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The Dalton "Dirty Dozen"Grow Your Bodywork Practice by Expanding Your Skillset With These Practice-building Strategies By Erik Dalton, Ph.D. The Freedom from Pain Institute The holistic alleviation of pain is largely dependent on restoration of proper functional alignment, range of motion and proprioception. Today’s pain management therapists are seeing a boost in client satisfaction as various structural integration and functional rehab models are incorporated into their deep tissue practices. As posture and functional movement patterns improve, many long-standing aches and pains disappear, often without the therapist ever knowing exactly which soft tissues were the actual pain-generators. The first step is to develop a simple and effective postural assessment routine that is easily adaptable to most bodywork practices. Any change within the sensorimotor system due to pain, pathology or adaptive changes will be reflected by compensations or adaptations throughout the system. This leads to systemic and predictable patterns of muscle imbalance.Oddly, the chain of events leading to muscular weakness often takes a strange path. Clinical experience demonstrates that moderately tight muscles tend to be stronger than normal.Often, however, we sometimes encounter a decrease of strength (i.e., the hand-grip test) in clients experiencing prolonged tightness in muscles, such as the forearm flexors.This type of muscle inhibition is called tightness-weakness and expresses the close association between neurological weakness and altered viscoelasticity of the muscle and its enveloping fascia. Stretch-weakness syndrome Weakness must also be viewed from a neurological perspective. The act of releasing tight agonist muscles also results in improved strength in their inhibited antagonist, likely mediated via Sherrington’s Law of Reciprocal Innervation. Massage therapists unknowingly correct aberrant postural patterns and relieve pain every day by applying Sherrington’s principles. For example, techniques that open up constricted chest wall soft tissues also reciprocally strengthen the lower shoulder stabilizers. Likewise, lengthening the lats and subscapularis muscles reciprocally strengthens the posterior rotator cuff.Too often, therapists defy this basic neurological concept by “fascia-mashing” stretch-weakened rhomboids and lower traps. The end result is increased pectoral tightness and greater postural deformity as gravity pulls the shoulders and head further forward. Situations like this demand the stretch weakened rhomboids be strengthened, not lengthened. In 1992, I had the good fortune to study with Vladimir Janda and my mission became clear —develop hands-on techniques (Dirty Dozen) to accompany his practical “upper and lower crossed” visual assessment model and integrate into an effective pain management treatment program. To help therapists identify common upper crossed muscle imbalance patterns, we've developed the "Dirty Dozen" techniques poster and accompanying technique handbook.
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Upcoming Myoskeletal Alignment Workshops The 2011 Dynamic Body Tour |
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Only 4 chances left to Learn from Erik Dalton Erik Dalton 2011 Dynamic Body Tour 3 Day, 24 CE hours June 10 - 12 . . . West Palm Beach |August 5 - 7 . . Chicago, IL Sept. 30 - Oct. 2 . . . . Dallas, TX Nov. 19 - 26 . . . . Costa Rica |
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