Integrative Manual Therapy for the Connective

This book describes clinically proven hands-on techniques to decrease the pain and tensions of the myofascial tissues that cover every bodily organ. Included are protocols for lower back pain, respiratory discomfort, spinal dysfunction, headaches and migraines, joint problems, plantar fascitis, and more. Illustrated throughout, this is the fourth volume in theIntegrative Manual Therapyseries.

Dr. Sharon W. Giammatteo is President of CenterIMT, Center of Integrative Manual Therapy and Diagnostics, including Regional Physical Therapy in Connecticut. CenterIMT is a network of health care clinics providing manual therapy and rehabilitation in the United States, Canada and Europe. For more information, visit www.centerimt.com.

A Word from the Authors

vii

For the Learner

x

PART ONE---THE CONNECTIVE TISSUE SYSTEM

The Genesis of Manual Therapy

3

(4)

An Overview of Fascial Manipulation

7

(3)

Palpation

10

(2)

Connective Tissue Structure and Function

12

(2)

The Cellular Components of Connective Tissue

14

(3)

The Fibrillar Elements of Connective Tissue

17

(8)

The Protective Function of Muscle: Tensegrity

25

(3)

Structure and Function on a Tissue Level

28

(6)

Connective Tissue and Developmental Differentiation

34

(7)

PART TWO---CONNECTIVE TISSUE DYSFUNCTION

The Histopathology of Connective Tissue and The Stages of Healing

41

(5)

Adhesions, Fibrosis, and Atrophy

46

(8)

A Non-Linear Approach to Connective Tissue Integration: The Systems

54

(6)

Myofascial Dysfunction: The Pathophysiology of Interdependent Tissues and Organs

60

(7)

PART THREE---THE TECHNIQUES OF MYOFASCIAL RELEASE: A 3-PLANAR FASCIAL FULCRUM APPROACH

The Clinical Practice of Myofascial Release: General Considerations

67

(4)

The Soft Tissue Myofascial Release Technique

71

(8)

The Articular Myofascial Release Technique

79

(3)

The Spinal System

82

(17)

Specialized Myofascial Release Techniques

99

(12)

Specialized Myofascial Release Techniques for Facial Expression

111

(11)

The Respiratory Diaphragm System: Myofascial Release of Transverse Fascial Restrictions

122

(6)

General Protocol for Myofascial Release

128

(5)

PART FOUR---ASSESSMENT WITH POSTURAL ANALYSIS, FASCIAL GLIDE, AND MYOFASCIAL MAPPING

Evaluation of Posture: Indications for Treatment with Myofascial Release

133

(17)

Fascial Glide Assessment for Indications of Myofascial Dysfunction

150

(1)

Myofascial Mapping

151

(10)

PART FIVE---PROTOCOLS

The Basic Protocols for Myofascial Release

161

(18)

PART SIX---RESEARCH

Increasing Range of Motion with Myofascial Release

179

(15)

A Pictorial Case Study: Treatment of a Late Post-Acute Pediatric Patient

194

(5)

References

199

(5)

Index

204

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Integrative Manual Therapy for the Connective Tissue System Using Myofascial Release: The 3-Planar Fascial Fulcrum Approach

Summary

Author Biography

Table of Contents

Supplemental Materials