what is fascial stretch therapy?
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Fascial stretch,���what is fascia?������By Chris FrederickCo-Director of the Stretch to Win Institute at StretchToWin.com �
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Objec3ves
Fascia for trainers: 1. Func?ons 2. Problems 3. Solu?ons
Permission: FasciaResearch.com Copyright (c) 2014 Stretch to Win, LLC
Mobility & Stability
Stability Mobility Fascial Net
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Func?on of fascia
Movement system
Communica?on system
Force trans-‐mission system
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Muscle
Tendon
Ligament
Bone
Force transmission system
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Head to toe
container/connector
Joint
Muscle
Nerve
Movement system
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Kinesthesia
Propriocep?on
Interocep?on
Nocicep?on
Communica?on
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Problems with fascia…
Movement system
Communica?on system
Force trans-‐mission system
…are training problems!
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Common problems with fascia
Injury Thickens Scars
Glues Dehydrates
èRestricts movementç Copyright (c) 2014 Stretch to Win, LLC
Solu?ons must…
Heal Injury
Reduce Thickening
Release Scars
Detach Glue
Rehydrate Dehydrated
çFree movementè Copyright (c) 2014 Stretch to Win, LLC
Solu?ons are few
ý Training cannot always correct ý Manual therapy, massage or bodywork techniques.
ý Tools, e.g. Graston, ASTYM, etc. þ Assisted fascial stretching -‐ FST
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Fascial Stretch Therapy™ (FST)
• Frees most restric?ons to movement
• Trains the brain and nervous system
• Groove new movement pa]erns immediately
• Faster, be]er training results
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Fascial Stretch Therapy™ (FST)
1. All fascial layers accessed & corrected 2. Works fast 3. Pain-‐free 4. Based on scien?fic evidence
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PRACTICAL
Assessments
Fascial stretch protocols
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Fascial Assessments
ROM of Linked Joints
| Myofascial chain stability & mobility
| Nervous system mobility
|| Movement
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Fascial Mobility Assessments (edited)
Lower Body • Squat • Check Leg Length (LL) [edited] • Passive SLR • Passive hip joint capsule trac?on & stretch • Lateral neuro-‐myofascial chain trac?on & stretch
Re-‐assess LL, SLR, squat [edited]: Group 1, then 2
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Hip joint capsule trac3on notes
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Copyright (c) 2014 Stretch to Win, LLC
Check lateral movement (moving to the therapist’s right side) Goal: To assess the client’s ROM on the lateral side of their body and to ascertain where they may be restricted as you move them laterally. Client posi?on: Supine with arms at their side. Therapist: • Lid both of the client’s extended legs with trac?on at 10°–20° again. • Hold both of their heels in the palms of your hands and gently wrap your fingers around their heels. • Engage your core and bend your knees slightly. • Move slowly to the right un?l the client’s movement stops. • If their hip begins to roll up off the table you have reached the end of their ROM. Trac?on: Lean back with your body, stay relaxed.
Lateral Line Stretch Movement
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Fascial Mobility Assessments
Upper Body Supine: • Ac?ve arm length (palms together): 90°, full flexion • Arms overhead (palms apart) • Passive shoulder joint capsule trac?on-‐stretch: 90°
Side lying: • Shoulder abduc?on-‐lateral line assessment-‐stretch
Re-‐assess: arm length and overhead [Group 1 then 2]
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Goal: Target ?ssues within the posterior aspects of the shoulder joint. Check for anterior posterior joint glide and restric?ons. Client posi?on: Client lying supine on the table Trainer/coach: • Grasp client arm on the lower arms bones to trac?on their arm upward, keeping the clients elbow straight. Hands are placed on each side of their wrist above the joint. • Trac?on of the shoulder up at 90° flexion. • Stand very close to client and lean slightly over them to have the best leverage. • Check for posterior joint glide and restric?ons by gently liding the arm upward. Trac?on: Shoulder up at 90° flexion.
Shoulder joint trac3on
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ROM-‐with client lying on side • Hook your Trac?on arm at 90 deg abduc?on • Trac?on up to ceiling
Lateral Line – upper body (part 1 of 2)
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Stretch movement 1 • On exhale, trac?on out & down to floor • Lid their arm up and over a stretch wave • Increase overhead abduc?on • Squat down for be]er leverage PNF -‐ cue is have them pull their scapula down to their same hip as they roll their body back down to the table; Repeat PNF 2 or more ?mes Stretch movement 2 • Maintain stretch posi?on in #1 & have
client gently rotate torso toward/away from floor/table. No PNF.
Lateral Line – upper body (part 2 of 2)
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References
• Frederick, A., Frederick, C. 2014. Fascial Stretch Therapy. Handspring: Edinburgh.
• Schleip, R., et al. 2012. Fascia: The human tensional network. Elsevier: London.
• Frederick, A., Frederick, C. 2006. Stretch to Win. Human Kine?cs: Champaign.
• Alter, M.A. 2004. The Science of Flexibility. Human Kine?cs: Champaign.
• www.fasciaresearchsociety.org • www.fasciacongress.org
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Thank you! www.StretchToWin.com
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