Expert Physiotherapy

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The Combined Approach: The Myofascial Spine

 

Understanding and integrating myofascial spinal treatment. Focussing on altered muscle states, this course will cover the clinical relevance, assessment and treatment of myofascial restrictions to segmental movement of the cervical, thoracic and lumbar spines and ribs

 

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About the course

 

The myofascial system envelopes the spine and the body and disruptions to normal muscle tone and myofascial compliance can disrupt movement and control. What's the first thing that happens when you have pain? Muscles go into spasm. As well as mobilising and manipulating articular joint restrictions, specifically correcting spinal segmental joint restrictions of myofascial origin allows for a more complete restoration of spinal movement and improved segmental loading.

 

This course provides a clinical toolbox of myofascial release approaches to assess and treat these restrictions to segmental movement and altered contractural states and sensitivity. An important part of this assessment is to differentiate between articular and myofascial restrictions to movement so as to better tailor treatment to the presenting dysfunction. Working area by area through the spine we will look at manual assessment of movement to make this articular/myofascial distinction, and then cover the application of a range of myofascial models of intervention and technique such as;

 

  • Positional release technique
  • Muscle energy technique
  • Trigger-point release
  • Respiratory release and
  • Visceral release

 

This course was written in 2014 for the 2015 Physiofirst conference Soft Tissue: The Hard Truths.

 

 

Course Timetable

 

08:45   REGISTRATION
09:00   An introduction to the principles and  treatment of trigger points and a rationale for interpreting and assessing myofascial disorders
10:30   BREAK
10:45  

Practical: Thoracic Spine and Ribs

  • PPIVM assessment of thoracic segmental and rib movement and restrictions
  • Differentiating myofascial restriction from articular restriction in the thorax.
  • Identifying and treating movement and respiratory dysfunction of the ribs
12:30   LUNCH
13:15  

Practical: Cervical Spine

  • PPIVM assessment of cervical segmental movement and restrictions
  • Differentiating myofascial restriction from articular restriction in the cervical spine
  • Assessing and treating myofascial restrictions including muscle energy techniques
  • Associated trigger points and muscle tightness
15:00   Break
15:15  

Practical: Lumbopelvic region

  • Muscle Energy Techniques for segmental lumbar spine rotations
  • Integrating myofascial principles into the treatment of the Lumbopelvic complex
  • PPIVM assessment of segmental motion and restrictions in the lumbar spine
  • Differentiating myofascial restriction from articular restriction in the lumbar spine
  • Assessing and treating myofascial restrictions in the lumbar spine and abdomen
  • Associated trigger points and muscle tightness
17:00   CLOSE