Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5548_Библиотеки_им_академика_М_И_Перельмана.pdf
Brief Contents
PART I INTRODUCTION TO THE INTEGRATED DEEP TISSUE THERAPY SYSTEM 1
Chapter 1 Integrated Deep Tissue Therapy System 2
Chapter 2 Learning the Work 16
Chapter 3 Guidelines for the Integrated Deep Tissue Therapist 23
Chapter 4 Integrated Deep Tissue TherapySystem Techniques 33
Chapter 5 Connective Tissue 53
PART II THE LESSONS 75
Chapter 6 The Fundamentals—Breath and Support 76
Chapter 7 Aligning the Upper Extremity 111
Chapter 8 Establishing a Firm Foundation 141
Chapter 9 Stabilizing the Core 164
Chapter 10 Balancing the Upper Pole 217
Appendix A Conditions 250
Appendix B Trigger Point Locations and Pain Referral Patterns 258
Glossary 264
Index 265
xxi
Expanded Contents
PART I INTRODUCTION TO THE INTEGRATED
DEEP TISSUE THERAPY SYSTEM
1 Integrated Deep Tissue Therapy
System 2
The Integrated Deep Tissue Therapy System 5
Origins of the Integrated Deep Tissue Therapy
System 5
Components of the Integrated Deep Tissue
Therapy System 6
Swedish Massage 12
Cross Fiber Massage 12
Connective Tissue Techniques 12
Stretching 12
Energy Work 12
2 Learning the Work 16
Format of the Lessons 16
General Concepts 16
Musculoskeletal Anatomy and Function 16
Endangerment sites 17
Conditions 17
Holistic View 17
Postural Evaluation 17
Exercises and Self-Treatment 17
Quick Reference Boxes/Tables 17
Session Impressions 17
Lesson Sequence 17
The Trunk 17
The Upper Extremity 18
The Lower Extremity 18
The Thigh, Hip, Abdomen, andPelvis 18
The Upper Pole—Head and Neck 18
Designing a Session 19
The Interview 19
Client Assessment 19
The Session 20
Homework and Follow-Up 21
1
3 Guidelines for the Integrated Deep
Tissue Therapist 23
Ethics 23
Professionalism 23
Integrity 24
Boundaries 24
Communication 24
Education 25
Incorporating the Holistic Aspect of Integrated
Deep Tissue Therapy 25
The Nature of Tension 25
Emotions and Tension 26
What is an Emotional Release? 26
Principles of Conscious Bodywork 28
SESSION IMPRESSION (Conscious
Bodywork) 30
4 Integrated Deep Tissue TherapySystem
Techniques
The Integrated Deep Tissue Therapy System:
a Three-Step Approach 33
Step One: Observe Patterns of Myofascial
Step Two: Create a plan of action 35
Step Three: implement the plan 35
Using the Lesson Material 37
Guidelines for Performing the
Modalities 38
Energy Work 38
Swedish Massage 40
Cross-Fiber Therapy 41
Connective Tissue Therapy 43
Deep Tissue Therapy 44
Deep Tissue Strokes 45
Neuromuscular Therapy 48
Body Mechanics 50
The Five-Question Checklist 50
Therapist Self-Care 51
33
Compensation 33
xxiii
xxiv Expanded Contents
5 Connective Tissue 53
Role of Fascia 53
SESSION IMPRESSION (Connective Tissue
Changes) 55
Working with Fascia 55
Connective Tissue Routine 56
Chest 57
Back 57
Arm 58
Foot 62
Leg 63
Calf 63
Anterior Thigh 65
Medial Thigh 66
Lateral Thigh 67
Posterior Thigh 67
Posterior Hip 68
Abdomen 68
Neck 72
PART II
THE LESSONS 75
6 The Fundamentals—Breath and Support 76
The Chest 76
General Concepts 76
Musculoskeletal Anatomy and Function 77
Chest Endangerment Sites 80
Conditions 81
Postural Evaluation 82
Exercises and Self-Treatment 82
Holistic View 82
Chest Routine 84
SESSION IMPRESSION (The Chest) 85
The Back and Spine 92
General Concepts 92
Musculoskeletal Anatomy and Function 92
Sources of Back Problems 96
Spinal Endangerment Sites 97
Conditions 97
Postural Evaluation 97
Holistic View 99
Exercises and Self-Treatment 100
Back and Spinal Column Routine 102
SESSION IMPRESSION (The Back) 109
7 Aligning the Upper Extremity 111
The Shoulder, Arm, and Hand 111
General Concepts 111
Musculoskeletal Anatomy and Function 112
Upper Extremity Endangerment Sites 115
Conditions 116
Holistic View 116
Postural Evaluation 117
Exercises and Self-Treatment 117
Scapula Routine 119
Shoulder and Upper Arm Routine 125
Forearm and Hand Routine 132
SESSION IMPRESSION (The Shoulders
and Arms) 139
8 Establishing a Firm Foundation 141
The Foot, Leg, and Knee 141
General Concepts 141
Musculoskeletal Anatomy and Function 142
Lower Extremity Endangerment Sites 146
Conditions 146
Postural Evaluation 149
Holistic View 149
Exercises and Self-Treatment 151
Foot, Leg, and Knee Routine 152
SESSION IMPRESSION (The Foot and Leg) 161
9 Stabilizing the Core 164
The Thigh and Hip 165
General Concepts 165
Musculoskeletal Anatomy and Function 165
Thigh and Hip Endangerment Sites 169
Conditions 170
Postural Evaluation 170
Holistic View 170
Exercises and Self-Treatment 172
Posterior Thigh and Hip Routine 175
SESSION IMPRESSION (The Hip) 183
The Pelvis and Abdomen 183
General Concepts 183
Musculoskeletal Anatomy and Function 184
Abdominal Endangerment Sites 189
Conditions 190
Holistic View 191
Postural Evaluation 192
Exercises and Self-Treatment 192
Abdominal Muscles Routine 194
Intestines Routine 201
Lateral Thigh/Inner Thigh Routine 203
Lateral Thigh 203
Inner Thigh 206
Anterior Thigh/Iliopsoas Routine 208
SESSION IMPRESSION (Rectus Femoris and
Iliopsoas) 214
10 Balancing the Upper Pole 217
The Neck and Head 217
General Concepts 217
Musculoskeletal Anatomy and Function 218
Head and Neck Endangerment Sites 221
Conditions 222
Holistic View 223
Expanded Contents xxv
Postural Evaluation 223
Exercises and Self-Treatment 224
Neck and Head Extensors Routine 224
Neck and Head Flexors Routine 229
SESSION IMPRESSION (The Neck) 236
The Facial Muscles and Temporomandibular
Joint 237
General Concepts 237
Musculoskeletal Anatomy and Function 237
Conditions 239
Evaluation of the Facial Area 239
Holistic View 240
Evaluation of the TMJ 240
Exercises and Self-Treatment 241
SESSION IMPRESSION (TMJ Disorder) 241
Head/Face/Jaw Routine 242
Appendix A: Conditions 250
Appendix B: Trigger Point Locations and Pain Referral
Patterns 258
Glossary 264
Index 265
Introduction to the
PART
Integrated Deep Tissue
Therapy System
I
1
CHAPTER
a
nd a a
ss
ig
la
eded
B B
y
y
t
alth is descd
Syste
ppl
t
d moda
tieses
th
m
t
t
p
y
uslar
th
er
y
1
Integrated Deep Tissue Therapy
System
avi
com
eted the reading, classroom instruction,
he learner is expected to be able to...
t
Explain the Wellness Model and how it applies to the ways
t Explain the Open
he idea of energy and energy-
ame some of the pioneers of massage and bodywork
who have contributed to the integrated deep tissue
erapy syste
The integrated deep tissue therapy system is a specific holistic
massage therapy approach to physical well-being that manually accesses both superficial and deep structures. This text is
designed for students who have completed an introductory
program of basic massage procedures and are ready to expand
on what they have learned to incorporate many other ways
to address soft tissue dysfunction.
Integrated deep tissue therapy is a method that combines
several modalities to address various aspects and qualities of
the myofascial system. When combined, these techniques
provide a comprehensive protocol for reducing or eliminating
many different manifestations of restriction in muscles and
fascia. This technique can help to return the body to a healthy,
strong, and dynamically resilient condition.
Two premises of understanding human health have
heavily influenced the philosophies of the integrated deep
tissue therapy system: the Wellness Model and the Open
System principle.
The Wellness Model of health was pioneered by Dr. John
Travis in the 1970s. Travis and his coauthor, Regina Sara
Ryan, viewed wellness as an ongoing, constantly changing
process of self-activated participation in a person’s health and
welfare. According to this perspective, humans are composed
of a series of integrated systems that all work synergistically
toward optimal health and well-being. This means that our
physical, mental, emotional, and spiritual states are vital factors in determining the condition of our bodies, as well as our
mental and emotional states. This perspective of mind–body
connection and integration has served as starting point for
inciple and how it a
se
ies to
ned homework related to Chapter 1 of
efine the term
Identify the consequences
List the components of the integrated deep tissue
ystem
many complementary healthcare treatment protocols and
holistic health centers that have been created since that time.
Dr. Travis’ Wellness Model depicts the process of achieving wellness as a journey along a continuum (Fig. 1-1). The
midpoint of the scale, labeled neutral, represents an absence
of negative signs and symptoms: a condition of moderate
well-being in which the individual is capable of functioning
in everyday life. For many, this state of health has been accepted as the norm, and maintaining it is considered to be
the best-case scenario.
The left side of the scale represents a gradual decline from
the neutral state of wellness through a series of signs and
symptoms of degenerating health that can eventually lead to
disability or even premature death. It is hoped that a person
experiencing this slide into dysfunction will seek adequate
care and return at least to the neutral point of wellness. The
halting of physical and/or psychological breakdown and the
rebuilding of health is called the Treatment Model. Most
traditionally recognized physical and psychological therapies
are based on this goal.
The right side of the scale represents what Travis calls
high-level wellness. This half of the continuum describes
movement toward expanding states of greater well-being beyond the neutral stage of adequate functioning. These states
of more complete fulfillment and happiness are motivated
by increased awareness, pursuit of education, and personal
growth. Achievement of these states is self-motivated as a
person seeks out ways to explore opportunities for expansion
of consciousness, creative expression, and productivity.
sue thera
m
e
balance
2
Chapter 1 Integrated Deep Tissue Therapy System 3
Wellness Model
Premature
Death
FIGURE 1-1 The Wellness Model. (Reprinted with permission from Travis JW, Ryan RS. Wellness Workbook. Berkeley, CA: Ten Speed Press;
1981.)
Disability Symptoms Signs
Treatment Model
Awareness Education Growth
High
Level
Wellness
BOX 1-1 | Wellness: What a Concept!
The concept of wellness as a health-related goal
is embedded in the language and provisions
of the Affordable Care Act where, for perhaps
the first time, incentives for achieving and maintaining health are considered as important as
treating illness.
1
Strategies to promote health
and well-being are also listed as part of the major
goals for the National Center for Complementary
and Integrative Health.2 These government policy statements reflect a major shift in our cultural
Input
Food
Air
Sensory
data
thinking about what health is and the importance
of recognizing and valuing wellness.
1
Anderko L, Roffenbender JS, Goetzel RZ, etal. Promoting prevention through the Affordable Care Act: workplace wellness.
Prev Chronic Dis. 2012;9:120092. doi: http://dx.doi.org/10.5888
/pcd9.120092.
2
NCCIH Facts-as-a-Glance and Mission. https://nccih.nih.gov
/about/ataglance
Output Waste
products
The Wellness Model describes a potential for personal
excellence that we are all capable of achieving. Any method
of treatment or intervention that leads a person along the road
to health can potentially provide the momentum to motivate
that individual to seek the knowledge that will guide him or
her to the highest level of wellness that person is capable of
manifesting (Box 1-1). The integrated deep tissue therapy
system is designed to meet clients in whatever part of the
spectrum they inhabit, from fragile to highly functional.
According to Ilya Prigogine’s Nobel prize–winning theory
of dissipative structures, human beings and all living organisms are examples of an organizing principle known as the
open system (Fig. 1-2). An open system operates by taking in
energy, metabolizing or converting energy for use, and then
releasing or dissipating energy back into the environment.
All our vital processes depend on the efficient transformation
FIGURE 1-2 To maintain a state of health, the body must be able
to freely take in and dispel energy.
of energy for the health and integrity of the human system
to remain intact.
The three primary ways that we receive energy are
through the air we breathe, the food we eat, and the
4 Scheumann’s The Balanced Body: A Guide to the Integrated Deep Tissue Therapy System
sensory input we receive through the nervous system and
sense organs, including the skin. In a state of health, the
physiologic pathways that allow conduction and transformation of energy throughout the body operate effectively
and efficiently. When those conduits falter, the stage is set
for breakdown and disease.
Research has demonstrated clear correlations between
mood disorders (i.e., depression, anxiety) and an increased
risk for somatic disorders (i.e., risk of cardiovascular events,
pulmonary disease, and others). We also find that focus on
resilience promotes both mental and physical health. Put in
the context of the Open System principle, it is fair to suggest
that as the efficiency of energy conversion (i.e., food, oxygen,
and neurologic stimulation) through the body is improved, both
psychological and physiologic activities are positively affected.
The capacity for adaptation to the environment is stronger, and
relationships and mental and emotional outlooks in general are
improved when our systems function well. Table 1-1 lists just
a couple of examples of research that points in this direction.
Massage therapy provides one option for assistance in the
achievement and maintenance of high-level wellness, because
it directly or indirectly affects many of the systems that transport
TABLE 1-1 | Examples of Research Showing
Correlations Between Mood and Risk for Somatic
Disorders
Article Title Publication
Heart failure and
depression
Depression is associated
with poor prognosis in
patients with chronic
obstructive pulmonary
disease: a systematic
review.
Newhouse A, Jiang
W. Heart Fail Clin.
2014;2:295–304
Salte K, Titlestad I,
Halling A. Dan Med J.
2015;62:A5137
and transform energy within the body. Both clinical experience and formal research suggest that circulatory, respiratory,
muscular, endocrine, and nervous system functions can all
be supported by massage therapy. This body of knowledge is
constantly growing. To see some of the collected evidence,
the reader can consult www.pubmed.gov and enter the search
terms massage therapy and benefits (Fig. 1-3).
FIGURE 1-3 Pubmed.gov with search terms massage therapy and benefits.