Fascial Manipulation in Internal Dysfunctions
advanced level
An advanced course for physiotherapists and manual therapists who have completed Fascial Manipulation I and II. The programme expands existing fascial assessment and treatment skills to include tensile structures, organ-fascial units, apparatus-fascial sequences and internal systems described within Luigi Stecco's model.
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About course
A patient presents with pain or movement restrictions, but examination of the muscles and joints does not always fully explain their symptoms. Sometimes, the clinical presentation is more complex and requires an assessment that extends beyond local musculoskeletal structures.
How can you consider the relationships between the musculoskeletal system, fascia and structures associated with internal organs?
Fascial Manipulation® for Internal Dysfunctions (FMID) is an advanced stage of the method developed by Luigi Stecco. It expands the model introduced in previous levels to include organ-fascial units, tensile structures, apparatus-fascial sequences, superficial fascia and selected regulatory systems of the body.
During the course, you will learn to combine patient history, functional assessment and palpatory examination to make informed decisions about treatment areas according to Stecco's model.
You will explore new manual procedures, develop your ability to analyse relationships between different body regions and learn to integrate these skills with the techniques acquired during Fascial Manipulation I and II.
The course consists of two modules combining lectures, demonstrations and intensive hands-on practice. Particular emphasis is placed on palpation accuracy, clinical reasoning, technique selection and assessment of patient responses following intervention.
The aim of the course is to expand your fascial assessment and treatment skills to include more complex functional relationships, while considering each patient's individual clinical presentation and the boundaries of physiotherapy practice.
Modules
- Module 3a
- Module 3b
Module 3a
Course FM-3a will focus in the Tensile structure, Apparatus-fascial sequences and catenaries Tensile structures extend over body cavities guaranteeing the patency of their internal space, which allows both motility and mobility of the organs contained within. At the same time, tensile structures must allow adaptation to external stress and to the motor needs of the musculoskeletal system. A can alter due to densification of the external fasciae, due to a problem within the musculoskeletal system, or due to an internal organ dysfunction that reflects its tension onto the container (wall of abdominal canister) via its fasciae. Organ dysfunction manifests with pain and symptoms that are often generic but they can be located within the body segment that contains the organ.
Module 3b
Course FM-3b will introduce the Quadrants and the Systems.
Anatomical divisions of the superficial fascia form a quadrant. These divisions, both in horizontal and longitudinal directions, are due to thickenings of the retinacula cutis that cause adhesion to the deep fascia. The area of a quadrant usually corresponds to the distribution of the cutaneous nerves and the angiosomes. Within each quadrant, there are the three superficial components of the three internal systems: receptors, lymphatic vessels and adipose cells