Healthcare and Medicine Reference
In-Depth Information
Fig. A2.10 The 'core sessions, especially
session 6, make much of the separation
and proper 'span' between the neuro-
muscular body (what Maria Montessori
called the 'white man', above) distinct from
the visceral body (what she called the 'red
man', below). The division is right at the
anterior longitudinal ligament, running from
the tail bone caudally to the separation
between the viscerocranium and neuro-
cranium at the top end.
Session 7
Session 12
Promote balance of deep muscles of the spine, and tonal
balance across the entire body.
Open the 'Deep Back Line', relate to the Deep Front
Line, with attention to the inner bag issues of support
from calcaneus to ischial tuberosities to sacrum to mid-
dorsal hinge of spine (Fig. A2.11).
Goals:
• Align the bony support in the back of the body
• Free the intrinsic motions of the sacrum
• Ease spinal bends and rotation
Key structures:
• Piriformis and deep lateral rotators
• Pelvic floor muscles
• Calcanei
• Multifidi and transversospinalis muscles
Principles of treatment
The recipe above is derived from these principles:
1. There must be sufficient energy available -
nutritional, physical, hormonal, etc. - to reach the
stated goals for both practitioner and client. If the
energy available is insufficient, then you must
either find more or persuade the client to lower
their sights.
2. Use the available energy to seek increased
functional and tissue adaptability in any given area.
3. Via the new tissue adaptability, change segmental
relationships to gain increased support.
4. Once support is improved, seek release of
underlying strain patterns.
5. When release occurs, integrate the new pattern into
everyday function and posture.
Session 8
Open the neck and head portions of the Deep Front
and 'Deep Back' Lines, and relate to Arm Lines
(Fig. A2.12).
Goals:
• Align the head atop the body
• Balance the jaw and 'viscerocranium'
• Begin the integration via the neck
Key structures:
• Sphenoid bone
• Temporomandibular joint
• Hyoid complex
• Cervical vertebrae, deep anterior neck muscles
Guidelines for strategy
The following offers some general guidance in using the
Anatomy Trains myofascial meridians system in manual
therapy:
• In palpatory assessment, start from the affected/
restricted/ injured/painful area and move out along the
trains. If treatment to a local area is not working,
seek other areas along the meridian that may yield
results at the affected area (e.g. if the hamstrings are
not yielding to direct manipulation or stretching,
try elsewhere along the Superficial Back Line - on
the plantar fascia or suboccipital areas, for
example).
• Work on the meridians can often have distant effects. By
whatever mechanism, work on one area of a
meridian can show its effect somewhere quite
distant, either up or down the meridian involved.
Be sure to reassess the whole structure periodically
to see what global effects your work may be
having.
• Work the tissue of the meridian in the direction you
want it to go. If you are simply loosening a muscular
element of a meridian, direction is not as crucial. If
you are shifting the relation among fascial planes, it
Integration sessions (Fig. A2.13)
Session 9
Promote tonal balance, generous movement, and inte-
gration in the seven lines that run through the pelvis
and legs.
Session 10
Promote tonal balance, generous movement, and inte-
gration in the 11 lines that run through and around the
rib cage.
Session 11
Promote tonal balance, generous movement, and bal-
anced integration in the four lines of the arms and
shoulder girdle.
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