File Size: 23091 KB
Print Length: 332 pages
Publisher: Churchill Livingstone; 3 edition (December 6, 2013)
Publication Date: December 6, 2013
The book is wonderfully done, and the theory is well presented with enough and useful anatomical drawings of each anatomy educate. There is a lot to learn from here, and as always, Tom Myers' writing is thought provoking, intelligent and easy to read. This is not one of those books that tantalizes you with tidbits and then states "but to really learn it you need to take my lessons. " Myer's doesn't restrain in his books. I actually would recommend this book to anyone enthusiastic about anatomy from a movement or manual medicine perspective. That being said I actually do have some reservations about the Anatomy Trains concept and the phenomenon of whole level acceptance that surrounds the theory. If you want a great book that explains the Anatomy Locomotives concept evidently and seriously enough to take to the clinic or massage therapy table, then definitely buy this book. Read no further, it is worth it. IF, one the other side of the coin hands, you are reading reviews wondering what the Anatomy Trains phenomenon is all about, then read on.
What is troubling is not the theory offered in this book, but the almost ubiquitous popularity in massage and chiropractic circles as proven fact. A single repeatedly reads reviews phoning this book "essential" and referring to other ideas on fascia as "outdated" or "misguided. " I actually believe this speaks to the elegant and intuitive nature of the Anatomy Trains concept and the way it is offered, rather than talking with their veracity. In fact, the standard elements that would make this another clinical tool seem to be to be completely missing from the medical literature.
My answer is this not as a skeptic of manual medicine. I personally trained with Tom Myers 20 years ago, trained and practice as a practitioner of structural integration (Rolfing) and use manual medicine in my veterinary practice. I've had anatomy instructors in Rolfing training, in pre-medicine in college, and in both chiropractic and veterinary college, and I actually can say Tom Myers is as good as they come in making anatomy highly relevant to clinical treatment. I think he is a visionary in stepping back to look at functional anatomy from a whole body perspective
During your time on st. kitts has been a great deal of basic scientific work done on the tiny structure and chemistry of fascia, the work has yet to be done to verify what Rolfers have always proposed: 1) that restriction in a tiny area of fascia can be propagated across long distances and across organization attachment points to cause global movement dysfunction and 2) that deep manual intervention is actually able to stretch or "free" fascial restrictions deep in the tissues. Over the years I actually have seen some notable Rolfing authors back away from these theories after taking part in actual anatomical dissections. I myself was taught that I could extend the quadratus lumborum fascia with my elbow, yet even a cursory try dissection at the depth and overlying muscle would lead one to question the possibility of accomplishing that outcome. I was also taught that I actually could "effect" the TFL and the very tough fibrous fascial attachments around the hip joint (think horizontal line here) with manual intervention. Having actually kept these tissues between my fingers, I have to question the possibility. Actually given the strength and business of those tissues and the forces they must withstand, any gross change in them whether manual or surgical would amount to tissue damage and joint capsule injury and would require substantial recovery.
As the Anatomy Trains principle is a fantastic theory that, if true, would be a wonderful explained strategy in manual therapies, there are other competing ideas that make as much sense and might have a much better medical underpinning. One such theory is that deep fascial treatment, as a secondary side product, causes mast cell degranulation in superficial tissues and that the released histamine granules cause extravasation of intravascular liquid into the tissues which "hydrates" those tissues, bringing about better sliding between fascial planes. My Rolfing teachers often commented on this feeling of "tissue hydration" underneath their fingertips as they worked. The German medical approach to fascial manipulation is based on this phenomenon. The particular redness you see on the skin after fascial treatment and acupuncture is partially due to this phenomenon of mast cellular degranulation.
Moshe Feldenkrais, one of Tom's teachers, repeatedly showed that supposed "physical restrictions" in the body were actually habitual parasitic muscle tensions that could be eliminated simply through a few minutes of low amplitude client-directed movements to bring awareness to those parasitic actions. Joanne Elphinston in her excellent text Stability, Sports and Performance Movement takes us all critically through many of the stereotypical aberrant movement patterns we in the fascial world have always credited to fascial "restriction. " The girl shows how these are often related to and corrected by addressing some weakness in stabilization strength and stabilization strategies. She also shows how weakness in stabilization in a area of the body can demand compensatory and inefficient movements patterns elsewhere in the body. Like fascia, movements strategies are also global whole body phenomenon, and weakness in one area can bring about obvious movements compensation across joints faraway from the weakness. Not just are these compensation strategies evidently visible, but being inefficient, often lead to pathology and injury, again distant from the fundamental problem. Without fascial work these problems can be reversed through skill and strength acquisition.
Lastly, where physical restriction and tension are in fact palpable and considerable, current scientific research seems to implicate vascular, nerve organs and local chemical mediators all playing an connected role in initiating, keeping and propagating such restrictions. Fascial adhesion may be an finish point, but to what extent and exactly how far reaching from the initial insult its results can travel are still unknown.
The manual medicine and massage world has always struggled to get itself accepted in the mainstream world of medical treatment modalities. We have often stood by the side of the road watching the parade of medicine and patted ourselves on your back for being visionaries and 20 years forward of our time. All of us compliment ourselves for having already accepted what "they" have yet to discover. However this is no excuse for not knowing the between fact and theory. This is why I see it so troubling that the Anatomy Trains concept has become so pervasively accepted as fact, yet the most basic premises, 1) that gross fascial strain can be transmitted physically across chains of firm core points and 2) that deep manual intervention can stretch or "release" fascia in vivo, remain completely unproven theories.
I hope Ben Myers continues to use his unique gifts to produce this and other ideas that really feed the imagination. However I wish that the massage treatment and chiropractic worlds would embrace critical thinking rather than merely embracing every new enticing theory as fact due to the fact it has a certain intuitive charm. Our clients invest a great deal in time, effort, hope and money when they come to us all. We owe it for them to separate fact from theory, also to not sell them the latter as the former. Since it is, the Anatomy Trains concept is an exciting theory, but it is as yet merely a theory, not an essential revolutionary truth in manual medicine, as many claim., The previous release was a much better book. This one has cuts to squeeze in more text and relies upon you looking at the good illustrations at their website as opposed to in the book. Buy the earlier edition if what you need is a book., I'm a massage therapist, and this book is brilliant. Everything I have read so far is pertinent to my trade and I have already begun to apply what I have learned from the author in my practice. Clearly this book is the result of the author's lifelong work. This work scans like a textbook; it is slow reading due to its thorough strategy. Although I am working through it minus the DVD, I imagine the video would help some understand the concepts better, especially those more removed from their A&P/Kinesiology/Pathology lessons. The pictures and drawings are perfect, too., Myofascial work and physical treatment are revolutionary in their success for supporting people rebuild, and also this book is instrumental at supporting people understand a coating of the body that more often than not is cut through in surgery and ignored otherwise. Together with the depth of a scientific text, this is excellent work., Tom Myers' "Anatomy Trains" is positive to replace the way you view the body of a human. Because a Personal Trainer I actually work a lot with corrective exercise modalities, postural analyses, and mobility improvement. This book has opened my eyes to a whole new way of observing/evaluating clients' body positions both at rest and in movement.
Mister. Myers starts by talking about how the is created and, more specifically, how a myofascial web is built from embryological development through maturity. He then presents a general summary of the Anatomy Trains concepts before delving into all the set up Lines in greater details, discussing anatomical locations, relations to kinesiology, and methods of working with the Lines (primarily through manipuler that was somewhat unfortunate for me since that is beyond my scope of practice - I would have liked more details on the stretching and movements aspect of this treatment though admittedly the writer and am come from different practices in background).
Since reading this book I have come to view people's bodies differently. As a couple of examples, These days constantly think such things as "shortened right Lateral Line" & "overlengthened peroneals in foot supination" when viewing clients. This has helped me to add in additional corrective work in my practice.
I highly, highly, highly recommend this book to anyone involved in manual or movement therapies. I actually am excited to see what further research has to uncover regarding this modality in the future!, This is another one of these must have books on your reference bookshelf if you deal with anything MSK. If you are a chiropractor, physical therapist, manual therapist, osteopathic physician, medical physician, athletic trainer, or personal trainer then you should read this article book. I find it amazing how many post-graduate education courses cite this as a source for their work or a recommendation as to it's use in your practice in order so that you can " sharpen the saw". Like a Sports Chiropractor I find myself going back to this reference frequently to describe to patients what is going on as well as using the chains as my recommendations to take an athlete for performance.
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