Advances in osteopathic management of fascial dysfunction
Leon Chaitow ND DO (GB): graduated from the British College of Naturopathy & Osteopathy in 1960, first naturopath/osteopath appointed as a consultant at a UK medical practice (Marylebone HC, London) 1993 - (retired 2009), from 1993 senior lecturer and module leader, and part of course design team at the University of Westminster, School of Integrated Health, since 1983 lecturer at institutions in Europe, USA, Canada and Australia, author/editor of over 70 books (e.g. Muscle Energy Techniques. 4th edition (Elsevier) 2014; Positional Release Techniques. 4th edition (Elsevier) 2015; Fascial Dysfunction (Handspring) 2013, founder and Editor-in-Chief of the peer-reviewed Journal of Bodywork & Movement Therapies (Elsevier), a Director at the Rolf Research Foundation (USA) planning the next Fascia Research Congress (Berlin, November 2018), lives in both Corfu, Greece, and in London, active in private practice when in the UK (approximately half the year) and continues to teach internationally.
Evidence strongly suggests that physical manipulation of fascia:
• Changes cell-matrix tension states
• Modulates structural, functional and mechanical interactions between fibroblasts and the extracellular matrix
• Influences the production of endogenous compounds - including cellular growth factors, that promote homeostasis and healing
The objectives of this course is the exploration of the clinical relevance for osteopaths, of translation of current (and recent) fascial research. Then aim is to arrive at a greater understanding of manual methods that encourage analgesic, anti-inflammatory effects; enhance tissue repair; reduce levels of fibrosis/adhesions/scar formation; improve circulation, drainage, posture, balance, mobility and function.
Studies have shown that the frequency, degree, depth, duration, direction and frequency, of applied biomechanical load (shear force, stretch, compression etc) have contrasting (sometimes opposite) effects on tissues.
Of course outcomes also depend on unique individual characteristics including age/health/ ‘resilience’/pain/tissue status etc.
Above all the course aims all to allow the clinician to work more effectively with fascial dysfunction
1/ In order to understand the clinical relevance of the studies that support these variables, this course needs to be divided into two major segments including xamination of a selection of basic science and clinical fascial research studies, involving:
• Connective-tissue self-regulation (Dittmore)
• Durometer usage (Barnes)
• Elastography imaging (Martínez Rodríguez)
• Endocannabinoids (McPartland; Fade)
• Hydration effects (Masic)
• Inflammation (fasciitis) (Rompe)
• Load transfer (Franklyn-Miller; Willard)
• Mechanotransduction (Standley; Grinnell: Zein-Hamoud)
• Sliding/gliding layers (Langevin; Stecco; Ercole)
• Tendon repair (Wang & Guo)
2/ The practicing of osteopathic/manual therapy methods based on the clinical translation of evidence from the studies (and others) mentioned above.
This will include exploring the potential clinical significance - particularly relating to optimal dosage - of current fascia-related research - as used of osteopathy, including:
• Exercise (Schleip & Muller)
• Friction/Fascial manipulation (Stecco, Ercole)
• Muscle Energy Techniques -
• Standard MET : Direct/Indirect.(Goodridge, Kappler)
• Pulsed (rhythmic) MET (Ruddy)
• Isotonic eccentric (Kuchera, Parmar)
• Myofascial Release/Induction (Pilat)
• Positional Release Techniques (PRT)
• Facilitated PRT (Schiowitz)
• Counterstrain (Wong et al)
• Post-surgical: (Parmar; O’Yurvati)
• Scar-release (Martínez Rodríguez)
• Lymphatic techniques (Zink & Lawson, Pope)
Note: It may not be possible to explore all the methods listed above – depending on time factors.
Prerequisite: Osteopath, Osteopathy Student (4th year)
Course language: English with German translation
Course location: Osteopathie Schule Deutschland, Mexikoring 19, 22297 Hamburg
Course fee: 490,- €
(Included in the price: possibly course note, coffee, water, tea, fruit, vegetables, biscuits, small snacks)
The following applies to all courses:
If the minimal ammount of 18 attendees is not reached, the OSD reserves the right to cancel the course 4 weeks in advance. In this case the OSD reimburses the complete course fee. Beyond that there are no other rights of reimbursement for the attendees, especially referring to travelling or hotel expenses.