dynamics of the thoracic spine and massage · 2019-10-15 · dynamics of the thoracic spine and...
TRANSCRIPT
WELCOME• Trunamics helps “Make Good Therapists
Great” by teaching the concepts of Structural Integration, Functional Biomechanics and Energy/Informational medicine
• Located in Orlando Fl. • Lynn Teachworth, BS, LMT, ATSI, FAFS, Adv.
CBP, 2018 World Massage Hall of Fame • Ann Teachworth, BS, LMT, FME, CBP
TRUNAMICS
We combine the Concepts of Structural Integration, Functional Movement/
biomechanics and Energy Medicine to expand your therapeutic lens.
Teaching therapists how to think not just techniques to do.
“I am dealing with problems in the body where there is never just one cause. I would like you to have more reality on the circular
processes that do not act in the body, but that are the body. The body process is not linear, it is circular; always, it is circular. One
thing goes awry, and its effects go on and on and on and on. A body is a web, connecting everything with everything else.”
– Ida Rolf
“One individual may experience his losing fight with gravity as a sharp pain in the back, another as the unflattering contour of his
body, another as constant fatigue, and yet another as an unrelenting threatening environment. Those over forty may call it
old age; yet all of these signals may be pointing to a single problem so prominent in their own structures that it has been ignored: They are off balance; they are at war with gravity.”
– Rolf, 1977
“There is no real difference between structure and function; they are two sides of the same coin, if structure does not tell us
something about function, it means we have not looked correctly.”
– D.A. Still (the founder of Osteopathy), 1899
“This is an important concept, that practitioners are ‘integrating’ something; we are not ‘restoring’ something. This puts us in a
different class from all other therapists that I know of. It takes us out of the domain designated be the word “therapy,” and puts us
in the domain designated by the word “education.” It puts our thinking into education: how we can use these ideas behind
Structural integration? How do we put a body together so that it’s a unit, an acting, energy efficient unit? One of the differences
between Structural Integration Practitioners and practitioners of medicine, osteopathy, chiropractic, naturopathy, etc., is that the
latter are all relieving symptoms. They make no effort to put together elements into a more efficient energy system.”
– Ida Rolf
INTEGRATION
TENSEGRITY• Means “Tensional Integrity”, a term coined by architect
Buckminster Fuller. • A tensegrity system is defined by a continuous tensional
network (tendons) supported by a discontinuous set of compressive elements (struts, bones).
TENSEGRITY• Myofascial dysfunction causes the tensegrity model to
break down and the body compensates with unhealthy patterns
• Joint compression: Herniated discs and joint breakdown due to uneven tension from restricted fascia.
• “Fascia supports weight. Weight goes up not down. Bones do not carry weight.” – Ida Rolf
• When the client moves back into tensegrity, they will experience a feeling of being lighter.
TENSEGRITY• When under the appropriate
tension, the soft tissues around the spine can lift each vertebra off the one below it. The upward projecting superior articular processes of one vertebra extend higher than the lower tips of the downward projecting inferior articular processes of the vertebra above it. The fibrous connective tissue forms slings that suspend each vertebra from the one below.
RESTRICTED MYOFASCIA
• Trauma and lack of use can lead to restricted myofascia • Relationships of the body parts and gravity are
compromised. • Body compensates with adaptive shortening and tension • Locked long and Locked Short fascia • Leads to lack of structural integrity which leads to poor
function
LOCKED LONG/SHORT
• We live in a flexion based society • Body must balance with extreme extension • Pain is usually in locked long tissue. • Locked short tissue is what needs to be addressed. • Upper back pain tension example. • What is priority? • Rhomboids, Middle Trapezius - Why is fear and anger
returning?
LOCKED LONG/SHORT
• Example: Locked short chest and abdominals. • Leads to pain in locked long posterior tissues: long neck,
erectors, rhomboids, traps, etc. • Anterior aspect of lower leg is often locked short causing
knee, pelvis, thoracic and especially cervical issues.
POSTURAL READING
• Tilts • Shifts • Rotations • Always look at different angles for a different perspective
ORGANIZATION/REORGANIZATION
• Our goal is to help educate the body and allow it to “live in itself”.
• As we help to integrate and release structures, it will reorganize itself to be more efficient, stronger, stable and adaptable.
• Our goal is to organize the tissues. • Help it to let go of old patterns and traumas.
“This is the gospel of Rolfing: When the body gets working appropriately, the force of gravity can flow through. Then
spontaneously, the body heals itself.” – Rolf, 1977
EMBODIMENT• As therapists, we are inviting our clients to live in and
have a fuller experience in their bodies. Not just optimize on a table.
• Our hands provide information to our clients • Learning function as “information” is difficult. • As we have a clearer experience of structure and function
in our own bodies we can provide clearer information to our clients as we work with more focused intention and clarity
• Growing understanding of the impact of mind on neuromuscular function - improve balance, coordination, performance, as well as mood and focus.
CENTRAL AXIS
• Franklin Method™ embodiment to answer the question “what is good posture?”
• How does the body organize itself in relationship to gravity for sturdy yet efficient posture and readiness for movement.
SENSORY RECEPTORS• Proprioception: Gives us info on the relationships of our
body and its relationship to space, gravity, etc. • Not the whole picture
• Interoception: The sense of the internal states of the body. Internal awareness.
• Exteroception: The sense of external (environmental) states.
• Neuroception: How neural circuits distinguish whether situations or people are safe, dangerous, or life threatening
• We are balancing all.
LIVING IN YOUR OWN BODY
• Coming back inside with awareness • Tendency to get caught up in “stories” from being
externally focused. • Sensory Motor Amnesia • Invitation “come home and live in this part of your body” • How can we help our clients have more body awareness?
“You can change human beings. You can change their structure, and in changing their structure you are able to change their
function. Structure determines function to a very great degree and to a degree which we can utilize. The basic law of Rolfing is that you add structure to the body. In so doing, you are demanding a
change in function. This is the basic reason why Rolfing works as it does.”
– Ida Rolf, Fetis, 1978
FUNCTIONAL THEORY• 3 Planes of motion experience • Allows for function, adaptation, stability and
mobility. • “Mostability”- Motion with Stability • grayinstitute.com • Eccentric and Concentric Contraction • Helps the body protect itself; can be a
compensation that will lead to injury
FUNCTIONAL THEORY
• Directed by Proprioceptive Nervous System • If the body cannot load and unload/accelerate decelerate
it will lock up the tissues to protect the body from injury. • This leads to injuries when the body cannot decelerate a
movement efficiently. • We must reeducate the body through movement.
THORACIC SPINE: ANATOMY & FUNCTION
• Thoracic spine and its impact on overall posture and function are often overlooked
• T1-T12 • Most often fixated in flexion • Issues can lead to lumbar and cervical issues, shoulder
injuries, overloaded posterior muscles • Greatly affects gait, daily movement and athletic
abilities.
STANDING FUNCTIONAL ABDOMINAL RELEASE
• Similar to table reciprocal release but with motion • Touch anterior hip and shoulder points and have client
rotate towards shoulder side. • Prompt them to lengthen the area between the
reciprocals • Nudge at end range (reciprocal points, hand on thoracic
and shoulder, decelerate femur, decelerate femur and guide abs, guide abs and rotate with hand on sacrum)
ABDOMINAL FUNCTION
• 4 Layers of abdominal muscles: Rectus, inner and external Obliques, and Transversus.
• Mostly taught to keep rigid core (planks) and only strength in concentric flexion (crunches).
• Eccentric loading is key
STOMACH REFERRAL
• Stomach itself can be a main cause of thoracic pain and stiffness
• Anatomy and Nerve plexus can cause a referral to the thoracic spine.
• Visceral Dynamics Class • Contraindications: Ulcers, client has recently eaten
FACET JOINT EMBODIMENT
• Line of action, range of motion, and coupled motions are partially determined by the orientation of the facet joints
• Gliding joints, curvilinear joint motion. • Flexion: Inferior facet of the superior vertebrae glides up
and forward on the superior facet of the inferior vertebrae. Reverse on extension
• Coupled motion: lateral flexion and ipsilateral rotation • Most people will have a hard time with extension in the
thoracic spine and will compensate with scapular retraction and/or cervical or lumbar extension
THORACIC WARMUP
• Can use to get ready for a workout or to help integrate change in clients body after a session.
• Great for “homework”
STANDING THORACIC RELEASE
• Educates Thorax, Pelvis and Cervical Structures on Thoracic Extension with Frontal/ Transverse plane motion
• Usual suspects (after releasing abs, quads) usually will arise in diaphragm, cervical spine area and pelvis.
• Excellent homework for clients as well
STANDING THORACIC RELEASE
• Position for client: Find stability object: A doorway, internal facing wall corner, column, etc.
• Facing away from stability object • (right rotation) Right hand at hip height holding rotation
(transverse plane) • Left hand over head to stability object to create right
lateral flexion. • Neck in as much extension as possible without causing
pain
STANDING THORACIC RELEASE
• Therapist: Stand by side of Client to help hold and give inout to thoracic spine via sternum and thoracic themselves.
• Have client begin release by deep breathing to help diaphragm and all deep fascia and ligaments to let go.
• Client moves cervicals through frontal plane (ears to shoulders) and transverse plane motion (yes motion)
• Client moves pelvis in frontal plane and transverse plane • Repeat on other side