Myofascial Release - Indirect Myofascial Release

Indirect Myofascial Release

The indirect method involves a gentle stretch, with only a few grams of pressure, which allows the fascia to 'unwind' itself. The dysfunctional tissues are guided along the path of least resistance until free movement is achieved. The gentle traction applied to the restricted fascia will result in heat and increased blood flow in the area. This allows the body's inherent ability for self-correction to return, thus eliminating pain and restoring the optimum performance of the body.

The indirect technique originated in osteopathy schools and is also popular in physiotherapy. According to Robert C. Ward, myofascial release originated from the concept by Andrew Taylor Still, the founder of osteopathic medicine in the late 19th century. The concepts and techniques were subsequently developed by his successor. Robert Ward further suggested that the term Myofascial Release as a technique was coined in 1981 when it was used as a course title at Michigan State University. It was popularized and taught to physical therapists, massage therapists, occupational therapists and physicians by John F. Barnes, PT, LMT, NCTMB through his Myofascial release seminar series.

Carol Manheim PT summarized the principles of myofascial release:

• Fascia covers all organs of the body, muscle and fascia cannot be separated.
• All muscle stretching is myofascial stretching.
• Myofascial stretching in one area of the body can be felt in and will affect the other body areas.
• Release of myofascial restrictions can affect other body organs through a release of tension in the whole fascia system.
• Myofascial release techniques work even though the exact mechanism is not yet fully understood.

The indirect myofascial release technique, according to John Barnes, is as follows:

• Lightly contact the fascia with relaxed hands.
• Slowly stretch the fascia until reaching a barrier/restriction.
• Maintain a light pressure to stretch the barrier for approximately 3–5 minutes.
• Prior to release, the therapist will feel a therapeutic pulse (e.g., heat).
• As the barrier releases, the hand will feel the motion and softening of the tissue.
• The key is sustained pressure over time.