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The Advanced Rolfing Fort Worth tenth session is the opportunity to complete the series of treatments the patient has experienced thus far. No new work is introduced in the tenth hour, only completion of the change in the body. When working with the diverse types of structural dispositions available in our society and the world at large it is important to maintain continuity throughout the Rolfing session work. The basic Certified Rolfing 10 series is not so basic in its application only in its attempt to prepare the body for the necessary advanced components of the Rolfing session work.
When working with functional asymmetric clients or dysfunctional asymmetric clients it is important to understand that extending the Rolfing working to all segments of the body is ideal and a necessary function of what Rolfing is and Myofascial Release and/or other attempts to replicate Certified Rolfing are not accomplishing which is Structural Integration. The head, neck, shoulder girdle, arms, hands, spine, pelvic girdle, legs, feet and numerous other landmarks and structures are all part of the Rolfing session work, are dynamically interrelated and connected, so they must all be addressed in a systematic manner that demands and necessitates integration. It is the application of the combinations of tilt, shift, and rotational techniques with Rolfing that will optimize structural integration and they are all applied with each of the segments of the structure in mind, if not you end up with a client that is no better than or worse off than before the work started.
The shoulders and arms have been briefly discussed before, but I will say that patterns in functional and dysfunctional asymmetric Rolfing clients are mirrored in the opposing side of the opposite girdle. The neck and spine have the potential and predictability to flip patterns in dysfunctional asymmetric patterns so that what was once a Type I segment has now begun to function as a type II and visa-versa. These segments are addressed by initiating Rolfing techniques that reverse and or reduce the direction in an attempt to normalize functions in the spine and neck. Also, the cranial segments have the capacity to shift and rotate depending on the segment, so the integrative approach transitions from the tip of the toes to the top of the head. There are a number of issues that can be addressed by the systematic techniques of Rolfing Fort Worth.
Chiropractic, Physical Therapy, or Massage Therapy are not substitutes for an Advanced Rolfing Fort Worth Ten Series.
John Barton | Certified Advanced Rolfer ® & Rolfing ® Fort Worth-Dallas |
Certified Rolf Movement ® Practitioner
https://certifiedrolfing.com
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The goal of the Advanced Rolfing Fort Worth ninth hour would be to Integrate and balance the structure, utilizing all potential left in the lower girdle. Resolution of work at the greater trochanter, iliac crest, and Q.L. and the way it transitions down to the calcaneus is necessary. Integrate and feather work at hinges and horizontals from the feet to LDH. Close with some movement for further integration by standing in front and behind client and tracking, holding feet with the toes. Neck works with traction on Occiputs and feather the SCM in front. A pelvic lift is a great way to end.
The rib cage is a great place to concentrate any additional time in the closing of the ninth hour. The ribs side bend and rotate with the fascia of the thorax and each segment so the more detailed the work is, the better. It does not take much effort or force to effect change in the inter costalis fascia of the thorax. I prefer to follow the perimeter of the ribcage from the costal arch to the sternal angle of Louis. Advanced Rolfing addresses fascial rotations in the ribs.
Tilt and Shift in both girdles should be addressed for tight fascia. The Rolfing way to deal with decisions for eighth and ninth hours is to look at the obvious. Classically, whatever girdle was worked in eight the other would be worked in nine, so if you work the upper in eight you would bring the structure to its next higher level of order by working and integrating the work from previous hours with eight to strategize for the ninth. In eight you could work iliac crest with Q.L. and twelfth rib to create more length and span there. Work to resolve the lateral line relative to X, y, z working up to armpits and shoulders. Neck work seated back work, and pelvic lifts or pull will end the Advanced Rolfing Fort Worth ninth hour.
Chiropractic, Physical Therapy, or Massage Therapy are not substitutes for an Advanced Rolfing Fort Worth Ten Series.
John Barton | Certified Advanced Rolfer ® & Rolfing ® Fort Worth-Dallas |
Certified Rolf Movement ® Practitioner
https://certifiedrolfing.com
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As we move into the final turn of the Advanced Rolfing Fort Worth Ten Series of Structural Integration, hopefully we can observe where the work could flow too next. The Rolfing eighth- and ninth-hour sessions are typically viewed as a kind of two in one fascial session: Closure /Holism (8–9–10) 3D present time, dynamic and integrated.
Originally Dr. Rolf used only seven sessions for the recipe protocol, but sometime later it was observed that yet another round of three sessions was most advantages. The eighth hour will give a practitioner the chance to observe and assess the integration of the structure thus far and plan for a ninth hour session. Observation of the client walking helps decide if the upper girdle or lower girdle needs more movement, considering adaptability, rotational, and support issue.
The "Crest test" is advisable in considering the five structural components. In the Advanced Rolfing Fort Worth eighth hour the goal is to bring the structure to its next highest level of order. Relating shoulder girdle to LDH, LDH to pelvic girdle and how the movement is or is not continuous throughout the body. "Those beautiful changes you see in eight through ten are because you are dealing with the whole man. No longer a bunch of parts thrown into a heap and called a man, you are seeing a whole structure."- IPR.
Tilt and Shift in both girdles should be addressed. The Rolfing way to deal with decisions for eighth and ninth hours is to look at the obvious. Classically, whatever girdle was worked in eight the other would be worked in nine, so if you work the upper in eight you would bring the structure to its next higher level of order by working and integrating the work from previous hours with eight to strategize for the ninth. In eight you could work iliac crest with Q.L. and twelfth rib to create more length and span there. Work to resolve the lateral line relative to X, y, z working up to armpits and shoulders. Neck work seated back work, and pelvic lifts or pull will end the eighth hour.
The goal of the Advanced Rolfing Fort Worth ninth hour would be to Integrate and balance the structure, utilizing all potential left in the lower girdle. Resolution of work at the iliac crest, and Q.L. and the way it transitions down to the calcaneus is necessary. Integrate and feather work at hinges and horizontals from the feet to LDH. Close with some movement for further integration by standing in front and behind client and tracking, holding feet with the toes. Neck work with traction on Occiputs and feather the SCM in front. A pelvic lift is a terrific way to end.
Chiropractic, Physical Therapy, or Massage Therapy are not substitutes for an Advanced Rolfing Fort Worth Ten Series.
John Barton | Certified Advanced Rolfer ® & Rolfing ® Fort Worth-Dallas |
Certified Rolf Movement ® Practitioner
https://certifiedrolfing.com
https://rolfmovement.com
https://certifiedrolfing.com/advanced-rolfing-fort-worth-dallas-hspi/
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In a HSPI, dysfunctional patterns and segmental deviations are the primary issues to be
able to identify and resolve. These primary issues are the primary cause of increased nociception
and decreased function in deviations from structural homeostasis. The GHI and WHO have
qualified practitioners in the field providing patient care but are subjected to the diagnostic errors
that plague Western medicine and forms of corrective therapies and intervention. The ability to
address pain management intervention in third-world countries with improved safety and quality
is the objective of the HSPI . The U.S. GHI exhibits "Country ownership" to be modeled in the
U.S. for developing these meaningful processes and outcomes for the reduction in cost
associated with the GHI for global recipients of HSPI (Liebler, Gratto and McConnell, 2017).
Increasing quality and safety while reducing the cost of healthcare is the primary orientation of
planning a HSPI and is the foundation of leading and managing this new program for health
and equality for all. The U.S. GHI predicts that the outcomes of running a national HSPI will
provide situational leadership conducive for each region where a program is implemented and
integrated into the current body of knowledge and modalities.
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Introduction
The successful implementation of a Health Science Process Initiative (HSPI) is
necessary for the U.S. Global Healthcare Initiative (GHI) to realize national improvements in the
quality and safety of care. "Country ownership" is to be modeled in the U.S. for developing
meaningful processes and outcomes for the reduction in cost associated with the GHI for global
recipients of HSPI. Increasing quality and safety while reducing the cost of healthcare is the
primary orientation of planning an HSPI and is the foundation of leading and managing the
new program which includes developing the mission, goals, objectives, and policies necessary
for successful program implementation and integration. Historically diagnostic errors have
plagued health cares ability to navigate the terrains of corrective whole body therapies but the
HSPI utilizes proven whole-body kinematic strategies for integrative intervention.
A Health Science Process Initiative
For The U.S. Global Healthcare Initiative
Presented to the College of Graduate Health Studies in partial fulfillment of the
requirements for the Doctor of Health Science Degree A.T. Still University
June 3rd, 2018 by John Barton MBA
Introduction
The successful implementation of a Health Science Process Initiative (HSPI) is
necessary for the U.S. Global Healthcare Initiative (GHI) to realize national improvements in the
quality and safety of care. "Country ownership" is to be modeled in the U.S. for developing
meaningful processes and outcomes for the reduction in cost associated with the GHI for global
recipients of HSPI. Increasing quality and safety while reducing the cost of healthcare is the
primary orientation of planning an HSPI and is the foundation of leading and managing the
new program which includes developing the mission, goals, objectives, and policies necessary
for successful program implementation and integration. Historically diagnostic errors have
plagued health cares ability to navigate the terrains of corrective whole body therapies but the
HSPI utilizes proven whole-body kinematic strategies for integrative intervention.
Background
In 2007 The Exercise is Medicine (EIM) Initiative was introduced by the American
College of Sports Medicine to institutionalize physical activity in healthcare. Lobelo,
Stoutenberg and Hutber (2014) states physical inactivity is the fourth leading global cause of
mortality and the past decade of research demonstrates physical activity can increase and
improve function and health when directed from the healthcare setting in the form of counseling,
exercise prescriptions and referrals. Physical activity though is a means to address the symptoms
of the much deeper and systemic issues of a body that is sedentary and out of equilibrium or
homeostasis (Mothes, Leukel, Jo, Seelig, Schmidt and Fuchs, 2017).
Homeostasis is the definition of biological health, function and the stable state of equilibrium between the
interdependent systems of the body; a property of cells, tissues, and organisms that allows the
maintenance and regulation of the stability and constancy needed to function properly. These
processes and systems of the body are mostly regulated by Ca2+ which is manufactured in the
skeletal system and subsequently transported throughout the body by systems for systems
(Schneider, Taboas, McCauley and Krebsbach, 2003). The Endogenous Cannabinoid System
(eCBs) regulates homeostatic mechanisms of the body and can be modulated primarily by
integrative physical activity, manual therapy, nutrition and engaging in intellectual activities.
Global initiatives already exist for physical activity, nutrition, education and a necessary
component of cultivating a healthier global community is implementing an initiative for
protocols cultivating structural homeostasis. The inference is that a skeletal system that is in
homeostasis is better able to provide homeostatic messengers for the aggregate when functioning
optimally and yet historically no emphasis has been placed on the importance of maintaining
systemic structural homeostasis by modulating the skeletal system towards a healthier
orientation (Heifets and Castillo, 2009). By reorienting national and global healthcare leadership
and management towards a HSPI global initiative, the GHI can experience a positive global
healthcare benefit and impact for the least amount of resources or cost. Benefits to the recipients
of HSPI are increased homeostasis represented by reduced nociception and increased function.
The development of an HSPI program is a resource and resolution for the GHI and a vital
addition to the emerging trend in healthcare initiatives. The World Health Organization lists the
125 health topics that it is invested in addressing from A-Z on its website and a HSPI is
positioned to provide field support for many of the topics listed.The GHI provides funding for
existing U.S. global health programs to increase efficiency and effectiveness from its current
budget and programs as opposed to creating new programs that require new funding and the
HSPI would be a way to maximize efficiencies associated with current projects designed to
address physical, physiological, psychological initiatives and topics. These perceived planning
and budget constraints present no challenges to implementing HSPI and are conducive to the
organizational environment shared by the GHI and the planners of HSPI.
The U.S. executive branch chiefly administers U.S. global health activities and would be
responsible for planning and making decisions associated with HSPI in conjunction with the
HSPI management committee. The Department of Health and Human Services (HHS) global
affairs division, particularly the Centers for Disease Control and Prevention would also provide
diplomatic support in Implementing U.S. global health efforts.
U.S. global health initiatives have been implemented in at least 60 countries like Africa, Asia,
Latin America, the Caribbean, the Middle East, Europe and Eurasia through bilateral support.
Although more support is directed to countries with an increased burden of incidence,
other decision making factors include willing and able partner governments, positive relations
and goodwill with host countries.
(Cooper, A. (2016). Governing Global Health: Challenge, Response, Innovation. Routledge).
Those mostly impacted by HSPI are human beings in one of the more than 60 countries
where U.S. Global initiatives are active, specifically those with increased nociception and
diminished skeletal function. Increased nociception and diminished skeletal function are
historically associated with human beings seeking and necessitating some type of corrective
therapy as opposed to surgical intervention.
Corrective therapies already exist in global health
initiatives but as of yet are not trained or educated to address increasing homeostasis and skeletal
function through a process approach. There are some therapies that possess elements of HSPI
but lack the primary ubiquitous protocols that make HSPI unique. The solution is to train the
already present practitioners to apply HSPI to what they are already doing, labor-intense
occupations dominate in third world countries and a HSPI designed to decrease nociception and
improve function is a necessary component of impacting global healthcare.
Mission Statement
The Health Science Process Initiative creates equality in human rights by providing improved
safety and quality for all.
Vision Statement
The Health Science Process Initiative vision is to develop integrative strategies to promote
systemic homeostasis; health and wellness for every country, community and human being.
Value Statement
The Health Science Process Initiative is guided by an unrelenting desire to globally promote:
Equality – healthcare excellence through a one earth, one body orientation.
Health – a synergistic effect of homeostasis through physical activity, nutrition, education and
integrative touch.
Goals And Objectives
Patient Care – all individuals who access GHI care will receive HSPI which is not limited to
touch therapy for reducing nociception and increasing function.
Education – all individuals or organizations currently providing patient care will be trained in the
Health Science Process Initiative and this knowledge will be explained during patient care.
Research – all individuals receiving or providing care will be part of the ongoing HSPI that
collects and disseminates data for information and information for knowledge.
Policies
The scope of service for HSPI are as follows:
Integration of whole body kinematics into the current body of modalities to decrease
nociception and increase function
a. visually assess natural/genetic alignment and skeletal type
b. visually assess asymmetry of shoulder-girdle, pelvic girdle, axial complex,
cranium and extremities.
c. confirm visual observation by palpation while prone, supine, sideline and
standing
d. confirm visual observation and palpation with walking analysis
e. determine direction of correction and modulation for segmental deviations
causing increased nociception and decreased function.
f. provide a treatment plan of care for each individual based on diagnostic
measures
Conclusion
In a HSPI, dysfunctional patterns and segmental deviations are the primary issues to be
able to identify and resolve. These primary issues are the primary cause of increased nociception
and decreased function in deviations from structural homeostasis. The GHI and WHO have
qualified practitioners in the field providing patient care but are subjected to the diagnostic errors
that plague Western medicine and forms of corrective therapies and intervention. The ability to
address pain management intervention in third-world countries with improved safety and quality
is the objective of the HSPI . The U.S. GHI exhibits "Country ownership" to be modeled in the
U.S. for developing these meaningful processes and outcomes for the reduction in cost
associated with the GHI for global recipients of HSPI (Liebler, Gratto and McConnell, 2017).
Increasing quality and safety while reducing the cost of healthcare is the primary orientation of
planning a HSPI and is the foundation of leading and managing this new program for health
and equality for all. The U.S. GHI predicts that the outcomes of running a national HSPI will
provide situational leadership conducive for each region where a program is implemented and
integrated into the current body of knowledge and modalities.
References
Cooper, A. (2016). Governing Global Health: Challenge, Response, Innovation. Routledge.
Heifets, B. D., & Castillo, P. E. (2009). Endocannabinoid signaling and long-term synaptic
plasticity. Annual Review of Physiology, 71, 283–306.
Liebler, Joan Gratto, and Charles R. McConnell. Management Principles for Health
Professionals. Jones & Bartlett Learning, 2017.
Lobelo, F., Stoutenberg, M., & Hutber, A. (2014). The Exercise is Medicine Global Health
Initiative: a 2014 update. British Journal of Sports Medicine, 48(22), 1627–1633.
Mothes, H., Leukel, C., Jo, H.-G., Seelig, H., Schmidt, S., & Fuchs, R. (2017). Expectations
affect psychological and neurophysiological benefits even after a single bout of
exercise. Journal of Behavioral Medicine, 40(2), 293–306.
Schneider, A., Taboas, J. M., McCauley, L. K., & Krebsbach, P. H. (2003). Skeletal homeostasis
in tissue-engineered bone. Journal of Orthopaedic Research: Official Publication of the
Orthopaedic Research Society, 21(5), 859–864.
John Barton | Advanced Rolfing Ft Worth Dallas | Fort Worths only Advanced Rolfer & Rolf Movement Practitioner. Experience a Lifted Quality of Life. Corrective therapist since 1997 specializing in whole person wellness. Over 2000+ 10 Series completed. Join the revolution and get lifted into a new reality. Chiropractic, Physical Therapy, or Massage Therapy are not substitutes for an Advanced Rolfing Fort Worth Dallas Ten Series.
In the Advanced Rolfing Fort Worth hour six the work begins to make another shift in the Rolfing® protocol: Palintonicity Adaptability/Support (6–7–8) Core expressing through the lower pole. This session will complete the leg work of 2–4–6 of support, and complete pelvic work of 4–5–6 of transmission. When looking at the back of the body it is important to recognize the posterior reflections of the fifth hour anterior work. "Adaptive capacity at the hips precedes order in the spine. Organization in the core and sleeve precedes order in the spine. Order in Axial complex precedes order in the head." The main goals are to balance the pelvic girdle by organizing legs and intra pelvic structures, and free the sacrum and the spine from any remaining drifts and rotations in posterior soft tissue. Establish horizontals in the legs by working the lines of tension to resolve rotations and counter rotations in posterior leg segments.
The primary tilters and shifters are different from left to right side so special attention should be given to working the asymmetry in a way that is congruent. This Rolfing Fort Worth session travels from the plantar fascia all the way up superficial back line over the calcaneus, gastroc, soleus, knee, hamstrings, rotators, sacro-tuberous and sacro-spinous ligaments. When observing the posterior axial fascia, side bends with rotations are to be worked in the direction of correction so that the organization in the whole structure from toe to head can emerge. Neck work should be with client supine for mobility and translation in flexion/extension Seated work is assisted movement through all three functional planes depending on the amount of integration that has occurred thus far so G or G' tendency should be obvious and observed. Pelvic lift or pull will end in hour six the work begins to make another shift in the Rolfing® protocol: Palintonicity Adaptability/Support (6–7–8) Core expressing through the lower pole.
This Advanced Rolfing session will complete the leg work of 2–4–6 of support, and complete pelvic work of 4–5–6 of transmission. When looking at the back of the body it is important to recognize the posterior reflections of the fifth hour anterior work. "Adaptive capacity at the hips precedes order in the spine. Organization in the core and sleeve precedes order in the spine. Order in Axial complex precedes order in the head." The main goals are to balance the pelvic girdle by organizing legs and intra pelvic structures, and free the sacrum and the spine from any remaining drifts and rotations in posterior soft tissue. Establish horizontals in the legs by working the lines of tension to resolve rotations and counter rotations in posterior leg segments. This completes the Advanced Rolfing Fort Worth sixth hour. Chiropractic, Physical Therapy, or Massage Therapy are not substitutes for an Advanced Rolfing Fort Worth Ten Series.
John Barton | Certified Advanced Rolfer ® & Rolfing ® Fort Worth-Dallas |
Certified Rolf Movement ® Practitioner
The Advanced Rolfing Fort Worth Fourth hour is a session of Support and Palintonicity (4–5–6). Transmission and support are goals for the client that is running concurrently in sessions four and six. By the Ten Series fourth session the sleeve should be at ease so that a deeper layer can be affected.
Support is vital in the structure and should be resourceful after this Advanced Rolfing Fort Worth session. Support from the second and third hour should be observable, so going into a third opportunity of working with the feet is optimal. With the lateral line established we can further the bi-Lateral and pre-vertebral support initiated in the second hour by working the internal midline including pelvic floor. Work to resolve tilt and shift in the pelvic girdle by addressing the primary contributors in the midline.
The main Advanced Rolfing Fort Worth goals are to lengthen the midline and to initiate support of the legs through the pelvis by releasing lines of tension at the ramus of the ischium, perineum, and peritoneal cavity, thereby affecting pelvic floor. By de-rotating the tissue of the femur it is possible to normalize and balance this segment at the pelvis. The fascia of the rami of the pelvis must also be addressed to normalize the fascia of the femur. Horizontals at knees and ankles could be resolved by the end of this session.
The direction of correction switches between most segments and must be understood and observed for the palintonic line to emerge. It should include differentiating the peronials from gastroc/soleus and quadriceps from adductors for hip extension. The sacro-tuberous ligament extending off hamstring attachment on both sides of the coccyx will be addressed to create space for the sacrum to breathe. Continue Rolfing the primary contributors to shift in the pelvic girdle. The back work will further consider side bends with rotations and develop the integration of the pelvis/spinal relationship in seated work by working LDH and trapezius.
The first half of a two-part indirect diaphragm release can be done in this session and completed in session five so that potential in core by breath can emerge. This release is done with the client on their side and practitioner's hands gamma contacting pelvic and respiratory diaphragms with awareness on breath cycle. Chiropractic, Physical Therapy, or Massage Therapy are not substitutes for an Advanced Rolfing Fort Worth Ten Series.
John Barton, Certified Advanced Rolfer ® & Rolfing ® Fort Worth-Dallas
Certified Rolf Movement ® Practitioner
The Advanced Rolfing Fort Worth Fourth hour is a session of Support and Palintonicity (4–5–6). Transmission and support are goals for the client that is running concurrently in sessions four and six. By the Ten Series fourth session the sleeve should be at ease so that a deeper layer can be affected.
Support is vital in the structure and should be resourceful after this Advanced Rolfing Fort Worth session. Support from the second and third hour should be observable, so going into a third opportunity of working with the feet is optimal. With the lateral line established we can further the bi-Lateral and pre-vertebral support initiated in the second hour by working the internal midline including pelvic floor. Work to resolve tilt and shift in the pelvic girdle by addressing the primary contributors in the midline.
The main Advanced Rolfing Fort Worth goals are to lengthen the midline and to initiate support of the legs through the pelvis by releasing lines of tension at the ramus of the ischium, perineum, and peritoneal cavity, thereby affecting pelvic floor. By de-rotating the tissue of the femur it is possible to normalize and balance this segment at the pelvis. The fascia of the rami of the pelvis must also be addressed to normalize the fascia of the femur. Horizontals at knees and ankles could be resolved by the end of this session.
The direction of correction switches between most segments and must be understood and observed for the palintonic line to emerge. It should include differentiating the peronials from gastroc/soleus and quadriceps from adductors for hip extension. The sacro-tuberous ligament extending off hamstring attachment on both sides of the coccyx will be addressed to create space for the sacrum to breathe. Continue Rolfing the primary contributors to shift in the pelvic girdle. The back work will further consider side bends with rotations and develop the integration of the pelvis/spinal relationship in seated work by working LDH and trapezius.
The first half of a two-part indirect diaphragm release can be done in this session and completed in session five so that potential in core by breath can emerge. This release is done with the client on their side and practitioner's hands gamma contacting pelvic and respiratory diaphragms with awareness on breath cycle. Chiropractic, Physical Therapy, or Massage Therapy are not substitutes for an Advanced Rolfing Fort Worth Ten Series.
