Activate Physiotherapy and Rehabilitation at Kernowek Farm

Very interesting.

It is time to stop focusing on muscle...what we need to do is focus on the neurological intervention that will most efficiently change the tissue. Dr. Michael C...hivers writes... "The appreciation of outcome measures in manual therapy is so important to understand as it allows us to focus on what our intent is with our soft tissue implementation. In the process of effective manual soft tissue exploration, assessment and eventual treatment we have to understand that at the level of the tissue system, muscle is not our focus. There are no outcome measures that dictate to us to intervene at a muscle level. Ill defined problems lead to ill conceived solutions." See more

Love this, and love being a physio

Very challenging to treat, but rewarding!

Fascial fun working on creating education. Fascial manipulation is a manual therapy the requires a good working knowledge of anatomy and physiology. Fascia a...nd muscle act as the rigging that allowed the body to remain vertical. Fascia spirals in and out, this spiral arrangement of collagen fibers allow for movement with out loss of stability. Superficial fascia blends with deep fascia in the distal limb it acts as a mechanical and thermal cushion . This gliding movement hides the tension that takes palace in the deep fascia. Deep fascia is formed by connective membranes that form sheets over the muscles, it forms sheets for nerves and blood vessels and surrounds organs. It binds all the structures together. In some areas the deep fascia duplicate itself to form the deep laminate especially around the spine and vertebral muscles Epimysium is deep fascia that encloses a single muscle , these structures then subdivide into muscle bundles The body’s fascia is arranged in plains. Fascial depth is created embryological through development when it stats to fold in on it self so even though we have fascial plains it all started from a single plain. Fascia is anchored at boney stations or attachments ,where fascia fibers, muscle epimysium or tendon are integrated or continuous with the periosteum of the bone or the collagen matrix of the bone. Most of these bone attachments have communication with the next fascial attachment bone on the superfical plain rather then the deeper plain. Fascial plains regularly interweave joining or splitting from each other. These place of splitting or interweaving require the body to make choices in force transmission depending on posture and activity. Some of theses attachment bones are areas where force vectors meet and cross over creating multi tugs forces around the bone. We can use bone position and orientation to showers us the dominating tug. As a therapist it is vital to know and understand which bones in the horse are particularly subject to these force vector and where the fascial lines meet their next roundhouse. When we talk about articulation we are generally referring to bones. Meaning an area where two bones or bone and cartilage attach for the purposes of motion. Soft tissue need to articulate in the same way allowing for a sliding motion between structures and tissue, fascia articulates.