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Fascial
Manipulation®
DISCOVERING
CONNECTIVE TISSUE’S ROLE
Appalachian Physical
Therapy,
IN MOVEMENT,
PAIN Inc.
AND FUNCTION
“There’s
a difference you
211-L Central Park Ave.
can feel”
Pinehurst, NC 28374
p 910-215-0541
Facility Director: Karen Backall, PT
[email protected]
Continuing Education Director Colleen Whiteford, PT
[email protected]
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Innervated deep fascia influences proprioception and motor control through muscular myotendinous insertions. 1-8
Studies8-12 implicate fascia in myofascial pain, but not its tensile network.
Stecco13,14 developed the Fascial Manipulation® Method, a biomechanical model based on regional
interdependence and tri-planar assessment of deep fascia.13-18
This model utilizes a synthesis of pain patterns, movement assessment and palpatory tests to assess the myofascial
system.
Fascial Manipulation® method demonstrates and explains fascia’s role in the treatment of pain resulting from the
alteration in motor unit recruitment, proprioception, and multisystem interrelationships.
This Level 1 course will teach movement assessment, palpation and treatment. Clinicians will learn current information
about fascia with particular emphasis on myofascial units (MFU) and myofascial sequences based on the anatomy of the
fascial system. Course is based on 30 percent lecture and 70 percent lab.
Contact: Larry Steinbeck, PT
[email protected]
404-271-1274
Fascial Manipulation© is a manual therapy that
has been developed by Luigi Stecco, an Italian
physiotherapist from the north of Italy. Deep
fascia is effectively an ideal structure for
perceiving and, consequently, assisting in
organizing movements. In fact, one vector, or
afferent impulse, has no more significance to the
Central Nervous System than any other vector
unless these vectors are mapped out and given a
spatial significance. Whenever a body part
moves in any given direction in space there is a
myofascial, tensional re-arrangement within the
corresponding fascia. Afferents embedded within
the fascia are stimulated, producing accurate
directional information. Any impediment in the
gliding of the fascia could alter afferent input
resulting in incoherent movement. It is
hypothesized that fascia is involved in
proprioception and peripheral motor control in
strict collaboration with the CNS.
Goals:
1. Provide an evidence-based anatomical appreciation for
the fascia system. 2. Describe current research regarding fascia function from
anatomical dissections. 3. Describe current interventional research that validates
this theoretical concept. 4. Describe the tri-planar fascial manipulation clinical
reasoning method with the standard assessment
form. 5. Demonstrate proper technique for movement
assessment. 6. Demonstrate proper technique for palpation
verifications. 7. Direct treatment toward the appropriate plane of
movement. Course Faculty: Larry Steinbeck, PT, MS, CIMPT
(Lead Faculty) graduated in 1985 with a BS in Physical
Therapy and a minor in Athletic Training from Ball State
University in Muncie, IN. In 1986 he graduated with an
MS in Physical Education and Athletic Training from
Ohio University in Athens, OH. He has worked in many
aspects of physical therapy including acute care, home
health, and for the last 13 years in outpatient orthopedics
with emphasis in the treatment of musculoskeletal pain.
For the past several years he has had the opportunity to
study in Italy with Luigi Stecco, PT and English speaking
physical therapists in the Fascial Manipulation® method,
Julie Ann Day, Giorgio Rucli, and Lorenzo Copetti.
REFERENCES
Schleip R. Fascial plasticity – a new neurobiological explanation: part
1. J Bodyw Mov Ther. 2003;7(1):11-19.
2.
Schleip R. Fascial plasticity – a new neurobiological explanation: part
2. J Bodyw Mov Ther. 2003;7(2):104-116.
3.
Schleip R, Zorn A, Klingler W. Biomechanical properties of fascial
tissues and their role as pain generators. J Musculoskelet Res.
2010;18(4):393-395.
4.
Schleip R, Klingler W, Lehmann-Horn, F. Active fascial contractility:
fascia may be able to contract in a smooth muscle-like manner and
thereby influence musculoskeletal dynamics. Medical Hypotheses.
2005;65:273-277.
5.
Stecco C, Porzionato A, Macchi V, Tiengo C, Parenti A, Aldegheri R,
Delmas V, De Caro R. Histological characteristics of the deep fascia of
the upper limb. Int J Anat Embryol. 2006;111(2):105-110.
6.
Stecco C, Gagey O, Belloni A, Pozzuoli A, Porzionato A, Macchi V,
Aldegheri R, De Caro R, Delmas, V. Anatomy of the deep fascia of the
upper limb. Second part: study of innervation. Morphologie.
2007;91(292):38-43.
7.
Stecco C, Macchi V, Porzionato A, Morra A, Parenti A, Stecco A,
Delmas V, De Caro R. The ankle retinacula: morphological evidence of
the proprioceptive role of the fascial system. Cells Tissues Organs.
2010;192:200-210.
8.
Stecco A, Gesi M, Stecco C. Fascial components of the myofascial pain
syndrome. Curr Pain Headache Rep. 2013;17:352-362.
9.
Findley T. Fascia research 2012: third international research congress.
Int. J. Therapy Massage Bodywork. 2010;3(4),1-4.
10. Purrslow PP. Muscle fascia and force transmission. J Body and Mov
Ther. 2010;14(4), 411-417.
11. Benjamin M. The fascia of the limbs and back-a review. J Anat.
2009;214(1), 1-18.
12. van der Wal J. The architecture of connective tissue in musculoskeletal
system-an often overlooked functional parameter as to proprioception
1.
in the locomotor apparatus. Int J Ther Massage Bodywork. 2009;2(4),
9-23.
13. Stecco L. Fascial Manipulation for Musculoskeletal Pain.
Piccin:Pardova, 2004.
14. Stecco L, Stecco C. Fascial Manipulation: Practical Part.
Piccin:Pardova, 2009.
15. Day JA. Fascial anatomy in manual therapy: introducing a new
biomechanical model. Orthop Phys Ther Practice. 2006;23:68-74.
In association with:
Fascial Manipulation Assoc., Arzignano (VI), Italy
The purposes of the Association are:
1. Scientific research in the field of anatomy and
physiology of the fascia for the better
understanding of numerous pathologies linked
to the same;
2. Correlating alterations of the fascia with
variations in posture and proprioception;
3. Identifying both appropriate diagnostic tools for
the analysis of such alterations in living beings
and new therapies for the purpose of developing
and improving approaches for better diagnosis,
cure, and prevention;
4. The distribution of scientific and therapeutic
knowledge regarding the method for greater
public awareness of the various types of fascial
pathologies;
www.fascialmanipulation.com
This course series sponsored by Appalachian Physical Therapy in Pinehurst, NC. All courses will be at the clinic in
Pinehurst, NC. Course schedule 8 a.m.- 5 p.m. each day. Hotels and restaurants within walking distance of clinic.
Greensboro NC airport is closest airport and is approximately one hour from the clinic. For further information go
to www.myopainseminars.com.
FM-Level 1
1. FM-1a, Fascial Manipulation: Basic Principles
Mar 27–29, 2015, Pinehurst, NC
2. FM-1b, Fascial Manipulation: Physiology, Assessment and Treatment
Apr 24–26, 2015, Pinehurst, NC
FM-Level 2
1. FM-2a, Level 2 Fascial Manipulation: Role of Centers of Fusion
Jul 10–12, 2015, Pinehurst, NC
2. FM-2b, Level 2 Fascial Manipulation: The Myofascial Spirals
Aug 14-16, 2015, Pinehurst, NC
Course Fees:
 FM Level 1 (both 1a & 1b course total) $1,350
 FM Level 2 (both 2a & 2b course total) $1,350
Registration:
 www.myopainseminars.com
 Course Coordinator: Ms. Avelene Mahan, (855) 209 - 1832, [email protected]