Archive for the ‘Uncategorized’ Category

Anatomy Trains Moves into NeuroEnergetic Kinesiology

Thursday, February 9th, 2012

As we continue to apply our knowledge of the Anatomy Trains myofascial meridians, that which we discovered through Manual Therapy, to the world in which we live and Movement Therapy, we are gaining a more precise understanding of why and how things like yoga, Pilates, dance and other forms of physical therapy can have such a profound impact on our physical being. When we consider the whole length of each of these meridians during movement, we have the ability to safely and optimally extend the range of motion and improve our physical performance. Of course, differences will vary from person to person, but this contributes to what we are now calling Fascial Fitness.

I frequently receive questions from graduate students in physical therapy, kinesiology and other disciplines about Anatomy Trains and Fascia. One such student from the American College of NeuroEnergetic Kinesiology recently wrote to me to inquire about the range of motion for the Fascia (Anatomy) Trains for a course they are preparing. They use Advanced Acu Touch on Acupuncture Points, and they have already watched several of the Anatomy Trains DVDs. The student wanted to know if we have specific movements for each of the Anatomy Trains lines that will activate them for use in their work. They were looking specifically for movements relating to each line and the actual range of motion to activate them, especially in the Deep Front Line.

I responded that in chapter 10 of the book, Anatomy Trains: Myofascial Meridians for Manual and Movement Therapists, we use forward bends to test, stretch, and activate the Superficial Back Line, backbends for the Superficial Front Line, side bends for the Lateral Lines, twists for the Spiral Lines, as well as for the Arm Lines and Functional Lines.

Deep Front Line stretch

The Deep Front Line is more difficult to reach. For the lowest part, we recommend getting the heel down during hip and dorsiflexion, as in Down Dog, or actively bringing the medial arch of the foot to the top of the thigh while sitting and dragging the heel up the floor toward the hip. We also recommend medially and laterally rotating the thighs (femurs) in strong hip flexion, again, as in Down Dog, or in hip hyperextension such as a mild backbend, like at the start of sun salutations. We also recommend movements to open the pelvic floor and awaken the front of the spine – this is less what you do, and more how you do it. And finally, to open the top of the front of the neck: look over your shoulder until you can see your heels, then breathe deeply and feel the anterior scalenes stretch. The jaw likes yawning.

As with any program, repetition is key, as is working within your comfort zone so as not to cause injury. This may vary significantly from person to person. It is also worth noting that moving in a smooth, fluid-like fashion, and in multiple directions – not just in single-directional planes – will have a greater affect on the fascia than the old-fashioned hurky-jerkey movements of weightlifting and certain aerobic exercises. While there may be many ways to address, stretch and move each individual myofascial meridian, not one of these works on its own, just as no single muscle works on its own!

I am always thrilled to see the far-reaching applications and implications of the work we have done to collectively share our understanding of the human body. Thank you, all, for your continued interest in Anatomy Trains!

Whitewash

Friday, January 21st, 2011

Recently, I visited Greece, taking my daughter Mistral along to introduce her to this land of great heart. While there, we made a series of short video blogs. Stay tuned – in subsequent blogs Tom will be sharing with you a tour of the ancient healing center at Epidaurus, a place of pilgrimage and deep connection for Tom.

But this one first, from the island of Hydra:

10-sessions, Explained

Wednesday, October 13th, 2010

A reader asks: Can someone please explain to me the 10 sessions of Rolfing? Are all 10 sessions needed, and what is the specific focus for each session? What is the ultimate goal, to restore good posture or to relieve chronic pain?

From I Rolf’s point of view: “If you’re symptoms get better, that’s your tough luck” – she was going for a specific functional alignment in gravity. If your pain was due to constriction, compression, or compensation of this type, the pain goes away – but the goal is the improvement of support, balance, and alignment. Its aim is systemic, not symptomatic.

In Rolf’s ten series, three sessions deal with the superficial sleeve – front, back, and sides, Four sessions deal with the core myofascial relationships, and then the final three integrate the body’s movement. With someone well-versed in yoga, dance, or the like, I can usually reduce that to 8, but all the steps are necessary, even of they can be done in less time. Conversely, others can require more sessions, more time, to cover the same steps.

In our own system, KMI, we use 12 sessions, but based on the same principles. These sessions are outlines in detail in an appendix at the back of the book Anatomy Trains – www.anatomytrains.com

Bronnie – if you got temporary relief, either: 1) your pain is not really structural, and so would respond better to another method or 2) (and more likely) the pain is anchored somewhere else in your body, sometimes well away from the site of pain, and needs a more skilled practitioner to see, feel, and unhook that link.

Evolution of Collective Learning in Kinesis

Tuesday, September 28th, 2010

I am feverishly reading the work of Howard Bloom in preparation for meeting him. His overview of the development of group consciousness (Global Brain, Wiley, 2000) mirrors my own thinking, but carries it deeper and with more supporting evidence. His ideas on the elements of a ‘collective learning machine’ (an epithet that applies to each of us as cell aggregates, to KMI / Kinesis, and to the bodywork / movement profession in general) are particularly relevant to understand our process and advance it. Where are you in this spectrum? (Hint: you can inhabit several places within it in different endeavors, but you cannot be nowhere.)

In every collective learning machine – and I paraphrase Bloom for the rest of this – there are five active elements, more or less in order, but all interacting in a developed system at all times: All of these elements have constructive and destructive phases or uses; read of them without judgment, but notice your affinity.

1) Conformity enforcers impose identity through similarities. These similarities help the group through adverse circumstances, develop a common language, and help the crowd pull together on collective enterprises. The induction process of the KMI training performs this task for us as a group – giving us a common presumptions, approach, language for bodyreading and strategy, the 12-series, and the common goals of length, alignment and a complete body image. Anatomy Trains (and our new effort of ‘Fascial Fitness’) seeks to diffuse a common language to speed the process of collective learning among the larger enterprise of physical education or, as I call it, Spatial Medicine.

In spite of the power it generates, of course, too much cookie-cutter similarity will be the death of any learning machine, so evolution builds in:

2) Diversity generators give birth to variation. Each individual represents an hypothesis in the communal mind. Many of the diversity generators are useless or even potentially harmful, but when circumstances change, some few of these folks hold the key to successful adaptation to the future. In your immune system, many white blood cells harbor antigens which are useless (and therefore kept under control) until a specific invader germ enters the body. Suddenly, these previously useless WBC’s are vital to the body’s survival. The ‘odd ducks’ within a group can be annoying or even detrimental in ‘good’ times, but some few can hold the key to new opportunities in one kind of adversity or another.

The diversity generators are allocated resources by the:

3) Inner judges continually take the measure of results, rewarding contributions of value, and punishing bad guesswork. If we’ve solved a knotty problem, we hear the cheers of fellow workers or family members, and our systems flood us with positive hormones that swell our chests, give us energy, and set our minds ablaze with confidence. If we cannot get a grip or cannot find agreement in what we are offering, our inner judges activate self-destruct machinery (stress hormones) that literally kill off brain cells and dull our wits, steal our pep, and isolate us. Inner judges are sometimes generous but often far from kind. But whatever their action on the individual, they are essential to complex adaptive learning systems.

The inner judges decisions activate the:

4) Resource shifters shunt riches and influence to group members who succeed (in whatever terms success is measured). The resource shifters embody Jesus’ algorithm: To he who hath shall be given, from he who hath not, even what he has shall be taken from him. Again, not very kind or ‘just’, perhaps, but it is the law of the group in learning.

Resource rich groups then engage in:

5) Intergroup tournaments or face offs evoke cooperative effort and innovation from each collective intelligence in an effort to survive and thrive. The mechanism here is familiar from Darwin’s natural selection, but applies in this context to group interactions or ‘wars’. This can range from a friendly dispute over technique to the competition among schools to the competition among methods to nuclear confrontation, but these are the forces – mostly unseen at the level of ‘culture’ that make mass minds click.

Obviously this has implications from family therapy right up through realpolitik on a global level, but let’s stick to the nested group of the individual practitioner, the KMI school, and the collective SI endeavour currently embodied in the IASI.

The KMI training is designed to produce (in an ever-improving recursive iterations) a conformity enforcement of practical fascial pattern-altering skills within a conceptual framework of the 3- and 12-series, but allowing enough room in our admissions policies and methods for ‘odd ducks’ who make us shake our heads and roll our eyes right now, but may at some future date innovate something of real value to the ever-changing situation of the marketplace. Thus our teachers are conformity generators with an eye (and an allowance) for the diversity generators. Once graduated, the group’s inner judges (not individual people, but collective ideas and feelings) will promote some to successful practitioners; others fall by the wayside and seek elsewhere.

Some successful practitioners will become teachers, and material and non-material resources will be ‘paid’ to those who correctly read and fulfill a need in the marketplace of ideas and techniques. These teachers / clinic heads / writers / presenters / volunteers et al. are building and will continue to create the identity of KMI / Kinesis within the SI community and beyond. This identity competes in an intergroup tournament going on among the schools within IASI for the resources of the small group of those interested in structural integration. But there is a larger intergroup tournament among the various bodywork methods for dominion over the larger marketplace of hands-on healing. So even though we compete within IASI for the ‘resource’ of students for practitioning, we band together in IASI to form a group for competing / cooperating with groups outside SI to enlarge the group of potential practitioners (and clients) interested in SI. These intergroup tournaments will improve the outcome of the new physical education and therapy on offer in the 21st century, paving the way for the movement component of health care, if and when we should ever collectively decide to trade in ‘sick care’ for true health care. Ultimately, we are part of the larger intergroup tournament with the medical system monopoly and the old ideas entrenched within it.

Our social health and (I believe) continued existence on the planet requires dismantling and successfully rebuilding our system of caring for and educating our Neolithic children in the human-constructed environment of the Electronic Age. We at Kinesis are an actively conscious part of that process. Conformity enforcement, diversity generation, inner judgment, resource shifting, and intergroup competition may not sound so attractive, and can sometimes be bloody in tooth and claw like Nature herself (it is Nature herself), but it is all part of improving our collective learning in the service of the human experiment.

Fascial Release

Friday, July 9th, 2010

With so much going on about fascia in general, Anatomy Trains in particular, and this site in the middle, I though I would share a clarifying piece of an email I just received from James Earls, the head of Kinesis in UK. He and I are coming out with a book soon on Fascial Release. So, are we doing fascial release, Anatomy Trains, of KMI? (KMI is our flagship training in a Rolf-evolved integrative bodywork).

Fascial Release is a technique, a way of getting malleable but tough tissue – the sinews that hold us together – to relent long enough for the movement pattern to change. There are lots of people using such techniques, and other techniques that can be incorporated into the fascial release domain. It’s this simple: some massage techniques done deeper, slower, and with an awareness of the ‘wave’ in the fascia become Fascial Release Technique – by definition, but not necessarily in origin. ‘There is nothing new under the sun of manipulation’, said Ida Rolf, and I still find this true 30 years and many brand names after her death.

Anatomy Trains is a model – a map of how the myofascia connects in longitudinal slings around the body. As a map, it is neither definitive nor exhaustive, and it certainly is not the territory of the lived, whole body. But it is a useful map with explanatory power, especially in long-term problems where postural compensation has set in.

KMI – SI is a process whereby we gently and progressively unfold the client’s pattern toward something more complete, more open, more aligned, and juicier. We use the Fascial Release techniques as a modus operandi, and we use the Anatomy Trains as an organizing map, but KMI is a modus vivendi – a way of bringing all this to bear on the art of life and living in a structured, moving body.

SI Schools and Education

Saturday, April 10th, 2010

An update to an earlier post:
Structural Integration Brands

I am often asked what is the difference between Kinesis and Rolfing, and some of this is already spelled out on our web site:



For what it’s worth, here’s my take on the subject: the Rolf Institute and other SI schools offer excellent education. Each school has its own flavour, and different students will be better suited to the different emphases. Some are more anatomically or clinically oriented, some more psychologically or spiritually oriented. 

My problem is I like it all, so we try to include all aspects in our training.

 There are, in any case, far greater differences among practitioners than among the schools, so you will find (and should search out) a practitioner who ‘fits’ you, just as with a school.

 All that said: Anatomy Trains is a map of interest to a wide variety of practitioners of many methods, manual and movement. KMI is one application of Anatomy Trains to human structural compensation patterns. KMI is definitely evolved from the pioneering work of Dr. Ida Rolf, and the principles of the KMI 12-series are to her credit, not mine. KMI is unique in basing the sessions around these myofascial continuities, the Anatomy Trains. This makes the method independent of “Ida said do this next” kind of thinking, and easier to explain rationally to other professionals.

 I like to think we build good perceptual skills – both hands and eyes – in our students, and that we are friendly to and inclusive of other methods rather than being aloof or exclusionary.

 But as I say, all the schools and all the practitioners I know are sincerely trying to do their best to educate people in changing structural and movement patterning. And it’s a rapidly evolving field.


Whimsey in Ulm

Monday, April 5th, 2010
Sue and Tom and Robert in Ulm

Sue Hitzman, Tom Myers, and Dr Robert Schleip vamping on the whimsical snaky chairs in the Biomechanics Lab at Ulm University, March 2010.

At the Ulm University Biomechanics Lab: Carla Stecco, Robert Schleip, Tom Myers, and James Earls

Self-care at the deepest level

Wednesday, March 31st, 2010

In historical terms, the modern resurgence of the manual therapy profession is just getting underway, and the opportunities to earn more if you learn more are simply tremendous in the coming years. The principles and knowledge-base of the contemporary LMT / PT will apply to many different clinical and educational settings in the new social environment which will follow the renewal of health care in America.

Three aspects that new and on-going therapists need to learn are:

1) Holistic anatomy: There’s no way around it – to sit at professional tables in this field you need to know the nomenclature. All the same, traditional anatomy (origins, insertions, etc.) is increasingly irrelevant as anatomy is revised in light of the new research on fascial remodeling and kinetic linkages like the Anatomy Trains Myofascial Meridians. So we need to know biomechanics, and we need to be on top of the new developments. This is what we are doing at Kinesis – winnowing the latest research and giving you the results. Being up on developments will raise your status in the eyes of other professionals and clients, and thus raise your income through increased referrals.

2) Client education: This is an ever-increasing requirement for all manual therapists: the ability to give specific, relevant, and informed ‘homework’ to your clients to help them enhance what they get from your good work. The days of just having a relaxing massage without follow-on care are largely gone already. The skill level of Pilates teachers, personal trainers, and movement teachers must be matched by the massage therapist or physio – a great learning and earning opportunity to distinguish yourself from the pack.

3) Self-development: Nothing keeps your income up like excitement; when you are excited, it communicates and people are excited to be with you. Nothing excites you like learning new stuff. Sometimes that new learning can be a concept, like 1) above, or a technique, like 2) above, but honestly the most exciting things are emotional or spiritual. While we hope you buy our DVD’s or read our books, the most exciting things happen in our longer training classes (http:://www,anatomytrains.com/newsletter/12), or in family life or on an adventure where your deep insides get changed.

Fall in love. Go on a challenging trip. Allow yourself to be changed by your life partner (fall in love again). Really go into your own spirituality or pain deeply. Any of these things will probably result in a short-term loss to your practice, but in a long-term gain.

Neal Armstrong said he never exercised because he believed that one ‘only has so many heartbeats’, so he didn’t want to raise the rate unnecessarily. The problem with this argument is that the raised heart rate of an exercise session results in a lowered heart rate for the rest the day – a net lowering. Same deal: sacrifice some income temporarily to take real care of yourself, and you will find your income grows when you’re back on the job.

Touring the Biomechanical Lab

Friday, March 26th, 2010

We got to tour the biomechanical lab at the University of Ulm today. I am both fascinated (on an intellectual level) and repelled (on a human level) with such research. It seems to me that people are going to a lot of trouble to reaffirm Wolff’s elegant Law (en.wikipedia.org/wiki/Wolff’s_law), which my students have heard me paraphrase many times, to be carved in gold over the door if I ever build a school: The Body Responds to Demand. Wolff was talking about bone, and others (Davis, I think) have applied it to certain connective tissues, but Wolff got it first and got it right – so much of the Anatomy we now learn originated in Germany, building on the foundations set in Padua and Bologna by Vesalius and his compadres. See Spalteholtz and Hoepke, among others.

The current amour with tissue ‘remodeling’ in these labs is just elaborations on the mechanisms and limits of Wolff’s Law. It has been fascinating in terms of understanding the mechanism by which mechanical tension / compression in the extracellular matrix is conveyed to the nucleus to alter gene expression (again, follow Don Ingber, or read that latter part of the first chapter in the 2nd edition of Anatomy trains for my take on mechanobiology). The altered gene expression in turn allows the ECM and the body to respond within biological limits to the new load.

I was fascinated to learn how fast this happens: astronauts in space lose 200-300 mg of calcium per day from their bones, and there is up to 40%-60% loss of bone mass in a paraplegic’s paralyzed limb – apparently the limits are pretty wide. I can imagine that would mean that with the same old usual genes, we would be pretty much planet-shaped (round) after an extended period in space.

Now, I know a number of Americans are attempting to reach this shape via fast food, but not being in space (other than in their anti-‘socialist’ little heads. (if only you knew how crazy all the Tea-Baggers look from Europe, painting Hitler mustaches on Obama’s face for this tiny transitional step toward what every European knows: Hitler was very, very much worse (and truly fascist) than Obama, and socialism in health care is a very good and economical idea) Being big and round on the planet Earth is really hard on your knee ligaments and your heart, but in space, adopting a round shape would be a sound adaptation.

But it is those strained knee ligaments – in sports as well as obesity – that concern the bio-engineers here in this state of the art facility. Our loud Russian friend Leonid, a pig-tailed Sue Hitzman, Kinesis UK’s James Earls and his fiancée and Pilates teacher Ines and some others sat around a table (in ‘laboratory chic’) examining a cadaverous knee. It had been stripped of muscle, and the two bones set into cones of bright yellow plastic, which will be held by the machine.

The machine, a modern torture instrument in looks, can hold the joint complex very firmly, and then apply multiple repetitions of flexion-extension or tibial rotation while maintaining true knee movement ( which is anything but simple – sliding and gliding and ‘screwing home’ (that’s the actual term) in the last degrees of extension – all accounted for in this machine. But they can add extra torsion or valgus or varus into the equation and then measure what that does to specific ligaments or fascia.

You might be shaking your head in wonder or disgust (there was a big portrait of Isaac Newton on the wall – had they never heard of Einstein or Wiener?), but how the hell else are they going to figure out how to make good artificial ligaments or better surgical procedures?

Another machine pulls on tendons to test recovery from stress and what happens in tendinous injury. Really intriguing problem: how do you hold onto a tendon, which is really slippery, to raise the tension to 50,000 Newtons (5000 kilos, more or less)? The homely answer is sandpaper between two metal plates. In this little detail I suddenly felt heartfelt empathy for these researchers, however much I rebel into being a proponent of holism when I see their reductionist approach and the endless beeping machines.

They are of course sincere (and in this case well-funded), but the elegant and homely solution to this problem (as well as the whimsical sculptured chairs in the lobby) earned my slightly grudging respect. They are still studying the body in parts, and there is still more to learn from this path, even though my own path takes me down the road toward what can be learned for the synergetic interaction of whole systems. As I have said before, scientists have the luxury as well as the discipline to reduce each question to a narrow single variable.

On a daily basis, the working therapist must juggle a thousand variables which cannot be either put out of the way or ignored – of fear, of relationships, of predilections and stubborn beliefs, of the need to lift children and tend to parents – in our clients. So we live in a no man’s land between science and art and craft. A scientist in a lab can dismiss our ‘unscientific’ attitude all he or she wishes, but let him be faced with the range of human suffering and striving every day, and see how many of his neat delineations survive in the rough and tumble of real therapy, real life, and hands-on-the-body application.

Translational Research In Massage Therapy

Wednesday, February 3rd, 2010

Translational Research In Massage Therapy is focus of conference: “Highlighting Massage Therapy In Complementary and Integrative Medicine Research”

Hosted by the Massage Therapy Foundation, May 13–15, 2010 at the Red Lion Hotel in Seattle, Washington

Seven world-renowned researchers and clinicians in the field of integrative health care will give keynote presentations at “Highlighting Massage Therapy in Complementary and Integrative Medicine Research,” hosted by the Massage Therapy Foundation. The three-day agenda, which focuses on translational research and public health, also includes two panel discussions, sixty research presentations and posters, and innovative experiential workshops.

In combining practical applications with scientific research, the conference will further the progression toward what the National Institutes of Health promotes as a two-way flow between “bench to bedside” and “bedside to bench,” also known as translational research. The cyclical outcomes of translational research occur when knowledge gained through research is applied in practical ways, and additional questions raised through this practical application motivate further research.

Experiential workshops are a relative rarity in research meetings. An academic exchange between the respective editors of International Journal of therapeutic Massage and Bodywork and the Journal of Bodywork and Movement Therapies, Glenn M. Hymel, EdD, LMT, and Leon Chaitow, DO, ND proposed this unconventional mechanism for bringing together research and practice. The workshops will include practical demonstrations of a variety of methods of manual care, combined with discussions of evidence of efficacy, proposed mechanisms, scientific evidence, and the expression of needs for future exploration.

The timeliness of this conference, according to Diana L. Thompson, president of the Massage Therapy Foundation, is evidenced by the fact that the number of clinical research studies in the area of massage therapy and integrative medicine have more than doubled since 2004. Thompson says, “In addition to the greater number of studies, massage therapists seem to be more curious about research, educators are more inclined to cite research data in the classroom, and vendors are more visibly supportive of search with their dollars and in their advertisements.”

The conference presenters and topics include the following:

Keynote Speakers
Josephine Briggs, MD – Director of the National Center for Complementary and Alternative Medicine (NCCAM): Areas of Promise in Research of Complementary and Alternative Medicine (CAM)
Dan Cherkin, PhD: Is Massage Effective for Back and Neck Pain? — Applying the Research to Your Practice
Julie Ann Day, PT – First the Hypothesis: How a Biomechanical Model can influence Fascial Anatomy Research
Willem Fourie, PT – Is There a Place for Manual Therapy in Recovery from Breast Cancer Treatment?
Christine Goertz, DC, PhD – Translational Research and Manual Therapies – How Do We Get There from Here?
Helene M. Langevin, MD: Connective Tissue Physiology and Its Relevance to Manual Therapies
Whitney Lowe, LMT: Knowledge Translation: Key Skills for Highly Successful Clinicians
 
Panel Discussions
Glenn Hymel, EdD & Leon Chaitow, ND, DO – Moderators: Translating Research into Practice and Practice into Research
William Meeker, DC, MPH – Moderator: Manual Therapy and the Public Health 
 
Experiential Workshops
Julie Ann Day, PT: The Assessment of Upper limb Dysfunctions: Indications for Superficial or Deep Fascia Work
Leon Chaitow, ND, DO: Four Functional Assessment Methods: Their Research Origins and Clinical Usefulness
Whitney Lowe, LMT: Creative Applications of Research in the Clinical Massage Environment
Masahiro Takakura, ND, DC, LAc, CKTI: Introduction of Kinesio Taping Application for Lymphatic Drainage and Inflammatory Condition

The Massage Therapy Foundation would like to acknowledge the generous support of the following Presenting Sponsors and Publishing Co-Sponsors: American Massage Therapy Association and Massage Envy; International Journal of Therapeutic Massage and Bodywork and Journal of Bodywork and Movement Therapies.
For more information and to register online, go to www.massagetherapyfoundation.org/researchconference2010.html
 
The Massage Therapy Foundation is a 501(c)3 public charity, with a mission to advance the knowledge 
and practice of massage therapy by supporting scientific research, education, and community service. For more information on the Foundation, please visit www.massagetherapyfoundation.org.