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Fascial Manipulation by Stecco
Fascial Manipulation® is an effective soft tissue manual therapy method with certain guidelines that approach the patients individually and globally, especially in the field of myofascial pain and dysfunction, locomotor problems as well as internal dysfunctions.
This method was found and has been developed by Italian physiotherapist Luigi Stecco with the scientific support of his daughter Dr. Carla Stecco and his son Dr. Antonio Stecco.
Fascial Manipulation® Method does not focus on the symptoms or just the area of pain or discomfort. Most of the time myofascial pain and dysfunction can be caused by a previous problem in different areas of the body. The following local or global compensations can cause altered perception of body position/movement, motor coordination and distribution of load on myofascial structures and joints. This may create injury risk, pain and local or global dysfunctions.
A Fascial Manipulation® Specialist pays full attention to the detailed information about the patient’s medical history, lifestyle, previous injuries, traumas, surgeries, fractures, internal dysfunctions etc. to address the main reason or reasons of the current pain or dysfunction.
Creating a logical hypothesis, choosing the segments to work on and most importantly detecting the most densified and functionally related anatomical areas, are the crucial steps to successful sessions in Fascial Manipulation®.
Applying deep friction on these exact anatomical areas of densifications with proper positioning, velocity and depth helps to improve the gliding ability of loose connective tissue components.
Therefore neighboring structures function without irritating each other and causing unwanted compensations. The individualized precision of this method makes it possible to restore the biomechanics of the fascial system, to provide realistic long lasting results and even to prevent further injuries.
WHAT IS FASCIA?
Fascia is made up of sheets of connective tissue that is found below the skin. These tissues attach, stabilize, impart strength, maintain vessel patency, separate muscles, and enclose different organs. Fascia can be classified as superficial, deep, visceral, or parietal and further classified according to anatomical location
STRUCTURE AND FUNCTION OF THE FASCIA
Fascia may appear passive structurally but are, in fact, active. They can provide support for surrounding tissues, help reduce friction, and play a supportive role for the tissues and organs. Fascia can transmit mechanical tension generated by muscular activity or external forces.
In a healthy state, fascia is a relaxed and wavy connective tissue that can lose its malleability when damaged via local trauma or inflammation. This can then cause fascial layers to tighten and restrict the movement of underlying tissues leading to pain, hindered range of motion, or decreased blood flow.
The distinct feature of fascia is that it possesses strength because it is tightly packed with bundles of collagen and wrapped tightly. The fibers are usually oriented in one direction so that the structure does not become loose or lax. Fascia is quite flexible and able to resist tension. The function of the fascia depends on its location