The Fascial Manipulation© Technique for Low Back Pain: anatomical bases and biomechanical model 
Presenter: Carla Stecco, MD (full day) 

Maximum number of participants: 40

This 1 day workshop will illustrate the latest research concerning the gross and histological anatomy of the superficial and deep fasciae of the trunk and their connections with the limbs, analyzing them according to the biomechanical model for the human fascial system currently applied in the manual technique known as Fascial Manipulation ©.

The model represents a three dimensional interpretation of the fascial system. Its hypothetical foundations are fruit of more than thirty years of analysis of anatomical texts and clinical practice. More recently, dissections of unembalmed bodies have provided anatomical verification of numerous hypotheses including the fascial continuity between trunk and limbs via myotendinous expansions and the possible distribution of tensional forces.

The Fascial Manipulation© technique is based on the concept of myofascial units (mf units) united in myofascial sequences, and involves manual friction over specific points (called Centres of coordination and Centres of fusion) on the deep muscular fascia. As friction causes a localised increase in temperature with consequent hyperaemia, it is hypothesised that this could modify the extracellular matrix, restoring gliding between endofascial fibres and intrafascial planes. Given that many receptors are embedded within fascia, any impediment to gliding could cause anomalous tension and non-physiological movements due to altered proprioceptive afferents, resulting in inflammation within the joint of a malfunctioning mf unit or along a sequence of mf units. This underlying rationale and the resultant analytical process guides the therapist in the combination of points to be treated and allows therapists to work at a distance from the site of pain, which is often inflamed due to non-physiological tension.
This workshop will summarize the assessment process and present a clinical case. This technique permits a general evaluation of the patients, not only of the specific problem but also explains the connections between the musculoskeletal system and the viscera and organs. 

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About the presenter: Stecco Carla, MD.  Orthopedic Surgeon, Professor of Human Anatomy at the University of Padova. Founder Member of the Fascial Manipulation Association and of the Fascial Research Society. Member of the Italian Society of Anatomy and Histology, of the European Association of Clinical Anatomy and of the International Academy of Manual Musculoskeletal Medicine.  Author of more than 100  papers about  fascial anatomy. Author of two books about the Fascial Manipulation and of some chapters about the fascial anatomy or the Fascial Manipulation Technique. Author of the first photographic atlas about fasciae: “Functional atlas of human fasciae” (2015, Elsevier ed.).