stefanduell stefanduell

849 posts   70,114 followers   518 followings

Sports-Physiotherapist (DOSB)  to several professional tennis players on @ATPWorldTour and @DavisCupTennis Team Serbia | Injury Prevention | Functional MyoFascial Therapy

Just received a copy of my article in September´s issue of the Manual Therapy Magazine of @Thieme_Verlag in cooperation with the @CIT_Academy: „Application and Use of the IFT-Method in Therapy and Competitive Sports“.
.
[Swipe left to see all!]
.
Many thanks to @ChristopherMarcGordon and Carmen Graf from the @CIT_Academy and CIT Research Institute, Stuttgart for the great cooperation!
.
Many thanks also to @MarceloMelo83, without his cooperation this article would not have been possible!
.
The entire article can be read in September´s issue of the Manual Therapy Magazine of Thieme Verlag or found at the Thieme e-journals to download.
.
The link to this is: „manuelletherapie 2018; 22 (04): 190–194; doi: 10.1055/a-0658-8713“.
.
ABSTRACT:
Two thirds of highly stressed German citizens suffer from back pain and myofascial lesions. This study clearly illustrates the correlation between physical and mental symptoms.
Along with the familiar manual and active treatment modalities the evidence-based Interdisciplinary Fascia Therapy (IFT) is a suitable intervention which combines myofascial physical therapy (Fascia-Releazer) with stress-coping and self-regulating methods. IFT has not only positive effects in patients with chronic pain, but also achieves substantial therapeutical success in high-performance sports.
————————————————————————
Partners:
@BLACKROLL® | @VossWorld | @SportslineHK | @DynamicTape | @Premax.co | @SmartToolsUSA | @StrobelWalter | @adidastennis | @Seirin_Global | @HeadTennis_Official | @NUBISphysio
————————————————————————
#Physiotherapy #SportsPhysiotherapy #Osteopathy #Functional #MyoFascialRelease #Therapy #Yoga #FasciaReleazer #Triggerpoint #Treatment #Fascia #DryNeedling #Chiropractic #PhysicalTherapy #InjuryPrevention #Rehab #Medicine #Rolfing #Sportsmedicine #Sportstherapy #Blackroll #Gym #Sportschiropractic #Massage #Healing #Fitness #Training #Pilates #CrossFit #FaszienTraining

THORACIC SPINE SERIES - ANATOMY AND MYOFASCIAL RELEASE OF THE TRAPEZIUS MUSCLE
.
The trapezius muscle is one of the largest superficial muscles that extend longitudinally from the occipital bone to the lower thoracic vertebrae and laterally to the spine of the scapula. Its functions are to move the scapulae and support the arm.
.
The trapezius has three functional regions: the superior region (descending part), which supports the weight of the arm; the intermediate region (transverse part), which retracts the scapulae; and the inferior region (ascending part), which medially rotates and depresses the scapulae.
.
This muscle tends to develop too much tension for postural reasons, such as forward head posture (where it has to work overtime to stabilise the head and neck due to poor alignment). Other reasons include poor breathing patterns (shallow neck breathing all day), and muscle imbalances elsewhere.
.
The trapezius muscle trigger points can lead to referred pain in the shoulder region and head (headache) as you can see on the red marked zones in the picture. They also can initiate trigger points in the jaw joint muscles. Additionally, the muscle can cause bio mechanical problems in the cervical and thoracic spine.
.
The trapezius is innervated by the accessory nerve (Cranial nerve XI) which is content of the jugular foramen, where the accessory nerve can get compressed or entrapped. If so, it can lead to hypertension in the trapezius. That's why it is very important to treat (release) this foramen to give the nerve enough space to work properly.
.
In this post you can see a myofascial treatment technique for the trapezius muscle incl. the jugular foramen release.
.
If you want to know more about this kind of very effective techniques and how I provide specialist support to professional athletes on @ATPWorldTour and at @DavisCup team tennis competition your are welcome to join the upcoming course, I will be teaching in Taipei/Taiwan at 1st-2nd of December 2018 @SportslineAsia.
.
#Physiotherapy #Sportsphysiotherapy #Osteopathy #Medicine #Yoga #Pilates #CrossFit #Rehab #Pain #Fisioterapia #Osteopatia #Trapezius #Fascia #Massage #Treatment #Rolfing

Amazing run in China 🇨🇳 with the crew!
.
Congrats Lukasz and Marcelo on winning the @ChinaOpen and @RolexSHMasters! 🏆🏆💪
.
Also congrats on qualifying for the #NittoATPFinals, from 11-18 November at @TheO2London.
.
Bravo guys! 👏
.
Next stop @ErsteBankOpen 🎾
.
#TeamWork 👊
#TeamSpirit 🙌
#GoodVibes
#🗝 .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
My YouTube channel: www.youtube.com/stefanduell
————————————————————————
Partners:
@BLACKROLL® | @SportslineHK | @DynamicTape | @Premax.co | @SmartToolsUSA | @VossWorld | @StrobelWalter | @adidastennis | @Seirin_Global | @HeadTennis_Official | @NUBISphysio ————————————————————————
#ChinaOpen #RolexShanghaiMasters #Champions #BackToBack #Tennis #Beijing #Shanghai #China #ATPWorldTour #ATP #Work #Physiotherapy #Osteopathy #SportsPhysiotherapy #Sportstherapy #Physio #PhysicalTherapy #Rehab #Therapy #Gym #Yoga #Stretching #Pilates #CrossFit #Blackroll

Team Kubot|Melo is back! 💪
.
With today‘s Win officially qualified for the #NittoATPFinals, from 11-18 November at @TheO2London.
.
Bravo @Kubot.Lukasz and @MarceloMelo83! 👏
.
See you guys tomorrow at @RolexSHMasters finals!
.
Picture credit: @ATPWorldTour
.
Check my YouTube channel: www.youtube.com/stefanduell
————————————————————————
Partners:
@BLACKROLL® | @SportslineHK | @DynamicTape | @Premax.co | @SmartToolsUSA | @VossWorld | @StrobelWalter | @adidastennis | @Seirin_Global | @HeadTennis_Official | @NUBISphysio
————————————————————————
#Physiotherapy #SportsPhysiotherapy #Osteopathy #Functional #MyoFascialRelease #Therapy #Physio #Triggerpoint #Treatment #Chiropractic #Medicine #PhysicalTherapy #Rehab #Sportsmedicine #Work #Sportstherapy #Sportschiropractic #Massage #Healing #Blackroll #Fascia #Fitness #Training #Yoga #Pilates #CrossFit #TeamWork #TeamSpirit #GoodVibes

THORACIC SPINE SERIES - FASCIAL MANIPULATION TREATMENT OF THE STERNAL FASCIA AND THE PERICARDIUM
.
[OSTEOPATHIC APPROACH]
.
This video is a follow up to my previous posts treating a student at my physical education course in Taipei last year. As he suffered from thoracic and lumbar spine problems my next osteopathic approach was to evaluate and treat the sternal fascia and the pericardium as this 2 structures can have a huge influence on thoracic problems too!
.
A less mobile or shortened sternal fascia can lead to thoracic imbalances and therefore to thoracic spine problems.
If I see clients with thoracic spine issues, I always release the sternal fascia with several fascial treatment techniques!
.
Further on I checked the pericardium: a less mobile pericardium can lead to thoracic spine problems too!
The pericardium is connected to the sternum (lig. sternopericardiacum) and to the spine (lig. vertebropericardiacum). It is moving during the breathing rhythm up and down. If it is not mobile enough in its fascial tissue, it can force the surrounding fascial tissue to compensate and therefore force further restrictions in the connected tissues.
.
In the video you can see how I manipulate the sternal fascia with a fascial release technique followed by a manipulation of the pericardium with a fascial recoil technique via the sternum. You can influence the pericardium via sternum cause of its fascial connection: lig. sternopericardiacum.
.
If you want to know more about this kind of very effective techniques and how I provide specialist support to professional athletes on @ATPWorldTour and at @DavisCup team tennis competition your are welcome to join the upcoming course, I will be teaching in Taipei/Taiwan at 1st-2nd of December 2018 @SportslineAsia.
.
Check my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell
.
#Physiotherapy #SportsPhysiotherapy #Osteopathy #MyoFascialRelease #Therapy #Muscle #Medicine #Triggerpoint #Treatment #DryNeedling #Rolfing #Chiropractic #PhysicalTherapy #InjuryPrevention #Rehab #Sportsmedicine #Sportstherapy #Massage #Blackroll #Fascia #Fitness #Training #Yoga #Gym #Pilates #CrossFit #Anatomy

LOW BACK PAIN AND KIDNEY MOBILITY: LOCAL OSTEOPATHIC FASCIAL MANIPULATION DECREASES PAIN PERCEPTION AND IMPROVES RENAL MOBILITY
.
[RESEARCH]
.
In my opinion, the practice of techniques with my own hands and the results thereof that I have with my patients, is in itself my daily research and the best, evidence-based research model!
But I know that a lot of people have a different opinion.
So for every one who is critically-minded and believes only in scientific research, there is a randomized controlled trial on the topic I talked about in my last 2 posts about the ‘Osteopathic Fascial Manipulation Treatment of the kidneys’:
Tozzi P, et al. J Bodyw Mov Ther. 2012.
.
„Abstract
OBJECTIVES: a) To calculate and compare a Kidney Mobility Score (KMS) in asymptomatic and Low Back Pain (LBP) individuals through real-time Ultrasound (US) investigation. b) To assess the effect of Osteopathic Fascial Manipulation (OFM), consisting of Still Technique (ST) and Fascial Unwinding (FU), on renal mobility in people with non-specific LBP. c) To evaluate 'if' and 'to what degree' pain perception may vary in patients with LBP, after OFM is applied.
.
EVALUATION: A blind assessment of each patient was carried using US screening. Both groups completed a Short-Form McGill Pain Assessment Questionnaire (SF-MPQ) on the day of recruitment (SF-MPQ T0) as well as on the third day following treatment (SF-MPQ T1). An Osteopathic assessment of the thoraco-lumbo-pelvic region to all the Experimental participants was performed, in order to identify specific areas of major myofascial tension.
.
CONCLUSIONS: People with non-specific LBP present with a reduced range of kidney mobility compared to the findings in asymptomatic individuals. Osteopathic manipulation is shown to be an effective manual approach towards improvement of kidney mobility and reduction of pain perception over the short-term, in individuals with non-specific LBP.“
.
📚Full article of this research: https://www.ncbi.nlm.nih.gov/m/pubmed/22703751/
.
#Physiotherapy #SportsPhysiotherapy #Osteopathy #MyoFascialRelease #Therapy #Treatment #Fascia #Chiropractic #Rehab #Medicine #Sportsmedicine #Sportstherapy #Kidney #Anatomy #Healing

Great week in Beijing/China! 🇨🇳👌
.
Congrats Lukasz and Marcelo on winning the @ChinaOpen! 🏆💪
.
Also congrats Julie and Gabi on an amazing @ChinaOpen tournament finishing runner-up and therefore qualifying for the @WTA World Championships in Singapore, taking place in 2 weeks!
.
Great job everyone!
Next stop Shanghai for more 🎾 @RolexSHMasters!
.
#TeamWork 👊
#TeamSpirit 🙌
#GoodVibes
#🗝 .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
My YouTube channel: www.youtube.com/stefanduell
————————————————————————
Partners:
@BLACKROLL® | @SportslineHK | @DynamicTape | @Premax.co | @SmartToolsUSA | @VossWorld | @StrobelWalter | @adidastennis | @Seirin_Global | @HeadTennis_Official | @NUBISphysio ————————————————————————
#ChinaOpen #Champions #RunnerUp #Tennis #Beijing #China #ATPWorldTour #WTA #Work #Physiotherapy #Osteopathy #SportsPhysiotherapy #Sportstherapy #Physio #PhysicalTherapy #Sport #Rehab #Therapy #Gym #Yoga #Stretching #Pilates #CrossFit #Fitness #Training #Sport #Blackroll

THE IMPORTANCE OF THE KIDNEYS (OSTEOPATHIC APPROACH) - FASCIAL MANIPULATION OF THE KIDNEY
.
Regarding my previous post about mobilization of kidney I wanted to show the 3rd osteopathic fascial manipulation technique to mobilize this very important organ!
.
The video demonstrates an osteopathic fascial manipulation technique to mobilize the right kidney by movement of the right hand in the therapist's direction opposite to the shoulder of the patient ("ironing of the kidney").
.
The fingers 2 and 3 of the left hand of the therapist are placed at the superior lumbar triangle, also known as „Triangle of Grynfeltt“, in order to lift the kidney ventral direction for a better possibility to mobilize it in cranial direction!
.
With this kind of osteopathic treatment I made very good experiences especially if the patient is suffering from chronic lumbar problems!
.
If you want to know more about this kind of very effective techniques and how I provide specialist support to professional athletes on @ATPWorldTour and at @DavisCup team tennis competition your are welcome to join the upcoming course, I will be teaching in Taipei/Taiwan at 1st-2nd of December 2018 @SportslineAsia.
.
🎥: @hsiao1920
.
Check my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell
————————————————————————
Partners:
@BLACKROLL® | @SportslineHK | @DynamicTape | @Premax.co | @SmartToolsUSA | @VossWorld | @StrobelWalter | @adidastennis | @Seirin_Global | @HeadTennis_Official | @NUBISphysio
————————————————————————
#Physiotherapy #SportsPhysiotherapy #Osteopathy #Functional #MyoFascialRelease #Therapy #Muscle #Triggerpoint #Treatment #DryNeedling #Rolfing #Chiropractic #PhysicalTherapy #InjuryPrevention #Rehab #Medicine #Sportsmedicine #Sportstherapy #Sportschiropractic #Massage #Blackroll #Fascia #Fitness #Training #Yoga #Pilates #CrossFit #Stretching #Anatomy #Kidney

FASCIAL RELEASE TREATMENT OF THE RECTUS ABDOMINIS MUSCLE AND THE KIDNEYS
.
This video is a follow up to my previous post treating a student at my physical education course in Taipei last year. As he suffered from thoracic and lumbar spine problems my next osteopathic approach was to check and treat the fascia of the rectus abdominis muscle as well as the kidneys.
.
A tight or shortened rectus abdominis can lead to muscle imbalances and therefore to lower back problems. Rectus abdominis muscle trigger points can lead to referred pain in the stomach, thigh and lower back!
If I see clients with back problems, I always release the rectus abdominis muscle with several myofascial treatment techniques!
.
Further on I checked the kidneys as a less mobile kidney can lead to back problems too:
the kidney is moving during the breathing rhythm up and down. If it is not mobile enough in its fascial tissue, it can force the surrounding fascial tissue to compensate and therefore force further restrictions in the connected tissues.
The fascia of the kidney (called renal fascia) is connected to the fascias of all surrounding lower back muscles I talked about in my previous posts (Quadratus lumborum muscle, Iliopsoas muscle, Thoracic diaphragm muscle) which can be the culprit for lower and mid-back issues too.
.
In the video you can see how I mobilize the rectus abdominis fascia followed by the right kidney with:
1⃣ a fascial unwinding technique (During fascial unwinding, the therapist stimulates mechanoreceptors in the fascia by applying gentle touch and stretching. Touch and stretching induce relaxation and activate the parasympathetic nervous system).
2⃣ a fascial unwinding technique + cranial mobilization.
In both techniques the fingers 2 and 3 of the left hand of the therapist are placed at the superior lumbar triangle, also known as „Triangle of Grynfeltt“, in order to lift the kidney ventral direction for a better possibility to mobilize it in cranial direction!
.
#Physiotherapy #SportsPhysiotherapy #Osteopathy #MyoFascialRelease #Therapy #Muscle #Medicine #Triggerpoint #Treatment #Rolfing #Chiropractic #PhysicalTherapy #Sportstherapy #Massage #Fascia #Yoga #Pilates #Gym

WALKING AND BREATHING - THE PSOAS MUSCLE AND THE THORACIC DIAPHRAGM MUSCLE
.
Walking and breathing are intimately connected through the psoas muscle and the diaphragm muscle. The psoas major is the main muscle of walking, it connects the spine to the legs.
.
The diaphragm, is the essential muscle of breathing. There are plenty of other muscles involved at different times for different reasons but the main muscle we use for respiration is the diaphragm.
.
With each inhalation the diaphragm and pelvic floor should lower (synergistically) and with each exhale they should rise back up moving the contents of the trunk with them. Add to this up and down movement the rotational possibilities of the psoas moving in rhythmic opposition and every breath and every step we take can tone and massage the entire contents of the trunk.
.
There are also anatomical connections between the psoas muscle and the diaphragm muscle that literally connect the acts of walking and breathing. There are two tendons for the diaphragm called the crura that extend down and connect to the spine right alongside where the psoas is attached. One of the ligaments of the diaphragm (medial arcuate) wraps around the top of the psoas.
.
Finally the diaphragm and the psoas connect through the same fascia. There is a particular fascial grouping that connects the diaphragm, psoas and other hip muscles.
.
The relationship between these two structures of walking and breathing is essential. Health in one will encourage health in the other!
.
In the video you can see how I perform a myofascial release technique for the abdominal fascia followed by a myofascial treatment of the psoas muscle.
.
If you want to know more about this kind of techniques and how I provide specialist support for professional athletes on @ATPWorldTour and @DavisCup team competition your are welcome to join the upcoming course, I will be teaching in Taipei/Taiwan at 1st-2nd of December 2018.
.
#Physiotherapy #SportsPhysiotherapy #Osteopathy #MyoFascialRelease #Therapy #Muscle #Medicine #Triggerpoint #Treatment #Rolfing #Chiropractic #PhysicalTherapy #Rehab #Sportsmedicine #Yoga #Sportstherapy #Massage #Fascia Pilates #CrossFit #Anatomy

THORACIC SPINE SERIES - MYOFASCIAL RELEASE TREATMENT OF THE THORACIC DIAPHRAGM MUSCLE WITH HRV-TRAINING
.
Heart Rate Variability (HRV) Training with the Fascia-ReleaZer® by @Blackroll®
.
How does HRV-Training with the Fascia-ReleaZer® work?
The Fascia-ReleaZer® is a self-regulating tool for pain and stress therapy.
The special feature of the Fascia-ReleaZer® is a combination of »vibro-shearing« and a unique »vibro-breath pacemaker« (for heart rate
variability training) built into the oscillation.
The vagal tone of the autonomic nervous system is thus stimulated which regenerates and reduces pain and stress!
.
Additionally, this treatment has a positive effect on myofascial realease of the thoracic diaphragm muscle, which is very important for many functions in the human body as you know from my previous posts already! 👌
.
#DiaphragmBreathing ⬆️
#AutonomicNerveSystem ⬆️
#Stress ⬇️
#Pain ⬇️
#Recovery ⬆️
.
Check my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell
————————————————————————
Partners:
@BLACKROLL® | @SportslineHK | @DynamicTape | @Premax.co | @SmartToolsUSA | @VossWorld | @StrobelWalter | @adidastennis | @Seirin_Global | @HeadTennis_Official | @NUBISphysio
————————————————————————
#Physiotherapy #SportsPhysiotherapy #Osteopathy #MyoFascialRelease #FasciaReleazer #Therapy #Muscle #Fascia #Diaphragm #Breathing #Medicine #Triggerpoint #Treatment #Rolfing #Chiropractic #PhysicalTherapy #Rehab #Sportstherapy #Massage #Blackroll #Yoga #Pilates #CrossFit #Anatomy #Physiology

THORACIC SPINE SERIES - THE IMPORTANCE OF THE THORACIC DIAPHRAGM (OSTEOPATHIC APPROACH) - MYOFASCIAL TREATMENT
.
As a follow up to my post from yesterday on how to perform a myofascial release treatment on the thoracic diaphragm I wanted to show another very effective technique which I use daily in the office!
.
As you know already from several of my previous posts if the thoracic diaphragm has any restrictions, it can:
1️⃣limit the movement especially in the thoracic or lumbar spine (direct connection) or cervical spine (indirect connection through pleura/cupula of the pleura and the ligaments which connect cupula of the pleura and cervical spine).
2️⃣decrease the performance, and even increase the risk of injuries due to the fact that other parts of the human body have to compensate it!
.
Thats why it is very important to check this structure in every single treatment session especially if you work with professional athletes!
.
In the video you can see how I perform a myofascial release technique for the thoracic diaphragm of a student at my physical education course in Taipei last year:
1️⃣You take a ittle bit of massage lotion or creme on your fingers, I prefer @Premax as it allows you an optimal control over the skin! Many other massage lotions or cremes are making you slip over the skin so you can’t control the fascia perfectly and can’t perform a very effective release on that structure.
2️⃣Then you perform a fascial release line from medial to lateral along the insertion of the thoracic diaphragm at the rib cage.
.
If you want to know more about this kind of techniques and how I provide specialist support for professional athletes on @ATPWorldTour and @DavisCup team competition your are welcome to join the upcoming course, I will be teaching in Taipei/Taiwan at 1st-2nd of December 2018.
.
🎥: @hsiao1920
.
Check my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell
.
#Physiotherapy #SportsPhysiotherapy #Osteopathy #Functional #MyoFascialRelease #Therapy #Muscle #Triggerpoint #Treatment #Rolfing #Sportstherapy #Chiropractic #PhysicalTherapy #Rehab #Medicine #Sportsmedicine #Massage #Fascia #Yoga #Pilates #Gym

Most Popular Instagram Hashtags