17&18 Feb Myofascial release (All notes)

 CONTENTS

1. Introduction
2. Myofascial release uses
3. Aims and benefits
4. Technique of MFR
5. Steps applying for MFR
6. Indication of treatment
7. Contraindication
8. Precaution to treatment
9. Treatment that work well along with MFR

Myofascial Release

• It is a hand approach technique.
• Focuses on the Myofascial System (Myo means muscle and fascia means band/sheet of connective tissue).

Myofascial Release Uses

• It is a specialized physical & manual therapy.
• Used for the effective treatment and rehabilitation of soft tissue & fascial tension & restriction.
• It is a safe and effective hands-on technique.
• Works on the fascia to release restrictions.

Aims and Benefits

• Decrease pain
  • Release endorphins, increase tone
  • Works on Pain gate theory
• Helps the immune system by increasing lymphatic flow
• Promotes healing
  • Increasing blood flow and nutrition
• Reduces tension by stretching heat tissue

Technique of MFR

• Deep release
  • Aim: To release fascial restriction within deep layers of fascia
  • Deep releases are applied in all directions of the body
  • Ensure the client that they will not be harmed in any way and encourage them to relax as completely as they are able
• Cross Hand Release
  • Palpate the area & degree of restriction
  • Stretch tissue with a grain of muscle fiber until resistance is made
  • Hold the tension until the tissue release
  • Repeat the process until further stretching of tissue will no longer be tolerated
• Time Factor
  • The duration of the stretch begins with 5 seconds but it can go up to 90 to 120 seconds
• Indication
• Muscle tightness
• DOMS (Delayed Onset Muscle Soreness)
• Chronic back pain
• Trigger points

Steps for Applying MFR

• Take a full case history
• Evaluate the client’s condition through observation of body alignment and body language
• Explain the treatment plan
• Clear your mind & focus on the tissue under your hands, checking for micro-movements
• Perform the procedure, then observe changes in soft tissues
• Inform the patient about potential pain after treatment for several days
• Apply gentle and sustained pressure for a prolonged time (60 to 120 seconds)
• The amount of time permits fascia to naturally elongate & return to normal resting length, which will restore healthy tissue status, giving greater flexibility, and mobility, and eliminating pain

Myofascial Release (MFR)

• Indications of Treatment:
  • Loss of mobility and range of motion
  • Increased tone of overacting muscles
  • Tissue adhesion
  • Specific pathologies treated with MFR:
    • Fibromyalgia
    • Lower back pain
    • Postural tension
• Contraindications:
  • Local:
    • Broken skin
    • Wound
    • Skin conditions
    • Hematoma
    • Healing fractures
    • Active infection
    • Edema
  • Systemic:
    • Cancer
    • Acute circulatory disorder
    • Bleeding disorder
    • Systemic infection
    • Sepsis
    • Rheumatoid arthritis
    • Uncooperative patient
• Precautions to Treatment:
  • Pregnancy
  • Hypersensitivity
  • Hypo and hyperactive muscles
• Treatment that Works Well Along with MFR:
  • Kinesiotaping
  • Trigger point release
  • Exercise