Dr. Ida P. Rolf's work is the foundation of connective tissue massage (CTM) This form of therapy extends the principles of Rolfing alignment and movement to create a dynamic approach to myofascial release.
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All of the structures in the body are surrounded, protected and supported by connective tissue. This matrix connects the body's organs and systems, and at the same time provides compartmentalization between them. This is what is known as "fascia". The fascia is a continuous elastic sheath that provides support for the skeleton and soft tissues (i.e., muscles, tendons and organs). It surrounds the muscles and is known as the fascial envelope.
Dr. Rolf's original research on the characteristics of fascia identified its different biochemical states. These states as were identified as "gel" and "sol." In the gel state the fascia has a low hydration level in which fascia often shortens and becomes adhered to surrounding layers of tissue. Tissue in this state feels thick and dense to the touch. The fascia quickly begins to sol when the chemistry of the fascia changes with increased hydration. In its sol state, fascia is better hydrated, more elastic, and more easily stretched and lengthened. The goal in Connective Tissue Massage is to facilitate the change from gel to sol state.
Connective tissue has a unique elasticity, allowing it to be elongated. This requires a precise level of energy and palpation skill to effectively make changes in the tissue. Rubbing, kneading, massaging or compressing the tissue works on the muscle and will not change or elongate the fascia. Fascia and muscle are distinct types of tissue requiring totally different approaches of palpation and manipulation. When connective tissue receives appropriate contact and sufficient energy, it changes immediately.
In order for fascia to be stretched, it must be contacted at an oblique angle (less than 45 degrees). The tissue responds and lengthens only when the downward, compressive force is eliminated. For example, shortened fascia, like wrinkles in a sheet, can be pulled out and lengthened only when we put a more forward, stretching movement into the tissue. The oblique angle of entry to the body maximizes this stretching quality, while minimizing any invasive or compressive contact.
Fascia lies in broad, continuous sheets in the body. This quality of continuity allows for transmission of structural change via these sheets. Think of the fascia as a sweater surrounding a muscle group, you could pull or stretch the sweater from any part of it and affect the entire structural fabric. Conversely, without contacting and stretching these long planes of connective tissue, a practitioner would be working only on isolated spots. The individual muscles are not the focus of Connective Tissue massage. It is the relationships of long, broad fascial sheets to one another that is the focus. This provides an effective means whereby fascial work in one area affects the entire body.
Fascia organizes the body through an elaborate three-dimensional webbing of layers. Within this continuous network, Connective Tissue Massage addresses the fascial layers one at a time, progressing from superficial to deep. Only after the more superficial layer has become more elastic, supple and lengthened is it appropriate to work on the next, deeper layer. Without initially achieving a superficial release, the body shuts down to the energy input, and armors its defenses. Ultimately, the client will likely experience the work as harsh or painful.
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