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MANUAL THERAPIES & FASCIA

The role of Fascia in Parkinson's disease

Dr. Robert Schleip responds to the question:

Dr. Robert Schleip, Pilates, Pilates4Parkinsons, Pilates for Parkinson’s, exercise, senior exercise, senior fitness, flexibility, pilates principles, empower

Why would one want to work with fascia for a neuro-degenerative condition?

Dear Cecilia

 

Two possible answer directions come to my mind: 

 

1) Fascia is our richest sensory organ. In particular the enveloping superficial fasciae (close to the skin) tend to have a high importance for proprioception. See e.g. https://www.researchgate.net/publication/343359131_Innervation_of_Fascia and https://pubmed.ncbi.nlm.nih.gov/32181900/

Providing proprioceptive refinement for these patients can of course be very helpful. 

 

2) Many of these patients practice a more limited movement variety in their trunk or other regions, compared to healthy people. This partial immobility tends to induce fibrotic fascial stiffening/adhesions (see https://pubmed.ncbi.nlm.nih.gov/26820883/ ). Practicing more stretched movement stimulations can - at least in some instances - reverse such fibrotic pathologies (see e.g. https://pubmed.ncbi.nlm.nih.gov/17654495/ ).

 

I love Pilates based work, also for my own healthy re-orientation from too much desk work! And I am VERY convinced that it even makes more sense for Parkinson patients and similar challenges. 

 

Keep up your great work. And I hope you may consider sharing it some day with related research studies. 

 

Fascianatedly yours

 

Robert

 

 

Dr. biol.hum.
Robert Schleip, Dipl.Psych.
Visiting Professor (IUCS Barcelo)
Technical University of Munich, Germany
Associate Professorship of Conservative and Rehabilitive Orthopaedics
Department of Sport and Health Sciences

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Find out how a very unique fascial and joint therapy can help to alleviate back pain, and enhance neural pathways to better functional movement, while living with Parkinson's disease. The utilization of ELDOAs support the Pilates 4 Parkinson's Method.  

The Role of Fascia in Parkinson’s disease

by Cecilia Pulido

 

Parkinson’s disease may start in the brain but symptoms affect the whole body and movement in particular.  The exercise method must take a physically therapeutic approach in addressing posture imbalances, connective tissue, and muscle atrophy as well.  While other training modalities strive to keep a person with PD “moving’, in most cases the benefits of exercise programs like dance, boxing, Tai Chi, and Yoga to name a few, are overshadowed or curtailed by the pain and movement dysfunction that the person is experiencing [11].  Poor posture directly affects balance and thus postural dysfunctions are important to address initially upon exercise training. Further, diminished quality of movement and associated pain generally are the result of disturbances in fascial integrity.  

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Holding space for someone with a neurodegenerative condition

- Carl Cornell, owner

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