Myofascial Release Manual / Edition 4

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Continuing the tradition that started over 20 years ago and with a new focus on the current terminology regarding each technique, The Myofascial Release Manual is now available in a completely updated and comprehensive Fourth Edition.

Carol J. Manheim has taken years of knowledge and expertise and incorporated them with the actual intent and result of the myofascial release treatment techniques to bring to the pages of this Fourth Edition essential information for the student and clinician in search of basic information or wanting to refine more experienced skills of these manual therapy techniques.

Features inside the Fourth Edition:

-Techniques re-titled to reflect the sensation felt by both the therapist and the patient
-More than 75 new photographs—Over 450 in total
-Some photographs are shown as a series to allow for movement to be seen during some techniques
-Bolded text to call attention to major warnings, contraindications, and target vital information
-Italicized text to call attention to important words and key points
-More synthesized use of text and photographs to allow for ease of reading and reference
-User-friendly organization throughout the text
-Photographs use arrows to show direction of stretch and movement
-“Carol’s Nuggets” of pearls of wisdom are included throughout the text
-Contributions from renowned experts Sam Kegerreis, Robert O. Ward, and Steven Nowicki 

The Myofascial Release Manual, Fourth Edition continues in the tradition of past editions and presents expert hand placement for the upper quarter, lower quarter, cervical region, abdominal muscles, back muscles, and many more.

Sections include:

-Introduction to Myofascial Release
-Basic Myofascial Release Techniques
-Advanced Myofascial Release Techniques
-Additional Resources 

The description and photographs in The Myofascial Release Manual, Fourth Edition help the therapist experience the technique, making this the continued go-to reference for students and clinicians in physical therapy, manual therapy, and occupational therapy alike.

The book contains black-and-white illustrations.

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Editorial Reviews

From the Publisher
 "…the manual style format allows users to access various techniques efficiently, based upon anatomical category."  

— Lynee Dewar, MCSP

This spiral-bound manual, illustrated with many b&w photos, was designed to demonstrate hand placement for most muscles in the body and to answer questions frequently heard in courses taught by the author, a physical therapist and counselor in private practice in Charleston, SC. It includes articles that have appeared in peer- reviewed journals and commercial texts. The expanded third edition presents both basic and advanced steps for soft-tissue mobilization. Also covers issues such as the development of myofascial release as an osteopathic technique and the significance of touch and nonverbal communication. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9781556428357
  • Publisher: SLACK, Incorporated
  • Publication date: 6/1/2008
  • Edition description: Fourth
  • Edition number: 4
  • Pages: 325
  • Sales rank: 327,859
  • Product dimensions: 8.70 (w) x 11.20 (h) x 1.00 (d)

Meet the Author

Carol J. Manheim, MS, MEd, PT, LPC, received her MS degree from Case Western Reserve University and her MEd in clinical counseling from The Citadel. Ms. Manheim is a physical therapist and licensed professional counselor in private practice in Charleston, South Carolina. Ms. Manheim has taught courses and presented papers on Myofascial Release at a variety of state, national, and international venues. She has presented papers on Myofascial Release and the psychological effects of manual therapies at the World Confederation of Physical Therapy and at the national convention of the American Physical Therapy Association. She has presented papers and given workshops on the Soft Tissue Effects Caused by Diabetes Mellitus at the World Confederation of Physical Therapy and at the national convention of the American Physical Therapy Association. She taught a preconference two-day course on Myofascial Release at Physical Therapy ’97 for the American Physical Therapy Association. Ms. Manheim has given courses for physical therapists and occupational therapists that were sponsored by various state organizations and agencies, including the South Carolina Consortium of Rehabilitation Agencies, the Northwest Consortium of Rehabilitation Facilities, and various health care facilities in the United States, Canada, and overseas. In addition, Ms. Manheim has presented lectures on body memory and physically facilitated abreactions at state and notational psychotherapy conferences. She is a member of the American Physical Therapy Association, the South Carolina Chapter of the American Physical Therapy Association, and a past member of the Neurodevelopmental Treatment Association and the International Society for Behavioral Science in Physical Therapy. She is also a member of the American Association of Counseling and Development, the American Mental Health Counselors Association, and Chi Iota Sigma (a national counseling honorary society) and a past member of the International Society for the Study of Dissociative Disorders.

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Table of Contents


About the Author

Section I: Introduction to Myofascial Release

Introduction to Myofascial Release
Myofascial Therapy
Sam Kegerreis, MS, PT, ATC
Biomedical and Infomedical Models
Pathological Distinctions
Structural Concepts
Myofascial Restrictions
Anatomy of Fascia
Soft Tissue Injuries and Myofascial Pain
Tightness and Restriction
Conceptual Models
Fascia as a Balloon
Fascia as Plastic Wrap
Fascia and Muscle as Red Elastic Bands
Myofascial Release: A Brief History
Robert C. Ward, DO
Understanding Myofascial Release
Trust Feelings
Basic Principles
Process of Change
Learning Myofascial Release
Basic Steps: An Overview of Treatment
Onion Metaphor
Gross Release of Any Muscle
Focused Release of Any Muscle
Gross Versus Focused Release
Sensation of a Release
Autonomic Response to a Release
Response to Myofascial Release
Psychological Effects of Myofascial Release and Other Manual Therapies
Essence of Myofascial Release
Special Considerations
Enigma of the “Good Hurt”
Significance of Touch and Nonverbal Communication
Steven Nowicki, PhD
Focusing on Feedback: Communication Exercises
Exercise 1. Communicating Emotions
Touch As Communication
Exercise 2. Personal Space
Protocols for Myofascial Release
Pre-Treatment Protocols
Establishing the Therapeutic Environment
Testing for Vascular Integrity
Post-Treatment Protocols
Drink... Drink... Drink
Be Kind to Your Hands

Section II: Basic Myofascial Release Techniques

Upper Quarter Release
Release of the Shoulder Rotators
A Learning Exercise: Focusing on Feedback
Sidelying Release of the Parascapular Muscles
Lower Quarter Release
Sidelying Release of the Gluteal Muscles
Bilateral Release of the Upper Trapezii
Unilateral Release of the Upper Tr apezius
Focused Release of the Upper Trapezius
Release of the Splenius Capitis and Semispinalis Capitis
Bilateral Release of the Middle Trapezii
Unilateral Release of the Middle Trapezius
Focused Release of the Middle Trapezius
Release of the Lower Trapezius
Focused Release of the Lower Trapezius
Cervical Region
Release of the Posterior Cervical Musculature
Cranial Base Release
Gross Release of the Sternocleidomastoid
Focused Release of the Sternocleidomastoid
Gross Release of the Scalp Muscles: Hair Release
Gross Release of the Face Muscles: Ear Release
Gross and Focused Release of the Scalp and Face Muscles
Release of the Hyoids
Pectoralis Major and Minor
Release of the Horizontal Fibers of the Pectoralis Major
Release of the Diagonal Fibers of the Pectoralis Major
Release of the Pectoralis Minor
Intercostals and the Rib Cage
Gross and Focused Release of the Intercostal Muscles
Release of the Rib Cage
Gross Release of the Quadratus Lumborum
Abdominal Muscles
Gross Release of the Rectus Abdominis
Gross Release of the Abdominal Obliques
Gross Release of the Tranversus Abdominis
Gross Release of the Iliopsoas
Focused Release of the Iliacus
Focused Release of the Pectineus
Focused Release of the Piriformis
Lower Extremity Muscles
Gross Release of the Quadriceps Femoris
Gross Release of the Sartorius
Gross and Focused Release of the Tensor Fascia Lata
Gross and Vertical Gross Release of the Hamstrings
Gross Release of the Anterior Tibialis
Focused Release of the Peroneus Longus
Gross Release of the Soft Tissue of the Forefoot and Toes
Gross and Focused Release of the Plantar Fascia
Gross and Focused Release of the Gastrocnemius
Gross Release of the Soleus
Gross Release of Both Legs and the Lower Trunk
Back Muscles
Gross Release of the Levator Scapula
Gross Release of the Rhomboids
Focused Release of the Supraspinatus
Focused Release of the Infraspinatus
Gross and Focused Release of the Teres Major and Minor
Gross Release of the Subscapularis
Gross and Focused Release of the Erector Spinae
Sidelying Gross Release of the Quadratus Lumborum
Sidelying Gross Release of the Latissimus Dorsi
Sidelying Gross Release of the Iliocostalis Lumborum
Upper Extremity Muscles
Gross Release of the Deltoids
Gross and Focused Release of the Biceps Brachii
Gross and Focused Release of the Brachialis
Gross and Focused Release of the Brachioradialis
Gross Release of the Wrist and Finger Extensors
Gross Release of the Extensor Carpi Radialis
Focused Release of the Extensor Carpi Ulnaris
Gross Release of the Pronator Teres
Focused Release of the Wrist and Finger Flexors
Focused Release of the Flexor Carpi Radialis
Focused Release of the Flexor Carpi Ulnaris
Focused Release of the Adductor Pollicis
Focused Release of the flexor Pollicis Brevis
Focused Release of the Interosseus
Gross Release of the Abductor Digiti Minimi
Gross Release of the Soft Tissue of Each Finger
Gross Release of the Triceps
Focused Release of the Triceps
Gross Release of Both Arms and the Upper Trunk

Section III: Advanced Myofascial Release Techniques

Anterior Chest Wall Release
Thoracic Fascia Release
Diaphragm Release
Pelvic Floor Release
Sacral Fascia Release
Myofascial Trigger Points
Trigger Point Release
Tender Points
Tender Point Release
Skin and Scar Restrictions
Evaluating Skin and Scar Mobility
Skin Roll Release
“J” Stroke Release
Indirect Gross Scar Release
Direct Gross Scar Release
Vertical Direct Gross Scar Release
Direct Scar Skin Roll Release
Indirect Scar Skin Roll Release
Direct Focused Scar Release
Myofascial Strum Release
Long Stroke Strum Release
Short Stroke Strum Release
Dural Tube Dysfunction
Testing for Dural Tube Dysfunction
Criteria for Performing a Dural Tube Release
Dural Tube Anatomy Metaphor
Dural Tube Release
Combination Releases
Treatment in Three Dimensions

Section IV: Evaluation: Initial Assessment

General Considerations
Initial Interview
Posture Evaluation
Pain Assessment

Section V: Additional Resources

Posture Evaluation
Standing—Facing Forward
Standing—Facing Right
Standing—Facing Left
Standing—Facing Backward
Sitting—Front View
Sitting—Right View
Sitting—Left View
Sitting—Back View
Supine—Observation and Palpation
Prone—Observation and Palpation
Additional References


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