內臟筋膜鬆動術Visceral Manipulation (VM)
內臟筋膜鬆動術(VM) 是由世界知名的法國骨病醫師和物理治療師Jean-Pierre Barral從多年臨床研究所發展出的創新治療手法。
Visceral Manipulation (VM)
was developed by world-renowned French Osteopath and Physical Therapist Jean-Pierre Barral. Comparative Studies found Visceral Manipulation Beneficial for Various Disorders
內臟筋膜鬆動術(VM) 是由世界知名的法國骨病醫師和物理治療師Jean-Pierre Barral從多年臨床研究所發展出的創新治療手法。研究發現VM對多種病症皆有益處。如下
Acute Disorders 急性症狀
Whiplash 揮鞭
Seatbelt Injuries 安全帶傷害
Chest or Abdominal Sports Injuries 胸部及腹部運動損傷
Digestive Disorders 消化系統功能紊亂
Bloating and Constipation 腹脹和便祕
Nausea and Acid Reflux 噁心及胃酸倒流
GERD 胃食道逆流
Swallowing Dysfunctions 吞嚥功能障礙
Women's and Men's Health Issues 男/女性健康問題
Chronic Pelvic Pain 慢性骨盆疼痛
Endometriosis 子宮內膜異位
Fibroids and Cysts 子宮肌瘤與囊腫
Dysmenorrhea 痛經
Bladder Incontinence 尿失禁
Prostate Dysfunction 前列腺功能障礙
Referred Testicular Pain 睪丸疼痛
Effects of Menopause 更年期之影響
Emotional Issues 情緒問題
Anxiety and Depression 焦慮及抑鬱
Post-Traumatic Stress Disorder 創傷後之壓力障礙
Musculoskeletal Disorders 肌肉骨骼系統疾病
Somatic-Visceral Interactions 身體-內臟之交互影響
Chronic Spinal Dysfunction 漫性脊髓性功能障礙
Headaches and Migraines 頭痛與偏頭痛
Carpal Tunnel Syndrome 腕隧道症候群
Peripheral Joint Pain 周邊關節疼痛
Sciatica 坐骨神經痛
Pain Related to 疼痛相關
Post-operative Scar Tissue 術後疤痕組織
Post-infection Scar Tissue 感染後疤痕組織
Autonomic Mechanisms 自律神經相關機制
Pediatric Issues 小兒問題
Constipation and Gastritis 便祕與胃炎
Persistent Vomiting 持續嘔吐
Vesicoureteral Reflux 膀胱輸尿管逆流
Infant Colic 嬰兒腸絞痛
VM assists functional and structural imbalances throughout the body including musculoskeletal, vascular, nervous, urogenital, respiratory, digestive and lymphatic dysfunction. It evaluates and treats the dynamics of motion and suspension in relation to organs, membranes, fascia and ligaments. VM increases proprioceptive communication within the body, thereby revitalizing a person and relieving symptoms of pain, dysfunction, and poor posture.
VM有助於全身性的功能和結構失衡,包括肌肉骨骼系統、血管、神經、泌尿生殖系統、呼吸系統、消化系統和淋巴功能障礙等等。它可以評估和治療有關器官、膜、筋膜與韌帶的動態位移與懸吊異常。VM可以增加體內的本體感覺聯繫,進而使人恢復活力,緩解疼痛、功能性障礙和姿勢不良等症狀。
An integrative approach to evaluation and treatment of a patient requires assessment of the structural relationships between the viscera, and their fascial or ligamentous attachments to the musculoskeletal system. Strains in the connective tissue of the viscera can result from surgical scars, adhesions, illness, posture or injury. Tension patterns form through the fascial network deep within the body, creating a cascade of effects far from their sources for which the body will have to compensate. This creates fixed, abnormal points of tension that the body must move around, and this chronic irritation gives way to functional and structural problems.
一個整合的評估與治療患者的方式需要考量各結構間的關係,包含內臟與其筋膜或者骨骼肌肉系統的韌帶連結。內臟結締組織的損傷可能導因於手術疤痕、沾粘、疾病、姿勢和受傷。張力模式可經由筋膜網路深入身體裡面,造成串連效應影響遠方的身體組織使其產生代償作用。身體必須避開它產生的固著、異常的張力點,而這慢性的刺激將會造成功能與結構的問題。
Imagine an adhesion around the lungs. It would create a modified axis that demands abnormal accommodations from nearby body structures. For example, the adhesion could alter rib motion, which could then create imbalanced forces on the vertebral column and, with time, possibly develop a dysfunctional relationship with other structures. This scenario highlights just one of hundreds of possible ramifications of a small dysfunction - magnified by thousands of repetitions each day.
想像肺部周邊有個沾黏,它產生ㄧ個變異的軸,迫使鄰近的身體結構跟著不正常的去適應。例如,這個沾黏會改變肋骨的動作,在椎體上產生不均衡的力量,隨著時間,有可能造成與其他結構間的失能。這個劇本只是每天數以百計的小失能,經過上千次重複動作放大的其中ㄧ個。
There are definite links between somatic structures, such as the muscles and joints, the sympathetic nervous system, the visceral organs, the spinal cord and the brain. For example, the sinuvertebral nerves innervate the intervertebral disks and have direct connections with the sympathetic nervous system, which innervates the visceral organs. The sinuvertebral nerves and sympathetic nervous system are linked to the spinal cord, which has connections with the brain. In this way someone with chronic pain can have irritations and facilitated areas not only in the musculoskeletal system (including joints, muscles, fascia, and disks) but also the visceral organs and their connective tissues (including the liver, stomach, gallbladder, intestines and adrenal glands), the peripheral nervous system, the sympathetic nervous system and even the spinal cord and brain.
身體的結構間有一些明確的連結,像是肌肉與關節、交感神經系統、內臟器官、脊髓與大腦。例如,椎竇神經分佈在椎間盤上並且直接連結支配內臟器官的交感神經系統。椎竇神經與交感神經與脊髓連接,而脊髓與大腦連接。所以一個有慢性疼痛的人,他容易受刺激有問題的部位不只是骨骼肌肉系統(包括關節、肌肉、筋膜和軟骨),也包含內臟器官和它們的結締組織(包括肝、胃、膽囊、腸和腎上腺)還有週邊神經系統、交感神經系統,甚至脊髓和大腦。
Thanks to the dedicated work of Jean-Pierre Barral, a Physiotherapist (RPT) and Osteopath (DO), healthcare practitioners today can use the rhythmic motions of the visceral system as important therapeutic tools.
感謝Jean-Pierre Barral身為一個物理治療師與骨病醫師的貢獻。現在健康照護操作者可以利用內臟系統的律動作為重要的治療工具。
Barral's clinical work with the viscera led to his development of a form of manual therapy that focuses on the internal organs, their environment and the potential influence on many structural and physiological dysfunctions. The term he coined for this therapy was Visceral Manipulation.
由於Barral的內臟臨床工作經驗讓他可以發展出一套徒手治療方式,著重於內臟器官、內部環境以及對許多結構和生理失能的潛在影響。他命名這個療法為內臟筋膜鬆動術。
Visceral Manipulation relies on the palpation of normal and abnormal forces within the body. By using specific techniques, therapists can evaluate how abnormal forces interplay, overlap and affect the normal body forces at work. The goal is to help the body's normal forces remove abnormal effects, whatever their sources. Those effects can be global, encompassing many areas of bodily function.
內臟筋膜鬆動術主要是觸診身體裡正常與不正常的力量。藉由特定的技巧,治療師可以評估出不正常的力量是如何交互作用、重疊和影響身體裡正常力量的工作。我們的目標就是幫助身體正常的力量去排除不正常的影響,不管他們來自那裡。那些影響可以是全身性的,包含身體許多部位的功能。
HOW DOES VISCERAL MANIPULATION HELP YOU? 內臟筋膜鬆動術能有什麼幫助?
Visceral Manipulation is used to locate and solve problems throughout the body. It encourages your own natural mechanisms to improve the functioning of your organs, dissipate the negative effects of stress, enhance mobility of the musculoskeletal system through the connective tissue attachments, and influence general metabolism. Today, a wide variety of healthcare professionals perform Visceral Manipulation. Practitioners include osteopathic physicians, allopathic physicians, doctors of chiropractic, doctors of Oriental medicine, naturopathic physicians, physical therapists, occupational therapists, massage therapists and other licensed body workers.
內臟筋膜鬆動術常被用來尋找以及解決身體問題的方法。它會促進你身體的自然機制去改善器官功能、消除負面壓力並經由結締組織的連結增強骨骼肌肉系統的活動度和影響一般的新陳代謝。現今,內臟筋膜鬆動術已經被廣泛使用在各種健康照護專業裡。操作者包括:骨病醫師、對抗療法醫師、脊醫師、東方醫學醫師、自然療法醫師、物理治療師、職能治療師、按摩師和其他有執照的身體工作者。
HOW IS VISCERAL MANIPULATION PERFORMED? 內臟筋膜鬆動術是如何操作的?
Visceral Manipulation is based on the specific placement of soft manual forces to encourage the normal mobility, tone and motion of the viscera and their connective tissues. These gentle manipulations can potentially improve the functioning of individual organs, the systems the organs function within, and the structural integrity of the entire body.
內臟筋膜鬆動術是利用輕柔的手部力量施加於特定部位,促進內臟與其週邊結締組織的正常活動度、張力與動作。這輕柔的操作有潛在的能力可改善個別器官的功能,此器官的系統以及全身的結構整合。
Harmony and health exist when motion is free and excursion is full - when motion is not labored, overexcited, depressed, or conflicting with neighboring structures and their mobility. Therapists using Visceral Manipulation assess the dynamic functional actions as well as the somatic structures that perform individual activities. They also evaluate the quality of the somatic structures and their functions in relation to an overall harmonious pattern, with motion serving as the gauge for determining quality.
身體的和諧與健康有賴於動作的流暢和全活動度,不能被過度使用,過度活化,反應差,且與鄰近組織的結構和活動沒有衝突。治療師利用內臟筋膜鬆動術評估動態功能動作和其他身體結構的個別活動。他們以動作能力作為品質判定的標準,評估身體結構與功能在整體協調性的品質。
Due to the delicate and often highly reactive nature of the visceral tissues, gentle force precisely directed reaps the greatest results. As with other methods of manipulation that affect the body deeply, Visceral Manipulation works only to assist the forces already at work. Because of that, trained therapists can be sure of benefiting the body rather than adding further injury or disorganization.
由於內臟組織本來就是脆弱、敏感的,所以這種輕柔的力量更可以有較好的效果。當使用其他操作法要深入身體時,內臟筋膜鬆動術可以幫助我們施力得當。因此,訓練有素的治療師能確信他們不會更進ㄧ步傷害身體組織。
HOW DID VISCERAL MANIPULATION BEGIN? 內臟筋膜鬆動術是如何起源的?
Jean-Pierre Barral first became interested in biomechanics while working as a registered physical therapist of the Lung Disease Hospital in Grenoble, France. That's where he met Dr. Arnaud, a recognized specialist in lung diseases and a master of cadaver dissection. Working with Dr. Arnaud, Barral followed patterns of stress in the tissues of cadavers and studied biomechanics in living subjects. This introduced him to the visceral system, its potential to promote lines of tension within the body, and the notion that tissues have memory. All this was fundamental to his development of Visceral Manipulation. In 1974, Barral earned his diploma in osteopathic medicine from the European School of Osteopathy in Maidstone, England. When Barral was at osteopathic school, there were no classes in visceral work. Working primarily with articular and structural manipulation, he began forming the basis for Visceral Manipulation during an unusual session with a patient he'd been treating with spinal manipulations.
當Jean-Pierre Barral在法國 Grenoble肺部疾病醫院擔任註冊物理治療師時,他開始對生物力學感到興趣。在那,他認識了Dr. Arnaud,一位公認的肺部疾病專家與屍體解剖大師。與他工作期間,Barral開始探索屍體組織的壓力模式並學習活體的生物力學。這引領他進入內臟系統,他發現改變身體內的張力線是有可能的,而且組織是有記憶性的。這就是他內臟筋膜鬆動術發展的基石。1974年時,Barral拿到了英國Maidstone歐洲骨病學校的骨病醫師文憑。在骨病學校時Barral並沒有學習內臟部份的治療,所以最初他只操作關節與結構的調整。他開始架構內臟按摩的療法是起因於一段與他脊椎治療患者的異遇。
During the preliminary examination, Barral was surprised to find appreciable movement. The patient confirmed that he felt relief from his back pain after going to an "old man who pushed something in his abdomen."
在為這位患者進行初步檢查時,他驚訝地發現到患者身上的某些律動,這位患者述說他的背痛是如何被ㄧ位老人推了肚子之後,就消失了。
This incident piqued Barral's interest in the relationship between the viscera and the spine. That's when he began exploring stomach manipulations with several patients, with successful results gradually leading him to develop Visceral Manipulation. Between 1975 and 1982, Barral taught spinal biomechanics at England's European School of Osteopathy. In collaboration with Dr. Jean-Paul Mathieu and Dr. Pierre Mercier, he published Articular Vertebrae Diagnosis.
這個事件讓Barral對內臟與脊椎之間的關聯產生興趣,他又在其他患者身上進行胃部的調整,隨著這些成功的試驗,他慢慢發展成內臟筋膜鬆動術(VM)。1975~1982間,Barral在英國歐洲骨病學校教導脊椎生物力學,他與Dr. Jean-Paul Mathieu和Dr. Pierre Mercier共同研究,推廣椎體關節診斷法。
Using his work with Dr. Arnaud as a foundation, Barral continued to investigate how the thickening of tissues in the body creates areas of greater mechanical tension that, in turn, pull on surrounding tissues. That discovery led him to the theoretical and practical development of visceral listening techniques.
Barral以當時與Dr. Arnaud的工作經驗為基礎,繼續研究這些持續變厚的組織是如何漸進地讓周邊組織產生更大的機械張力。這些發現促成了他日後內臟聽診的理論與技巧。
Barral's development of manual thermal evaluation began in 1971 during another treatment session. While treating a female patient, he felt a strong emanation coming from her mammary gland. He learned she had been operated on for a tumor in that area. Researching this phenomenon with other patients, he discovered just how accurately areas of stress in the body could be located by palpating the associated energy, which proved to be thermal. Consequent research has added manual thermal evaluation to many practitioners' evaluation tools.
Barral發展徒手熱感評估療法是在1971年另一個治療療程裡,他在治療一位女性患者時,感受到一股強烈的熱從她的乳腺部位散發出來,後來得知這正是她切除腫瘤的部位。他又在其他患者身上研究這個現象,終於發現如何經由觸診的方式準確定位出身體的壓力點,就是經由這股額外的能量--熱能。在往後的研究裡,許多操作者都將熱感評估加入他們的評估工具裡。
With the help of Dr. Serge Cohen, a Grenoble radiologist, Barral also documented changes in the viscera before and after manipulation. They employed x-ray fluoroscopy and ultrasound to record changes in position and motion, as well as fluid exchange and evacuation. Later they conducted additional research with a team of electrical engineers and technicians using infrared emissions from the body.
在Dr. Serge Cohen(格勒諾布爾的放射科專家)協助下,Barral也開始記錄下內臟治療前後的改變。他們利用X光和超音波記錄身體內靜態與動態的改變,如液體的調換與流動。後來他們更進一步與電氣工程師和療法人員合作研究人體散發的紅外線。
Jean-Pierre Barral began teaching Visceral Manipulation in the United States in 1985. Since then he has trained a team of International Teachers that teach Visceral Manipulation seminars around the world. He has also authored numerous textbooks for healthcare professionals, including: Visceral Manipulation, Visceral Manipulation II, Urogenital Manipulation, The Thorax, Manual Thermal Evaluation, as well as Trauma: An Osteopathic Approach, Manual Therapy for the Peripheral Nerves, and Manual Therapy for the Cranial Nerves (the latter three were co-authored with Alain Croibier, D.O.). Jean-Pierre Barral has also authored a book for the general public, Understanding the Messages of Your Body, which discusses the link between our organs and our emotions.
1985年Jean-Pierre Barral在美國開始教導內臟筋膜鬆動術,之後開始訓練一批國際性的講師,在世界各地主持教授內臟筋膜鬆動術的研討會。他也著作了幾本專業健康照護的教科書,包括:Visceral Manipulation, Visceral Manipulation II, Urogenital Manipulation, The Thorax, Manual Thermal Evaluation 和Trauma: An Osteopathic Approach, Manual Therapy for the Peripheral Nerves, Manual Therapy for the Cranial Nerves(最後三本與Alain Croibier, D.O.共同著作)。Jean-Pierre Barral也寫了一本”Understanding the Messages of Your Body”給一般大眾,探討我們身體與情緒的關聯。
Barral continues to research and develop manual therapy techniques while maintaining a full clinical practice. Thanks to his pioneering work, candidates in several European countries must now pass a rigorous test in Visceral Manipulation to earn a diploma in osteopathy, as they have adopted his Visceral Manipulation techniques, just as many other manual therapy professions around the world.
Barral持續在臨床上研究發展他的徒手治療療法。感謝他的貢獻,現在歐洲有些骨病學校的學生必須熟悉內臟筋膜鬆動術,就像世界其他徒手療法ㄧ樣,並通過嚴格的內臟筋膜鬆動術測驗才能畢業