Members of the Arizona Diamondbacks' training staff attended a seminar on Fascial Manipulation® in Scottsdale, AZ
Fascial Manipulation® teaches the current anatomy and physiology of the fascial system, its evaluation and treatment. It is based on the latest information on the relationship of fascia to muscles, tendons and ligaments.
Fascial Manipulation® has been taught in Europe for 16 years. Last year it was taught to over a thousand practitioners in 40 countries. It was created by Luigi Stecco, PT, 40 years ago. Dr. Hammer was certified in Italy in 2013 to teach FM. Research has progressed over the years in textbooks, peer review articles, and recently in Functional Atlas of the Human Fascial System, by Carla Stecco, M.D., Elsevier, 2015, (English editor, W. Hammer). Go to www.fasciaresearch.com, www.fascialmanipulation.com, www.fascialmanipulationworkshops.com, and to www.pubmed.com (insert Stecco, C, Stecco, A).
The Fascial Manipulation® program is an intensive hands-on series. It combines theoretical lectures, demonstrations, and practicals throughout each course day. Participants will learn to evaluate musculoskeletal dysfunctions with specific reference to the human fascial system, and to apply the Fascial Manipulation method. Lectures include the anatomy and physiology of the fascial system, an explanation of the biomechanical model used in application of this technique, and the anatomical localization of fascial points (myofascial sequences, spirals). Emphasis will be placed on the evaluation of musculoskeletal dysfunctions (from history taking, to hypothesis, to functional testing, to palpation, to verification and treatment) together with a methodology and strategy for treatment.
The Fascial Manipulation® series is intended for physical therapists, osteopaths, chiropractors, medical doctors, and other licensed health care practitioners with a good working knowledge of musculoskeletal anatomy, physiology and neurology. Massage therapists with a minimum of three years of experience may be eligible but need to contact us prior to registering to review their eligibility.
This course currently consists of two levels, divided into two parts per level: Level 1 - Part 1A/1B and Level 2 - Part 2A/2B. Successful completion of Part 1 is required before being able to attend Part 2.
Each part is designed to give participants adequate time (4-6 weeks) to practice the newly acquired assessment and treatment techniques before returning to the next part for fine-tuning of the method. Each level will conclude with an examination to appraise the level of understanding and skill level. _________________________________________________________________________
Part 1 vs Part 2
In a large percentage of patients, the treatment of Centers of Coordination (CC), as taught in Part 1, can be a final answer for obtaining a healing result, but the complete treatment of patients under FM requires Part 2. Part 1 considers fascia regulating single planes of movement i.e., unidirectional muscle fibers such as in the 3 planes of motion (sagittal, frontal and horizontal). Luigi Stecco realized that it was also necessary to coordinate two or three myofascial units involved in complex global movements where the forces of myofascial units converge. Centers of Fusion (CF) are taught to be used for single segments, along myofascial diagonals and myofascial spirals. CF points are mostly found over retinacula and periarticular structures that are influenced by complex movements.
CFs coordinate intermediate muscle fibers, activated during movements between mf units. For example, CCs found mostly in muscle bellies would mainly be used for treating problems dealing with lumbar flexion, extension, lateral bending and rotation. But movements between these planes such as oblique lateral backward bending (Kemp sign), oblique backward and medial bending, anterior lateral or anterior medial movement would require treatment of the CF. This would pertain, of course, not only to the lumbar spine, but to all the extremities and the trunk. Treating CFs also coordinate myofascial CC units. Often treating a CF frees the fascial tension created by the CCs.
Part 2 is very important for understanding its relationship with Part 1. Some of the many questions to be answered are when and why CFs are treated, the relation of CCs to CFs, the exact location of CFs, how to treat CFs (different than CCs) and the concepts of diagonals and spirals. Some other subjects continued from Part 1, such as treatment strategies, physiology of motor control as it relates to fascia, posture and the use of the assessment chart, are continuously discussed.
FM is not a cookbook technique and requires dedication on the part of the practitioner to achieve the optimal results possible. At the end of Part 1 and Part 2, a review examination is given. Practitioners will be added to the FM Provider List after completion of Part 2.
-- Warren I Hammer DC, MS