Healthcare and Medicine Reference
In-Depth Information
Thus the SPL complex of myofascia can be used to create
twists in daily movements or specific exercises, or it can be
used as a superficial postural bandage over a deeper scoliosis
or other axial rotation. Any core rotation will affect the super-
ficial lines, and none more than the SPL, which is often locked
in a compensatory pattern. If the core pattern in the spine is
a right rotation, the sleeve pattern in the SPL usually involves
a counterbalancing shortness in the left SPL. This has the
effect of making the body look straight in the end, but in fact
the body will be both restricted and short. (Take a towel and
twist it, and notice it shorten in length - any fabric that is
twisted will become shorter.)
Once this pattern is recognized, it is important to release
the sleeve first, before attempting to release the core muscles
of the spine. This is the intent of the work on the SPL in
these patterns. Please note well: when one releases such a
compensatory pattern in the sleeve-like SPL, the core
rotation will usually become more apparent, so that the client
may report feeling or looking more twisted at this juncture in
their work with you. It is important to educate them as to
what is unfolding - because only when the sleeve rotation in
the SPL is removed can one effectively step in to work with
the core rotation in the Deep Front Line or deep spinal
muscles.
Because of the interplay between deeper and superficial
patterns, the number of specific modifications and individual
ways of using the SPL in rotation are legion. Postural shorten-
ing directly up the line from the ASIS to the skull produces a
characteristic posture, which any practitioner will recognize
from Figure 6.23.
As the line pulls through the abdominal fascia via the inter-
nal and external obliques from the hip onto the opposite ser-
ratus, it protracts the rib cage on that side, with the shoulder
usually coming along for the ride. This usually pulls the upper
back and/or lower neck toward that shoulder, so that the head
shifts toward the shoulder, sometimes tilting to the opposite
side - all of this visible in Figure 6.23. The pattern is discern-
ible in the absence of, or sometimes in competition with, other
forces. An individually tight muscle (e.g. infraspinatus) or a
competing pull from another line (e.g. a short Lateral Line on
the same side as the SPL in question) will modify and perhaps
obscure, but not obliterate, the pattern created by shortness
in the upper SPL.
The SPL frequently works from the ASIS up. Owing to the
weight of and competing forces in the pelvis, the SPL rarely
pulls the ASIS out of place from above, from the shoulder
or ribs. It is, however, quite common to have parts of this
line tighten without transferring the tension throughout
the line. Thus, one section of the SPL may shorten without the
shortness being passed to succeeding sections. In some
cases, the section from the skull to the serratus tightens
without the involvement of the belly, or the belly can pull
through to the neck without the shoulder being protracted in
the process.
Practice is necessary to discern the specific modifications
in the pattern, but there are four 'red flags' that should alert
the practitioner to possible or probable imbalance in the SPL:
(1) shifts or tilts in the head position relative to the rib cage,
(2) one shoulder more forward than the other, (3) lateral rib
cage shifts relative to the pelvis, or (4) differences in the direc-
tion of the sternum and pubis, which usually can also be read
as marked differences in the measurement from one costal
arch (where the outside edge of the rectus abdominis crosses
the costal cartilages) to the opposite ASIS. In Figure 6.9, for
example, the measurement from his left ribs to right hip is
clearly longer than the corresponding measurement from the
right ribs to the left hip. In Figure 6.23, it is shorter from the
left ribs to right hip than its converse, but this is not so easily
detected in a small photo. Purchase of a micrometer is not
necessary; if it is not easy to tell which of these lines is shorter,
then there is probably not a significant SPL issue at this
level.
Figure 6.24 shows examples of other patterns of imbal-
ance, mostly in the right Spiral Line.
Fig. 6.23 A common postural
pattern involving a shortening of
one side of the upper Spiral
Line - in this case, the right
SPL is consistently short from
the right side of the head to the
right hip by way of the left
shoulder and ribs. A head
shifted and/or tilted to one side,
differences in the scapular
positions, and a shift or twist in
the rib cage - all of which are
present in this model - any of
these should alert the
practitioner to a possibility of
Spiral Line involvement in the
pattern.
Fig. 6.24 More common Spiral Line patterns, as seen in standing
posture.
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