Addressing the myofascial component of musculoskeletal pain
An Advanced Course and Update:
October 1-2, 2011
University of Pittsburgh
Forbes Tower,
Pittsburgh, PA
Please direct questions to Michael Schneider, DC, PhD
General Information:
This two-day conference on addressing the myofascial component of musculoskeletal pain is jointly sponsored by the University of Pittsburgh, School of Health and Rehabilitation Sciences, Department of Physical Therapy; and the University of Bridgeport, College of Chiropractic.
12 hours of Continuing Education (CE) Credits for Chiropractors have been approved in the following states:
AZ,CO, CT, GA, ID,IA, IN, MD, MS, WASH D.C., MT, NM, NY, OH, RI, SC, UT, VA, VT, WV (no approval numbers applicable)
NH: approval
PA: approval #
TN: Individuals must ask Board directly for CE approval
The following states have applications pending approval:
DE, KY, MA, MO, NC, ND, SD, WY
12 hours of non-direct access CE credits for Physical Therapists have been approved for Pennsylvania #
Keynote speakers and their scientific topics include:
• Michael Schneider, DC, PhD
Dr. Schneider will present an overview of muscle pain and dysfunction, with an emphasis on the current literature. He will review the 3 key types of focal soft tissue pain and dysfunction: myofascial trigger points, tendinopathies, and fascial restrictions/scars. He will discuss the basic neurological and biomechanical principles that are common to all types of manual therapy. Dr. Schneider will also moderate a panel discussion on Sunday with all of the other presenters.
• Warren Hammer, DC
Dr. Hammer will present an overview of the Fascial Manipulation © (FM) method, which has been taught in Europe for the past 15 years. The originators of FM are Luigi Stecco, PT and Carla Stecco, MD who divided the body into myofascial units and sequences that can be tested in the 3 planes of the body by functional tests. The kinetic fascial chain will be described and evaluated, using live demonstrations in a workshop setting.
• Tom Hyde, DC
Dr. Hyde will present an overview of Functional and Kinetic Treatment with Rehab, Provocation and Motion (FAKTR). The FAKTR concept involves the application of various types of manual or instrument assisted soft tissue mobilization while the patient actively moves through functional movements that are typically provocative. He will demonstrate the actual FAKTR techniques in a workshop setting.
• Greg Doerr, DC
Dr. Doerr will review the theories of a number of the modern taping methods used in clinical practice including: McConnell taping, Mulligan taping, Kinesiotape, SpiderTech , Rock and KT taping. He will discuss the most current hypotheses about the neurological and biomechanical effects of these taping methods. He will demonstrate the actual taping techniques in a workshop setting.
• David Lesondak, BCSI
Mr. Lesondak is a Board Certified Structural Integrator with extensive massage and manual therapy training. He will present any overview of the fascial system, with an emphasis on the conceptual models of Biotensegrity and Anatomy Trains myofascial meridians. He will discuss the role of fascia in human structure and as a hydraulic, bio-dynamic tissue that can be arrayed along specific lines of force transmission. David will demonstrate the evaluation process of “body reading” (posture analysis) and manual myofascial techniques in a workshop setting.
A highlight of this conference will be small hands-on workshop sessions. Each participant will have the choice of 3 workshops to attend over the two-day conference; two workshop sessions on Saturday and one session on Sunday. There will be a total of 4 workshops from which participants may pick and choose to attend. However, we ask that these 3 choices be made upon registration in order to balance the attendance across these small workshop settings. These demonstration sessions and workshops will include: Fascial Manipulation, FAKTR, Taping Methods and Structural Integration.Target Audience
An exciting soft tissue program geared for a wide variety of clinicians; including physiatrists, osteopaths, chiropractors, physical therapists, occupational therapists, athletic trainers, massage therapists, and other body workers. Participants will be expected to have a basic working knowledge of muscle anatomy and physiology.
The scientific program content will be at an intermediate to advanced level and is chiefly designed to provide updates regarding advances in the basic and clinical science evidence for myofascial pain and dysfunction.
The smaller workshop sessions will be at a beginning level and geared toward providing an overview and demonstration of the respective techniques. The presenters at these workshops will not be focusing a majority of their time on the science and mechanisms of their techniques; rather they will spend more time demonstrating the actual hands-on application of these methods.
Cosponsor: University of Bridgeport, College of Chiropractic
Faculty Disclosure:
In accordance with Accreditation Council for Continuing Medical Education requirements on disclosure, information about relationships of presenters with commercial interests (if any) will be included in materials distributed at the time of the conference.
For more information about this conference contact Dr. Schneider (course chair): mjs5@pitt.edu
Course Outline
This will be a 12 hour continuing education course held Saturday October 1, 2011 from 8:30 am – 5:30 pm and from 8:00 am – 12:00 noon on Sunday October 2, 2001.
The course will take place on campus at the University of Pittsburgh, in Pittsburgh, PA. Course chair will be Dr. Michael Schneider, Assistant Professor in the School of Health and Rehabilitation Sciences at the University of Pittsburgh.
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Hourly Course Topics:
SATURDAY
8:00-8:30 am: Registration
8:30-10:00 am: Dr. Schneider will present an overview of muscle pain and dysfunction, with an emphasis on explaining the current theories and mechanisms of action for trigger points, tendinopathies, and fascial restrictions.
10:00 am - 1:00 pm: Workshop session #1
1:00 – 2:00 pm: Lunch Break
2:00 – 5:00 pm: Workshop session #2
5:00 – 6:00 pm: Panel debate/discussion with all speakers and Dr. Schneider acting as moderator. Questions will be taken from the audience and answered with a focus on providing scientific and evidence-based answers.
SUNDAY
8:00 – 11:00 am Workshop session #3
11:00 – 12:00 Panel debate/discussion with all speakers and Dr. Schneider acting as moderator. Questions will be taken from the audience and answered with a focus on providing scientific and evidence-based answers.
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Each Workshop session will consist of 4 concurrent sessions taught by the following speakers:
1. Warren Hammer, DC: Fascial Manipulation
2. Tom Hyde, DC: Functional and Kinetic Treatment with Rehab, Provocation and Motion (FAKTR-PM)
3. David Lesondak, BCSI: Structural Integration
4. Greg Doerr, DC: Soft tissue taping methods
All seminar attendees may pick and choose to attend any one or combination of all of the above workshops
Course outlines for each workshop are listed on the following pages:
Speaker : Warren I. Hammer, DC, MS
Title: Introduction to Fascial Manipulation© (FM)
Summary: This presentation will include current information on the anatomy and physiology of fascia with regards to the human trunk, upper and lower extremity. The material will help the attendee to understand the principles underlying FM. It will be explained how in FM both eastern and western methods of healing have been combined to achieve outstanding results. New evidence has placed the mechanism of acupuncture squarely into the fascial planes and the ability to combine acupuncture and connective tissue as a treatment modality offers unique possibilities to clinicians. Dr. Hammer will discuss information gleaned from at least 43 references found in Pubmed.com (look up Stecco, fascia) and will demonstrate the evaluation and treatment method of FM.
Goals:
To present information:
1. That demonstrates that the fascial system is much more than a static, structural support
for the body, but rather an organ of continuous connective tissue that moves, senses and
connects every organ, blood vessel, nerve, lymph vessel, muscle and bone.
2. That demonstrates that past injuries, or surgeries causing fascial restrictions may be
responsible for compensations responsible for chronic complaints often distal from the
original trauma.
3. That demonstrates that a therapeutic effect occurs by using functional testing and
palpation to accurately determine the treatment of fascial deformation (densifications).
Learning Objectives:
• Why muscles cannot function normally without normal connective tissue.
• Why proprioceptive and mechanoreceptors within the fascia gives new insight to the importance of restoring fascial function.
• To understand myofascial units and sequences that make up the myofascial anatomy based on dissection.
• Treatment protocols such as the importance of reaching the deep fascia, how much time to spend on a point and pre and post functional testing to show results.
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Speaker: Tom Hyde, DC
Title: Functional and Kinetic Treatment with Rehab, Provocation and Motion (FAKTR)
Summary: This presentation will provide an overview and basic knowledge of the FAKTR concepts, which involve the treatment of soft tissue pain during dynamic movements rather than in static positions. An explanation will provided for how these concepts were developed into a systematic format for the treatment of soft tissue injuries utilizing manual or instrument assisted soft tissue mobilization (IASTM) techniques currently being taught and utilized in clinical practice.
Goals:
To present information:
1. That emphasizes the important difference between treating soft tissues in the dynamic movement that provokes pain rather in static postures without movement.
2. That shows the attendees how to combine a variety of manual and instrument assisted soft tissue mobilization methods with dynamic and provocative movements.
3. That integrates these FAKTR concepts with traditional active care and rehabilitative exercise protocols.
Learning Objectives:
• Learn how to treat soft tissue injuries based on the kinetic fascial chains as described by Barker and Briggs, Meyers and others.
• Learn how to examine patients to determine which activities and movements they cannot perform properly, and how to then apply treatment in those positions/movements that recreate the pain and/or loss of range of motion.
• To demonstrate various treatment approaches utilizing FAKTR protocols that can be administered by hand or by instruments.
• Demonstrations in manual or instrument assisted soft tissue mobilization, including a review of Cyriax Transverse-Friction Massage, Muscle Energy, Nimmo, Myofascial Release, Gua Sha, Graston Technique® and others.
• To learn the contraindications as well as indications for the use of FAKTR and the above noted manual therapist.
Speaker: David Lesondak, BCSI
Title: Structural Integration – a manual approach to fascial remodeling
Summary: This presentation will provide an overview and basic knowledge of the concepts of structural integration, with some background information about the role of fascia, myofascial meridians, and biotensegrity. Participants will be introduced to the basics of “body reading” a patho-anatomical approach to analyze a patient’s structure (or posture) relative to their pain and performance issues.
Goals:
To present information:
1. That reviews the origin and concepts of Biotensegrity, a model developed by Dr. Stephen Levin.
2. That emphasizes the importance of the role of fascia (including some recent relevant research) in musculoskeletal function and pain syndromes.
3. That provides an overview of textbook “Anatomy Trains” with a review of some important myofascial meridians that are pertinent to bodyworkers and other manual therapists.
Learning Objectives:
• Expanding the traditional bio-mechanical view of human structure to incorporate the “holistic” bio-mechanical viewpoint of biotensegrity.
• Understand both the role of fascia in human structure and as a hydraulic, bio-dynamic tissue that can be arrayed along specific lines of force transmission.
• Provide demonstrations of the actual posture analyses and manual techniques used within the field of Structural Integration.
Speaker: Greg Doerr, DC
Title: A narrative Review of Literature on Modern Taping Techniques
Summary: This presentation will provide an overview of the concepts and theories of the major methods of clinical taping used within the fields of physical therapy, athletic training, and chiropractic practice. The various proposed mechanisms of actions will be discussed, with an emphasis on which methods seem to work best for which particular conditions.
Goals:
To present information:
1. That reviews the scientific literature on the major methods of clinical taping
2. That shows the differences in application of various types of kinesiology taping including; Kinesiotape,
SpiderTech, Rock, and KT.
3. That provides a discussion about the respective theoretical models of clinical effectiveness for these methods.
Learning Objectives:
• To show attendees the correct ways for application of the various taping methods noted above, as well as McConnell taping and Mulligan taping.
• To review the appropriate pre-taping musculoskeletal examination procedures.
• To demonstrate clinical taping methods for specific musculoskeletal injuries of the extremity joints.
• To demonstrate strapping taping methods for posture control and proprioceptive responses.