS MERIT IN THAT IT PROMOTES MORE ELASTIC SPRINGY COLLAGEN ¯ MORE ON THIS FURTHER ON 3INCE LIFE DOESN´T ALWAYS COME AT US AT THE SAME VECTOR ¯ TRAINING SHOULD INCLUDE CONSISTENT CHANGES IN VECTOR AND TAKING A MORE WHOLE BODY APPROACH 4HIS DIFFERS FROM USING WEIGHT MACHINES WHERE MOVEMENTS ARE DONE IN THE SAME VECTOR EVERY WORKOUT AND OPERATE ON THE MUSCLE ISOLATION PRINCIPLE $OING THE SAME YOGA POSES IN THE SAME WAY ¯ DAY AFTER DAY PROVIDES NO VARIETY IN VECTOR BUT YOGA POSES ARE MORE WHOLE BODY OR GLOBALLY INCLUSIVE ! GLOBAL SYSTEM APPROACH OR LONG CHAIN #ONTINUED ON PAGE

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MOVEMENTS TAKE INTO ACCOUNT THE CONNECTIVITY OF FASCIA ! LONG CHAIN STRETCH EXAMPLE WOULD BE A DOWN DOG YOGA POSE STRETCHING NOT ONLY THE ±HAMSTRING² MUSCLE LENGTHENING THE ENTIRE SUPER½CIAL BACK LINE OF FASCIA 0ROPRIOCEPTIVE 2E½NEMENT IT HAS BEEN DETERMINED THAT SKIN AND SUPER½CIAL FASCIA RECEPTORS PROPRIOCEPTORS ARE MORE DETERMINANT OF MOVEMENT THAN PREVIOUSLY THOUGHT ¯ MORE SO THAN JOINT LIGAMENT RECEPTORS 0RE EVENT SKIN STIMULATION ¯ WHILE IN MOTION ¯ HEIGHTENS PROPRIOCEPTIVE AWARENESS 0ROPRIOCEPTIVE AWARENESS FACTORS IMPROVED PERFORMANCE ESPECIALLY PRECISION MOVEMENTS AND REDUCING THE INCIDENCE OF INJURY 2OBERT ;3CHLEIP= KNEW OF A WEIGHT LIFTER WHO SCRUBBED HIMSELF WITH A VEGGIE BRUSH PRIOR TO EVENTS TO INCREASE PERCEPTUAL PRESENCE DURING HIS EVENTS 4HE WHILE IN MOTION VS LYING ON A TABLE COMPONENT IS VERY IMPORTANT AND -4S OUGHT TO CONSIDER THIS WHEN PROVIDING PRE EVENT MASSAGE 4HERE ARE X´S MORE RECEPTORS IN FASCIA MYOFASCIA THAN IN MUSCLE ½BERS PROPER %VEN MUSCLE SPINDLES MEASURING MUSCLE LENGTH AND STRETCH ARE ACTUALLY LOCATED IN MYOFASCIA ENDOMYSIUM &OR EVERY MUSCLE SPINDLE THERE ARE X´S MORE PROPRIOCEPTORS E G '4/´S 0ACCINI´S 2UF½NI´S AND )NTERSTITIAL 2ECEPTORS IN THE SURROUNDING FASCIA ¯ MONITORING FASCIAL STRETCH PRESSURE AND SHEAR 7HEN YOU SAY YOU ARE FEELING YOUR MUSCLE STRETCH ¯ ACTUALLY YOU ARE FEELING YOUR FASCIA STRETCH DUE TO THE PRONOUNCED HIGHER CONCENTRATION OF FASCIA RECEPTORS

"ECAUSE KINESTHETIC ACUITY PLAYS AN IMPORTANT ROLE IN INJURY PREVENTION ¯ WE CAN SEE HERE THE IMPORTANCE OF DEVELOPING FASCIAL AWARENESS &LUID $YNAMICS (YDRATION TISSUE HYDRATION IS NOT AS SIMPLE AS HOW MUCH YOU DRINK ¯ IT ALSO ENCOMPASSES HOW WELL OUR TISSUES RE½LL OR REHYDRATE 4HE LONGER YOU EXERCISE THE MORE YOU SQUEEZE THE ¾UID OUT OF THE FASCIA ! DECREASE IN ±JUICINESS² WEAKENS FASCIAL COLLAGEN AND DECREASES ITS SPRINGY NESS ¯ RENDING ONE MORE SUSCEPTIBLE TO INJURY 4HERE IS NO SPECI½C FORMULA FOR THE DURATION AND TIMING OF LOAD STRAIN AND RELEASE REST MANY THINGS FACTOR INTO THIS I E AGE NUTRITION SPECI½C BODY PART TYPE OF EXERCISE OR MOVEMENT AND AMOUNT OF STRAIN 7HAT IS CLEAR IS THAT IT IS IMPORTANT TO PERIODICALLY ³UNLOAD´ REST SO TISSUES CAN RE½LL REHYDRATE #HANGING !RCHITECTURE !N IMPORTANT COMPONENT OF &ASCIA &ITNESS IS CREATING MORE YOUTHFUL ELASTIC RESILIENT SPRINGY COLLAGEN &ASCIAL COLLAGEN IS CAPABLE OF CONTINUOUSLY ADAPTING TO REGULARLY OCCURRING DEMAND STRAIN ¯ IN BOTH FAVOURABLE AND UNFAVOURABLE WAYS 4HE PROCESS IN BRIEF !FTER A HEAVY WORKOUT ENZYMES THAT ARE RELEASED BREAK DOWN ³OLD´ I E ¾ATTENED LESS SPRINGY RESILIENT FASCIA COLLAGEN )NITIALLY IN THE ½RST HOURS FOLLOWING DEMAND THERE IS A NET LOSS BREAKDOWN OF COLLAGEN )N THE NEXT HOURS ½BROBLAST MEDIATED REMODELING OCCURS RESULTING IN THE LAYING DOWN OF ±NEW² COLLAGEN ¯ A NET GAIN 7ITH CONSISTENT WORKOUTS ¯ FASCIAL ARCHITECTURAL CHANGES

CAN BE IN¾UENCED RESULTING IN A MORE RESILIENT SPRINGY FATIGUE RESISTANT TISSUE 4HAT IS IF ALL GOES WELL I E PROPER DEMAND LOADING ADEQUATE REST HYDRATION AND NUTRITION ETC 4RAINING &ASCIAL %LASTICITY &IVE YEARS AGO ) WAS BANGING MY ½ST SAYING ³MUSCLE IS ELASTIC ¯ FASCIA IS PLASTIC´ &ASCIA IS FAR MORE ELASTIC THAN PREVIOUSLY THOUGHT AND COLLAGEN ELASTICITY FACTORS GREATLY INTO FASCIA´S KINETIC STORAGE CAPABILITIES I E COUNTERMOVEMENT ¯ CATAPULT EFFECT OR STRETCH AND REBOUND +INETIC STORAGE PLAYS A SIGNI½CANT ROLE IN MANY FORMS OF ATHLETIC PERFORMANCE INCLUDING THE

MECHANISMS AT PLAY IN RUNNING 4HE LENGTHENING AND REBOUND OF THE PLANTAR FASCIA AND ACHILLES TENDON ARE POTENTIALLY A FAR GREATER SOURCE OF PROPULSION AMPLITUDE AND EF½CIENCY THAN MUSCULAR POWER (AVING A VERY LONG HEALTHY ACHILLES TENDON HAS BEEN SHOWN TO AUGMENT KINETIC STORAGE AND REBOUND CAPABILITIES I E AS IS SEEN WITH THE BARE FOOT RUNNERS OF +ENYA +INETIC STORAGE REBOUND LIKE A YOYO OR SUPER BALL REQUIRES FAR LESS ENERGY AND THIS TRANSLATES INTO LESS !40 DEMAND GREATER FATIGUE RESISTANCE AND REDUCED INCIDENCE OF INJURY 4HE SPEED WITH WHICH WE LOAD FASCIA AND RELEASE I E QUICK CYCLIC OR OSCILLATORY MOVEMENTS

TMJ Mastery(.com) Principles, Applications and Disc Displacements

A 3-day integrative workshop focusing on intra-oral techniques that explore TMJ Dysfunction. (18 CMTBC CEC’s)

Course Fee: $485.00 ($150 deposit ~ PayPal) Register at: www.tmjmastery.com Victoria B.C.

April 14, 15, 16, 2012 WCCMT Victoria Campus 101 – 637 Bay Street, Victoria, BC, V8T 5L2

Vancouver B.C.

April 20, 21, 22, 2012 Stanley Park Dining Pavilion 610 Pipeline Road Vancouver, BC, V6G 1Z4

“This workshop took the 2 dimensional info and turned it into a 3 dimensional model I could really understand and start using immediately.” RMTAO Conference, Ottawa 2006 “Very well presented, professionally organized and delivered. Thank You.” Halifax 2011

For more information contact: BC Host: Celeste Ford, RMT at cford_befree@hotmail.com Instructor: John W. Corry, RMT at tmjmastery@hotmail.com

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)NTERVIEW

&ROM PAGE

IMPACTS COLLAGEN ARCHITECTURAL PROPERTIES IN A WAY THAT RESULTS IN MORE YOUTHFUL SPRINGY COLLAGEN 2UNNING WALKING BOUNCING JUMPING SKIPPING ROPE BOUNCING PUSH UPS DYNAMIC STRETCHING MARTIAL ARTS AND BOXING ALL ENCOURAGE THE FORMATION OF MORE ELASTIC RESILIENT COLLAGEN !CTIVITIES LIKE CYCLING OR SPINNING ETC DO NOT HAVE THE SAME EFFECT #2 7HAT IS THE FUNCTIONAL IMPACT OF DENSI½ED ½BROSED FASCIA 4- -OST FASCIAL PROBLEMS ARE DUE TO ADHESIONS &ASCIAL LAYERS GET STUCK TO ADJACENT LAYERS OR OTHER STRUCTURES FASCIA ³LOVES TO DO THIS´ AND SUBSEQUENTLY WE SEE THE IMPACT ON MOVEMENT AND FUNCTION )F WE KEEP THE LAYERS MOBILE CROSS BRIDGING ½BROUS STRANDS WON´T ACCUMULATE ¯ GETTING THICKER AND THICKER ¯ LIKE ADDING RUNGS TO A LADDER 5NDER NORMAL HEALTHY CONDITIONS IN BETWEEN THE LAYERS OF

OUR VARIOUS TISSUES STRUCTURES THERE EXISTS A WEB LIKE SPACE CREATED BY FASCIA AND ¾UID GROUND SUBSTANCE WHICH PROVIDES A SLIDING SURFACE THAT PROMOTES MOVEMENT EASE AND AVAILABILITY SEE ½G ³7HAT YOU DON´T USE YOU LOSE´ IS SO TRUE OF FASCIA .OT MOVING BECOMES ¯ CAN´T MOVE NOT WITHOUT THE HELP OF GETTING THE TISSUES FREED UP ¯ WHICH MAY REQUIRE SOME PAIN AND SWEAT #2 7HAT IS THE APPROPRIATE FREQUENCY FOR &ASCIAL &ITNESS TRAINING 4- ,IKE OTHER FORMS OF TRAINING ¯ ADEQUATE REST BETWEEN WORKOUTS IS IMPORTANT 4RAINING TIMES A WEEK OR EVERY OTHER DAY IS RECOMMENDED 2ECALL THAT IN THE ST HOURS POST HARD WORKOUT FASCIA COLLAGEN IS IN A STATE OF DEGRADATION AND IS IN A WEAKENED STATE /VER THE NEXT HOURS THE NEW TISSUE BECOMES STRONGER MORE RESILIENT ¯ AS

LONG AS THE ARCHITECTURAL RESTRUCTURING I E REMODELING PROCESS IS PROPERLY SUPPORTED 4REAT DEEP STRETCHING AND HEAVY WORKOUTS LIKE DEEP BODY WORK NOT APPROPRIATE JUST PRIOR TO GAME TIME OR AN EVENT ADEQUATE REST AND RECOVERY TIME ARE ESSENTIAL !N INTERESTING NOTE ON $/-3 0REVIOUSLY IT WAS ASSUMED THAT $/-3 IS DUE TO LACTIC ACID ¯ WHEN IN FACT LACTIC ACID IS EF½CIENTLY TAKEN OUT OF MUSCLES -ORE RECENT FASCIAL RESEARCH HAD DETERMINED THAT $/-3 IS ACTUALLY $/&3 DELAYED ONSET FASCIA SORENESS AND HAS NOTHING TO DO WITH LACTIC ACID BUT IS A RESULT OF SUBSTANCE 0 LEAKING OUT OF THE DEGRADING FASCIA POST HEAVY WORKOUT OR INJURY #2 7HEN IT COMES TO TRAINING EXERCISE WE TEND TO BE MOTIVATED BY RESULTS &ROM A &ASCIAL &IT PERSPECTIVE WHAT ARE SOME CHANGES TO #ONTINUED ON PAGE

SOMATIC EXPLORATIONS IS A FIRST OF ITS KIND FACILITY IN CANADA, PROVIDING ACCESS TO THE HUMAN BODY FOR ANATOMY DISSECTION / PRO-SECTION. Some of the offerings in the Lab: Pro-section: The viewing and study of anatomy utilizing a pre-dissected form. s 5PPER %XTREMITY (7 credits CMTBC)

s 0OSTERIOR 4HORAX (7 credits CMTBC)

s !NTERIOR 4HORAX AND 6ISCERA (14 credits CMTBC)

s (EAD .ECK "RAIN (7 credits CMTBC)

#OMPLETE $ISSECTION Participant driven & performed dissection of a human form over six days of Lab time. (42 credits CMTBC)

www.iecWj_Y[nfbehWj_edi$Yec ,&*$+'/$&+++

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 3 P R I N G

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)NTERVIEW

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LOOK FEEL FOR AND WHAT IS THE TYPICAL TIME FRAME FOR SEEING FEELING RESULTS 4- 7ITH MUSCULAR FOCUSED TRAINING NOTICEABLE CHANGES LOCAL INCREASE IN SIZE AND STRENGTH CAN BE SEEN IN AS LITTLE AS WEEKS 4HIS APPROACH MAY WORK FOR A POST BREAKUP ¯ GETTING BACK IN THE´ MARKET´ BLITZ "UT THERE ARE A VARIETY OF POTENTIAL INJURIES THAT COME WITH FAST AND BIG MUSCLE FOCUSED TRAINING !ND ALTHOUGH GAINS MAY BE FAST SO IS LOSS ONCE YOU STOP TRAINING &ASCIAL CHANGES OCCUR MORE SLOWLY ARE MORE GLOBAL AND ARE LONGER LASTING 3LOW GAIN IS NOT NOVEL TO YOGA OR MARTIAL ARTS ¯ BUT THIS DOESN´T ½T WITH ³FAST´ 7ESTERN THINKING AND APPROACHES TO EXERCISE TRAINING 7ITH &ASCIAL &IT WORKOUTS

ÂŻ YOU RAMP UP MORE SLOWLY LESS INCIDENCE OF INJURY AND VARIETY MAKES THEM MORE FUN !S FOR TOTAL COLLAGEN TURN OVER THE HALF LIFE OF COLLAGEN IS YEAR #REATING AN ENTIRELY NEW MORE YOUTHFUL RESILIENT ELASTIC SPRINGY RESPONSIVE FASCIA SUIT CAN TAKE UP TO YEARS Âą"EING SUPPLE AND RESILIENT LIKE BAMBOO REQUIRES DEVOTION AND REGULAR CARE OVER A LONG PERIOD OF TIME² ÂŻ 2 3CHLEIP 4HE &ASCIAL &ITNESS $6$ IS NOW AVAILABLE IN %NGLISH 3TAY TUNED FOR MORE PRODUCTIONS AND ARTICLES AS THE NEW INFORMATION ON FASCIA IS COMING THICK AND FAST *OIN 2OBERT AND 4OM AMONG MANY OTHERS AT THE &ASCIAL 2ESEARCH #ONGRESS IN 6ANCOUVER IN -ARCH OF Ä‚ &OR INFORMATION ON &ASCIAL &ITNESS COURSES GO

TO HTTP WWW ANATOMYTRAINS COM EXPLORE FASCIAL½TNESS OR HTTP WWW FASCIA½TNESS DE 4HOMAS -YERS !UTHOR OF !NATOMY 4RAINS AND &ASCIAL 2ELEASE FOR 3TRUCTURAL "ALANCE STUDIED DIRECTLY WITH )DA 2OLF -OSHE &ELDENKRAIS "UCKMINSTER &ULLER AS WELL AS %UROPEAN OSTEOPATHS AND VARIOUS MOVEMENT TEACHERS 4OM HAS PRACTICED INTEGRATIVE MANUAL THERAPY FOR OVER YEARS IN A VARIETY OF CLINICAL AND CULTURAL SETTINGS AND IS A FOUNDER MEMBER OF THE )NTERNATIONAL !SSOCIATION OF 3TRUCTURAL )NTEGRATORS )!3) 4OM HAS PENNED OVER ARTICLES FOR TRADE MAGAZINES AND JOURNALS AS WELL AS A DOZEN $6$S ON ANATOMY SOFT TISSUE MANIPULATION AND THE SOCIAL SCOURGE OF SOMATIC ALIENATION AND LOSS OF RELIANCE ON KINESTHETIC INTELLIGENCE

CLASSI½ED 3PRING

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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.

This woman had a 45 minute Applied Somatics session.

BEFORE

AFTER

INSTRUCTOR: Andrew Teufel, RMT CHSE, RYT 500 TO REGISTER: Call Applied Somatics 250-748-6600 email: info@appliedsomatics.com All Workshops take place Friday to Sunday inclusive. March 30-April 1 - Applied Somatics for the Stooping Body TMJ 18 CEU, Ottawa, YMCA Sunlife Centre May 18-20 - Applied Somatics for the Tilting Body TMJ 18 CEU, Ottawa, YMCA Sunlife Centre

BEFORE

AFTER

June 8-10 - Applied Somatics for the Stooping Body TMJ 18 CEU, Vancouver, Utopia Academy September 28 –30 - Applied Somatics for the Tilting Body TMJ 18 CEU, Vernon, OVCMT October 19-21 - Applied Somatics for the Extremities and TMJ 18 CEU, Duncan All courses $485 early registration, $565 less than 1 month. $100 non-refundable deposit.

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CLASSI½ED 3PRING ALBA HEALING ARTS

ALBA HEALING ARTS

In the heart of down town Vernon Alba Healing Arts has a large open space suitable for facilitators running CEC workshops and seminars. Within this quiet space there is a change room, washroom & reception desk. Plenty of parking space is available along with wheel chair access. The studio is conveniently located within a one block vicinity from restaurants and shops. Please make all inquiries to Dawn at 250. 550. 7058 or email dawn@albahealingarts.com

Alba Healing Arts has a 12 by 16 treatment room available for part or full time rent. This room has a tinted window for privacy that does open for fresh air. The ceilings are high and there is a reception desk for your use. The space is very quiet with wheel chair accessibility. Parking is available and sign exposure is excellent! The treatment room is adjacent to the yoga studio where the students are already inquiring about massage therapy. Please contact Dawn at dawn@albahealingarts.com for more information.

$0/5*/6*/( &%6$"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

Advertisement only. No endorsement by the MTABC intended or implied.

Care Tech lift tables For service or refurbished tables Call: Marten Gabriel

250.335.3084 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 (3-days) ~ Traditional Thai Massage: ITM Chiang Mai Level 2, 24 CEU’s (3-days) ~ Thai Foot Reflexology Massage: 7 CEU’s (1-day course) Course Location: “Alchemy & Elixir Wellness Centre�, Vancouver, B.C. Please visit our website to view our 2012 Course Schedule. On-line registration available at www.BanyanThaiMassage.com

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 April/May 2012 and October/November 2012

Interested in hosting a course at your own location? With a minimum of 6 participants, travel may be arranged for ANYWHERE in BC!! More information contact: Sharon BrownHorton, Instructor at 604.773.2645

WWW.VODDERSCHOOL.COM

800-522-9862

with Natale Rao, RMT & Heather Gittens, RMT “It’s all my favourite techniques from over 30 years of practising eastern and western modalities.�

“Fusion Works" for 24 CEUs March 23 – 25 Salt Spring Island, BC - May 25 – 27 New Westminster, BC June 22 – 24 Vernon, BC “Thai Massage on the Table� for 12 CEUs March 16 & 17 Salt Spring Island, BC - April 16 & 17 Kelowna, BC

Vancouver/Kelowna/Vernon/Salt Spring Island

250-537-1219

Ä‚

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 Ä‚ 3 P R I N G

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CLASSI½ ED 3PRING

Advertisement only. No endorsement by the MTABC intended or implied.

Instructors: Richard Hoglund, BSc, RMT, and John Zandvliet, RMT Website: massagecourses.ca New Course! Joint Mobilizations of the Appendicular Skeleton 10 CEC Credits Dates: Vancouver April 13-14, 2012 & Oct. 26-27, 2012 Vernon March 23-24, 2012 & Oct. 19-20, 2012 (Friday eve. 6pm-9pm, Sat. 8:30-4:30) Fee: $250 +HST = $280

Hot & Cold Stone Massage 3-day classes - 21 CEUs Vancouver March 30 - April 1 Victoria May 11-13 & Sept 21-23 Nanaimo Sept 17-19

Nina Gart 604-459-8646

Assessment and Documentation of Dysfunction 14 CEC Credits Dates: Vancouver - April 28-29, 2012 Fee: $325 + HST = $364 Assessment, Treatment, and Documentation of the Pelvic Complex 14 CEC Credits Dates: Vancouver May 5-6, 2012 & Sept. 29-30, 2012 Vernon Sept. 22-23, 2012 Fee: $325 + HST = $364 Spaces are limited so please reserve your space early. If you need more information or have any questions regarding these courses, please contact Richard at 250-545-9111 or rhoglund@shaw.ca.

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

FASCIA: ITS STRUCTURE AND FUNCTION - THE PELVIC GIRDLE WITH MARK FINCH 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 END-RANGE LOADING - GENERAL 14 CREDITS WITH DR. DAVID DECAMILLIS, D.C., F.C.C.R.S.(C) WCCMT NEW WESTMINSTER MAY 5-6, 2012 - SAT. 10:00 – 4:30 AND SUNDAY 9:00 – 3:30 PRICES: MTA ONE MONTH EARLY $280 REGULAR $310 NON-MTA ONE MONTH EARLY $390 REGULAR $430

FOR MORE COURSE DETAILS, SEE MTABC

ANN SLEEPER’S COURSES 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 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 AND STEVE ANDERSON, RMT THORACIC AND LUMBAR BALANCING 14 CREDITS VERNON - OVCMT APRIL 7-8, 2012 VICTORIA - PACIFIC RIM COLLEGE MAY 12 -13, 2012 SAT AND SUN 9 AM – 5 PM PRICES: MTA ONE MONTH EARLY $390 - REGULAR $425 NON-MTA ONE MONTH EARLY $515 - REGULAR $565 WEB SITE WWW.MASSAGETHERAPY.BC.CA

-ASSAGE -ATTERS TO ADVERTISE CALL 6ICTORIA #HAPMAN AT VCHAPMAN BIV COM

Systemic Deep Tissue TherapyÂŽ Workshops (also known as SDTT) (Systemic Deep Tissue TherapyÂŽ 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 scientiďŹ cally-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 speciďŹ c 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 ďŹ eld of healing If as a Therapist, gaining self-conďŹ dence, self-sufďŹ ciency and effectiveness with reduced chances of self-injury is important, taking these workshops and adopting the Systemic Deep Tissue TherapyÂŽ is for you. Testimonials: “Thank you so much for this amazing workshop. It will change my life!â€? W.M. RMT. “This course surpassed my expectations...â€? B.C. RMT. “Thank goodness there is a way to read the body and respond to its core needs.â€? J.W. RMT. “Great coverage of biomechanics and application. I like these instructors, cool guysâ€? J.L. RMT. “With 16 years of massage therapy experience I was still expecting to learn something new- those expectations were exceedingly met. The assessment approach alone was enough of a refreshing perspective- with the addition of completely new hands on techniques, this course was thoroughly worth my time and would recommend it to any seasoned therapist. Excellent course, nothing but praise for these innovative and effective techniques that match a thoroughly progressive treatment philosophy, this is truly Massage THERAPY!â€? Brad Dow RMT. Spring 2012 – Introductory: 15-16th September 2012, 13-14th October 2012; Intermediate: March 24-25, Cost: $399. For more info and to register, phone: 604.984.2611 s web: systemicdeeptissuetherapycenter.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 Ä‚ 3 P R I N G Ä‚

BC Massage Spring 2012.indd 23

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BC Massage Spring 2012.indd 24

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