Myofascial Release - Direct Myofascial Release

Direct Myofascial Release

The direct myofascial release (or deep tissue work) method works through engaging the myofascial tissue restrictive barrier, the tissue is loaded with a constant force until tissue release occurs. Practitioners use knuckles, elbows, or other tools to slowly stretch the restricted fascia by applying a few kilograms-force or tens of newtons. Direct myofascial release seeks for changes in the myofascial structures by stretching, elongation of fascia, or mobilising adhesive tissues. The practitioner moves slowly through the layers of the fascia until the deep tissues are reached.

Robert Ward, D.O. suggested that the intermolecular forces direct method came from the osteopathy school in the 1920s by William Neidner, at which point it was called "fascial twist". German physiotherapist Elizabeth Dicke developed Connective Tissue Massage (Bindegewebsmassage) in the 1920s, which involved superficial stretching of the myofascia. Dr. Ida Rolf developed structural integration, in the 1950s, an holistic system of soft tissue manipulation and movement education based on yoga, osteopathic manipulation, and the movement schools of the early part of the twentieth century, with the goal of balancing the body by stretching the skin in oscillatory patterns. She discovered that she could improve a patient's body posture and structure by bringing the myofascial system back toward its normal pattern. Since Rolf's death in 1979, various structural integration schools have adopted and evolved her theory and methods.

Dr. Rolf reduced her practice to a maxim: "Put the tissue where it should be and then ask for movement."

Michael Stanborough summarized his style of direct myofascial release technique as follows:

• Land on the surface of the body with the appropriate 'tool' (knuckles, or forearm etc.).
• Sink into the soft tissue.
• Contact the first barrier/restricted layer.
• Put in a 'line of tension'.
• Engage the fascia by taking up the slack in the tissue.
• Finally, move or drag the fascia across the surface while staying in touch with the underlying layers.
• Exit gracefully.

Different practitioners bring their own sensibility, style, level of maturity, and awareness to their work with clients which can have a significant effect on the clients experience.