Treatment of the Myofascial Body

3 levels of courses

Treatment of the Myofascial Body

3 levels of courses

Have you ever had a clinical case you believe to be of primary nociceptive pain, but no matter what you have tried in your tool-kit (joint mobilisation or manipulation, mobilising the neural system, stabilisation and strengthening programs), it hasn’t had the effect you were hoping for? Or perhaps you have had patients complain of multiple areas of pain that don’t correspond to the paradigms that we are familiar with. Do you have the feeling that you`re missing something?
This « something else » may be the fascia.

Fascia has become the new buzzword in the field of rehabilitation and movement re-education. Until recently its contribution to musculoskeletal dysfunction had been underestimated. We know now that fascia plays an important role in health, wellbeing and mobility. It transmits the power of the muscles, communicates with the nervous system and serves as a sense organ. Fascia is innervated, making it a potential pain generator and has strong mechanical presence that can restrict mobility if not addressed.

Many different groups of professionals are now exploring the world of fascia, as evidenced by the explosion of research in this field. However, many physical therapists are still unfamiliar with fascia and continue to think of it as the ‘dead packing material’ that is pushed aside during dissections in order to visualize the ‘important stuff’ like muscles and nerves. It is much more than a passive tension transmitter; fascia is a dynamic and an important communicator among the various systems of the body.

Because of this, a pull on one corner of the connective tissue framework exerts a pull throughout the structure, affecting muscles, bone, nerve, blood vessels, glands and organs. An increase in tension of one of the members results in increased tension in members throughout the structure, even ones on the opposite side. Small kinks in myofascial force transmission such as those provided by scars or adhesions have surprising functional consequences, often at some distance from the site.

Physical therapists with their varied skill-set in manual therapy techniques are well-placed to take on this important tissue. Mobilisation of the Myofascial System aims to help them to do that.

Mobilisation of the Myofascial System (MMS), the technique taught in these courses, has its origins in manual physical therapy for the articular, muscular and neural systems. Tom Myers’ book Anatomy Trains, which examines the myofascial meridians for manual and movement therapists, has been the framework and inspiration for the development of MMS.

Theory Course

MMS and SMFT®

Lower Quadrant Course

MMS and SMFT®

Upper Quadrant Course

MMS and SMFT®

Advanced Course

MMS and SMFT®

In 2007, Doreen teamed up with BetsyAnn Baron, Structural Integrator, to create and co-teach a comprehensive continuing education curriculum for physiotherapists.

Treating the Myofascial Body incorporates two complementary approaches:

  1. Mobilisation of the Myofascial System (MMS) developed by Doreen Killens
    A manual therapy approach for the fascia around the articular, muscular and neural systems.
  2. Structural Myofascial Therapy (SMFT®), developed by BetsyAnn Baron
    A series of deep manual techniques that are used in conjunction with Postural Somatic Awareness.

This combined approach will allow the participants to appreciate how these myofascial dysfunctions can affect the client’s range of motion, motor control, and global function.

The curriculum

The curriculum, which is taught across Canada and in Switzerland covers the following modules:

1.   Theory: 5 hours
2.   Lower quadrant: 21 hours
3.   Upper quadrant: 21 hours
4.   Advanced Course: integrating the quadrants: 21 hours

Pre-requisites
Lower and Upper Quadrant Courses: Theory course (once only)
Advanced Course: Both Lower and Upper Quadrant courses

Who Should Attend This Course?

  • Physiotherapists who have acquired some basic skills in Manual Therapy and wish to learn more about advanced techniques in mobilization of the myofascial system.
  • Osteopaths who want to learn a different way to work with the fascia

Mobilisation of the Myofascial System (MMS) and Structural Myofascial Therapy (SMFT®)

Theory Course

Course Description

This 5 hour course is designed to provide participants with the theoretical knowledge required to understand how to assess and treat the myofascial system.

Please note that this course is required as a pre-requisite for taking either the Lower Quadrant or the Upper Quadrant course (once only)

The following subjects will be covered:

  • Myofascial Techniques / History / Schools of Thought
  • Structural Myofascial Therapy (SMFT ®) Objectives
  • Somatic Education
  • Definitions of fascia
  • Fascial Anatomy
  • Roles of fascia
  • Fascial connections – Serge Paoletti
  • Concept of Tensegrity –effects on fascia
  • Anatomy Trains Lines – Tom Myers
  • Fascia and acupuncture
  • Characteristics of Myofascial pain
  • Postural Somatic Awareness
  • Pathophysiology of fascial dysfunctions
  • Changing fascia – what is really happening?
  • Indications / Contra-indications·
  • Research on Fascia
Dec 6  to Dec 8, 2019 – Montréal
January 24 to 26, 2020 – Laval
November 6 to 8, 2020 – Neuchâtel, Suisse
December 4 to 6, 2020 – Montréal
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Mobilisation of the Myofascial System (MMS) and Structural Myofascial Therapy (SMFT®)

Lower Quadrant Course

Course Description

This 3-day course is designed to provide participants with the tools to assess and treat the myofascial system of the Lower Quadrant.

This evidence informed course will outline how to identify and treat fascial restrictions. The techniques demonstrated are derived from manual therapy for the fascia (Mobilisation of the Myofascial System (MMS) and Structural Myofascial Therapy (SMFT®), a treatment approach used in massage therapy that consists of a series of deep manual techniques coupled with Postural Awareness. This combined approach will allow the participants to appreciate how these myofascial dysfunctions can affect the client’s range of motion, motor control, and global function.

Specific Objectives

By the end of this course, participants will be able to:

  • Apply the anatomy and physiology of the myofascial system to a treatment approach for the myofascial body
  • Understand the concepts of treatment for MMS and how this approach may be integrated into the other methods normally used by manual therapists.
  • Understand the concepts and tools for treatment with SMFT®
  • Understand Postural somatic awareness and body reading
  • Apply techniques for assessing and improving the mobility of the myofascial system for the Lower Quadrant (including the following areas)
    • MMS techniques for the Thoraco-lumbar fascia
    • SMFT techniques for the back, gluteal region and hip external rotators
    • MMS techniques for the femoral nerve
    • MMS and SMFT® techniques for the Sacrotuberous ligament
    • MMS and SMFT® techniques for posterior, anterior, medial and lateral thigh and leg
    • MMS and SMFT® techniques for the foot
    • Release with Awareness (RWA) techniques for the foot and lower leg
    • MMS techniques for the coccyx
    • MMS techniques for the Iliacus
    • MMS techniques to balance the dura at the cranium
  • Integrate neuro-somatic postural awareness exercises with manual techniques.
  • Prescribe the appropriate exercises to maintain fascial mobility
  • Learn appropriate charting for these approaches to Rx
  • Use this treatment approach safely.
December 5, 2019 – Montréal
January 23, 2020 – Laval
May 28, 2020 – Montréal
November 5, 2020 – Neuchâtel, Suisse
December 3, 2020 – Montréal
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Mobilisation of the Myofascial System (MMS) and Structural Myofascial Therapy (SMFT®)

Upper Quadrant Course

Course Description

This 3-day course is designed to provide participants with the tools to assess and treat the myofascial system of the Upper Quadrant.

This evidence informed course will outline how to identify and treat fascial restrictions. The techniques demonstrated are derived from manual therapy for the fascia (Mobilisation of the Myofascial System (MMS) and Structural Myofascial Therapy (SMFT®), a treatment approach used in massage therapy that consists of a series of deep manual techniques coupled with Postural Awareness. This combined approach will allow participants to appreciate the implications that myofascial system dysfunctions can have on joint amplitude, motor control, neurophysiology and overall client functioning.

Specific Objectives

By the end of this course, participants will be able to:

  • Apply the anatomy and physiology of the myofascial system to a treatment approach for the myofascial body
  • Understand the concepts of treatment for MMS and how this approach may be integrated into the other methods normally used by manual therapists.
  • Understand the concepts and tools for treatment with SMFT®
  • Apply techniques for assessing and improving the mobility of the myofascial system for the Upper Quadrant (including the following areas)
    • MMS and SMFT® techniques for the cervical spine, both posteriorly and anteriorly
    • SMFT® techniques for the back and scapula
    • MMS techniques for the cervico-thoracic region
    • MMS techniques and SMFT® techniques for the cranio-vertebral region, in relation to the anterior fascial lines, the postior fascial line the lateral line and the spiral line of fascia
    • MMS techniques in relation to the ULNT’S
    • MMS and SMFT® techniques for the clavicular region
    • MMS and SMFT® techniques for the Upper extremity
    • SMFT® techniques for the abdomen and sternal regions
    • MMS techniques for the hyoid region
    • SMFT® techniques for the epicranium and face
    • SMFT® Parasympathetic technique maneuvers
  • Integrate neuro-somatic postural awareness exercises with manual techniques.
  • Use this treatment approach safely.
May 1 to 3, 2020 – Lausanne, Suisse
May 29 to 31, 2020 – Montréal
May 2 to 4, 2020 – New Richmond (Gaspé région)
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Mobilisation of the Myofascial System (MMS) and Structural Myofascial Therapy (SMFT®)

Advanced Course

Integrating the Quadrants

Course Description

This 3 day course is designed to integrate the upper and the lower quadrants of the body. More advanced techniques will be taught to resolve the restrictions that lie deep within the myofascial system (in particular the Deep Front Line of fascia).The result is a more flexible and fluid neuro-musculo-skeletal system and a more efficient flow of energy throughout the body.

Specific Objectives

At the end of this course the participants will be able to use

• Myofascial techniques for the whole body: techniques that connect the upper and lower quadrants of the body to form an integrated whole.
• Advanced techniques specific to the deep anterior line, which affect the following problems: headaches, TMJ, anterior cervical area, hyoid muscles, diaphragm, pelvic floor (external techniques), anterior sacral fascia, coccyx and psoas
• Techniques that connect the anteroposterior fascia of the rib cage and the cervical region
• Specific techniques for arm lines (DBAL, DFAL)
• Techniques of mobilisation of both the anterior and posterior dura
• Dural balancing techniques
• The art of working with the fascial system

NB. The prerequisite for this course are both the Upper and the Lower Quadrant courses.

November 1 to 3, 2019 – Québec
June 12 to 14, 2020 – Lévis
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The course changed my view in my approach to my practice. I highly recommend physiotherapists to have the courses because the effect of the techniques is amazing and very tangible. Clients will highly benefit from them.
It has also changed me on a personal level because I now feel that I have my old body back. During the course and up until now, I am reaping the fruits of the practice sessions. I am pain free in my low back, my movements are more fluid, and my posture has noticeably improved.
I look forward to completing the course levels. Thank you Doreen and BetsyAnn. Thank you for your passion to teach and enrich the knowledge of health professionals like me.

- Charmaine Cannen

Thank you Doreen for all that you have done for the profession and me personally. Robert Frost said "I am not a teacher, but an awakener.” You are a compassionate, passionate, intelligent and overall amazing awakener of us all! Thank you.

- Lorrie Maffey

It was refreshing to take a course with a fresh paradigm of thinking, one that can empower clients and that enables therapists to tap into their own inner wisdom and guidance in treatment. Thanks for coming to Vancouver. I hope to take Part III some time in the future!

- Heather Vint

Interested in bringing Treatment of the Myofascial Body to your area?

Please contact me if you are interested in bringing the MMS curriculum to your area. Booking 2020 and beyond now.

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