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Introduction to Fascial Manipulation
Presentation :Julie Ann Day , Physiotherapist, Padova ItalyDemonstration: Rucli Giorgio, Phisiotherapist, Udine Italy
Fascial Manipulation Association, Purpose: to promote research in the area of manual treatment of pain through the study of the anatomy and physiology of the fascial system
Addressing the Myofascial Component of Musculoskeletal painPittsburgh University, May 7- 8, 2010
LUIGI STECCOPHYSIOTHERAPIST
FASCIAL MANIPULATION: BIOMECHANICAL MODEL
1988
1990
1996
2002
Dr Carla Stecco and Dr. Antonio Stecco
Anatomical photographs are thanks to collaboration between Institutes of Anatomy of Padova University and Renè Descartes University, Paris
2004
20072009
Published over 35 indexed articles about fascia and presented fascial anatomy papers at International Anatomy conferences in 10 different countries
FASCIAL MANIPULATION TECHNIQUE
Taught in Italy, Spain, Portugal, France,Poland, Argentina and Brazil by a team of authorized teachers.
Musculoskeletal disorders: low back pain, tendinitis, sprains, peripheral nerve compressions, cervical pain syndromes. Internal dysfunctions:gastritis, irritable colon syndrome, constipation, and dysmenorrhoea.
RucliRucli Giorgio Giorgio phisioterapistphisioterapist 1987 1987 fascialfascial manipulationmanipulation 1996 1996 fmfm teacherteacher 2000,2000,
founderfounder membermember amfamf 2007 2007 �����
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address: udine, via monte vodice 4 tel. 3488734508
mail: [email protected]
Sport: italian national team 400mt hs 10 “maglie azzurre” 1982 al 1986, pb 50”51.
national junior team decathlon pb 7072 pt e 400 hs
phisiot. professional basketball team udine 1991-1995 and udinese soccer 1995-96
manual therapy teacher in the university of udine
fascial manipulation teacher’s team: rucli giorgio, lorenzo copettijulie day: italy, europe, usa.
Sport now : mtb, ski-alp
“Dallo sport alla cura del dolore con la mf”
MOVING ON…• CNS conceives movement as finalized gestures or patterns of movement, stored as multiple representations in the cerebral cortex and not single muscle activity
B Kolb 2008, Melgari J-M
• The nervous system interprets and programs movement in terms of spatial directions and angles, Amirikian B, GeorgopoulosAP 2003, Hatsopoulos et al. 2007, Motor Primitives in Motor Cortex.
However……
Classical anatomy maintains contradictions concerning movement directions and termse.g. - hip flexion is the same direction as knee extension, hip extension in the same direction as knee flexion
- pronation /supination are like inversion/eversion
To define movement directions in terms of direction onlyFascial Manipulation has adopted the following terms:
UPPER LIMB SEGMENTS• Scapula scapula SC• Humerus humerus HU• Elbow cubitus CU• Wrist carpus CA• Fingers digiti DI
ABBREVIATIONS FOR BODY SEGMENTS
LOWER LIMB SEGMENTS
• Hip COXA CX• Knee GENU GE• Ankle TALUS TA• Foot PES PE
HEAD and TRUNKHead Caput CP (3 Subunits: eye, ear, TMJ)
• Neck Collum CL• Thorax Thorax TH• Lumbar Lumbi LU• Pelvis Pelvi PV
Segment = combination of the motor part (muscles and fasciae) and articular part
Fascial Manipulation © - Luigi Stecco
Spatial planes and directions of movement
ANTE AN MEDIO ME INTRA IRRETRO RE LATERO LA EXTRA ER
Sagittal plane Frontal plane Horizontal Plane
AntemotionRetromotion(flex-ext)
MediomotionLateromotion(abd-add, side bending)left-right)
IntrarotationExtrarotation(rotation left, rightreturn to central position)
SPATIAL PLANES AND MOVEMENT DIRECTIONS
Fascial Manipulation © - Luigi Stecco
TREATMENTTREATMENTFascial Manipulation © - Luigi Stecco
ASSESSS•Alteration
•Lack of mobility•Referred pain
Note that which is altered
• Aim to increase local Temperature
• Aim torestore mobility
to the Fascia
Manipulation • Evaluate the results -movement tests• Treat other points on the same plane
Record results
Fascial Manipulation © - Luigi Stecco
INDICATIONSPain or lack of mobility that manifests due to the fascial system being out of balance.
INDICATIONSPain or lack of mobility that manifests due to the fascial system being out of balance.
TMJ dysfunctions, cephalalgia, tinnitus, vertigoacute torcicollis, whiplash
AC impingement, rotator cuff tendinitis
epicondylitis,
Carpal tunnel, De Quervain,
Trigger finger,
Intercostal neuralgia,post thoracic surgery
Lumbar discopathy,sciatic, lumbar facet pain, SI, piriformis syndrome, coccidynia Hip arthritis
Patellar femoral misalignment
Chronic ankle sprainPost fracture stiffnessPlantar fasciitis
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