Fascial Manipulation for Musculoskeletal Pain

Fascial Manipulation for Musculoskeletal Pain

Fascial Manipulation for Musculoskeletal PainSTECCO

Publication date: April 2004

Price: 45,00 €

ISBN: 978-88-299-1697-9

Piccin Code: 1931452

Book in english

Pages: 252

252 pages, 188 colour illustrations

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figura6                    figura5


Fascial Manipulation1 was first known as neuroconnective manipulation or “segmentary treatment”. Pathologies of the locomotor apparatus were then considered as an isolated dysfunction of a single body segment. The term Manipulation of the Fascia, introduced several years ago, was based on the idea of the fascia as the unifying element of the body. Fascia is the only tissue that modifies its consistency when under stress (plasticity) and which is capable of regaining its elasticity when subjected to manipulation (malleability). In this book fascia is not simply presented as a uniform membrane but is rather seen in its role of a:
• coordinating component of motor units (these are grouped together in the myofascial unit (mf ); • uniting element between unidirectional muscle chains (mf sequence); • connecting element between body joints by means of the retinacula (mf spirals). These myofascial structures (mf) can explain many aspects of the organisation of the motor system previously attributed to the Central Nervous System. These innovative hypotheses are supported by numerous quotes from texts of anatomy and physiology. Moreover, the insertions of some muscles into the fascia, as normally described by anatomists, are analysed here from the viewpoint of the physiology of the motor system To make consultation of these research texts easier, you will find references in the footnotes to the
authors’ names as well as year of publication. Fascial Manipulation is a manual therapy that requires a good working knowledge of anatomy and physiology. Only by comprehending the origin of a problem can one resolve it rapidly and efficiently (Manus sapiens potens est). The wellbeing of any organ or apparatus depends on the balance that exists between its components. A harmoniously balanced posture is indicative of a healthy musculoskeletal apparatus. In the logo of Fascial Manipulation (see below) a correct posture is represented by the alignment of the head and the scapulae with the vertebrae. The fascia and the muscles act as the rigging that guarantees the verticality of our body. If the fasciae were only arranged parallel to the vertebral column (static longitudinal sequence), stability would be achieved but movement would be definitely impeded. The spiral arrangement of the endofascial collagen fibres (e.g. the abdominal fascia is arranged in a S) allows for movement without loss of stability.

1 The term ‘‘manipulative treatment’’ or ‘‘manipulation’’ used
by United States Osteopaths covers a variety of manual techniques
collectively known as “osteopathic manipulative treatments
(OMT)”. Osteopathic manipulative treatments include:
– thrust techniques
– joint mobilisation techniques
– soft tissue techniques, muscle energy techniques, myofascial
treatments, strain and counterstrain…(Teyssandier MJ, 2000)