Manual Therapy To Improve Structural Integrity
The technique of structural integration is essentially deep manipulation of the body tissue. It was created by Harry W. Diehl M.D. The term is often referred to as Computational Integration. The idea of structural integration holds that tissues of various dimensions can be organized to fit more precisely into one another, often increasing the ability of tissue to resist the effects of strain. The concept is in place since the time of Physicists Earliest known was Einstein's (who was also an early leader in quantum theory and relativity). This concept was actually found by Hertz while experimenting with magnets. I've already talked about this in an earlier article.
We will now examine structural integration in a real-life instance. Let's say you have a person who has been thrown down on her knee having her elbow bent with the foot's top towards the wall (as viewed from above obviously). The feet appear normal to the naked eyes. If you look at the scene from below, and the arm bent and the upper part of her foot is facing the wall, then the medial deviation occurs. This is what medical profession calls a medial deviation in the line of sight. When we consider the force exerted upon the knee with the elbow bent we see that there's a small change in the lateral progression of fascia that runs between the upper and lower parts of the knee. It causes discomfort.
What is the best way to accomplish Structural Integration in practice? I teach this concept in my EMS course, and there is an in-depth explanation of my preferred method of doing it, with the necessary anatomy and physiology information needed by the practitioner. The first step in performing Structural Integration will be to ensure that the student is properly warmed up. In this instance I recommend starting with slow, calm breathing exercises to calm the nervous system. It is also a good idea aid the body in learning the techniques to "quiet" the internal conversations that occur when our body is in danger. There is the option of adding other activities to your EMS course as you move along. You can also just sit back and take in the scenery. This is dependent on you.
After the student is well-conditioned, it's time to start practicing myofascial release. In my experience, the most effective way to relieve pain by Structural Integration is applying consistently pressure on a certain myofascial trigger. Start with your feet, and keep the area of pain light and open. After that, you press hard on the heel of each area. Then, slide your fingers towards your elbow before moving them up towards your wrist. This technique can be repeated on each wrist, finger and ankle.
The goal of this process is not to apply any force on a particular point. Rather, it is the introduction of movement to an area through myofascial connections. The key idea is to recognize that there may exist a hyperactive tensional network or fascia that is oversensitive due to many motives. This tensional network that is the real problem when it's effectively addressed with a regular practice of Structural Integration, it can be healed.
If you ask me, fascial release has been one of my favorite things to do in terms of increasing mobility, reducing the pain and inflammation, and also improving strength and range of motion, especially when working on Structural Integration. Many of my students find instant benefits following just one session. A lot of them are stunned to see instant benefits after the first lesson in structuring rolfing.
My experiences have shown me that the most effective way to help a patient get their pain under control is to determine their pain pathways and set up a specific plan to treat them. Remember: Functional imaging can show how a certain muscle or fascia's location is. Through the use of the correct stimulation, we are able to see how this particular area of the body functions and help us take care of it. An experienced structural integration specialist will be able to make a real difference with this particular situation. The practitioner should use both fascial and tensional techniques to treat the problem. The goal should be to heal the entire the fascia.
Be aware that manual therapies like Pilates is not intended to address structural imbalances. It's intended to address movement imbalances. To do this successfully, it is essential to use a combination of exercises that encourage proper motion and can also be used to treat the pain pathways. The goal is not to only enhance movement patterns but also address the source of pain: the tensional and rigidity of the tissues that make up the joints.
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