EP 45 Valerie Sinkus Spreecast

by Valerie Sinkus, PT

free to glide upon themuscle

Epimysial

Aponeurotic

strictly connected to the muscle

Antebrachial Fascia

“When you deal with the fascia, you deal and do business with the branch offices of the brain, and under the general corporation law, the same as the brain itself.

Why not treat it with the same degree of respect”

Andrew Taylor Still , 1899 : Structural Integration Atlanta

Epimysium of the Muscle

Epimysium stained blue showing high concentration of glycosaminoglycans (HA).

Section of muscle, Azan-Mallory stains the connective tissue blue and the muscle red.

A compression structure vs. a flexible tensegrity structure

Angela Caine LRAM, AGSM 2010

Tensegrity

Buckminster Fuller

Goal : Stability & Efficiency

Forces of Tension Structure

Tensional Integrity

Muscles, Ligaments, Tendons, Fascia

Bones

{ When misalignment in the

body occurs a tensegrity structure can disintegrate into a compressional structure

In which we commonly call the aging process

Ida Rolf: Bones are Spacers

Continuity of Trunk Fascia

Rachlin E. et al (2002) demonstrated that stimulation of different areas of the trunk wall can induce symptoms in patients that are similar to symptoms that could originate from internal organs.

Stimulus to the xiphoid area

Stimulus to the left hypochondrium

Stimulus to periumbilical region,over rectus abdominis

Stimulus to right superior surface of rectus abdominis muscle

Pain similar to a heart attack

Sensation of indigestion

Sensation of satiety or fullness

Colic type pain

Two

Possibilities

The initial

problem has a

visceral origin

The initial

problem has a

muscular origin

Compensation along the

muscular fasciae

Rigidity of the container

interferes with correct organ

mobility

An anomalous traction of the

muscular fasciae stretches

the visceral fasciae around

the points of connection

VISCERAL PAIN and FASCIAE

Thoracic

o-f unit

Dysfunctions

vi-th

o-f unit

Dyspnoea

Cough

Trachitis

Bronchitis

va-th

o-f unit

Arrhythmia

Tachycardia

Bradycardia

Angina pectoris

gl-th

o-f unit

Thymitis

Pericarditis

Diaphragm problems

Palpitations

Thoracic Dysfunctions

Catenaries and Distal Tensors

Angela Caine

Structure - Function

The tongue constitutes an excellent examples of the intimate and reciprocal interrelationship between structure and function.

Scoppa

Anteromedial muscular chain (Denis-Struyf, 1982)

Fabio Scoppa 2004

Type 1 Glosso-postural Syndrome

Upper crossed neuromuscular imbalance

Lower crossed neuromuscular imbalance

Fabio Scoppa 2004

The hyo-glossus apparatus links:

• Maxillae • Cranium • Cervical • Scapula • Larynx • Pharynx

A functional diaphragm linking the body’s anterior & posterior muscular chains.

Scoppa

Normal Swallow Abnormal Swallow

The Tongue, through the styloglossus muscle, exerts a traction force on the base of the skull

The Atlanto-Occipital relationship is altered, giving rise to compensations involving the whole locomotor apparatus

Scoppa

Ankyloglossia and Postural Modification Genovese and Olivi 2011

Fascial Layers of the Neck – Cross section

PosteriorAbdomen wall

Fascial Layers of the Neck – Sagittal section

Anterior Neck

Muscles of PharynxLateral view

“any intervention on the fascial system may have an effect on the autonomic nervous system and on all the organs which are directly affected by the autonomic nervous system.”

J. Stubes

Internal Visceral Sequences

The three

internal

sequences do

not only

function for

themselves –

they depend on

the needs of

the body

They must,

therefore, be

connected with

all parts of the

body in order to

perceive bodily

needs

Each internal

sequence

connects with

and is

continuous with

specific

myofascial

sequences in

order to

perceive

afferents from

the periphery

Is this Isolation Absolute?

Autonomic Nervous System - Ganglia

AutonomicGanglia

Vagus Nerve

Physiology

Myofascial

Interaction

Deep fascia striated muscles

The muscle-spindle are activated through passive

stretching and by CNS input

Internal fascia smooth muscle

The neutral web of one o-f unit is activated through stretching and by input

from CNS (vagus, phrenic n.)

System

Interaction

Superficial fascia external

systems

The autonomic fibers of the hypoderm are

activated by external stimulation and

paravertebral ganglia

Internal fascia internal systems

The extramural ganglia of the internal apparatus are

organized by the prevertebral ganglia and thalamus coordinating

systemic functions

Internal and External Apparatus

Of the LocomotorAnd Internal Apparatus

Palpation / Treatment

From dysfunction to function: need to interrupt the vicious cycle

• FM aims to interrupt the

‘memory’ of the superficial and

deep fasciae with regards to

muscular trauma and internal

dysfunctions.

• Any intervention in the fascial

system may have an effect on

the autonomic nervous system

and on all the organs which are

directly affected by the

autonomic nervous system.

(J. Stubesand)

Manipulation

of superficial

fasciae

Modifies

densification

Transmission

of autonomic

afferents

Normalizes

autonomic

afferents

Revisiting the early cross-patterning reflex in adults using balance and stretch

Singing with co-ordinated movement highlights any weakness in early reflex patterns

Angela Caine LRAM, AGSM 2010

“Different individual treatment of all clinicians must overlap throughout the human tensegrity structure if correction is to return the patient to maximum function.”

Angela Caine

www.revinmo.com

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The Hand Guided by Knowledge is Powerful

Luigi Stecco,PT