MYOFASCIAL INDUCTION THERAPY (MIT®)

Justification, description of the method and general program of the training.

 

DEFINITION

MIT® is a method of evaluation and treatment where three-dimensional movements and sustained pressures are used throughout the fascial system to eliminate its restrictions.

In the last decade, the procedures in Myofascial Induction have gained in physiotherapy an unprecedented field; have allowed the expansion of many roots in the profession.  Lesions of the myofascial system produce pain and slow recovery of the function. MIT is considered to be the forgotten piece in the chain of treatments performed by practitioners responsible for the restoration of function and pain relief.

 

LEGAL FRAMEWORK

The professional practice of physiotherapist in Spain is regulated under the legal and administrative framework governed by:

Law on the organization of the health professions (2003), which through Title I "of the exercise of the health professions", Article 7 "health graduates", section 2-b, establishes that, corresponds to the University Diploma in Physiotherapy the provision of the proper care of his discipline, through the treatment with means and physical agents, directed to the recovery and rehabilitation of people with dysfunctions or somatic disabilities, as well as the prevention of them.

In Chapter 1 of the Statutes of the General Council of Colleges, approved by Royal Decree 1001/2002, of September 27, which carries by Title "the basic principles of the exercise of Physiotherapy", are two articles that establish:

Article 1. About Physiotherapy

1.1. Physiotherapy is the science and art of physical treatment; that is, a set of methods, actions and techniques that through the application of physical means, cure and prevent diseases, promote health, recover, habilitate, rehabilitate and readapt on people affected by psychophysical dysfunctions of those who wish to maintain an adequate level of health.

 1.2. The exercise of Physiotherapy includes, in addition, the execution by the physiotherapist, by himself or within a multidisciplinary team, of electrical and manual tests destined to determine the degree of affectation of the innervation and the muscular force, tests to determine the functional capacities, the amplitude of joint movement and measures of vital capacity, all of them focused on the determination of assessment and physiotherapeutic diagnosis, as a step prior to any physiotherapeutic act, as well as the use of diagnostic aids for the control of the evolution of the users.

 1.3 The ultimate goal of Physiotherapy is to promote, maintain, restore and increase the level of health of citizens in order to improve the quality of life of the person and facilitate their full social reintegration. 

Article 2. For The Physiotherapists

2.1. The functions of physiotherapists, among others, are the establishment and application of all physical means that can be used with therapeutic effects in the treatments that are provided to the users of all the specialties of medicine and surgery where the application of it is necessary, understood by physical means: electricity, heat, cold, massage, water, air, movement, light and therapeutic exercises with special techniques, among others, cardiorespiratory, orthopedics, coronary, neurological injuries, exercises maternal pre and postpartum, and the performance of acts and treatments of massage, osteopathy, chiropractic, reflex therapeutic techniques and other therapies specific, alternative or complementary to the field of competence of Physiotherapy that can be used in the treatment of patients. These functions are performed, among others, in health institutions, educational centers, social service centers, sports institutions, Physiotherapy offices, rehabilitation and functional recovery centers, gyms, spas, geriatric centers, educational centers and special education and integration, and addresses of users.

 

OBJECTIVES

GENERAL OBJECTIVES

 The proposed objectives for the development of training in MIT are aimed in offering students comprehensive and personalized training, as well as sufficient training to meet the needs and demands that society currently requires.

 The main objective is to prepare the future professional from a global perspective in which the student is expected to acquire sufficient training to identify and describe, treat and compare health problems that can be answered by therapies of Myofascial Induction. All this considering the individual in its triple dimension: biological, psychological and social.

 For this the student, throughout the workshops, must acquire those skills and abilities that allows him/her, in its professional activity, to carry out an appropriate evaluation and treatment in the patients affected by the Myofascial Dysfunction Syndrome.

 

SPECIFIC OBJECTIVES

 1.     Perform the process of evaluation of the Myofascial Dysfunction Syndrome (MDS).

 2.     Apply individual treatments to patients with MDS.

 3.     Identify patients with contraindications in the application of Myofascial Induction procedures.

 4.     Explain the phenomena related to the dysfunction of the locomotor system due to MDS.

 5.     Integrate the Myofascial Induction treatment in daily professional practice.

 

                                           

COMPETENCES

GENERAL COMPETENCES

In order to fulfill the proposed objectives, the student must progressively overcome, and throughout the entire training, the following competences:

 1.     Capacity for analysis and synthesis

2.     Organization and planning capacity

3.     Problems resolutions

4.     Decision making

5.     Reflection capacity

6.     Critical thinking

7.     Ethical commitment

8.     Autonomous learning

  

SPECIFIC COMPETENCES

SPECIFIC COMPETENCES OF KNOWLEDGE (THEORY)

1. Identify the basic elements of the structure, biomechanics and kinematics of the locomotor system of the human body.

2. Identify the anatomical aspects of the fascial system.

3. Describe the molecular structure of the fascia.

4. Characterize the biomechanical structure of the fascia.

5. Analyze the pathomechanics of the fascial system.

6. Differentiate and apply the phases of the evaluation MDS.

7. Analyze the dynamics of the extracellular matrix and its importance in the mechanotransduction process.

8. Relate the mechanotransduction process and its influence on the dynamics of the fascial system.

9. Discuss the activation of cellular epigenetic mechanisms.

10. Apply the phenomenon of tensegrity in the analysis of the pathomechanics of the musculoskeletal system.

11. Know the structural and functional globality of the human body.

12. Explain the physiological bases that govern the proper functioning of the integrated system of the meninges and the cerebrospinal fluid.

13. Demonstrate the process of adaptive changes of the human body.

14. Relate fascial plasticity to neural dynamics.

15. Relate the dysfunction of the musculoskeletal system with the process of allostasis.

16. Identify the main classes of fascial distributors and discuss their characteristics.

17. Learn to recognize tissue inertia patterns and critical treatment sites.

18. Deepen the knowledge of anatomy, physiology, pathophysiology and neurophysiology of the viscerofascial system.

19. Integrate the analysis of the pathomechanics of body systems.

20. Identify viscerofascial structures related to dysfunctions of the musculoskeletal system.

21. Know the functioning of the postural tonic system.

22. Know the different ways of entering information. Exo entrans.

23. Know the different mechanoreceptors and how they work. Endo entrans.

24. Know the different ways of mechanotransmission at the medullar level.

25. Know the different centers of brain management at a sensitive and motor level.

26. Identify the phases of cognitive learning.

27. Know the motor response pathways, and their manual modulation, selective manual induction (SMI).

28. How to integrate a new dynamic pattern of the different parts.

29. Know the treatment procedures for alterations of these pathways.

30. Know the different manual procedures to optimize the mechanoreceptor function SMI.

31. Static/Dynamic Integration

 

PROFESSIONAL COMPETENCES (PRACTICE)

1.Develop the diagnostic and therapeutic possibilities of palpation.

2. Identify the transversal planes of the fascial system.

3. Identify the entrapment patterns of the myofascial system.

4. Apply the most commonly used specific procedures in myofascial restrictions of the spine, thorax and extremities.

5. Apply basic sliding procedures and the sustained procedures.

6. Learn the process of global assessment of fascial dysfunctions.

7. Execute the structural procedures of the myofascial system of the human body.

8. Execute the global procedures of the myofascial system of the human body.

9. Identify the structures of the meniges.

10. Develop skull palpation procedures.

11. Identify the main myofascial entrapment systems (myofascial hooks, entrapment points, entrapment bands).

12. Analyze and apply the comprehensive treatment of fascial distributors.

13. Know the different levels of palpation and learn to recognize them.

14. Learn to take the tissue to the point of balanced membranous tension.

15. Learn to integrate and re-valuate the patient after the treatment.

16. Develop palpation procedures to allow an accurate evaluation of visceral dysfunctions.

17. Apply procedures related to the treatment of visceral dysfunctions.

18. Evaluate static and dynamic patterns from the concept of tensegrity.

19. Assess the dysfunction of the information input pathways of the postural tonic system.

20. Trace the process in three phases: search, settlement and reorganization.

21. Self treatment

TEACHING AND LEARNING METHODOLOGY

The training is theoretical-practical with a duration of 272 hours (certification), administered in three levels integrated with each other and at the same time react in chain.

TYPES OF TRAINING

The School of Myofascial Therapies "Tupimek" offers a variety of worshops for details, contact info@tupimek.com.

1.- Introductory workshops

The objective of these workshops is to introduce the concept of fascia in relation to the various body activities with a very special approach to the fascial movement, its mechanics and pathomechanics.

Short workshops: Are workshops between 45 minutes and four hours  applicable to conferences, congresses and meetings of the interest groups. They are theoretical or theoretical - demonstrative. Offered to all types of Health Sciences institutions, as well as to groups of professionals of special interest in the healthy dynamic development of the body (doctors, physical trainers, athletes, actors, dancers, etc.).

Long workshops: Are workshops of one or two days duration. Are demonstrative or theoretical - practical. They aim to introduce the myofascial concept of the human body and allow the participant learn the basic application of the procedures of MIT. Are directed only to physiotherapists.

2.- Thematic workshops

 Are workshops applicable in postgraduate training programs and continuing education in different physiotherapy specialties organized by universities and health training institutions (manual therapy, sports physiotherapy, hospitals, clinics, etc.). They last between two to five days (depending on the general program of each postgraduate). Are theoretical - practical. They aim to introduce the myofascial concept of the human body and allow the participant to learn the application of MIT applicable to the field of its professional interest. Are directed only to physiotherapists.

  

3.- Complete training

The School of Myofascial Therapies "Tupimek" offers an extensive training program of three levels. The activities take place at the Headquarters of the School in El Escorial (Madrid), Spain, as well as in numerous cities in Spain and other countries (see the map in "contacts").

It is a training (272 hours) distributed in three levels (detailed below):

Level I - Myofascial Induction - Structural Procedures

Consists of four workshops. Each one with a duration of two and a half days. In total 88 hours.

Level II - Myofascial Induction - Global Procedures

Consists of three workshops. Each one with a duration of two and a half days. In total 74 hours.

Level III - Myofascial Induction - Integrated Procedures

Consists of five workshops lasting two and a half days each. In total 110 hours.

Each level has a closed program, however, the next level is a continuation of the previous one.

Advanced Workshops in Myofascial Induction

Somatoemotional Induction

It consists of two workshops lasting four days each. In total 68 hours. It is done in retirement conditions. Full attendance of each participant is essential.

In preparation:

  • Viscerofascial Induction - advanced level

  • Myofascial Integration somato-sensory

  • Induction of the neuroconnective system

  • Myofascial Induction in the pelvic floor

  • Myofascial Induction in pediatrics

 

SUPPORT MATERIAL

 The workshops are supported by a manual (delivered to each student) and an  extensive and complete audiovisual presentation.

 In order to facilitate the complementary reading of the extension of the concepts discussed in the workshops, as well as for a detailed consultation of the practical applications, it is recommended that each participant has in his/her possession the book “Myofascial Induction” by the author Andrzej Pilat, edited by EditorialMcGraw-Hill Interamericana.

 

ADDITIONAL MATERIAL USED IN THE PROCESS OF THE TRAINING

  •  one table for each pair of participants

  • audiovisual support with Power Point projection

  • a blackboard with markers

  • latex gloves for intrabuccal procedures

CLOTHING

 Considering that the training is theorethical-practical, a large part of the time is devoted to a thorough process of evaluation and treatment of changes related to the formation of Myofascial Dysfunction Syndrome, therefore, each participant must be prepared to discover the region of the body required for the application of the procedure. Underwear or a two-piece swimsuit is recommended for ladies.

EVALUATION   

All training carries a continuous evaluation (for the approval it is essential an attendance, at least 90% of class hours).

Full attendance to the first workshop of each level is essential. Students who miss the first day of school will NOT be admitted to the rest of the training at each level. The first workshop of each level introduces (theoretically and practically) the conceptual framework of each level. Considering that these frameworks often differ from the usual -in physiotherapy- vision of the development of the human locomotor system, the student who does not attend the first classes would be in dissonance with the development of the following workshop.

The participant receives a continuous evaluation of its theoretical knowledge and practical skills in the evaluation and application of the procedures.

Each level ends with a written test to assess the theoretical knowledge related to the content of the classes.

At the end of the third level, the participant must submit to a theoretical-practical examination of clinical competence, as well as a written analysis of a clinical case with the follow-up of the evaluation and treatment process, including the discussion of the results, with which will opt for the certification in Myofascial Induction. This certification will also allow each student to choose the advanced courses in Myofascial Induction, which are of interest.

SCHEDULE

Classes start at 9 am and continue until 7 pm (the exact time of departure depends on the development of the practices). A lunch break is made between 2 pm and 3:30 pm. On the last day, classes end at 2 pm.