September 18, 2020
Congratulations! The Fascia Research Society is pleased to inform you that your Half-Day workshop proposal has been chosen to be presented at the Sixth International Fascia Research Congress! Out of the numerous proposals we received, the evaluation team found "Fascia, Fibromyalgia, and DBM Fasciatherapy" to be aligned with our goals for an informative and scientific based congress.
We are excited to be including your workshop as an option for FRC attendees! In the next few weeks, you will be receiving a contract that will outline our expectations, mutual obligations, and provide detailed budgeting and profit sharing information. In the meantime, if you would please respond to this notification to inform us if you are still interested in presenting your workshop.
One last matter, as we all face the continued fallout from this global pandemic, the Fascia Research Society is weighing all the various considerations, including safety and travel restrictions, in hosting the Sixth International Fascia Research Congress in 2021. Currently, we are exploring the possibility of rescheduling to 2022 in the same location, possibly in later summer or early fall. We hope to decide very soon. Please let us know in your response if you would consider presenting the workshop in 2022. On behalf of the FRS Board of Directors, the Workshop Evaluation team, and myself, thank you for your submission! Sincerely,
Barbara Bellanova Executive Director Fascia Research Society
This workshop can be in French and/or English.
1. Workshop title.
Fascia, Fibromyalgia and DBM Fasciatherapy
2. Presenter(s).
Christian Courraud, PT, PhD, director of CERAP Laboratory. 30-year-experience physiotherapist, specialized in DBM Fasciatherapy, in particular in the field of sport and in the treatment of musculoskeletal disorders. He is teaching DBM Fasciatherapy since 1995.
Contact: christian.courraud@cerap.org
Isabelle Bertrand, PT, PhD, director of TMG concept, training institution of DBM Fasciatherapy. She is specialized in obesity, pregnancy, and pediatric. She is teaching DBM Fasciatherapy since 2005.
Cyril Dupuis, PT, MSc, founding member of the Fascia Research Society, 25-year-experience physiotherapist, trained DBM Fasciatherapist, specialized in chronic pain and fibromyalgia. He has his own practice since 1998 and has been a teacher at TMG Concept for the last 10 years.
3. Purpose of workshop and learning outcomes.
This workshop is designed to allow participants to experiment DBM Fasciatherapy. It will introduce the theoretical and practical principles of DBM Fasciatherapy, in its dimension of a body-mind integrated approach, and its uses in the treatment of patients suffering from Fibromyalgia.
Over the course of the workshop, the following will be covered:
• Fascia as a sensory organ;
• Fibromyalgia and its complexity;
• DBM Fasciatherapy and its action on fascial tonus, body and mind connection, and fibromyalgia;
• An extensive hands-on session;
• Feedback on the sensations perceived, and how this experience furthers knowledge of fascia.
4. Workshop description (200 words maximum, excluding references).
The first 5 International Fascia Research Congresses have shown the interest that fascia holds for manual therapies [1,2] by its tensional and architectural organization and its somato-psychical structure [3,4,5,6,7]. They also have shown that fascia has a rich innervation, which opens perspectives to better understanding mechanisms of pain. Authors have suggested that fascial dysfunctions may be involved in proprioceptive, nociceptive, and interoceptive disorders [8,9,10,11,12,13, 14].
Fibromyalgia is a chronic pain syndrome, characterized by widespread pain, sleeping problems, and chronic fatigue. The implication of fascia in fibromyalgia is regularly mentioned by researchers [15,16] and practitioners. Recent studies have given clues as to the efficiency of fascial treatment approach for fibromyalgia [17,18,19,20].
Danis Bois Method (DBM) Fasciatherapy is a body-mind approach which addresses the fascia and its connection with the mind. Using a deep gentle touch, DBM Fasciatherapy targets specifically the fascial tonus. It requires specific conditions, particularly a touch with a relational dimension [21,22,23,24].
Research carried out using DBM Fasciatherapy has shown an effect on vascular stress [25,26], anxiety [27,28], recovery after physical effort [29] and a modification of the patient’s perception of their own body and their psycho-emotional states [30,31,32,33]. A specific research studied the effects on people suffering from fibromyalgia [0,20].
5. References to research findings or research articles relevant to your presentation, with an indication of the research that will be presented as part of your workshop.
Presented research:
[0] Dupuis C. An exploratory study on the effects of DBM Fasciatherapy on a population suffering from fibromyalgia”, Physiotherapy, 2015, 101, Supplement 1, e336 - e337
References
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[2] Chaitow L. The Role of Fascia in Manipulative Treatment of Soft Tissues. J Bodyw Mov Ther. 2012; 16: 398–99
[3] Schleip, R. Fascial Plasticity – A New Neurobiological Explanation-Part 1. J Bodyw Mov Ther. 2003; Vol. 7, Issue 1: 11–19
[4] Schleip R, Heike J. Interoception. A new correlate for intricate connections between fascial receptors, emotion, and self recognition. In: Schleip R, Chaitow L,.Findley TW, Huijing P. Fascia: The Tensional Network of the Human Body; Churchill Livingstone Elsevier; 2012: 89-94
[5] Oschman J.L. Fascia as a body-wide communication system. In: Schleip R, Chaitow L., Findley TW, Huijing P. Fascia: The Tensional Network of the Human Body; Churchill Livingstone Elsevier; 103-109. 2012
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[7] Findley T., Chaudhry H., Stecco A., Roman M. Fascia research - A narrative review. J Bodyw Mov Ther. 2012; Vol. 16, Issue 1: 67–75
[8] Schleip R1, Mechsner F, Zorn A, Klingler W. The bodywide fascial network as a sensory organ for haptic perception. J Mot Behav. 2014;46(3):191-3. doi: 10.1080/00222895.2014.880306.
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[10] Mense S, Hoheisel U. Evidence for the existence of nociceptors in rat thoracolumbar fascia. J Bodyw Mov Ther. 2016 Jul;20(3):623-8. doi: 10.1016/j.jbmt.2016.01.006.
[11] Schilder and al. Sensory findings after stimulation of the thoracolumbar fascia with hypertonic saline suggest its contribution to low back pain. Pain. 2014 Feb;155(2):222-31. doi: 10.1016/j.pain.2013.09.025. Epub 2013 Sep 26.
[12] Pavan PG, Stecco A, Stern R, Stecco C. Painful connections: densification versus fibrosis of fascia. Curr Pain Headache Rep. 2014;18(8):441. doi: 10.1007/s11916-014-0441-4.
[13] Fede C, Albertin G, Petrelli L, et al. Expression of the Endocannabinoid Receptors in Human Fascial Tissue. European Journal of Histochemistry: EJH. 2016;60(2):2643. doi:10.4081/ejh.2016.2643.
[14] Calcius J., De Bie J., Hertogen R., Meesen R. Touching the Lived Body in Patients with Medically Unexplained Symptoms. How an Integration of Hands-on Bodywork and Body Awareness in Psychotherapy may Help People with Alexithymia. Front. Psychol. 7:253. doi: 10.3389/fpsyg.2016.00253.
[15] Liptan, G. L. Fascia: A missing link in our understanding of the pathology of fibromyalgia. J Bodyw Mov Ther. 2010; 14(1):3–12
[16] Benians, R. Fibrositis. British Medical Journal. 1948; 2(4573): 442.
[17] Segarra, K.B. A pilot study measuring outcomes of managing fascial health for individuals with fibromyalgia. IASI 2015 Yearbook of Structural Integration. p.54-63
[18] Castro-Sánchez AM, Matarán-Peñarrocha GA, Granero-Molina J, Aguilera-Manrique G, Quesada-Rubio JM, Moreno-Lorenzo C. Benefits of Massage-Myofascial Release Therapy on Pain, Anxiety, Quality of Sleep, Depression, and Quality of Life in Patients with Fibromyalgia. Evidence-based Complementary and Alternative Medicine: eCAM. 2011;2011:561753. doi:10.1155/2011/561753.
[19] Liptan G, Mist S, Wright C, Arzt A, Jones KD. A pilot study of myofascial release therapy compared to Swedish massage in Fibromyalgia. J Bodyw Mov Ther. 2013;17(3):365-370. doi:10.1016/j.jbmt.2012.11.010.
[20] Dupuis C. A combination of qualitative and quantitative approaches to evaluate the effect of DBM Fasciatherapy on the pain of patients suffering from fibromyalgia. In: Wearing S, Schleip R, Chaitow L, Klingler W, Findley TW. Fascia Research IV; Kiener Editions; 2015
[21] Quéré N. La fasciathérapie Méthode Danis Bois et les fascias sous l'éclairage des recherches scientifiques actuelles. Aspects tissulaires, vasculaires, cellulaires et biochimiques. Mémoire de Mestrado en Psychopédagogie perceptive, Faculté des Sciences Humaines et Sociales, Université Fernando Pessoa Porto (Portugal). 2010
[22] Courraud C. Fasciathérapie et relation d’aide. Le toucher psychotonique et son application sur la relation d’aide au patient en kinésithérapie. Revue Mains Libres. 2007; n°4: 151-58.
[23] Courraud C, Lieutaud A, Bois D. The psychotonic touch of Fasciatherapy DBM: practical methodology, perceptual and relational outcomes, and impacts on clinical practice. In: Wearing S, Schleip R, Chaitow L, Klingler W, Findley TW. Fascia Research IV; Kiener Editions; 2015: 327- 328
[24] Bourhis H. Toucher manuel de relation sur le mode du Sensible et Intelligence sensorielle - Recherche qualitative auprès d’une population de somato-psychopédagogues. Thèse de doctorat en Sciences de l’Éducation, Université Paris VIII. 2012. Available at http://www.cerap.org/sites/default/files/public-downloads/doctorats/thes...
[25] Queré N., Noël E., Lieutaud A., D’Alessio P. Fasciatherapy combined with pulsology touch induces changes in blood turbulence potentially beneficial for vascular endothelium, J Bodyw Mov Ther. Vol. 13, Issue 3; 2009: 239-45.
[26] Payrau B, Quéré N, Bois D. Vascular Fasciatherapy Danis Bois Method: a Study on Mechanism Concerning the Supporting Point Applied on Arteries. International Journal of Therapeutic Massage & Bodywork. 2011; Vol 4, No 4: 10-18
[27] Payrau B. MD, Quéré N. PT, Payrau M.C. MD, Breton E. Fasciatherapy and Reflexology, compared to Hypnosis and Music Therapy in stress management. International Journal of Therapeutic Massage & Bodywork. 2017; Vol 10, N°3: 4-13
[28] Convard C. Fasciathérapie et anxiété sportive. Étude des effets de séances de fasciathérapie sur l’anxiété de 5 compétitrices en gymnastique rythmique. Master Thesis (Kinésithérapie sportive), Faculté des Sciences de la Santé, Université Fernando Pessoa. 2013. Available at: http://www.cerap.org/sites/default/files/public-downloads/mestrados/m_ce...
[29] Rosier P. La Fasciathérapie Méthode Danis Bois et la récupération physique, mentale et somato-psychique du sportif de haut niveau. Évaluation quantitative et qualitative auprès d’une population de sportifs de haut niveau. Thèse de doctorat en Sciences Sociales, spécialisation en Psychopédagogie perceptive, Faculté des Sciences sociales et humaines, Université Fernando Pessoa. 2013. Available at: http://www.cerap.org/fasciath%C3%A9rapie-mdb/la- fasciath%C3%A9rapie-m%C3%A9thode-danis-bois-et-la-r%C3%A9cup%C3%A9ration-physique-mentale- et
[30] Duval T. Fasciathérapie et transformation du rapport à la santé. Étude auprès de patients suivis en fasciathérapie. Revue Réciprocités CERAP. 2013; n°8: 45-55.
[31] Angibaud A. Le mal être et la somatisation sous l'éclairage de la fasciathérapie. Revue Réciprocités CERAP. 2011; n°8: 26-35
[32] Bois D, Bourhis H. Approche somato-psychique dans le champ de l’éducation à la santé: analyse biographique du récit de vie d’un patient formateur face à l’épreuve du cancer. Pratiques de formation et analyses. 2010; 58-59: 229-46.
[33] Bourhis H, Bouchet V, Bois D, Lieutaud A. The Impacts of Somatic Psychoeducation on Self- Esteem. EC Psychology and Psychiatry; 5.2 (2017): 43-51
[34] Kwong EH, Findley TW. Fascia-Current knowledge and future directions in physiatry : Narrative review. The Journal of Rehabilitation Research and Development. Volume 51. n° 6. 2014; 875-884.
[35] Tozzi P. A unifying neuro-fasciagenic model of somatic dysfunction - Underlying mechanisms and treatment - Part I. J Bodyw Mov Ther (2015) 19; 310-326
[36] Bordoni B, Zanier E. Understanding Fibroblasts in Order to Comprehend the Osteopathic Treatment of the Fascia. Evid Based Complement Alternat Med. 2015;2015:860934. doi: 10.1155/2015/860934. Epub 2015 Aug 19.
[37] Courraud C. Au carrefour de la kinésithérapie et de la fasciathérapie, Approche exploratoire des reconfigurations identitaires des kinésithérapeutes formés à la fasciathérapie. Revue Réciprocités CERAP. 2012; n°6: 20-35
[38] Courraud C. Fasciathérapie et identité professionnelle. Étude des reconfigurations identitaires d’une population de masseurs-kinésithérapeutes pratiquant la fasciathérapie. Thèse de Doctorat en Sciences Sociales – Spécialité psychologie. Université Fernando Pessoa. 2015. Available from : http://www.cerap.org/sites/default/files/public- downloads/doctorats/These_Christian_Courraud_2015_texte-seul_final.pdf
[39] Courraud C. Apports de la pratique de la fasciathérapie MDB à l’exercice de la physiothérapie : le point de vue des praticiens. Revue Mains Libres. 2016; n° 3: 49-58
[40] Schleip R, Klingler W, Lehmann-Horn F. Active fascial contractility: Fascia may be able to contract in a smooth muscle like manner and thereby influence musculoskeletal dynamics. Medical Hypotheses. 2005; 65: 273-277.
[41] Levin SP, Martin DM. Biotensegrity. The mechanics of fascias. In: Schleip R, Chaitow L, Findley TW, Huijing P editors. Fascia: The Tensional Network of the Human Body; Churchill Livingstone Elsevier; 2012; 137-142
[42] Courraud C. L’entretien tissulaire : une pratique de la relation d’aide en fasciathérapie. In: Danis Bois D, Josso MC, Humpich M. Sujet sensible et renouvellement du moi. Les apports de la fasciathérapie et de la somato-psychopédagogie. Paris: Éditions Point d’appui; 2009.
[43] Rogers C. A Way of Being. Mariner Books Edition: New Ed, Paperback. 1995
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[48] Bosphore E. Motivations du sportif à faire appel aux thérapies manuelles ostéopathiques non manipulatives : Enquête auprès d’une population de sportifs de tout niveau en cabinet de kinésithérapie libérale. Mémoire de Mestrado en Kinésithérapie du sport, Faculté des Sciences de la Santé, Université Fernando Pessoa (Portugal). 2013.
6. Specific learning objectives (this will be included in the workshop evaluation to be filled out by participants).
The objectives of this workshop are to understand the links between Fibromyalgia and Fascia, and to present the latest advances of research carried out on DBM Fasciatherapy, and its effects on Fibromyalgia.
- Learn the theoretical framework linking Fibromyalgia and Fascia.
- Learn the basic concepts of DBM Fasciatherapy.
- Give the possibility to develop manual perception of the psychotonus through guided theoretical and practical learning.
- Learn to manually assess and regulate psychotonus in the different layers of fascia.
- Learn to trigger the psychotonic modulation in order to help patients suffering from Fibromyalgia.
7. How, specifically, does the workshop content relate to human fascia? Include reference to supporting evidence from laboratory or clinical studies.
DBM Fasciatherapy is a manual therapy adressing the fascia with the intention to restore its various functions - elasticity, gliding, plasticity, contractility, etc.
The field of physical medicine and rehabilitation is beginning to integrate fascia to better understand and improve the treatment of musculoskeletal disorders [34,35,36]. Studies have shown that physiotherapists who are using this approach improve their efficacy particularly on musculoskeletal disorders and myofascial pain [37,38,39].
The existence of a fascial tonus and its physio-pathological role are today fairly well documented [40,41]. Relationships between changes in fascial tonus, physical pain and psychological suffering are often mentioned. The term “psychotonus”, as DBM Fasciatherapy defines it, covers more broadly the physiological (muscular, postural, vascular, fascial and tensegral) and psychological (emotion, relationship, identity) dimensions of the tonus [21,22,23]. This is supported by researches on fascia/central nervous system interconnection that explain psycho-emotional effects attributed to manual fascia-therapies [19,20,21].
“Psychotonic touch” aims to achieve a “body-mind tuning” that manifests itself through a simultaneous modulation of the somatic and the psychical tonuses when a tension of the whole fascial system is generated by this touch. DBM Fasciatherapy also consider a “tissular dialogue” between the practitioner and the patient which is the basis of a relational touch [22,42].
8. What are the cross disciplinary applications?
The studies carried out on DBM Fasciatherapy touch and its effects required qualitative methods (through methodologies inspired by psycho-phenomenology [44] and Interpretative Phenomenological Approaches) and comparative studies based on a more experimental methodology [45, 46, 25]. Recent studies have been based on mixed methods research [47] to evaluate in a same process human fascia and touch, tissue and experience, the mechanisms of touch and its effects, the physiological impacts and associated body-mind experiencing [27,28,29,30,31,32,33].
Quantitative and qualitative research has also been carried out on health issues up till now considered to belong to the field of subjectivity (for example on post-effort recovery among high- level athletes) [29]. Biography narrative approaches have also allowed the study of the learning processes at work of people in contact with the psychotonic touch used in DBM Fasciatherapy [32]. They have also highlighted the possible contribution of DBM Fasciatherapy DBM in the field of therapeutic education and health education [30].
Large surveys have been conducted in conjunction with qualitative interviews and narrative analyses [48, 37]. A transversal analysis of the studies conducted since 2002 shows the possible impacts of DBM Fasciatherapy on corporal wholeness, on tones, on the transmission between mechanical information and biochemical information, on changes to blood flow and on the body- mind connection [21].
Qualitative and quantitative studies amongst practitioners [24,38] has revealed that practicing the particular touch of DBM Fasciatherapy mobilizes perceptual-cognitive resources (the ability to perceive internal signals and to differentiate them) and enriches relational abilities (quality of presence and of attention to self and the other, accuracy of the touch and the capacity to respond to the body’s needs).