Courses & Syllabus
IFR Foundations 3 Day Course
Syllabus
IFR Level One and first day of IFR Level Two
DAY ONE
Module 1 OneIntroductions & Information
- Introductions and Information about Integrative Fascial Release
References:
• Hellerwork: The Utimate in MyoFascial Release: Donna Bajelis
• Myofascial Release Textbook Michael Shea
• The Scientific Basis for Energetic Healing Movement & Bodywork James Oschman
• The Endless Web, Fascial Anatomy & Physical Reality R.Louis Schultz
• Anatomy Trains Thomas Myers
• Neurobiology of Fascial Plasticity: Robert Schleip
• MyoFascial Treatment Methods: Autonomic, Movement and Mechanical
• Properties of Connective Tissue-Fascial Anatomy
• The Nervous System: Conscious Control, Muscle Guarding, Unconscious Patterns of Muscular Holding / Movement
• Expressions of the Autonomic Nervous System and Autonomic Exhaustion
Module 2 Two
Assessments and Development of Skill in the Palpation of Fascia
• Fascial Palpation Exercises: Plastic Body Wrap
• Contra-Indications
• Visual Standing Assessment
• Visual Walking Assessment
• Skin and Joint Assessment
• Checklist for Palpating MyoFascial Restrictions
Module 3 Three
Palpating and Locating Myofascial Restrictions
Areas to which fascia adheres:
• Bony prominences
• Musculotendinous junctures
• Muscular boundaries and layers
Passive Techniques for Locating Superficial Fascia:
• Use of Two Point
• Three cardinal planes of skin motility to assess superficial fascia
• Schleip; High Leverage Points in the Myofascial Net
• Myers: Anatomy Trains
• Paoletti: Fascial Chains
• Schultz: Endless Web-Body Straps
Module 4 Four
Passive Transverse Plane Diaphragm Releases
Two-Point Technique for Deep Transverse Planes of Fascia.
Cranial Base
Pelvic/Urogenital-Lumbar-Abdomen
Respiratory-Solar Plexus
Thoracic Outlet-Inlet
Hyoid
Cranial Base
Module 5 Five
Direct Technique: Static Compression for the High Leverage Points
Sidelying Position
• Greater Trochanter
• Serratus Anterior
• Shoulder/Scapula/Thorax
Sidelying Sleeve Releases
• Adductor Midline Release
• Superficial Front Line Sleeve Release
• Superficial Back Line Sleeve Release
Module 6 Six
Lower Extremity Levers
• Levers: Long & Short for Hip & Pelvis
• Compressions for Greater Trochanter and Ischial Tuberosity
• Golgi Tendon Organ Release for Hamstrings & Rectus Femoris
Protocol
Long Levers-Straight Leg
Short Levers-Bent Knee
DAY TWO
REVIEW DAY ONE MATERIAL
Module 7 Seven
Integrating Two-Pointing for Lower Extremity Joints
Treatment Protocol for Pelvis
Lower Extremity Two Point: Inguinal, Knee & Ankle Protocol
- Sacrum or Illiac Crest / Umbilical
- Sacrum / Ischial Tuberosity
- Inguinal Crease / Ischial Tuberosity
- Patella / Politeal Fossa
- Ankle / Calcaneal / Talus
- Ankle / Lateral & Medial Malleolus
Fascial Anatomy for Lower Extremity
- Pelvic restrictions: Rotational Releases
- Fascial Sleeves: Understanding twists and patterns of rotational restrictions within the sleeve
- ‘Twist in the Sleeve’
Module 8 Eight
Integrating Techniques Three Dimensionally:
Stacking the 3D Planar Fulcrum (Giammatteo) -Two Point
• ‘Stacking’: engaging multiple barriers in 3 planes/vectors through demonstration of technique.
• Three Dimensional Fulcrum Technique- Giammatteo & Kain
• Corkscrew effect: rotational component to releasing fascia
• Indirect technique will always move into a barrier or direction that is considered ‘ease’
• Thus the direction of fascial release is always indirect instead of direct.
• Release can be organized in two ways:
Either increasing fascial glide or Utilizing a fulcrum
Engage superficial fascia with Two Point
• Initiate parasympathetic effect
• Engage compression barrier
• Assess direction of ease
• Assess & engage superior/inferior ease direction
• Assess & engage medial/lateral ease direction
• Assess & engage rotational medial/lateral ease direction
DAY THREE
REVIEW IFR FOUNDATIONS DAY TWO
Module 9 Nine
Midline Bilaterals: Axial Mid-Line Release
Myers Superficial Front Line Releases
- These are underhand static compressions
- Relax restrictions at the Illiac crest
- Lower scapular area
- Upper scapular area
- One hand cradles occiput while the other applies underhand static compression
Myers Superficial Back Line Releases
- Fingertips re-enforced at Pubic Symphysis
- Palm at Sternum
- Palm at Pectoralis Major/Minor
If necessary relax diaphragm area
- Combination of the two lines
- These releases precede Bilaterals
Bilateral Releases
Bilateral concepts
Applied from Side Lying Position
- Inferior Greater Trochanter/Upper ITB
- Mid ITB
- Intercostals/Thoracic Rib Cage
- Rolling Motion Releases
- Shoulder/Greater Trochanter Combination
Module 10 Ten
Introduction to Upper Extremity Levers-Arm Line Releases (Myers)
Superficial Front Arm Line
Superficial Back Arm Line
Deep Front Arm Line
Deep Back Arm Line
Protocol: Supine Positions with Humeral Long & Short Levers
- Supine Bilateral Humeral Short Lever
- Supine Bilateral Humeral Long Lever
- Supine Unilateral Long Lever Sleeve Assessment
- Supine Unilateral Long Lever Humeral Compression
Into GH Joint
Into Scapula into Thorax
Spina Scapula
AC Joint
SC Joint
Protocol: Side lying Positions with Humeral Long & Short Levers
Humeral Short Lever
- Olecranon crowd into GH Joint
- “Corkscrew”
- Add rotational ease position
- Add rotational bind position
Humeral Long Lever
- Elbow must in extended relaxed lock position
- No flexion whatsoever
- Use your forearm to lock elbow into extension
Module 11 Eleven
With Three Day Foundations format
Clinical Practice Session
• Invited guest to practice and integrate material presented in three day Foundations course
• Setting up
• How are you to explain to your guest what you are doing?
IFR Intermediate 3 Day Course Syllabus
IFR Level Two and first day of IFR Level Three
DAY FOUR
Module 12 Twelve
REVIEW OF DAY THREE MATERIAL
Any questions or concerns regarding Two-Pointing
Introduce material later in class on the ‘fulcrums’ as a choice & modification to the ‘two-point’
Any questions or concerns regarding Static Compressions
Any questions or concerns regarding Leverage Compressions
Review Bilateral Midline Release
Review Humeral Long & Short Levers from Supine & Sidelying Positions
Midline Releases
- Supine: Arm between legs cradling sacrum with superior hand at c7
- Sidelying: Adductor Magnus Ramus static with c7 mobilization with slight spinal crowding
Bilateral Releases from Side Lying Position
Bilateral concepts
Bilaterals applied from Side Lying Position
- Inferior Greater Trochanter/Upper ITB
- Mid ITB
- Intercostals/Thoracic Rib Cage
Rolling Motion Releases
Shoulder/Greater Trochanter Combination
Unilaterally serratus anterior/gluteal fascia
Side-lying Long lever
- For the ITB:
- Medial Sleeve Adductor Release
- Pes Anserine/Trochanter Pin & Twist
If doesn’t work you need to re-organize Spiral Line &/or re-check SBL/SFL
Module 13 Thirteen
3 D Planar Fulcrum Technique
(Giammatteo & Kain)
Indirect technique will always move into a barrier or direction that is considered ‘ease’
Thus the direction of fascial release is always indirect instead of direct
Release can be organized in two ways:
Either increasing fascial glide or
Utilizing a fulcrum
Engage superficial fascia with Two Point
Initiate parasympathetic effect
Assess direction of ease or bind
Fulcrum
4 directions of compressive force are now occurring
Module 14 Fourteen:
Upper Extremity Arm Line High Leverage Points
Applied Static Compressions
Palpation of High Leverage Points in these lines
- Superficial Front Arm Line SFAL
- Deep Front Arm Line DFAL
- Superficial Back Arm Line SBAL
- Deep Back Arm Line DBAL
• Applied technique to high leverage points:
SFAL=SBL
- Illiac crest, thoracolumbar fascia
- Medial third clavicle
- Medial intermuscular septum
- Medial epicondyle
DFAL=SFL
- Coracoid process
- Pec minor attachment at 3-5 ribs
- Biceps bracii
- Radial tuberosity
- Styloid process radius
- Scaphoid
Module 15 Fifteen: REVIEW AND EXPAND
Advanced Application of Technique for the Upper Extremity
Rotational Sleeve Releases
• Static compression combined with rotational bind
REVIEW Protocol: Supine with Humeral Long Levers
• Bilateral Levers
• Supine Bilateral Short Lever Assessment
• Supine Bilateral Humeral Short Lever Compression
• Supine Bilateral Humeral Long Lever Compression
• Supine Unilateral Long Lever Sleeve Assessment
• Supine Unilateral Long Lever Humeral Compression
• Into GH Joint
• Into Scapula into Thorax
• Intent & target to:
o Spina Scapula
o AC Joint
o SC Joint
REVIEW Protocol: Side Lying with Humeral Short & Long Levers
• Humeral Short Lever
o Olecranon crowd into GH Joint
o “Corkscrew”
o Add rotational ease position
o Add rotational bind position
• Humeral Long Lever
o Elbow must in extended relaxed lock position
o No flexion whatsoever
o Use your forearm to lock elbow into extension
ADVANCED Sc Joint/Medial Clavicle /Sternal Lever Release
• Side Lying position-therapist facing clients posterior back
o Roll client slightly forward
o Protract clavicle-abducting scapula
o Short lever clavicle into SC joint
Humeral Intermuscular Septums (Refined palpation required)
o Medial & Lateral Septums along Brachialis/Biceps & Triceps Lateral/Long head
o Slight flick &/or movement of the arteries, nerves & veins adhered to the humeral septums
Prone Scapular Compressions
• Scapular ‘Bounce’
o Quick palmar application to scapular fossa with intent to break adhesion
ADVANCED Prone Position Humeral Levers
• Sit next to client with humerus abducted in long lever position from 30°-45°
• Engage long lever humeral into scapular glenoid fossa
• Change vector and angle
• Check sleeve rotational restriction
• Engage ease or bind
• Lift slightly in an upward toward sky direction engaging bind
• Strum GH ligaments
DAY FIVE
Module 16 Sixteen: REVIEW DAY FOUR MATERIAL
Module 17 Seventeen:
Position, Motion and the Barrier:
Applied Bilateral Static Compressions with Motion Releases for the Pelvis
Using Motion as a Releasing Tool
Exercise: Rolling Releases
Two-Legged Curl-Up Positional Release
Roll from side-lying into supine position with flexed knees & hip
Engage barrier whilst holding both legs
Do not log legs together
Check for ease & bind
Engage ‘swivel’
Engage ‘rotation’
Module 18 Eighteen:
Spiral Line Releases
• Palpation of the Spiral Line High Leverage Points
• Tracing the Spiral Line
• Organize applied technique to restrictions of this line
- Splenius capitis/Serratus anterior compression for Rhombo/Serratus Post release
- Spiral Line Scapular X
- Fascial grasp to Trigonum Lumbale
- Short head Biceps Femoris Direct MFR Friction
- Fibular head
Module 19 Nineteen:
Joint Play Application for the Upper Extremity
Address Ligamentous Restrictions as related to capsular/fascial restrictions
Effective application to effect capsular adhesion
Applied to GH joint capsule
- Anterior/Posterior direction
- Ligament ‘tug’ in A/P direction
Ligament ‘tug’ in inferior direction
Collateral ligament movement known as Varus & Valgus for Medial (Radial Collateral) & Lateral
Collaterals (Ulnar Collateral)
• Elbow joint Levers
- Compression to humeral/ulnar
- Compression to humeral/radius
- Closed position compression
- Various opened positions
Proximal Radial-Ulnar joint
- Radial head
Radialcarpal joint play
- A/P
- Lateral translation
- Compression/Distraction
Employ ‘fulcrum’ in ease-include a rotation
Combination of all joints with rotational sleeve releases
Carpals
Metacarpal-phlangeals
Pairing of the bones
Module 20 Twenty:Integrate Joint Play of Upper Extremity with Superficial and Deep Front and Back Arm Lines
Problem-solve why restrictions at the Arm Line joints are present?
- Assess & re-assess as you track through the line the global versus local effect to the high leverage points on the lines
- Coracoid process scapula
- C7 vertebral spinous process
