Advanced Visceral Manipulation: Visceral Osteoarticular Relationships
(AVMVOR).
The viscera have a distinct relationship with the spine and joints throughout the body. This course explores this special interface, in particular, how the visceral system affects the structural system. Through the integration of advanced visceral manipulation techniques, new possibilities arise for the
treatment of osteoarticular dysfunctions.
It is rare to find a spine that is free from fixations; an articular blockage that is solely of mechanical origin is rarely seen. Our experience has shown that articular fixations are often the expression of an underlying visceral or psychological problem. The cervical spine is a perfect example where a blockage may come from a visceral, cranial, circulatory, musculo- ligamentary, or dural membrane source.
~Learn how by treating the visceral system, you will influence osteoarticular dysfunctions.
~Understand the visceral connection to the structural system of the body.
~Expand your evaluation skills using listening and inhibition techniques to develop effective treatment plans based on the evaluation findings.
New Manual Articular Approach: Lower Extremity (MALE)
New Manual Articular Approach (formerly Global Joint Treatment) is a manual therapy modality that applies a comprehensive approach to the treatment of joints.
“Articular” refers to the joints of the body, which are critical points of interconnectivity between all other structures within the body. Joints receive and emit messages with other parts of the body, and are also connected to our emotions. New Manual Articular Approach is a manual therapy modality that applies a comprehensive approach to the treatment of joints. It integrates all aspects of the joint including the nerve, artery, bone, capsule, and ligaments, as well as visceral and emotional connections. MAA delves into the joints like never before. It examines the nerves of each joint, along with the arteries, meniscus, ligaments, capsule attachments and folds. It incorporates soft tissue mobilization of the associated bones, while looking at direct and indirect relationships between the bones of the body. The relationship between the viscera and the joints is not widely understood. MAA shows how interconnected they are and that without addressing this visceral connection many joint issues may not fully resolve. The application of the gentle MAA techniques improves the body’s ability to heal and restore itself to optimal health.
A joint is so much more complex than a place where bones come together. It is comprised of multiple components – including bone, cartilage, muscles, tendons, nerves, and fluid – that when functioning properly, allow the joint to glide smoothly and pain-free. If one component becomes problematic, the entire joint begins to compensate and not function properly. This leads to dysfunction ranging from temporary pain to longer term damage. All parts and systems within the body are interconnected – joints included – and when there is dysfunction in one place, other areas can be negatively impacted. A skilled MAA practitioner can properly assess the interactions of the joints with the body to help restore proper function.
Course Highlights
• Delve into the joints like never before. Examine the nerves of each joint, along with the arteries, meniscus, ligaments, capsule attachments and folds.
• Work with soft tissue mobilization of the associated bones, while looking at direct and indirect relationships between the bones of the body.
• Explore the relationship between the viscera and the joints.
• Discover how the joints receive and emit messages with other parts of the body, as well as the emotional connections.
• Learn how to evaluate and treat each major joint of the lower extremity for its primary dysfunction from the anatomical or physiological systems that contribute to it.
• Explore such indications as clinical pain, sprains, arthrosis, and inflammation in a brand new way.
COURSE PARTICIPANTS: Licensed or certified healthcare professionals or students, including Massage Therapists, Physical Therapists, Occupational Therapists, Naturopaths, Athletic Trainers, Chiropractors, Osteopaths, Acupuncturists, Nurses, and other allied healthcare professionals.
LEARNER OBJECTIVES:
- Identify in detail the anatomy and biomechanics of the hip, knee and foot.
- Describe typical pain patterns that arise from dysfunction of these joints, and how they relate to the nerves, vascular system, viscera, muscles, and connective tissue.
- Demonstrate evaluation methods and treatment techniques to facilitate normal functioning of these areas.
- Describe and demonstrate how to evaluate each major joint to determine its primary dysfunction, as well as the anatomical or physiological systems that are contributing to the dysfunction.
- Describe and demonstrate how to treat the anatomical or physiological systems that contribute to the primary dysfunction of each joint.
- Discuss practical integration into treatment sessions.
Day One
The Hip. 9:00 am A 12:00 am (15 minute break mid-way through).
- Acetabulum Labrum Cartilage (x)
Lunch 12:00 pm A 1:30 pm
Passive Ligaments: 1:30 pm A 5:00 pm
- iliofemoral
Day Two
Adductor canal Adductor hiatus: 9:00 am A 12:00 am (15 minute break mid-way through).
Nervous System
• femoral
• obturator
• saphenous
• sciatic
Vascular System
• femoral artery
• desceding genicular artery
• internal iliac artery
Visceral connections Emotional connections
15 minute break mid-way through
The Knee.
• orbicular
• ischiofemoral
• pubofemoral
• iliopectineus
• ligament of head of femur
Active Ligaments
Muscular connections with the hip
• tensor fascia latae
• gluteus (maximus, medius and minimus)
• piriformis
• obturator internus
• obturator externus
• gemelli
• quadratus femoris
• pectineus and gracilis
• adductor longus and magnus
• rectus femoris
• iliotibial tract
• vastus lateralis, intermedius, medialis
Lunch 12:00 pm A 1:30 pm
Ligaments: 1:30 pm A 5:00 pm .
Meniscus Labrum
• Capsula; articular knee muscles
• Medial retinaculum
• Lateral retinaculum
• collateral tibial
• collateral fibular
• popliteum arcuatum (arcuate popliteal)
• popliteum obliqum (oblique popliteal)
• anterior cruciate
• posterior cruciate
• transversum genus (transverse)
Articular muscles
• Biceps femoris
• Pes anserinus superficial, sartorius, semitendinous and gracilis
• Pes anserinus profundus, semimembranous
• Gastrocnemius
• Iliotibial tract and tensor fascia latae
• Popliteus
15 minute break mid-way throughs
Adductor canal Adductor hiatus
Nerves
Arteries
• Obturator
• Saphenous
• Sciatic
• Fibular
• Posterior femoral cutaneous
• Descending
• Femoral
• Popliteal
• Genicular
Visceral connection
• Intestinal
• Genital
Day Three
Emotional connections: 9:00 am A 12:00 am (15 minute break mid-way throughs).
The Foot
Distal Tibiofibular Joint
• capsule
15 minute break mid-way throughs
Collateral Ligaments
• collateral medial
• collateral lateral
• calcaneofibular ligament
• talocalcaneal ligament
• tibionavicular ligament
• tibiocalcaneal ligament – interosseous
Other Ligaments
• talofibular anterior
• talofibular posterior
• calcaneofibular
Lunch 12:00 pm A 13:30 pm
Nervous system
• plantar nerves
• cutaneous nerves
• dorsal lateral
• dorsal medial • saphenous
• Morton’s disease (metatarsalagia) Visceral connections
Emotional connections Question and Answer
Bones
• ligaments
• membrana interossea cruris (interosseous membrane)
• talus-calcaneus mobilization
• cuboid
• navicular and cuneiform mobilization
• metatarsal joint mobilization
FASCIAL FITNESS
OBJECTIVES OF THE ACTIVITY
GENERAL
• Teach sports and health professionals to understand the different features of the fascia and develop an effective exercise program to improve it in different pathologies.
• Review the oral, tactile and visual communication techniques that help the physiotherapist to improve the execution of the exercises by the patient, increasing their motivation.
SPECIFIC
• Review the basic concepts and mechanical, physical and biochemical characteristics of the fascia
• Review the current scientific evidence in this field
• Know the basic principles on which Fascial Fitness is based
• indications and contraindications
• Teach rebound exercises
• Teach myofascial exercises
• Apply active release technique
• Deepen the proprioceptive Refinement
Application of fascial training in the patient
STRETCHING OF THE SOFT TISSUE / MYOFASTIAL STRETCHES
Put aside the boring stretches of isolated muscles and start playing in a creative way by feeling your interconnected fascial network. Since a muscle does not end in its bone insertion but continues in what Tom Myers calls “trains of anatomy,” the action of a muscle continues throughout the body. If these connections do not work correctly, there is a problem with well-coordinated muscle actions. With well-known and simple exercises (and sometimes only with variations of them), it is possible to stimulate the entire myofascial system.
ELASTICITY WITH REBOUND
Rebound elasticity is the future of the most effective muscle training programs. More power and flexibility! That will be the result of the elastic recoil effect. Only if the fascia is pre-stretched can a maximum of forces be carried out. Weightlifters, for example, could not lift such large weights only with muscular power; They need fascial tension to do it. Even more important is the fact that all the push-ups that are carried forward and then back can not be carried out without fascial tension. This could be a revolution in the field of back pain prevention and a reason to integrate Fascial Fitness into prevention programs. Rebound elasticity is very efficient and forms well-proportioned bodies in less time than normal muscle training.
FASTIAL RELEASE
More effective and up-to-date is this fashionable concept called fascial release – a quick and easy way to work your own body. Pressure is applied by a roller on the myofascial structures, so that the adhesions dissolve and the tissue softens. This will normally lead to a decrease in pain, greater flexibility and greater sensitivity of the body itself. Bearing this in mind, this method is good not only for athletes, but also for therapy and self-work on oneself.
FLUID REFINEMENT
The fascia not only gives shape to our body, but it is also our largest sensory organ. Since today sensory perception is not considered to be very important, we often lose connection with ourselves and collect misinformation from our environment. So, a healthy sensory system gives an awareness about oneself also healthy, which leads to self-confidence and, as many scientists claim, even to a higher intelligence. The function of a fluid Refinement is to find that sensitive consciousness again. In the same way that a musician trains several ways and techniques of playing an instrument, it is a good idea to work our senses and perception in the same way. Not always doing the same things and in the same way, but having fun while making variations, will help us to act appropriately in our complex world. This applies both when we talk about musicians and dancers, athletes, yoga practitioners and all over the world in general …
MIOFASCIAL INDUCTION®
Justification, description of the method and general training program.
DEFINITION
The Myofascial Induction ® is a method of evaluation and treatment where three-dimensional movements and sustained pressures are used throughout the fascial system to eliminate its restrictions.
In the last decade, the techniques of Myofascial Induction ® have gained in physiotherapy an unprecedented field; they have allowed the expansion of many roots in the profession. Lesions of the myofascial system produce pain and slow down the recovery of function. It is considered that the Myofascial Induction ® is the forgotten piece in the chain of the treatments carried out by the physiotherapists in charge of the restoration of the function and of the pain relief.
OVERALL OBJECTIVE
The proposed objectives for the development of training in Myofascial Induction Therapies ® are aimed at offering students comprehensive and personalized training, as well as sufficient training to meet the needs and demands that society currently requires.
The main objective is to prepare the future professional from a global perspective in which the student is expected to acquire sufficient training to identify and describe, treat and compare health problems that can be answered from the therapies of Myofascial Induction ®. All this considering the individual in its triple dimension: biological, psychological and social.
For this the Physiotherapist, throughout the seminars, must acquire those skills and abilities that allow him, in his professional activity, to carry out an appropriate evaluation and treatment in the patients affected by the Myofascial Dysfunction Syndrome.
SPECIFIC OBJECTIVES
1 Carry out the evaluation process of the Myofascial Dysfunction Syndrome (SDM).
2 Apply individual treatments to patients with SDM.
3 Identify patients with contraindications in the application of Myofascial Induction techniques.
4 Explain the phenomena related to dysfunction of the locomotor system due to SDM.
5 Integrate the Myofascial Induction treatment in your daily professional practice.
COMPETENCES
GENERAL COMPETENCES
To fulfill the proposed objectives, the student must progressively overcome, and throughout the entire training, the following competences:
1 Analysis and synthesis capacity
2 Capacity for organization and planning
3 Troubleshooting
4 Decision making
5 Reflection capacity
6 Critical thinking
7 Ethical commitment
8 Self-directed learning
SPECIFIC COMPETENCES
SPECIFIC COMPETENCES OF KNOWLEDGE (THEORY)
1 Identify the basic elements of the structure, biomechanics and kinematics of the locomotor apparatus of the human body.
2 Identify the anatomical aspects of the fascial system.
3 Describe the molecular structure of the fascia.
4 Characterize the biomechanical structure of the fascia.
5 Analyze the pathomechanics of the fascial system.
6 Differentiate and apply phases of the evaluation of the Myofascial Dysfunction Syndrome (SDM).
7 Analyze the dynamics of the extracellular matrix and its importance in the process of mechanotransduction.
8 Relate the process of mechanotransduction and its influence on the dynamics of the fascial system.
9 Discuss the activation of cellular epigenetic mechanisms.
10 Apply the phenomenon of tensegrity in the analysis of the locomotor pathomechanics.
11 Know the structural and functional globality of the human body.
12 Explain the physiological bases that govern the correct functioning of the integrated system of the meninges and the cerebrospinal fluid (the craniosacral system).
13 Demonstrate the process of adaptive changes in the human body.
14 Relate fascial plasticity with neural dynamics.
15 To relate dysfunction of the locomotor system with the process of alostasis.
16 Identify the main classes of fascial distributors and discuss their characteristics.
17 Learn to recognize patterns of inertia of tissues and critical treatment sites.
18 To deepen knowledge of the anatomy, physiology, physiopathology and neurophysiology of the viscerophasal system.
19 Integrate the analysis on the pathomechanics of the viscerofascial system with the myofascial and craniosacral systems.
20 Identify the visceofascial structures related to dysfunctions of the locomotor system.
21 Know the functioning of the postural tonic system.
22 Know the different ways of entering information. Exoentries.
23 Know the different mechanoreceptors and their functioning. Endoentradas.
24 To know the different ways of mechanotransmission at the medullary level.
25 Know the different centers of cerebral management at sensory and motor level.
26 Identify the phases of cognitive learning.
27 Know the motor response pathways, and their manual modulation (selective manual induction, IMS).
28 How to integrate a new dynamic pattern of the different parts.
29 Know the treatment techniques for the alterations of said pathways.
30 Know the different manual techniques to optimize the mechanoreceptor function. IMS.
31 Static / dynamic integration.
PROFESSIONAL COMPETENCES (PRACTICE)
1 Develop the diagnostic and therapeutic possibilities of palpation.
2 Identify the transverse planes of the fascial system.
3 Identify the trapping patterns of the myofascial system.
4 Apply the most commonly used specific techniques in myofascial restraints of the spine, thorax and extremities.
5 Apply the basic techniques of deep Myofascial Induction and Mobilization.
6 Learn the process of global evaluation of fascial dysfunctions.
7 Execute the structural techniques of the myofascial system of the human body.
8 Execute the global techniques of the myofascial system of the human body.
9 Identify the elements of the craniosacral system.
10 Develop palpation techniques to allow accurate evaluation of the craniosacral system.
11 Carry out different work techniques in the craniosacral system. Apply the cranial protocol.
12 Identify the main myofascial entrapment systems (myofascial hooks, entrapment points, entrapment bands).
13 Analyze and apply the comprehensive treatment of fascial distributors.
14 Know the different levels of palpation and learn to recognize them.
15 Learn to take the tissue to the point of balanced membranous tension.
16 Learn to integrate and reevaluate the patient after the treatment performed.
17 Develop palpation techniques to allow a precise assessment of visceral dysfunctions.
18 Apply the therapeutic procedures related to the treatment of visceral dysfunctions.
19 Evaluate the static and dynamic patterns from the concept of tensegrity.
20 Assess the dysfunction of the information entry pathways of the postural tonic system.
21 Trace the treatment process in three phases: search, settlement and reorganization.
22 Self-treatment.
FIRST LEVEL.
STRUCTURAL TECHNIQUES
The Myofascial Induction ® is a method of evaluation and treatment where three-dimensional movements and sustained pressures are used throughout the system
fascial to eliminate its restrictions.
In recent years, the techniques of Myofascial Induction ® have gained in physiotherapy an unprecedented field; have allowed the expansion of many roots
in the profession. The limitations of the myofascial system produce pain and slow down the recovery of function. It is considered that the Myofascial Induction® is the link
forgotten in the chain of treatments performed by therapists in charge of restoring function and pain relief.
OVERALL OBJECTIVE
To ensure that the participant throughout the development of the seminars acquires those skills and abilities that allow him to make an appropriate evaluation and
treatment in patients affected by Myofascial Dysfunction Syndrome (SDF).
SPECIFIC OBJECTIVES
• Analyze the conceptual model of the Myofascial Induction (MIT).
• Discuss the concept of the SDF.
• Explain the evaluation process of the SDF.
• Demonstrate and carry out the evaluation process of the SDF.
• Introduce the bases of clinical applications of the MIT.
• Analyze the indications and contraindications of the MIT.
• Learn and apply the clinical procedures of MIT.
(THEORY)
1 Identify the basic elements of the structure, biomechanics and kinematics of the locomotor apparatus of the human body.
2 Identify the fascial structure of the body.
3 Describe the molecular structure of the fascia. .
4 Characterize the biomechanical structure of the fascia.
5 Analyze the pathomechanics of the fascial system.
6 Differentiate and apply the phases of the evaluation of myofascial syndrome.
PROFESSIONAL COMPETENCES (PRACTICE)
• Apply the most commonly used specific techniques in the myofascial restrictions of the spine, chest and extremities.
• Apply the basic techniques of deep myofascial mobilization and induction.
First seminar (two and a half days – 22 hours):
It is of a theoretical – practical nature and summarizes the basic concepts about Myofascial Dysfunction Syndrome, patient evaluation, treatment bases and the application of the basic techniques of the Myofascial Induction ®.
The program includes the discussion of the following topics:
• Fascial system concept.
• Anatomy of the fascial system.
• Connective tissue histology.
• Neuroanatomy of the fascial system.
• Biomechanics of the myofascial complex of the human body.
• Characteristics of the biophysical concepts of the fascial system
• Trauma of the fascial system and the process of repair of the injuries.
• Myofascial restriction and process of formation of Myofascial Dysfunction Syndrome.
• Bases of the evaluation of the Myofascial Dysfunction Syndrome.
• Fundamentals of the Myofascial Induction process.
• Principles of treatment.
• Sequence of treatments.
• Patient follow-up.
• Indications and contraindications.
• Application of Surface Superficial Techniques.
• Application of Deep Basic Techniques.
