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‘Manual therapy and movement confidently combined’

We are grateful to Tom Myers for this enthusiastic foreword to Mobilizing the Myofascial System by Doreen Killens.

‘All over the world, manual therapists and movement professionals are busy forging a new synthesis of how we are held together and how we move. This over-arching point of view is arising from new knowledge and research on the brain’s control of movement combined with new knowledge and research on auto-regulation in the fascial system.

The alembic for this new synthesis, without which it cannot happen, is the willingness of disparate professions to work with each other and learn from each other. The insights from movement systems like Pilates and strength and conditioning training bring new life to physiotherapy. The intrinsic physiological movements employed in osteopathy are being incorporated into work with developmental delay. Movement instruction, touch cueing, and manual therapeutic approaches are all blending and mixing into a single theoretical basis for learning, enhancing, and repairing the human movement function.

This is a happy convocation, where new developments are being shared from one profession to another, and old barriers are breaking down to produce a common language in which all the “spatial medicine” practitioners will eventually converse.

Doreen Killens is one of those synthetic practitioners able to incorporate various methods into a single, coherent whole. Of course I am happy to see another application of the Anatomy Trains map, and doubly so to see it done accurately. But I am especially pleased to see manual therapy and movement so confidently combined. Work with the musculoskeletal frame can never return to the linear, one-to-one correspondences that were the grail of the previous generation. Fractal mathematics, systems theory, and the dawning recognition that everything is related all lead us away from the temptation to isolate particular joints, muscles, or movements. Our bodies just do not work that way.

The approach in this book is sound, enjoyable, and opens the door to a lifetime career that is both challenging and satisfying by turns. Working in a world where everything is connected and interacts can be frustrating to those who need a guide for every step, a defined answer to every problem. But for the artist – see the last chapter for a fine summary of the proper attitude to being a therapist – this book offers a way forward that is at once effective and engaging.’

Mobilizing the Myofascial System: A clinical guide to assessment and treatment of myofascial dysfunctions will publish in September 2018 in the UK, October 2018 USA.

  Tom Myers, Clarks Cove, Maine USA, July 2018

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