Field of the Invention
This invention relates to methods for obtaining myofascial release in a patient having a fascial restriction.
Description of Related Art
The prior art teaches a variety of methods of treating myofascial restrictions. In the most common technique, taught by John F. Barnes, myofascial release is achieved by applying gentle but sustained pressure against the restriction for at least 90-120 seconds or longer. While the application of gentle and sustained pressure is effective in achieving release, it is time consuming, and can cause fatigue in the practitioner forced to hold the position for extended periods.
The present invention is unique in that the initial movement only need be maintained for a short period, typically 3-5 seconds, although the time may vary between 2-10 seconds in most cases. This initial movement is then followed with a series of rapid movements described in greater detail below, and this combination has been found to be as effective as prior techniques, if not more effective.
The prior art also teaches a variety of massage devices for massaging the deep tissue of a patient. For example: Moutray, U.S. Pat. No. 8,556,838, describes an ergonomic and therapeutic massage device having a top bulb-shaped portion and a bottom disc-shaped portion, and is generally molded from solid glass. The device provides improved ergonomics which reduces operator fatigue and discomfort while maximizing the experience of the massage. It provides a penetrating massage that effectively stimulates soft tissue structures, neural receptors and acupressure points, quickly providing pain and stress relief without exertion on the part of the operator. While the Moutray device is superficially similar to the myofascial release tool described herein, the device has important structural differences, and it is used in an entirely different manner to achieve different therapeutic effects.
Allen, U.S. 2014/0024984, describes a massage apparatus that includes two massage balls connected by an oversleeve. The massage apparatus is adapted for myofascial release techniques, and enables an individual to perform a variety of massages by applying targeted pressure to effected muscle groups. However, the Allen myofascial release techniques are different than the present invention. In one embodiment, the massage apparatus includes a plurality of generally spherical balls and an oversleeve shrink-fitted over at least a portion of the plurality of balls. The oversleeve includes a first open end and a second open end opposite the first open end. In one embodiment, a method of manufacturing a massage apparatus includes selecting a plurality of balls having a desired density, shape, and outer diameter, arranging the plurality of balls within an oversleeve, and subjecting the oversleeve to heat to longitudinally and radially contract the oversleeve between an original position and a contracted position around at least a portion of the balls.
Reynolds, U.S. 2012/0059405, describes a trigger point therapy device that includes a bell-shaped body with a base having a larger diameter than the tip. The tool and components can be used with a strap or roller attachment to allow users to relax and concentrate on their breathing, two key ingredients to successful neuromuscular release, rather than focus on applying pressure to the tool.
Hobson, U.S. 2008/0200854, discloses a method of treating muscle soreness or soft tissue edema (swelling). The method comprises frictionally engaging a contact member of an apparatus with skin portions of a patient. The contact member of the apparatus is arranged to perform a substantially planar orbital motion along the skin portions. The method further comprises applying the substantially planar orbital motion along the skin portions of the patient so that soft tissue adjacent the skin portion is locally moved in a corresponding manner. The movement typically is a non-circular orbital movement having a base frequency and harmonics. The movement of the soft tissue results in a distortion of portions of lymph nodes located within the soft tissue whereby throughput of lymphatic fluid through lymph nodes is enhanced.
Sevier, U.S. Pat. No. 6,887,211, describes an instrument for diagnosing and treating soft tissue abnormalities though augmented soft tissue mobilization. The instruments include a variety of curvilinear and linear tissue engaging edges and converging surfaces accommodating their use on the irregular contours of numerous soft tissue areas of the human body.
Other references included as a matter of general interest include the following: U.S. Pat. No. 5,843,005; US 2012/0158040; US 2012/0265106; US 2013/0085426; and WO2012/068680.
While various massage tools are well known in the art, the prior art does not teach a tool having the advantages of the tool described below, for use in releasing myofascial restrictions.
The present invention teaches certain benefits in construction and use which give rise to the objectives described below.
The present invention provides a method for achieving myofascial release of a restriction in a patient via manipulation of the patient's epidermis adjacent the restriction. The method comprises the steps of: engaging the epidermis of the patient with firm gliding pressure; stretching the epidermis to a stretched position at which the movement is restricted by the restriction; holding the epidermis for less than 10 seconds, and then performing a series of rapid glides in two dimensions, longitudinal, lateral, and diagonal, around the stretched position, with firm gliding pressure to release the restriction.
A primary objective of the present invention is to provide a method for achieving myofascial release having advantages not taught by the prior art.
Another objective is to provide a method that is fast and effective in achieving a release of the restriction.
Another objective is to provide a method of measuring a restriction on a scale to promote the effective release of the restriction.
A further objective is to provide a method of using a myofascial release tool that is effective, and which relieves the strain on the hands of the practitioner.
Other features and advantages of the present invention will become apparent from the following more detailed description, taken in conjunction with the accompanying drawings, which illustrate, by way of example, the principles of the invention.
The accompanying drawings illustrate the present invention. In such drawings:
The above-described drawing figures illustrate the invention, a method for achieving myofascial release of a restriction in a patient via manipulation of the patient's epidermis adjacent the restriction. The method may be practiced using a myofascial release tool 10 that is described in greater detail below, or the method may be practiced manually using the hands, or other tool suitable for this purpose.
The bulbous body 14 may be formed of any material suitable for gripping (e.g., plastic, rubber, metal, etc.). The ergonomic design of the bulbous body 14 allows clinicians to grasp and manipulate the myofascial release tool 10 to deliver the necessary treatment faster to the patient 20 while reducing the stress on the hands of the clinician. The tools 10 may come in different sizes and shapes that are adapted for use with different body parts.
While
To practice the method of the present invention, it is useful to first determine the extent of the restriction 24 and its orientation. This is achieved by measuring the elasticity of the skin of the patient 20 in various directions, and determining a “scale” of the restriction 24 in each direction. One embodiment of this method is shown in
As shown in
In this embodiment, the scale of the restriction in the fascia is as follows:
This process is then repeated in other directions perpendicular to and diagonal to the initial stretch. In this case, the epidermis 22 is stretched in a lateral direction and the restriction scale rating is determined based upon the distance D that the epidermis 22 can stretch. Based upon the restriction scales measured, a direction of the restriction 24 may be determined.
The above-described scale rating system greatly facilitates treatment of most restrictions; however, there are some restrictions that require alternative methods. For example, the scale rating system does not work with the hands and the feet. When treating these areas, alternative methods must be utilized.
Once the restriction 24 has been determined and characterized, therapeutic steps may be taken to release the restriction 24.
In the present embodiment, the stretched position C2 is held for 3-5 seconds, and then a series of rapid glides is used to release the restriction 24. These steps are shown in
The term “firm gliding pressure” is defined to include enough downward force to grip the epidermis 22 and the fascia layer 26, but not enough downward force to engage the muscle tissue 25 of the patient 20. For purposes of this application, we refer to the movements utilized as moving “in two dimensions”, which is hereby defined to mean along the imaginary plane of the epidermis 22 (which may be curved in places), and not extending upwardly off the epidermis 22 or downwardly into the muscle tissue 25. This pressure distinguishes the present release method from many massage techniques, which include much greater downward pressure to engage and massage the muscle tissue 25 under the epidermis 22.
While two embodiments of the series of rapid glides are shown, alternative motions that are not illustrated may also be used, including a four way glide. In the four way glide, the clinician uses both hands opposite each other to apply pressure in the following directions: up/down, side to side, right/left diagonal, and left/right diagonal.
In another embodiment of the series of rapid glides, the movement is a four way one hand glide. In this motion the therapist applies firm gliding pressure with their palm or fingers in the following directions: up/down, side to side, right/left diagonal, and left/right diagonal.
Another embodiment of the series of rapid glides is the three way glide. In this motion the therapist holds the soft tissue firmly with one hand, and with the other hand the therapist applies firm gliding pressure with his or her palm and/or fingers in the following directions: inferior, inferior left, and inferior right.
Another embodiment of the series of rapid glides is the interlocking glide. In this motion the therapist uses both hands side by side to apply pressure and stretch the treatment area. The gliding motion employs a twist in opposing semi-circular motions.
Another embodiment of the series of rapid glides is the interlocking with thrust glide. This motion is identical to the interlocking glide motion, the only addition being the application of a slight pressurized thrust on the treatment area while employing the twist in the gliding motion.
Another embodiment of the series of rapid glides is the one direction glide. In this motion the therapist applies firm gliding pressure with their palm or fingers in either transverse or longitudinal direction in relation to the muscle fibers. Another variation of the one direction glide is both hands going towards the same direction to treat more muscle fibers at the same time.
Another embodiment of the series of rapid glides is the glide with rolling. In this motion the therapist applies firm pressure with both hands and rolls the skin opposite to each other or place both hands side by side.
Another embodiment of the series of rapid glides is the zig-zag glide. In this motion the therapist applies firm gliding pressure with their palm or fingers in a zig-zag direction either transverse or longitudinal to the muscle fibers.
Another embodiment of the series of rapid glides is the circle glide with a stretch. In this motion the therapist stretches the restricted fascia and performs a circle motion with the same hand using the myofascial release tool 10.
Another embodiment of the series of rapid glides is the half circle glide with stretch. In this motion the therapist applies stretches the restricted fascia and performs a half circle motion with the same hand using the myofascial release tool 10.
Another embodiment of the series of rapid glides is the fast fascial release. In this motion the therapist applies glides the fascia in all directions while the patient 20 is contracting the muscle associated with the fascia area.
While these particular motions are known to be effective, those skilled in the art may devise alternative motions, and such alternatives should be considered within the scope of the present invention.
As used in this application, the words “a,” “an,” and “one” are defined to include one or more of the referenced item unless specifically stated otherwise. Also, the terms “have,” “include,” “contain,” and similar terms are defined to mean “comprising” unless specifically stated otherwise. Furthermore, the terminology used in the specification provided above is hereby defined to include similar and/or equivalent terms, and/or alternative embodiments that would be considered obvious to one skilled in the art given the teachings of the present patent application.
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Entry |
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Author: John F. Barnes; Title: Myofascial Release: The Search for Excellence; Date: Jan. 1, 1990; pp. 17-58; Publisher: Rehabilitation Services Inc.; Country: USA. |