THE FASCIAL THERAPY COURSE – Cape Town

THE FASCIAL THERAPY COURSE; Cape Town; 24-27 May 2018

Course times : 8.30am – 4.30pm for all the four days

Click here to see Steven Goldstein in action : https://youtu.be/cAa9S8sBqBE

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Fascial Therapy Course Syllabus; By Steven Goldstein

The Fascial Therapy 1 Course

The Fascial Therapy 1 course is designed to introduce the beginner as well as the experienced practitioner to a broad spectrum of myofascial releasing methods that encompass all soft-tissue.

Fascia is the form that encases and surrounds all soft-tissue, creating compartments, containers and scaffolding to anchor tissue. With this understanding, basic applied methods can be adapted and applied to this form to create efficient rapid change.

Fascial Therapy introduces direct and indirect methods employing active and passive techniques that utilize sensory receptor activation, understanding the autonomic system response that results in the application of these various techniques.

Emphasis is placed upon assessment patterns through fundamental palpation of lines of myofascial tension. These include cardinal lines; anterior, posterior and lateral, as well as four arm line (Myers) are palpated and then technique applied. These line have areas that are not usually palpated, and it is these areas (intermuscular septums for example) that often result in not achieving the desired clinical outcomes for a practitioner.

Understanding the importance of presence and intent as clinical ‘tools’.
Understanding the response and importance of the autonomic nervous system in relation to systemic discharges and soft-tissue release.
Instructed is the use of ‘ease-bind’ osteopathic assessment protocol for clinical decision-making, palpation and technique.

Focus is also placed on joint accessory motion and the important interface with myofascial.
Thus joint leverage compression and tension techniques are introduced that allow for rapid change to the surrounding capsular tissue.

Ligament technique options as well as locations of application are instructed.
Indirect application in the form of the ‘Two Point’ is instructed and protocol to release transverse planes are practiced. Within this protocol anterior neck muscles, supra and infra-hyoid muscles will be palpated and treated.

And integrated into this system of bodywork is the use of modified Muscle Energy Technique MET, used to treat ‘bind’ directional barriers, enhance receptor response and assess muscular inhibition.

The last module will be a clinical practice session, where clients, friends or family are invited so as to experience the instruction and new skills acquired by participants. This is also a time to instruct more complexity and showcase material for Fascial Therapy 2.

By the completion of this course, the practitioner will have a new way of clinical thought, have new application skills that use much less force and effort to achieve desirable effects, reducing pain sensitivity usually experience by more forceful applications.

Day 1 Direct Applications to Myofascia: Theory and Practice

Session 1 Theory 3PM – 4:30PM 1.5 HOURS
1.0 Introduction – Slides 3-4
1.1.1 Palpatory Literacy versus Paredolia – Slides 4-6
1.1.2 Paradigms-Biases – Slides 7-8
1.1.3 Manual Therapy Models – Key Classification – Slides 9-16
1.1.4 Body Views-Touch Abilities Slides 17-28
1.2 Concepts & Theories Slide 29
1.2.1 Manual therapy components for treatment. Slides 30-31
1.2.2 Manual therapy- Direct – Indirect Slide 32
1.2.3 Active – Passive Slide 33-34
Carla Stecco Slide 35
Jean Claude Guimerteau Slide 36
1.2.4 Stecco- Fascial Anatomy /Adhesion Quadrants – Slides 37 -50
1.2.5 Tensegrity Slides 51-54
1.2.5.1 BioTensegrity – Slide 55
1.2.6 Soft-Tissue Loading- Lederman Slide 56-62
1.2.7 Postural Considerations and Distortions Slides 62-70

Session 2 Theory – Practical 4:45PM – 7:15PM 2.5 HOURS

2.0 Assessment Patterns Slide 71
2.1 Fascial Authors Slide 72-73
• Myers
• Schleip
• Paoletti
• Schultz
2.2 Functional Screen – Greenman Slide 75
2.2.1 The Forward Bend-Greenman Step 3 Slide 76 Practical Exercise
The Forward Bend – Key Slides 77-82
• FPP1
• Pelvic Tilt
Special Tests Associated with the ‘Forward Bend’ Slides 83-84
2.3 Palpation Assessment of Cardinal Lines
2.3.1 Ease and Bind Slide 86-87
2.3.2 Where Do Restrictions Reside Slide 88
2.3.3 How do we Locate Superficial Fascia Slide 89
2.3.4 Palpation and Mobility Tests Slide 90
2.3.5 Superfical Fascial ‘Grasp’ Slide 91
2.4 Myofascial Lines of Tension Slides 92-93
2.4.1 Superficial Back Line SBL Slide 94 Practical Exercise
2.4.1.1 Sacrotuberous Ligament Slide 95 Psactical Exercise
2.4.1.2 SBL High Leverage Points Slide 96 Practical Exercise
2.4.2 Superficial Front Line SFL Slide 97 Practical Exercise
2.4.2.1 SFL High Leverage Points Slide 98 Practical Exercise
2.4.3 Lateral Line LL High Leverage Points Slides 99-100 Practical Exercise
2.4.4 Shultz’s Body Straps Slide 101
2.5 Paoletti’s Fascial ‘Pulley & Chain’ System – Slide 103
2.5.1 Fascial chains of the Lower Limb Slides 104-107
2.5.2 Paoletti’s Wrap Slide 108
2.5.3 Schleips Magic Spots Slide 10

SESSION 3 Practical Technique 8PM – 9PM 1 HOURS

3.0 Technique Slide 110
3.1 Presence, intent and grounding Slides 111-114
3.1.1 Practical Exercise Slide 115
3.1.2 Measuring Effort Slide 116
3.1.3 Sensory Paradox Slide 117
3.1.4 Promoting Presence in Your Client Slide 118-119
3.1.5 Working with Breath Slide 120
3.1.6 Verbal Interaction Slide 121
3.1.7 Intention Slide 122
3.1.8 Grounding Slide 123
3.2
Slide 151-152 Listening techniques slide 124
3.2.1 Doing-Motion/Being-Stillness Slide 125
3.2.2 Holding and Supporting
Slide 126
3.2.3 The Two Point – Abdomen
Practice Slide 127
3.2.4 Form Oriented Approach Slides 128-129

3.3 Tensegrity Technique Slide 130
3.3.1 First Component: Compression Slides 131-136
3.3.1 Compression Practice Slide 137
3.2.2 Tension Component Slide 138
Practice – Grasp, Skin Roll, Cross Hand Stretch Slide 139-140
3.2.3 Release Point: What is Fascial Glide Slide 141
3.2.4 ‘Stacking’ Barriers
Slide 142
3.3 Direct MFR Technique to Cardinal Lines of Tension
Slide 143
3.3.1 Sequence 2.1 Lateral Line Static Compression Slide 144-145
3.3.2 Sequence 2.2 Axial Midline Sleeve for SFL/SBL Compound Slide 146
3.3.3 Dynamic Ligaments & Treatment Slide 147-150
3.3.3.1 Ligament Treatment

Day 2 Indirect Applications for Soft-Tissue

Session 4 Indirect Applications – Two Point Transverse Planes
Sequence 3.2, 3.3, 4.4.1-, 4.4.2 3-5:30pm 2.5 Hour
Slides 1-4 Headers
3.2 Listening Techniques
Slide 151-152 Listening techniques Slide 124
3.2.1 Doing-Motion/Being-Stillness Slide 125
3.2.2 Holding and Supporting Slide 126
3.2.3 The Two Point – Abdomen Practice Slide 127
3.2.4 Form Oriented Approach Slides 128-129
3.3 Tensegrity Technique Slide 130
3.3.1 First Component: Compression Slides 131-136
3.3.1 Compression Practice Slide 137
3.2.2 Tension Component Slide 138
Practice – Grasp, Skin Roll, Cross Hand Stretch Slide 139-140
3.2.3 Release Point: What is Fascial Glide Slide 141
3.2.4 ‘Stacking’ Barriers Slide 142
3.3 Direct MFR Technique to Cardinal Lines of Tension Slide 143
3.3.1 Sequence 2.1 Lateral Line Static Compression Slide 144-145
3.3.2 Sequence 2.2 Axial Midline Sleeve for SFL/SBL Compound Slide 146
3.3.3 Dynamic Ligaments & Treatment Slide 147-150
3.3.3.1 Ligament Treatment

4.0 The Autonomic Nervous System in a Clinical Sense
4.1 Shea Article: Expression of the Autonomic Nervous System
Slides 5-16 20 min
4.2 Shea Article: Avoiding Autonomic Exhaustion
Slides 17-24 10 min
4.3 Emotionality: Grey Area of Treatment
Slides 25-39 20 min
4.4 Holding Techniques – 20 min
The Two Point – Stacking Barriers Slides 40-47
Diaphragmic Continuity Slide 48
Respiratory Diaphragm Slide 49
Concave and Convex Compartments Slide 50
Paoletti’s Diaphragm Slide 51
Key’s Diaphragm Slides 52-53
4.4.0 Sequence 1 ‘Coordinating the Eight Diaphragms’ Slide 54 1.5 Hour for Sequence 4.4 with partner exchange 4.4.1-4.4.2
4.4.1 Sequence 1.1 Transverse Planes Slide 55 15 min with video
Sequence 1.1 Video for Two Point for Diaphragms Slide 56 13:30 min
Abdomen position Slide 57 10 min
Respiratory position Slide 58 10 min
4.4.2 Hyoid Release Position Slide 59
Sequence 1.1.1 Hyoid Release Slide 60
Suprahyoids Slide 61
Infrhyoids Slide 62
Cranial Base Slide 63

Session 5 Indirect Applications – Coordinating the ‘Eight Diaphragms’
4.4.3 Sequence 1.2 Two Point for Lower Extremity Joint 5:30-6:30pm 1 Hour
4.4.3 Lower Extremity Two Point Slide 65 Video 3:43
Sequence 1.2 Protocol Slide 66
GTO Release to Origin of Hamstrings Slide 67
Knee Joint Slide 68
SBL Two Point Slide 69
Two Point Ankle Position 1 Slide 70
Two Point Ankle Position 2 Slide 71
Summary of Techniques for Sequences 1.1-1.2 Slide 72
4.4.4 The ‘Fulcrum’ Three or more planes of ‘ease’ stacked Slides 73-74

Session 6 Indirect Applications – Fascial Articulations
Joint Capsular Receptors – Long Femoral Levering 7 -8:30pm 1.5 Hours

5.0 Fascial Articulations Slide 75
5.0.1 Sequence 2 Cardinal Line Release Before Levering Slide 76
5.1 Muscle Energy Technique- The Use of Low Force Patient Effort Slide 77-81
5.2 Joint Capsule Applications – Joint play and Accessory Motion Slide 82
Joint Accessory Motion Slides 83-87
Fascial Articulations- Introduction to Capsular Applications Slide 88
5.2.1 Femoral Lever Compression 5.2.2 Femoral Lever Tension
Sequence 3.1.1 Compression – Long Femoral Lever – Neutral Sliee 89
Sequence 3.1.2 Tension – Leg Pull Slide 90
Sequence 3.1.3 ‘Twist in the Sleeve’ Slide 91
Sequence 3.1.4 Compression – Long Femoral Lever External Rotation Slide 92
Sequence 3.1.5 Compression – Long Femoral Lever Internal Rotation Slide 93
Sequence 3.1.6 Paired Compression/Tension Levering Pelvic ‘Obliquity’ Slide 94

Session 7
Indirect Applications – Fascial Articulations – Short Femoral Levering .5 Hour
5.3 Femoral Short Levering Slide 88
Sequence 3.2 Short Femoral Levering Video 3:02 Slide 97
Sequence 3.2.1 Short Femoral Lever – Neutral – First Position Slide 98
Sequence 3.2.2 Short Femoral Lever – Neutral – Second Position Slide 99
Sequence 3.2.3 Short Femoral Lever – Neutral – Third Position- Support S.I.
Slide 100
Sequence 3.2.4 Short Femoral Lever – With Vertical Lift for Compression or Lift
MET Slide 101
Sequence 3.2.5 Hip ‘Scour’ Special Test/Technique Slide 102
Sequence 3.2.6 S.I. Gapping/MET Slide 103
Sequence 3.2.7 S.I. ‘Squish’/MET Slide 104
Sequence 3.3 Paired Straight-Leg Compression (Light touch for Balance) Slide 105

Day 3 Applications for the Thorax and Shoulder

Session 7 Continued Fascial Articulations – Siort Femoral Levering
1 Hour
5.3 Femoral Short Levering Slide 88
Sequence 3.2 Short Femoral Levering Video 3:02 Slide 97
Sequence 3.2.1 Short Femoral Lever – Neutral – First Position Slide 98
Sequence 3.2.2 Short Femoral Lever – Neutral – Second Position Slide 99
Sequence 3.2.3 Short Femoral Lever – Neutral – Third Position- Support S.I.
Slide 100
Sequence 3.2.4 Short Femoral Lever – With Vertical Lift for Compression or Lift
MET Slide 101
Sequence 3.2.5 Hip ‘Scour’ Special Test/Technique Slide 102
Sequence 3.2.6 S.I. Gapping/MET Slide 103
Sequence 3.2.7 S.I. ‘Squish’/MET Slide 104
Sequence 3.3 Paired Straight-Leg Compression (Light touch for Balance) Slide 105

Session 8 Bilateral Compressions 6.0 2 Hours Sequence 4
Slide 1-2 Header
Slide 3 Bilateral Compression Video 4:07
Bilateral Concepts Slide 4
Bilateral Release Slide 5
Side-Lying Rolling Release Notes Slide 6
Sequence 4.1 Sidelying Slide 7 Bilateral ITB
Sequence 4.1 Sidelying Slide 8 Bilateral ITB
Sequence 4.1.1 Sidelying Slide 9 Bilateral Greater Trochanter
Sequence 4.2 Sidelying Slides 10-11 Bilateral Intercostals
Sequence 4.2.1 Sidelying Slides 12-13 Bilateral Intercostals- Rolling
Sequence 4.2.1 Sidelying Slide 14 Position 1 Costo-vertebral
Sequence 4.2.2 Sidelying Slide 15 Position 2 Transverse-vertebral
Sequence 4.2.3 Sidelying Slide 16 Bilaterals for Sternal ‘Hinge’
Sequence 4.3 Sidelying Slides 17-21 Illiocostalis Line Release
Sequence 4.4 Sidelying Slides 22-23 Thorax Cage Release:
1st Rib/Clavicle-12th Rib/Illiac Crest – MET

Session 9 Sequence 5 SBL Direct Technique Additions -Prone Position
1.5 Hours + Break
Slide 24 Header
Sequence 5.1.1 Sacral ‘Twist’ Static/Sacral ‘Fulcrum’ Slide 25
Sequence 5.1.2 Thorax– llium ‘Shift’ Modified MET Prone Slide 26
 Translation medial and lateral with MET
Sequence 5.1.3 Spine: Sacral Twist with Cranial Base/C7 MET Slide 27-28
Sequence 5.2 Posterior Oblique System Gluteal/Latissimus ‘X’ Slide 29
Sequence 5.3 Ligaments of the Sacrum and Pelvis Slide 30
• Sacrotuberous Ligament
• Sacral Ligaments
• Posterior S.I. Ligament
Sequence 5.4 Tendon Receptor Stimulation Slide 31
• Golgi Tendon Organ
• Static Compression on Tendon
Sequence 5.5 Ramic Adductors –- Elbow Slide 32
 Wedge: with elbow on tendon lateral translation
Session 10 Receptor Enhancement for the Thoracic Spine Sequence 6
1.5 Hours

6.0.0 Concepts aod Theoretical basis for Receptor Enhancement Slide 33 Header
6.0.1 Dalton and Receptor Enhancement Slide 34
6.0.2 Janda and the Sensorimotor System Slide 35
6.03 Articular Mechanorecptors Slide 36
6.04 Dalton – Activators and Enhancers Slide 37
6.0.5 Complete thoracic Release Protocol Slide 38
6.1 Sequence 6.1 Thoracic Spine Humeral Short Levers Slide 39
6.1 Sequence 6.1 Video of Thoracic Spine Short Humeral levering Slide 40
6.1 Directions for MET Applied to Thoracic Spine Levering Slide 41
6.1 Release After Application Slide 42
6.2 Sequence 6.2 Thoracic Spine Humeral Long Levering Slide 43
6.3 Sequence 6.3 Thoracic Spine Paired Cross Bent Arm Bilateral Humeral Short Levering Slide 44-46
6.4 Sequence 6.4 Thoracic Spine Bent Arm Unilateral Humeral Short Levering Slide 47.

Session 11 Myers Arm Lines Sequence 7.1 Palpation of Arm Lines
1 Hours

7.1 Palpation of Myers Arm Lines Slide 49
• Myers Arm Lines
o Superficial Front
o Deep Front
o Superficial Back
o Deep Back

7.1.1 Superficial Front Arm Line SFAL Landmarks & Muscles Slide 50
7.1.2 Deep Front Arm Line DFAL Landmarks & Soft-Tissue Slide 51
7.1.3 Superficial Back Arm Line SBAL Landmarks Slide 52
7.1.3 Superficial Back Arm Line SBAL Muscles/Septum Slide 53
7.1.4 Deep Back Arm Line DBAL Landmarks Slide 54
7.1.4 Deep Back Arm Line DBAL Muscles Slide 55
Slide 56 Image of Myers Front Arm Lines
Slide 57 Image of Myers Back Arm Lines
Slide 58 Scapula as a ‘Roundhouse’
7.1.5 Assessment Protocol for Arm Lines

Day 4 Shoulder Region Completion, Horizontal/Vertical Humeral Compression/Tension Levering and Clinic Module

Session 12 Revision of Day 3 Material Slide 2 .75 Hour
Session 13 Myers Arm Lines Sequence 7.2 Slide 3
Direct Applied Technique to the Arm Line 1.5 Hour

Sequence 7.2.1 Slides 4-6
MFR Techniques: Pin & Shift/Contract-Relax/Reciprocal Inhibition (Sherrington’s Law) to the Functional Opposite.
• Pectoralis Major
• Latissimus Dorsi
• Teres Major
• Pectoralis Minor
• Subscapularis

Slide 7 Key Arm Line Landmarks to Assess and Treat.

SFAL:
Illiac crest
Medial inter-muscular septum

DFAL:
Clavi-pectoral fascia
Radial tuberosity
Scaphoid

SBAL:
Lateral inter-muscular septum

DBAL:
Humeral head- joint compression
Ulnar periosteum

Session 14 Sequence 7.3 Applications for the Shoulder Complex – Two Point and Select Neurofascial Technique 1.25 Hour
Slide 8 Header
Sequence 7.3.1 The ‘Two Point’ Slide 9
• Thoracic Outlet
• Brachial Plexus
• GH Joint
• Elbow Complex
• Wrist Complex

Sequence 7.3.2 Brachial Plexus – Neurofascial Mobilization Technique Slide 10
Supine and Side-lying Positions

Session 15 Sequence 7.4-7.10 Applications for the Shoulder Complex –Humeral Levering 2 Hour
Header Slide 12
Sequence 7.4 Unilateral Short Lever MET Supine Slide 13-15
Sequence 7.5 Vertical Humeral Short Levering Side-lying Position Slide 16
Sequence 7.6 Vertical Humeral Long Levering MET Side-lying Position Slide 17-19
Sequence 7.7 Assessment of Scapular Motion Using Horizontal Humeral Long Levering Slides 20-21 Side-lying Position
Sequence 7.8 Horizonatally Adducted Humeral Long Levers Active Resisted MET Side Lying Position
Sequence 7.8.1 Seated on Table Slide 22
Sequence 7.8.2 Seated with Arm on Shoulder Slide 23
Sequence 7.9.1 Medial Intermuscular Septum Slide 24 Active Light Friction ‘Strum
Sequence 7.9.2 Lateral Intermuscular Septum Slide 25
Sequence 7.10 Humeral ‘Sleeve’ Assessment Slide 26
Sequence 7.11 Arm Lift MET Slide 27
Sequence 7.12 Sternal ‘Wedge’ Lever MET Slides 28-29

Session 16 Clinical Module 1.5 Hour
Slide 30 Header
Slide 31 Clinic Module.

TESTIMONIALS

“Steven’s enthusiasm and passion for his work are wonderful + inspiring. He never made me feel stupid or inadequate when I didn’t quite “get it”. Thanks for opening new horizons further.” Sue White

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“Excellent course, thank you Steven.” Pedro van der Merwe

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“Great notes, great teacher, explanations very comprehensive. I liked that he never criticized anyone. Steven Goldstein takes information and material from many authors, educators and sources and combines them to create teachings that are practicle and applicable to every physio who is hands on! At least I could leave this course being able to apply all the techniques in my practice!” Rox Ashkar

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“What an excellent, energetic, motivated lecturer!” Riana von Berg

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“Entertaining lecturer, a course where you just need to go with the flow!” Cheryl Stacey

How To Book This Course:

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View the course times:

• 8.30am to 4.30pm for all the four days