- Glycosaminoglycans - (many) goal is to maintain and support collagen and elastic, Goal is to keep protein fibers in balance
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1 and no foam rolling is NOT Fascial Therapy What is Fascia? Ubiquitous, living tissue It is the skin of ALL human body parts - skin of the viscera - skin of the lungs - pleura - skin of the heart - pericardium - skin of the digestive system - peritoneum - skin of the brain and spinal cord - dura mater - skin of the muscles - epimysium - skin of the vessels - adventitia - skin of the tendons and ligaments - aponeurosis - under microscope ALL fascia looks the same - only the spacing of the fibrils is different What does Fascia contain? 65-70% water Cells - Fibroblasts - Gives shape, organization and plasticity of the bag - Mastocytes - Important for immune system and hormonal secretion - Adipocytes - Fat cells, reserve of energy, maintains temp., protects the body - Macrophages - Important for inflammation, does phagocytosis, blocks mitosis - Plasmacytes - Immune system, antibody secreting cells, organizes defense - Leukocytes - White blood cells important to defend infections Fibers - Collagen - most important, different lengths between tubes creates different fascias - Reticulin - forms a net, the goal is to form a scar - Elastin - Elasticity of the tissue, Thixotropy - tissue become fluid when disturbed, mixing pain (justifies) manual therapy Matrix - Glycosaminoglycans - (many) goal is to maintain and support collagen and elastic, Goal is to keep protein fibers in balance
2 Because of Fascia ALL is in LINK! Deep longitudinal system, again for academic reason we segment this out as the peroneals, biceps femoris, sacrotuberus ligament, posterior sacral ligament, thoracolumbar fascia, lumbar fascia all the way to the base of the skull. If we dissected out all other muscles and stood 10 feet away, this would look like ONE muscle.
3 What roll does Fascia play? You might be shocked to know! - Structure - organization and the shape of the body - Circulation - of water, lymph and blood - Proprioception and Awareness - Neurobiology - connection of all the receptors of the body, synapses are part of the fascia, the nervous system ends blindly in the fascia - Communication - Cellular differentiation, i.e. communication between bone and tendon - Energy - energy production via adipocytes. Also the return of energy, ie thoracolumbar fascia - Defense and Protection - phagocytosis, immune reaction, physical protection of organs and glands - Scar production - this is via the reticulin fibers - Memory - A good example of this is the heart of a runner vs non runner - Shock Absorber - without fascia we would jar our body with every step - Intelligent Living Tissue - Dura mater Muscle is a stupid piece of meat. -Guy Voyer, DO Endomysium - fascia that surrounds each individual myocyte Perimysium - fascia that groups muscle fibers into bundles Epimysium - fascia that covers the entire muscle
4 Facial Fitness Myofascial stretching and ELDOA: The two most powerful tools for longevity! You are your own best therapist. -Guy Voyer, DO
5 (Relevent Facts) - We believed we knew how to stretch muscle - How do you stretch a muscle that is sheathed in a leather case? - Muscles are 3 dimensional - Muscles have multiple sites of attachment - Fascia is the skin of all - Fascia links all Myofacial Stretching Indications 1. Treatment of muscular link 2. Validation of treatment 3. Rehabilitation 4. Increase kinesthetic sensation 5. Recuperation after activity 6. Relaxation 7. Psycho-Somatic Indications 8. Orthopedic Normalization 9. Increase Plyometry Contraindications - Intrinsic - Muscular Tears - Extrinsic - Visceral Disease General Rules - Do MFS after exercise and NOT as a warm up - Must be well hydrated - Breathing is a must - 3 sets of 30 seconds - Age, Sex, morphotype, affect MFS - Quality is more important than quantity - Need to fix minimum a joint above and a joint below - Create maximum stretch in every link of the chain - Control posture all the time The Process 1. Actions of muscle 2. Muscle Counter-Action 3. Position of client
6 Technomethodology Ilio-Psoas Action Hip: F + ER + Coaptation + Add Pelvis: Anteversion Iliac: Outflare Lumbar Spine: F + Homolat SB + Contralateral R + Homolat T Muscle Counter Action Hip: E + IR + Decoaptation Pelvis: Retroversion Iliac: Inflare Lumbar Spine: Erection + Controlateral SB + Homolat Rotation + Contralateral T Pec Major Deep Action Gleno-humeral jt: IR + Add Muscle Counter Action Gleno-humeral jt: IR + Add Glute Max Deep Action Hip: E + Add + ER + Coaptation If < 90 degrees = ER If > 90 degrees = IR Pelvis: Retroversion Iliac: Inflare Muscle Counter Action Hip: F + Abd + IR + Decoapt Pelvis: Anteversion Iliac: Outflare
7 CONCLUSION Closing Remarks Fascia is NOT a buzz word - We have merely scratched the surface. Fascia is extremely complex. Foam rolling does not serve the complexity model. Fascia is a living tissue that composes the entire body. In North America we have the best term Connective Tissue. Fascia fitness is extremely important. You are your own best therapist. WHERE CAN I LEARN THIS LIFE CHANGING TECHNIQUE? Soma Training - Guy Voyer, DO, Fort Lauderdale, FL Contact: or call The Knee - October 6-8, 2017 Abs and the Thoracic Diaphragm - December 8-10, 2017 Segmental Strengthening of the Lower Extremity - January 26-28, 2018 Segmental Strengthening of the Upper Extremity - February 16-18, 2018 Posturology/Squat - March 23-25, 2018
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