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: giorgiorucli@virgilio.it

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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