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TABLE OF CONTENTS
TIMELINE OF STRUCTURAL INTEGRATION AND ANATOMY TRAINS / WHAT ARE THE
FORCES THAT SHAPE US? / LAYERS OF MYOFASCIA ............................................................1
RULES OF THE GAME / ANATOMY TRAINS IS NOT / ANATOMY TRAINS IS .....................2
TENSEGRITY / FASCIAL TENSEGRITY IS EVOKED WHEN TISSUES ENGAGE / FASCIAL
TENSEGRITY ALLOWS ...................................................................................................................3
TYPES OF FASCIA / MYOFASCIA / FASCIA IS: ..........................................................................4
THREE SYSTEMS/THREE TUBULAR NETWORKS / PAIN AREAS ..........................................5
ANATOMY TRAINS: SUPERFICIAL BACK LINE ........................................................................6
TRACKS AND STATIONS............................................................................................................7
FASCIAL RELEASE TECHNIQUES (FRT) .................................................................................8
ANATOMY TRAINS: SUPERFICIAL FRONT LINE ....................................................................10
TRACKS AND STATIONS..........................................................................................................11
FASCIAL RELEASE TECHNIQUES (FRT) ...............................................................................12
ANATOMY TRAINS: LATERAL LINE .........................................................................................14
TRACKS AND STATIONS..........................................................................................................15
FASCIAL RELEASE TECHNIQUES (FRT) ...............................................................................16
ANATOMY TRAINS: SPIRAL LINE..............................................................................................18
TRACKS AND STATIONS..........................................................................................................19
FASCIAL RELEASE TECHNIQUES (FRT) ...............................................................................20
ANATOMY TRAINS: FUNCTIONAL LINES................................................................................22
TRACKS AND STATIONS..........................................................................................................23
FASCIAL RELEASE TECHNIQUES (FRT) ...............................................................................24
ANATOMY TRAINS: THE ARM LINES .......................................................................................26
TRACKS AND STATIONS..........................................................................................................27
FASCIAL RELEASE TECHNIQUES (FRT) ...............................................................................29
ANATOMY TRAINS: THE DEEP FRONT LINE...........................................................................31
TRACKS AND STATIONS..........................................................................................................32
FASCIAL RELEASE TECHNIQUES (FRT) ...............................................................................35
ANATOMY TRAINS: BODYREADING BASICS .........................................................................37
TERMINOLOGY ..........................................................................................................................37
KINESIS BODYREADING FORM..................................................................................................38
BODYREADING 101TM RED FLAGS.............................................................................................39
FASCIAL RELEASE TECHNIQUE.................................................................................................41
ANATOMY TRAINS PRINCIPLES AND APPLICATION ...........................................................45
PRINCIPLES OF USE ..................................................................................................................45
PRINCIPLES FOR APPLICATION .............................................................................................45
FASCIAL AND MYOFASCIAL MANIPULATION...................................................................46
ANATOMY TRAINS REFERENCE MATERIAL ..........................................................................47
GLOSSARY...................................................................................................................................47
KINESIS COURSE OFFERINGS.....................................................................................................48
KINESIS UK COURSES...............................................................................................................48
KMI TRAINING............................................................................................................................49
ANATOMY TRAINS ESSENTIALS ...............................................................................................50
READING/REFERENCES ...........................................................................................................50
FACULTY .....................................................................................................................................51
Copyright Kinesis UK
Table of Contents 1
Tom Myers
Anatomy Trains / KMI Founder
Moshe Feldenkrais
Feldenkrais Technique Founder
1872
1895
1932
1940
1955
1988
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Our environment
Movement behaviors
Genetics
Hydrodynamics
Structural adaptation
Layers of Myofascia
Dermis
(Skin backing)
Periosteum
Septum
Epimysium
Superficial Fascia
Areolar / Adipose
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Rules (Guidelines)
of the Game
Follow the grain or line of pull
Note the Stations (boney attachments) - no
changes in depth or direction
Note any tracks that converge or diverge
Look for underlying single joint muscles
(Expresses vs Locals)
Anatomy trains IS
An excellent way to see & explain postural
compensations
An exploration & explanation of one structure
affecting a distant structure
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Tensegrity:
Continuous tension members and
discontinuous compression members
operating with maximum efficiency.
--- Buckminster Fuller
Fascial Tensegrity
is evoked when tissues engage;
Along the ideal
vector of pull
Along the lines
with an even
tone
In a coordinated
manner
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Types of Fascia
Adipose - highly vascular, found around
organs & subcutaneous
Areolar - loose network found between
structures seen in Guimberteau
Myofascia
Consists of:
fibrous elements (tropocollagen,
collagen, elastin & reticulin) which
transmit force
ground substance (glycosaminoglycans,
mucopolysaccharides) which carry &
transmit chemistry & provides the viscoelasticity in the tissue (hyaluronic acid)
Fascia is:
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System Type
Neural
Vascular
Fibrous
Corresponds via
Electrical Codes
Chemical Signals
Mechanical Forces
Reaction Time
Milliseconds
Minutes / Hours
Days / Weeks
Centered In
Head / Brain
Chest / Heart
Governs
Thoughts/ Memory
Emotions
Beliefs / Movements
Governed By
Time
Matter
Space
Characteristics
Communicates
Sustains
Suspends
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PAIN AREAS
PAIN
AREAS
AWARENESS
AVAILABILITY
MOVEABILITY
AWARENESS OF PAIN
ONE
EASILY AVAILABLE
MOVABLE
NONE
TWO
NOT SO EASILY
AVAILABLE
MOVES IF
CHALLENGED
CHRONIC
THREE
NOT AVAILABLE
NO MOVEMENT
AT ALL
DORMANT
SOMATIC AMNESIA
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SBL
Fascial Region: Plantar Surface of the Foot Technique: Plantar Fascia
Intention:
Prone
Sitting
Elbow
Other
Forearm
Practitioner Movements: Sitting at the clients feet, engage tissue / move tissue from
metatarsal base towards calcaneus
Client Movements: Dorsi flexion and plantar flexion / spread toes
Considerations: Assess foot to heel ratio - lengthen for a short heel
SBL
Fascial Region: Posterior Calf Technique: Gastrocnemius
Intention:
Prone
Sitting
Elbow
Other
Knuckles
Practitioner Movements: Standing to side of leg, use one or both fists or forearm to engage tissue
and glide from below knee to Achilles tendon
Client Movements: Dorsi flexion and plantar flexion
Considerations: Assess foot to heel ratio - lengthen for a short heel
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SBL
Fascial Region:
Intention:
Technique:
Soft Fist
Forearm
Elbow
Prone
Sitting
Prone
Sitting
Other:
Practitioner movements:
Client Movement:
Considerations:
SBL
Fascial Region:
Intention:
Technique:
Soft Fist
Forearm
Elbow
Other:
Practitioner movements:
Client Movement:
Considerations:
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Scalp fascia
Mastoid process
Sternocleidomastoid
Sternal manubrium
Sternalis / sterno-chondral fascia
5th rib
Rectus abdominis
Pubic tubercle
Anterior Inferior Iliac Spine
Rectus femoris / quadriceps
Patella
Sub-patellar tendon
Tibial tuberosity
Short and long toe extensors,
tibialis anterior, anterior crural compartment
Dorsal surface of toe phalanges
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SFL
Fascial Region: Sternal and clavicular region / Technique: Fountain Head or the I move
Intention:
Knuckles
Soft Fist
Forearm
Prone
Elbow
Sitting
Other:
SFL
Fascial Region: Thigh Quadriceps / Technique: Quadriceps / Quadratus Femoris
Intention:
Knuckles
Soft Fist
Forearm
Prone
Elbow
Sitting
Palm
Other
Practitioner movements: Engage tissue and move towards AIIS. / Secondly, work into the pocket
between rectus femoris, TFL, and sartorius.
Client Movements: Knee flexion and extension. / The pelvic response to knee flexion is posterior
tilt. / With the pocket at the top of RF, the client movement is to reach heel off of the table.
Considerations: Watch the hinging of the pelvis in combination of with knee flexion and extension.
Encourage the pelvis to drop back with knee flexion.
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SFL
Fascial Region:
Intention:
Technique:
Soft Fist
Forearm
Elbow
Prone
Sitting
Prone
Sitting
Other:
Practitioner movements:
Client Movement:
Considerations:
SFL
Fascial Region:
Intention:
Technique:
Soft Fist
Forearm
Elbow
Other:
Practitioner movements:
Client Movement:
Considerations:
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LL
Fascial Region: Side of Hip Technique: Hip Fan Release
Intention:
Knees Up
Side Lying
Knuckles
Soft Fist
Prone
Sitting
Forearm
Elbow
Other:
Practitioner Movements: Sit on table behind client & engage tissue of hip flexors then extensors
as they perform opposing movement along bolster
Client Movements: Hip flexion then extension
Considerations: Place a pillow under the leg to be worked / concentrate on shorter group
dependent on pelvic tilt pattern
LL
Fascial Region: Side Body / Obliques / Technique: lateral abdominal scoop
Intention: lengthen / differentiate / shift
Client position: Supine Knees UP/ Feet Down Side Lying
Hand Positions: Fingers
Knuckles
Soft Fist
Forearm
Prone
Sitting
Practitioner Movements: Engage tissue, drop the elbows and using a scooping motion. Lift the
tissue and carry it up onto the ribs.
Client Movements: Breathing / anchoring the pelvis
Considerations: Create space between pelvis and 12th rib / be very mindful of the heads of
floating ribs.
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LL
Fascial Region:
Intention:
Technique:
Soft Fist
Forearm
Elbow
Prone
Sitting
Prone
Sitting
Other:
Practitioner movements:
Client Movement:
Considerations:
LL
Fascial Region:
Intention:
Technique:
Soft Fist
Forearm
Elbow
Other:
Practitioner movements:
Client Movement:
Considerations:
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SL
Fascial Region: Abdominal Obliques / Technique: Internal and External Obliques
Intention:
Knuckles
Soft Fist
Forearm
Prone
Elbow
Sitting
Other
Practitioner Movements: start with the internal oblique and aponeurosis, across the linea alba to
pick up the opposite external oblique, over the ribs to the other side
Client Movements: breathing
Considerations: work the short leg of the abdominal X / be mindful of the ribs
SL
Fascial Region: rhombo-serratus sling / Technique: Serratus Anterior
Intention: lengthen / differentiate / shift
Client position: Supine Knees UP/ Feet Down Side Lying
Hand Positions: Fingers
Knuckles
Soft Fist
Forearm
Prone
Elbow
Sitting
Palm Other
Practitioner Movements: engage tissue into the serratus anterior / lateral border of the scapula.
Bring the tissue around the rib cage
Client Movements: breathing and lifting the sternum on the inhalation
Considerations: the breathing and lifting also helps to shift and / or reinforce the up the front /
down the back relationship.
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SL
Fascial Region: Lower Spiral Line / Technique: TA and fibularis sling
Intention:
Knuckles
Soft Fist
Forearm
Prone
Elbow
Sitting
Other
Practitioner Movements: work the TA and fibularis in the appropriate directions. When working
to shift the tissue relationships, work close to your client with elbows wide. When working to shift
the tissue, keep hands within an inch of each other.
Client Movements: plantar and dorsiflexion
Considerations: imagine the TA / fibularis sling and decide what is locked long and locked
SL
Fascial Region:
Intention:
Technique:
Soft Fist
Forearm
Elbow
Prone
Sitting
Other:
Practitioner movements:
Client Movement:
Considerations:
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Shaft of humerus
Latissimus dorsi
Lumbodorsal fascia
Sacral Fascia
Sacrum
Gluteus maximus
Shaft of femur
Vastus lateralis
Patella
Sub-patellar tendon
Tuberosity of tibia
Shaft of humerus
Lower edge of pectoralis major
5th rib and 6th rib cartilage
Lateral sheath of Rectus abdominis
Pubic symphysis
Adductor longus
Linea aspera of femur
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Functional Line
Fascial Region: Pectoral Region
Intention:
Knuckles
Soft Fist
Forearm
Prone
Elbow
Sitting
Other
Practitioner Movements: following the leading edge of the pectoralis major and follow to the
division of the biceps and triceps
Client Movements: starting position with arm abducted and elbow flexed. Client stretches the arm
over head
Considerations: be mindful of breast tissue / nerve symptoms indicating you have come off of
pectoralis major.
Functional Line
Fascial Region: abdomen
Knuckles
Soft Fist
Forearm
Prone
Sitting
Practitioner Movements: Engage tissue and drop the heels of your hands to engage the fabric of
the abdomen. Work from the bottom towards the intersection of abdominals and pec major.
Client Movements: Breathing / client may also alternately engage and relax abdominals
Considerations: For reasons of privacy, do not work below umbilicus
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Functional Line
Fascial Region:
Intention:
Technique:
Soft Fist
Forearm
Elbow
Prone
Sitting
Other:
Practitioner movements:
Client Movement:
Considerations:
Side Lying
Prone
Sitting
Practitioner Movements: Standing behind the client holding both hands. 3 elements 1. Extend
through tension 2. Medially rotate arm 3. Walk across the body and sequence the movements.
Arm scapula upper ribs, - mid ribs lower ribs crossing over ~ L5 / S1 to hip
Client Movements: Passive while being organized by the practitioner and the clients hand.
However the client can organize this fundamental movement
Considerations: center of gravity is in the pelvis / the opposite arm being translated across the table
becomes a brake, should it feel like they are going to fall off of the table. If you are working on the
floor, you can roll completely over (assuming arms are over head).
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Ribs 3,4,5
Pectoralis minor, clavipectoral fascia
Coracoid process
Biceps brachii
Radial tuberosity
Radial periosteum
(anterior / lateral border)
Styloid process of radius
Radial collateral ligaments
Scaphoid, trapezium
Thenar muscles
Outside of thumb
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DFAL
Fascial Region: clavipectoral fascia / Technique: pectoralis minor
Intention:
Side Lying
Knuckles
Forearm
Soft Fist
Prone
Elbow
Sitting
Other
Practitioner Movements: Engage tissue pec minor attaches to 3rd, 4th and 5th rib. Practitioner
accesses the leading edge at approximately the nipple line. You may access the 1st, 2nd or 3rd slip
and its associated fascia. Take tissue towards the coracoid process or toward the proximal
attachments.
Client Movements: Breathing / Arm overhead / scapular depression and adduction
Considerations: The angle of the fingertips is crucial to avoid unnecessary discomfort. / Brachial
plexus runs underneath the upper pec minor. Discontinue in the event of nerve symptoms
SFAL
Fascial Region: upper arm / Technique: medial intermuscular septum
Intention: lengthen / differentiate / shift
Client position: Supine
Hand Positions: Fingers
Soft Fist
Side Lying
Forearm
Prone
Sitting
Practitioner Movements: Strum just proximal to medial epicondyle. Place 2 fingers at the center
of the string (no longer than 1.5 inches) and stretch towards either end. A few passes is often all
that is necessary to soften tissue.
Client Movements: none required, but could do a little elbow flexion / extension.
Considerations: nerve symptoms - discontinue
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DBAL
Fascial Region: Rotator Cuff / Technique: Teres Minor
Intention:
Knuckles
Soft Fist
Side Lying
Forearm
Prone
Elbow
Sitting
Other
Practitioner movements: Locate teres minor by going ! way between posterior acromion process
and axillary fold. Pin teres minor to the scapula and call for movement.
Client Movements: Medial rotation and of humerus as client reaches dangling arm forward
Considerations: Strum across and muscle test to differentiate from teres major.
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Upper middle
15.
Basilar portion of occiput, cervical TPs
14.
Fascia prevertebralis,
Pharyngeal raphe,
Scalene muscles,
Medial scalene fascia,
Mediastinum,
Parietal pleura,
13.
Pericardium,
12.
Central tendon,
Posterior diaphragm,
Crura of diaphragm
9.
Lumbar vertebral bodies
Upper posterior
11.
Basilar portion of occiput
10.
Anterior longitudinal ligament,
Longus colli & capitis
9.
Lumbar vertebral bodies
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Lower anterior
9.
Lumbar vertebral bodies and TPs
8.
Psoas, iliacus, pectineus,
Femoral triangle
7.
Lesser trochanter of femur
Medial intermuscular septum,
(anterior to adductor group)
Adductor brevis, longus
6.
Linea aspera of femur
Lower posterior
9.
Vertebral bodies
Anterior longitudinal ligament,
Anterior sacral fascia,
Pelvic floor fascia,
Levator ani,
Obturator internus fascia
Ischial ramus
Intermuscular septum
(posterior to adductor group)
Adductor magnus
5.
Medial femoral epicondyle
Lowest common
5.
Medial femoral epicondyle
4.
Posterior fascia of popliteus,
Knee capsule
3.
Posterior tibia/fibula
2.
Tibialis posterior, long toe flexors,
Interosseus membrane
1.
Plantar tarsal bones,
Plantar surface of toes
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Compared to our other lines, this line commands definition as a three-dimensional space, rather than a
line. Of course, all the other lines are volumetric as well, but are more easily seen as lines of pull. The
DFL very clearly occupies space.
In the leg, the DFL includes many of the deeper and more obscure supporting muscles of our anatomy,
though the line itself is fundamentally fascial in nature. Through the pelvis, the DFL has an intimate
relation with the hip joint, and relates the pulse of breathing and the rhythm of walking to each other. In
the trunk, the DFL is poised, along with the autonomic ganglia, between our neuro-motor chassis and
the more ancient organs of cell-support within our ventral cavity. In the neck, it provides the
counterbalancing lift to the pull of both the SFL and SBL. A dimensional understanding of the DFL is
necessary for successful application of nearly any method of manual or movement therapy.
Postural function:
The DFL plays a major role in the bodys support:
!"lifting the inner arch
!"stabilizing each segment of the legs
!"supporting the lumbar spine from the front
!"stabilizing the chest while allowing the expansion and relaxation of breathing
!"balancing the fragile neck and heavy head atop it all
Lack of support, balance and proper tonus in the DFL (as in the common pattern where short DFL
myofascia does not allow the hip joint to open fully into extension) will produce overall shortening in
the body, encourage collapse in the pelvic and spinal core, and lay the groundwork for negative
compensatory adjustments in all the other lines we have described.
Movement function
There is no movement that is strictly the province of the DFL, yet neither is any movement outside its
influence. The DFL is nearly everywhere surrounded or covered by other myofascia, which duplicate
the roles performed by the muscles of the DFL. The myofascia of the DFL is infused with more slowtwitch, endurance muscle fibers, reflecting the role the DFL plays in providing stability and subtle
positioning changes to the core structure to enable the more superficial structures and lines to work
easily and efficiently with the skeleton.
Thus, failure of the DFL to work properly does not necessarily involve an immediate or obvious loss of
function, especially to the untrained eye or to the less than exquisitely sensitive perceiver. Function can
usually be transferred to the outer lines of myofascia, but with slightly less elegance and grace, and
slightly more strain to the joints and peri-articular tissues, which can set up the conditions over time for
injury and degeneration. Thus, many injuries are often set in motion by a failure within the DFL some
years before the incident that revealed them takes place.
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DFL
Fascial Region: Thigh
Intention:
Knuckles
Soft Fist
Forearm
Prone
Elbow
Sitting
Other
Practitioner Movements: Locate the medial femoral epicondyle. Locate the hamstring tendons
which create a valley with adductor magnus. Allow finger tips to move upward towards sitting
bones.
Client Movements: Flex and extend the knee / reach through the heel on extension.
Considerations: Awareness that this septum blends into the Obturator internus fascia and continues
fascially, to the pelvic floor.
DFL
Fascial Region: Illiopsoas
Prone
Sitting
Elbow
Palm Other
Knuckles
Soft Fist
Forearm
Practitioner Movements: fingers at level of ASIS. Following the bowl of the pelvis until you reach
the lateral line of the psoas. Rest your finger tips at this junction and call for movement.
Client Movements: To muscle test, hip flexion to feel contraction of psoas. Send knee forward over
foot/second toe or extend the leg through the heel.
Considerations: Do NOT go below the ASIS or above umbilicus. Discontinue with any sharp, acute
or radiating pain. Practitioner must differentiate between psoas and bowels by muscle testing /
reporting symptoms.
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DFL
Fascial Region:
Intention:
Technique:
Soft Fist
Forearm
Elbow
Prone
Sitting
Prone
Sitting
Other:
Practitioner movements:
Client Movement:
Considerations:
DFL
Fascial Region:
Intention:
Technique:
Soft Fist
Forearm
Elbow
Other:
Practitioner movements:
Client Movement:
Considerations:
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Goals / Results
KEY
Rotation
Obs:
/
!
"
Tilt
Shift
Bend
Short
Tx:
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Long
(R)
Right
38
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Generally when performing massage techniques, the therapist glides over the top of the myofascia
applying compression to the tissue in order to stimulate flow of fluids and to affect neuromuscular
tension (fig 1). In order to manually stretch the connective tissue the therapist needs to use a
different style of contact. By first applying a downward pressure, sinking to the first level that
gives resistance and then dropping the angle of their contact in order to create a wave in front of the
point of contact (fig 2).
This wave is then pushed in front as the stroke is performed. The stroke must be carried out slowly
and at a speed determined by the interaction of the tool being used (ie thumb, forearm, elbow etc),
the amount of lubrication available along the surface and the rate at which the clients tissue can
melt and open up in front as you work along.
I sometimes think of it like taking an elevator down to the floor (tissue level) you want to be at and
then as you walk out the door you drop the angle of the contact, locking yourself into the
myofascial layer.
In order to perform these strokes an oil based lotion cannot be used as it will not create the
necessary grip needed. We recommend experimenting with different types of lubricant starting
with the using nothing other than the moisture of your own hands, should this prove insufficient,
youll recognise this by the inability to move through the stroke and/or a jerkiness in the movement,
then apply a little water. Only if this still fails to provide a smooth stroke then the practitioner
could try a water based moisturiser or wax style lubricant remember always to start with less as
its easier to apply more than to take it off if you use too much.
The client may feel a slow pulling and burning sensation this is partly what you are trying to
achieve and you quite literally melt the ground substance within the myofascia to a more liquid
state (changing it from gel to sol) and stretch the connective tissue bag surrounding and within
the target muscle.
If youre unfamiliar with palpating the fascial coverings around the muscles try exploring through
the layers of your forearm. Using the fingers of your dominant hand begin by first placing your
awareness on the surface of the skin, feel its resistance to your pressure, the tautness of the skin
giving a positive sensation in response to the slight weight of your fingertips. Try moving the skin
over the underlying adipose; is it separate from the layer beneath? Does the skin move more easily
in one direction than the other?
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Now sink into the adipose layer become aware of the different quality of the sensations in your
fingers. How does this layer differ from being in the skin? Press a little more firmly and you can
feel another taught layer below this, more taut and bouncier than the skin. Can you move the
adipose over this second skin? Feel how the skin and the adipose move easily together gliding over
this first layer of myofascia; the deep investing layer. Maintaining your pressure to keep your digits
in the adipose tissue angle your pressure toward your elbow taking up any slack and then slowly
flex your wrist. Can you feel the stretch on the skin? With a firmer grip and more movement you
can feel how this type of contact can become uncomfortable, similar to a Chinese (or in the USA,
an Indian) burn so beloved of school playground bullies and older brothers the world over.
Once you recover from the slight abuse youve just given yourself (and hopefully not elicited too
many traumatic memories!) allow your fingers to descend through the layers again, this time
overcoming the resistance given by the deep investing layer of fascia. Youll feel yourself now
pushing onto the muscle belly, using the tone of the muscle as your guide to assess which level
youre on, the focus is the skin of that first muscle you encounter. You can check to see if you
are in the right layer by flexing your wrist again, do you feel the muscles stretching below your
point of contact similar to your first attempt or do you feel the tissue around the fingertips pull them
toward the wrist?
If you are in the correct layer you can now begin applying fasical release technique on your wrist
extensors by hooking the tissue, pushing toward your elbow as you slowly flex your wrist again.
Be aware of the different sensations in the tissues between the two different levels of connection. If
you have got it right it should now feel like a deeper burning but more pleasant, sometimes clients
report it as a good pain the tissue almost crying out for the release, stimulation and stretch.
You can now explore through all of the musculature of the forearm, feel for the differences in tone,
not just in the muscle but also that fascial skin, the epimysium. Compare the flexor compartment to
the extensors, use movement to find the intermuscular septum between the muscles, use movement
to identify exactly where you are play with flexion and extension in combination with radial and
ulnar deviation. What difference does it make in the tension produced under your working hand?
Can you sense that certain directions of movement give a better challenge to the tissue? As you
become more proficient using the technique, which is just a matter of doing it regularly, all of this
will give you information about the area youre working on, its condition and where you need to
focus your attention. You will be able to subtly alter the angles of movement to make your work
even more effective.
Under a skilled practitioners hands fascial release technique is a wonderfully releasing, pleasurable
but challenging experience, but like many tools, when wielded by a novice, it can be disastrous.
Often I have been mauled and not only by neophytes but also by some supposedly accomplished
therapists. In order to avoid putting your clients through this I recommend spending some time
working through and playing with the five stages below, it is a common mistake to believe that the
only thing that matters is getting the work done but if we are to be a client centred therapy then
its incumbent upon us to stay aware of the fact we are working on a person, not a collection of
dysfunctional tissue crying out for our saving, healing, sometimes over eager, touch.
Development
Many bodywork approaches talk of melting into the tissue, sinking through the layers and FRT
is no different in that. Just as you did in the exercise above be aware of the layers as you pass
through them, allowing the tissue to give way rather than bulldozing your way. Mould your hands,
fingers, knuckles or whichever tool you are using to the shape of the bodypart being worked, use
only enough tension and pressure to get you to that first layer of resistance, wait to be invited in.
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Some schools teach that you can ask your client to exhale as you melt in and I often find this a
useful addition but sometimes overused and distracting from the touch. Experiment with using
your exhale to sink your bodyweight into the tissue. Having your centre of gravity high, keeping
your back foot raised allows you to position yourself over the area, exhaling (quietly!) and dropping
your centre of gravity (or sinking your Hara) is much easier for the client to receive than pushing
into it. The tension necessary to push will result in the clients tissue resisting and set up a struggle
either one of you has to win.
Maintaining a relaxed point of contact avoids putting tension into the area being worked but also
keeps you much more sensitive to variations in the myofascia. The less tone you have in your
working limb the better able you are to sense the changes in your client.
Achieve this by getting as much of your force from muscles as distant from the point of contact as
possible. For example, if you are using your fingertips they should retain only the tension needed
to get through the layers, the initial force comes from your bodyweight coming over the area, as you
need to get to deeper levels increase your bodyweight by altering the angle of your back foot, push
from the back foot (remembering to engage your core), stabilise your shoulder girdle and arm,
gently lock your elbow and wrist. Only as a last resort should you push with your fingers as it will
then feel pokey and uncomfortable.
Assessment
So now that youve got somewhere you need to check two things firstly, is it where you wanted
to be? If, for whatever reason, you were trying to find the peroneals how do you know that you are
really on them? Secondly, if you are on them how do they feel? What kind of work do they need,
what kind of tool should you be using? Your fingers, knuckles or elbow?
This is the stage of questions and obtaining information. Using both active and passive movement
you can gain much of what you need. Ask you client to pronate the foot as you search for the
peroneals can help you differentiate them from the soleus, feeling for the quality of the movement
you can assess which parts of the muscle open too much or not at all. You can begin to find the
areas youll need to focus on but also how are you going to do it?
Strategy
Youve got to where you want to be, youve found something that needs to be worked but now you
have to decide how youre going to do it. Which direction will best engage that area? Which
movement will you ask for? Which tool (fingers, knuckles, forearm etc) will best fit the area? In
the words of every protective father; what exactly is your intention?
These last two stages are often skipped by practitioners, they are not discrete moments in time but
merely part of a thought process, a mindful decision making, ensuring that your work is specific to
the needs of the client rather than a treatment by rote. Of course a certain amount of a recipe is
needed for beginning practitioners, those of you from a massage background were given a basic
sequence to get you through the early days of your practice but as you become more comfortable
with the techniques, more aware of their effects on the variations of clients and their tissue, the
more you adapt that template to suit the present requirements. With fascial release technique this
can be done with each and every stroke.
A stroke performed without the above two stages is a blind gesture.
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Intervention
Finally youve got to the stage of doing the work. Youve got and checked the area youre working
on, youve decided on how to work it and now you can.
As part of your strategy youve already chosen which tool to use, youre locked in the level and
area you want to be and now you slowly glide and/or ask the client to move. However for this stage
it is not so much how you perform the stroke but much more about what effect is it having. The
practitioner has to constantly monitor what is happening below and around the point of contact; is
the tissue releasing? Is the right area being challenged with the movement? Is the tissue lifting or
moving? Is the client able to receive and process the information youre offering to her?
Throughout the intervention or stroke you set up a feedback loop assessing its effectiveness, what
changes can you make as you go through to assist you in the goals set above? With each change
you have to re-evaluate.
Now you are truly listening to the client and their tissue, youve set up what we sometimes refer to
as a communication between two intelligent systems. With your strategy in mind you are
offering information to the client, asking their tissue if it can change, and does the work make sense
to them. By listening to the collection of systems under your hand and keeping yourself open to
their messages back, you will be able to reflect the abilities of the clients tissue in your work.
Providing you can attune your ear to the language their tissue uses to inform you in response to
your contact.
Ending
As you begin, so should you finish.
So many therapists forget to that theyre working with a human, its almost like theyre so relieved
to reach the end of their stroke that they jump out of the tissue. Now Im not saying its wrong, just
rude.
If you take all that time to take care of your client, sinking in, feeling its condition, listening to it as
you work give it a little respect by coming out of it slowly. Take your body weight back into your
forward leg, dont push into the client to jerk yourself up; a mortal sin in my book. Once you have
your weight back in your legs then you can lift yourself out of the stroke allowing the tissue time to
settle back in rather than letting it snap back.
Sometimes it can be more pleasant for the client to spiral out of the contact, slowly peeling your
skin out of contact with theirs. This is especially true when you work in areas where the skin may
be more sensitive such as around the armpit or the thigh adductors.
It is these small things that the client may not be aware of but makes a huge difference in their
experience of the treatment. Fascial release can be a challenging treatment and the more
comfortable we can make it for the client the better they will be able to accept it.
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7. Unity of intent with diffuse awareness structural integration implies the ability to focus on
any given task or perception while maintaining a diffuse peripheral awareness of whatever is
going on around this focused activity. Focus without contextual awareness is fanatic; awareness
without focus is ineffective.
8. Reduced effort in standing and movement less parasitic tension or unnecessary
compensatory movement involved in any given task.
9. Range of motion, generosity of movement less restriction in any given activity, and that,
within the limits of health, age, history, and genetic make-up, the full rage of human movement
is available.
10. Reduced pain that standing and activity be as free of structural pain as possible.
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Myofascial Meridian
Myofascial Continuity
Track
Station
Express
Local
Cardinal line
A cardinal line runs the length of the body on one of the four major surfaces: the SBL
on the back, the SFL on the front, and the LL on right and left sides
Branch line
An alternative track, often smaller or less usually employed, than the primary
myofascial meridian
Derailment
An area within a myofascial meridian where the linkage only applies under certain
conditions
Roundhouse
An area within the skeleton where many myofascial continuities join, which is thus
subject to a number of different vectors; in simple language, a bone where muscles
coming from many directions meet.
Switch
An area where fascial planes either converge from two into one, or diverge from one
into two.
Direct connection
A connection between two tracks across a station where the fascia is clearly
continuous between the two
Mechanical connection
A connection between two tracks across a station where the connection passes through
an intervening bone
Locked long
Used to designate a myofascial unit held in a state longer than it usual efficient length.
Locked short
Used to designate a myofascial unit held in a state shorter that its usual or efficient
length.
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KMI TRAINING
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FACULTY
James has been practicing bodywork for over 17 years and has trained in a variety of approaches.
He is founder and director of Ultimate Massage Solutions, specializing in Myofascial Release and
Structural Integration to rid the body of restrictions and restore the bodys natural postural balance.
Ultimate Massage Solutions stocks a wide range of Books and DVDs, from some of the worlds
best educators, aimed at students and practitioners of Bodywork
James has trained with Tom Myers, originator of the Anatomy TrainsSM theory, and is a registered
teacher of his approach. In December 2007, James collaborated with Tom to launch Kinesis UK, an
independent branch of Kinesis Inc. Its purpose is to bring high quality training in Structural
Integration and Toms Anatomy TrainsSM model to Europe, as well as providing continuing
education in myofascial and movement work.
James has also trained and facilitated workshops alongside Art Riggs, author of Deep Tissue
Massage: A Visual Guide to Techniques and will be working with both Robert Schleip (Germany)
and George Kousaleos (USA) in London in 2009.
James has traveled widely to learn from some of the top educators in the field and he now teaches a
range of courses for schools in the UK, Ireland, Europe and the USA. He has worked at the World
Triathlon Championships in Hawaii and been invited to work with Premiership Football and
Premier League Rugby teams, teaching their Sports Medicine teams and working on problem
players.
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