Fascial Stretch Therapy

294 Pages·2014·14.688 MB·English

by  Ann Frederick, Chris Frederick

Fascial Stretch Therapy ™
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HANDSPRING PUBLISHING LIMITED
The Old Manse, Fountainhall,
Pencaitland, East Lothian
EH34 5EY, United Kingdom
Tel: [phone]
Website: www.handspringpublishing.com
First published 2014 in the United Kingdom by Handspring Publishing
Copyright ©Handspring Publishing Limited 2014
Copyright Photographs © Ann and Chris Frederick 2014
All rights reserved. No parts of this publication may be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopying, recording, or any information storage and retrieval system,
without either the prior written permission of the authors and publisher or a license permitting restricted copying
in the United Kingdom issued by the Copyright Licensing Agency Ltd, Saffron House, 6-10 Kirby Street, London
EC1N 8TS.
The right of the Authors to be identified as the Author of this text has been asserted in accordance with the
Copyright, Designs and Patents Acts 1988.
IISBN 978-1-909141-08-7
eISBN 978-1-909141-43-8
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Important notice
It is the responsibility of the clinician/practitioner, employing a range of sources of information, their personal
experience, and their understanding of the particular needs of the patient/client, to determine the best approach
to treatment.
Neither the publishers nor the authors will be liable for any loss or damage of any nature occasioned to or
suffered by any person or property in regard to product liability, negligence or otherwise, or through acting or
refraining from acting as a result of adherence to the material contained in this book.
Commissioning Editor Sarena Wolfaard
Design and Illustrations by Bruce Hogarth, kinesis-creative.com
Indexer: Dr Laurence Errington
Typeset by DiTech Process Solutions
Printed in the Czech Republic by Finidr Ltd
The
Publisher’s
policy is to use
paper manufactured
from sustainable forests
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Contents
How Fascial Stretch Therapy™ came about
Foreword
Acknowledgements
Introduction
Section 1
Chapter 1 The Great Debate about Stretching
Introduction
Negative outcomes in research
Injuries
Strength, power and speed
Positive outcomes in research
Stretching tissues and cells
Getting perspective on studies about stretching
New definitions
Flexibility
Form and function
Tensegrity
Evidence our cells are biotensegrity structures
Flexibility and stability of the prestressed body
Myofascial tone and tension
Cells do the twist
Stretching heals injured cells
Effects of stretching on proprioceptors and interoreceptors
FST model of assessment and treatment
Summary
References
Chapter 2 Fascial Stretch Therapy Dissected
Introduction
Ten fundamental principles of FST
1. Synchronize breathing with movement
The movement
The breathing
Combining movement and breathing
2. Tune nervous system to current needs
3. Follow a logical order
4. Range of motion gains without pain
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Mobilization and TOC
5. Stretch neuromyofasciae, not just muscle
Mechanoreceptor location
6. Use multiple planes of movement
7. Target the entire joint
8. Get maximal lengthening with traction
9. Facilitate body reflexes for optimal results
10. Adjust stretching to current goals
Intensity
Duration
Frequency
Summary
Contraindications for FST
Indications for FST
Pain conditions
Structural conditions with or without pain
Sports
Summary
References
Chapter 3 Comparisons and Contrasts
Introduction
Common stretching methods and approaches
Proprioceptive Neuromuscular Facilitation (PNF)
Fascial Stretch Therapy
Active Isolated Stretching (AIS)
Other contemporary stretching methods and techniques
Ancient stretching techniques
Manual therapy techniques that integrate stretching
Summary
References
Chapter 4 Assessment
Introduction
Palpatory literacy
Movement vs motion quandary
Let’s START
Assessment techniques in a nutshell
SITTT
Assessment flow: global to local, static to dynamic
1. Posture testing
2. Myofascial testing
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3. Joint testing
4. Nerve testing
Movement assessment summary
Table-based assessment
Passive movement
TOC assessment
Traction
Oscillation
Circumduction
Resistance to passive movement (R1-R3)
Resisted movement (FST-PNF)
Summary
References
Section 2
Chapter 5 Lower Body Technique
Key Concepts for Technique
Introduction
The ten fundamental principles of FST
Practical guide to implementing the Ten Principles
1. Breathing
2. Nervous system
3. Order
4. Gain without pain
5. Neuromyofascia
6. Multiple planes of movement
7. Joint
8. Traction
9. PNF
10. Current goals
Range of motion evaluation
Explanation of resistance of the tissue feel
Breathing technique
PNF technique
FST-PNF sample sequence
Tips for the therapist’s success
Body mechanics
Personal adaptations
Practical Section
A. General Assessment
1. Major observations
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2. Hip clearance move
3. Leg length check
4. Double leg traction
5. Single leg traction
6. Check lateral movement
B. Range of Motion Evaluation Warm-up and FST-PNF Stretch
– Bent leg single joint
1. Circumduction
2. Hip/knee flexion – hamstrings, glutei, lumbosacral – SBL,
FL
3. Hip/knee flexion with hip abduction – hamstrings, glutei,
lumbosacral, hip adductors – SBL, FL, DFL
4. Hip flexion, abduction and external rotation – medial
hamstrings and short adductors – SBL, FL, DFL
5. Abduction, hip flexion and external rotation - short
adductors and medial hamstrings – SBL, FL, DFL
6. Low back/thoracic rotation – thoracolumbar fascia, glute
max, glute medius, hip capsule – SBL, SPL, FL
7. Traction across body
8. Low back rotation, hip flexion, adduction –
thoracolumbar, posterior hip - SBL, SPL, FL
9. “Sack of Buns”: thoracolumbar rotation, hip flexion, ER,
knee flexion – thoracolumbar, QL, lumbosacral, hip
rotators - SFL, SPL, DFL
10. Hip flexion, external rotation, adduction, knee flexed 45°
– gluteus medius, piriformis – LL, SPL
11. Hip flexion, adduction, external rotation, knee flexed 90°
– hip extensors, gluteus maximus – FL
C. Range of Motion Evaluation, Warm-up and FST-PNF
Stretch – Straight Leg and Multiple Joints
1. Hip flexion, knee extension – hamstrings – SBL, SPL
2. Hip flexion, abduction, knee extension – medial
hamstrings – DFL, SBL, SPL
3. Hip flexion, abduction, knee extension – medial
hamstring focus – SBL, SPL, FL, DFL
4. Hip flexion, abduction, knee extension – long adductors
focus – SBL, FL, SPL, DFL
5. Hip flexion, abduction, knee extension – hamstrings and
long adductors combination – SBL, FL, SPL, DFL
6. Hip flexion, adduction, internal rotation with lumbar
rotation – low back, glutes, IT band, fibularis – SBL, LL
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7. Hip flexion, adduction, knee extension, lumbar rotation –
low back, lateral hamstrings, glutes, IT band, fibularis -
LL, SPL, SBL
8. Hip flexion, adduction, internal rotation with lumbar
rotation – low back, glutes, IT band, fibularis – lateral
hamstrings, high position – SPL, SBL
D. Range of Motion Evaluation, Warm-up and FST-PNF
Stretch
1. Pelvic external rotation – iliacus and psoas – DFL
2. Hip extension – hip flexors – SFL, DFL, FL, SPL, LL
3. Hip extension, adduction – hip flexors and abductors –
SFL, DFL, FL, SPL, LL
4. Hip extension – hip flexors – fascial component – SLF,
DFL, FL, SPL
5. Hip extension, knee flexion – quadriceps focus – SFL,
DFL, FL, SPL, FL
E. Lateral Line
1. Low back side bend from below – fascia from fibularis
(peroneals) to QL – LL, SPL
F. Repeat Entire Series on the Right Leg B through D
G. Pelvic Stabilization and Sacral Set
Essential movement to finish all table sequences (long or short)
1. Abductor contractions
2. Adductor contractions
3. Sacral set
H. Standing Lunge: Back/Hip/Knee Extension, Ankle
Dorsiflexion – Gastrocsoleus – SBL
Chapter 6 Upper Body Technique
A. General Evaluation
Supine observations
B. Side Lying
Shoulder warm-up and assessment
C. Range of Motion Evaluation Warm-up and FST-PNF Stretch
1. Traction arm up
2. Oscillation-circumduction
3. Shoulder traction (neutral/loose glenohumeral joint
position) - traps, scalenes, joint capsule – SBAL, DBAL
4. Shoulder traction (slight flexion/abduction position) –
traps, rhomboids, joint capsule – SBAL, DBAL
5. Shoulder traction (in 90° abduction) – trap, rhomboids,
joint capsule – SFAL, SBAL, DBAL, DFAL, FL
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