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Registration Desk Hours
The Fascia Research Society Presents: Understanding Research Fundamentals for the Congress and Beyond*Workshop Description
Anatomy Consensus in nomenclature - Carla Stecco, MD Description
- It is generally assumed that endings containing SP are nociceptive. This applies also to most of the CGRP-positive fibers, but some are mechanoreceptive. The great majority of the SP and CGRP fibers were located superficially in the fascia. This finding may be of interest to the therapists who use fascia release or similar techniques. Endings exhibiting the TRPV1 molecule in their membrane were likewise found. This receptor molecule is characteristic of nociceptive fibers. One important function of nociceptors is to induce a neurogenic inflammation around the ending. Such a neurogenic inflammation occurs, when in patients with a slipped disc dorsal roots are compressed. Our data show that a neurogenic inflammation can be induced in the TLF. This is clear functional evidence for the existence of nociceptors in the fascia.
- An experimental inflammation of the TLF caused changes in the fascia innervation, but the changes did not occur in all fascia layers alike. In the middle layer – which consists of massive collagen fiber bundles - the fiber density was close to zero for all fiber types. In inflamed fascia, CGRP-positive fibers showed a significant increase in the inner layer. In intact TLF, the nociceptive SP-containing nerve fibers were present exclusively in the outer layer. In inflamed fascia, SP-positive structures were also found in the inner layer. An unexpected finding was that sympathetic fibers did not show an increase, but a significant decrease, in fiber length. The meaning of this decrease is still obscure.
Functional Anatomy - Can Yücesoy, PhD Description
Lunch and Posters/Exhibitors
Concurrent Abstract Presentations
Concurrent Abstract Presentations
In Search Of Our Interior Architectures - Jean Claude Guimberteau, MD Description
The Functional Coupling of the Deep Abdominals and Para Spinal Muscles - Andry Vleeming, PhD Description
Objectives or outcomes:
- Comprehensive discussion of the pathophysiology of connective tissue within and around muscles and its contribution to the evolution of spasticity and hypertonia after CNS injury.
- Rationale for emerging therapies that restore normal connective tissue architecture and tissue gliding mechanisms.
- Modality to assess spastic patients for hyaluronidase injection.
- Design an appropriate treatment algorithm.
Extracellular Matrix - Boris Hinz, PhD Description
Lunch and Posters/Exhibitors
FRC/FRS Interest Group Description
Concurrent Parallel SessionsSession Description
- Philosophical Aspects - Jaap van der Wal, MD, PhD
Posters / Exhibitors
Observation, assessment & evaluation of fascial dysfunctionDescription
Julie Ann Day - The functional assessment of fascial dysfunction based on Fascial Manipulation® methodology As knowledge concerning the human fascial system evolves, clinicians are encouraged to adopt models for the interpretation of fascial dysfunction that incorporate evidence-based information.
The Fascial Manipulation® (FM) method for musculoskeletal and internal fasciae dysfunction is based on a theoretical model for the human fascial system. Developed through systematic clinical observation and fascial anatomy studies, this model is subject to on-going investigation and modification via cadaver dissections, histological, biomechanical and clinical studies. Clinicians refer to this model throughout the assessment procedure and the application of the FM method.
Using short videos and references to available evidence, this presentation will outline the FM assessment procedure, which includes history taking, the formulation of a hypothesis regarding dysfunction and possible compensatory mechanisms, movement and palpatory tests and post-treatment outcome evaluation.
César Fernández - Manual assessment of fascial tissue for application of myofascial release Myofascial Release methods focus on addressing fascial dysfunction, which presupposes that fascial dysfunction can be assessed clinically. The question arises as to whether it is possible to differentiate fascial dysfunction from - for example - muscular or neural problems? How accurate and reliable is manual assessment of fascia?This presentation offers clinical and evidence-informed data regarding manual assessment in relation to ultrasound imaging and cadaver correlations, in the context of myofascial release (induction) methodology. Hide Description
- Macro - Serge Gracovetsky, PhD
Lunch and Posters/Exhibitors
Future Directions in Fascia Research - Tom Findley, MD, PhD Description
- Kwong, E. H., & Findley, T. W. (2014). Fascia-Current knowledge and future directions in physiatry: Narrative review. Journal of rehabilitation research and development, 51(6), 875-884.
- Findley TW. Shalwala M. (2013). Fascia Research Congress Evidence from the 100 year perspective of Andrew Taylor Still. J Bodyw Mov Ther 17(3):356-64, 2013 Jul.
- Chaudhry, H., Bukiet, B., Ji, Z., Stecco, A., & Findley, T. W. (2014). Deformations Experienced in the Human Skin, Adipose Tissue, and Fascia in Osteopathic Manipulative Medicine. JAOA: Journal of the American Osteopathic Association, 114(10), 780-787.
- Findley, T., Chaudhry, H., & Dhar, S. (2014). Transmission of muscle force to fascia during exercise. J Bodyw Mov Ther. In press
Post Conference Parallel Presentations*Description
- Myofascial Release/Induction variations,
- Muscle Energy Techniques and eccentric and pulsed variations,
- Neuromuscular Techniques,
- Positional Release methods,
- Connective tissue manipulation, and others, time permitting.
The workshop will include Video + Practical Demonstrations of:
- Fascial treatment of Myofascial scars - Raul Martinez Rodrigues, DO PT
- Fascial Manipulation® - Julie Ann Day, PT
- Fascial treatment for nerve tissues - Cesar de las Penas, PhD PT DO
- Muscle Energy Technique (isolytic and slow eccentric variations) - Leon Chaitow, DO
- Myofascial release (Induction) - Andrjez Pilat, PhD
- Structural Integration version of MFR - Tom Myers, LMT
- Counterstrain positional release - Leon Chaitow, DO
- Q&A - all presenters
Several informative presentations, mixed with brief practical instructions, will open this intriguing new field of inquiry, with space for audience participation and discussion in order to foster networking, curious questioning, and new creative ideas among all involved:
- Stephen Gangemi: Natural Movement: Moving our bodies the way they're designed to move
- Paul Grilley: Yoga, fascia and meridians
- Bernie Clark: What stops me? The role of connective tissue and human variation on range of motion
- Robert Schleip: Principles of a fascia oriented training approach
- Klaus Eder: Fascia oriented support for world champion soccer players
A. Jouko Heiskanen, MD, Pt In this dynamic ultrasonography workshop we visualize the structures of fascias, movements of its layers in relations to muscles as they occur in real time. This sonopalpation workshop has three goals:
- theoretic base: how valid and reliable is ultrasound as an assessment tool in fascial evaluation?
- practice: an objective assessment for normal myofascial anatomy, its thickness, consistency, as well as facial connections to bones, tendons and ligaments and
- applying: dynamic, functionally applied sonopalpation for structures and movement patterns of myofascial system.
Diagnostic ultrasound has been used by radiologists within radiology departments as a diagnostic tool for decades. Musculoskeletal therapists have used ultrasound imaging (ultrasonography, sonopalpation) as a part of muscle assessment and “biofeedback” in therapeutic exercise and in facilitation of patient’s optimal motor learning. This dynamic ultrasonography workshop applies a review to:
- free fascia: in lying, sitting and standing, breathing, relaxation (transmitting force and load),
- active fascia: effects of local/global muscles, inhibition, kinetic chain, fascial lines, standing/walking
- modified fascia: light/heavy pressure, stretching, taping, massage
- education: technique portion how to use ultrasound in teaching
B. Wolfgang Bauermeister, MD, PhD - Ultrasound Elastography: Anatomy Trains Assessment of the elastic properties of fascia and muscle related to myofascial trigger points Myofascial Pain caused by trigger points in the fascia and the muscles is mostly not considered because it is difficult to objectively prove the existence of myofascial trigger points (mTrPs). Their related patterns like the Anatomy Trains as perceived by Thomas Myers in the late 1990’s are based on structural connections. Stiffness of fascia and muscle can be palpated and measured to a certain extent, but it cannot be visualized by conventional means like MRI or conventional ultrasound. Ultrasound Elastography has emerged as a tool not only in research but in everyday practice too for the imaging of the Anatomy Trains and the underlying pathophysiology such as mTrPs and fibrosis.
- Current research: Theory, Shear wave, vibrational and compression Elastography, Shockwave therapy and their effect on fascia and muscle
- Practical application: Clinical Elastography for imaging the different parts of the Anatomy Trains detecting mTrPs in the fascia and muscle
- Findings: Putting the results together, relating them to muscle imbalance and pain threshold measurements
- Treatment effects: Elastography shows the immediate effects of any therapeutic intervention. The effects of manual techniques, percussion massage and Frequeny Specific Microcurrent will be demonstrated.
Please note that while speakers and topics were confirmed at the time of publishing, circumstances beyond the control of the organizers may necessitate substitutions, alterations or cancellations of the speakers and/or topics. As such, the Fourth International Fascia Research Congress reserves the right to alter or modify the advertised speakers and/or topics if necessary without any liability to you whatsoever. Any substitutions or alterations will be updated on our web page as soon as possible.