The Mezieres Method

 

Training for

Neuro Myofascial Posturology

 The Mezieres Method

 

This course represents an invaluable opportunity for manual therapists to learn how to effectively apply Mezieres’ method innovative techniques on posture related musculoskeletal issues. 

Dedicated to physiotherapists, osteopaths, chiropractors and doctors, this training complements Françoise Mezieres’ rehabilitation program with the current posturology knowledge. 

The purpose of this training is to provide students with the necessary theoretical and practical tools for the interpretation of postural disorders, identifying the suitable strategies for their solution. 

The key aspect of this course is the practical application of the methodology which concentrates on the recovery of the physiological functionalities of the neuro-myofascial system, allowing for an adequate approach and appropriate problem solving strategies. 

The course will be taught with simultaneous translation from Italian to English. 

OBJECTIVES

On completion of this course you will be able to carry out the following analysis:

  • static and dynamic postural examination

  • functional and biomechanical evaluation of the spine and of the articulations of movement.

  • differential functional evaluation between muscular/postural alterations and those originating from other structures.

And to therapeutically intervene on muscular postural issues such as:

  • spinal (scoliosis, hyperlordosis, round back, intervertebral disk compressions, radiculopathy, sciatica, cervical brachialgia, etc.)

  • joint problems (osteoarthritis, glenohumeral joint problems, coxarthrosis, etc.)

  • muscular (low back pain, wryneck, myalgia etc.)

  • dysmorphic (locking and TMJ subluxation, varus and valgus knee, valgus hallux, flat and club foot, etc.)

TUTOR

The teacher of the course is Mauro Lastrico. He graduated in physiotherapy in 1984 from Genova University, Italy. In 1988 and 89 he specialised in the Mézières Method at the Centre Mézières, Noisy sur l’Ecole, Paris, France. From 1984 to date he has been a freelance physiotherapist and since 1995, a teacher of the Mézières Method. Since 2002 he is responsible for the method’s training in Italy and founded AIFiMM (The Italian Association of Physiotherapists for the Mezieres Method). 

AIFiMM is recognised by the Italian Ministry of Health as a provider of CPD professional update training for healthcare practitioners. 

Since 2011 he is a Professor at Pisa Medicine University, teaching Clinical Posturology to Post-Graduate students.

A valid CPD certificate for the equivalent of 115 hours will be issued to each participant. 

PREPARATION

We suggest reviewing the musculoskeletal anatomy before the course.

RESTRICTIONS

All participants must hold an undergraduate training in physiotherapy, osteopathy, chiropractic or medicine and must be registered with the relative regulatory body.

We advise participants to have professional liability insurance to cover them for the techniques covered on the course. We reserve the right to ask for proof of this to ensure eligibility.

For any participant that is or maybe pregnant when attending any of our courses with a practical component we advise they email us to let us know.

What the Mézières Method is about

The Mézières Method is a rehabilitative technique created by French physiotherapist Françoise Mézières in 1947.

The Mèzières Method is a scientific technique based on physic-mathematical concepts applied to the musculoskeletal system.

It is an individual rehabilitative technique with a systemic postural approach which determines functional recovery through body symmetry restoration.

The Mèzières Method individuates the cause of the symptoms in mechanical articulatory movements. Mézières studies believe that when mechanical movement conflicts are not congenital or contracted, they are caused by asymmetric shortening of the muscles. 

It operates on joints through muscle strength re-education. This re-education occurs through the reduction of the opposing strength of the myofascial system (stiffness, shortening, increase of the basal tone).

The Mézières Method operates both in an analytic and systemic way: analytically in recalibrating the myofascial strengths that generate mechanical intra-articular conflict causing the symptoms, and systemically in recalibrating the myofascial factors which alter the correct postural asset.

 

Programme

Neuro Myofascial Posturology

The Mézières Method

The Mézières Method: Françoise Mézières' statements and their scientific support

Contents:

  • Mézières Method general objectives
  • Body symmetry loss: physiologic and functional causes
  • A priori and a posteriori analgesic reflex
  • Physiology of the cortical and subcortical centres
  • Mézières Method specific objectives
  • Isometric and isotonic concentration
  • Muscular movements, the agonistic-antagonistic pair
  • Muscular shortening
  • Taking action on the neurovegetative system
  • Morphological comparison and referential morphological form
  • The golden ratio
  • The anatomo-physiological partitioning in superior and inferior blocks
  • Muscular chains according to the Mézières Method: definition and physiology
  • The four muscular chains: the posterior chain, the anterior neck chain, the brachial muscle chain and the anterior internal muscular chain
  • Superior and inferior blocks; elements characterizing the muscular chains

differential evaluation and treatment of the musculoskeletal system which are divided in:

  • spinal (scoliosis, hyperlordosis, round back, intervertebral disk compressions, radiculopathy, sciatica, cervical brachialgia, etc.)
  • joint problems (arthritis, glenohumeral joint problems, coxarthrosis, etc.)
  • muscular (low back pain, wryneck, myalgia etc.)
  • dysmorphic (locking and temporomandibular subluxation, varus and valgus knee, valgus hallux, flat and club foot, etc.)

specific objectives

acquisition of the skills to carry out:

  • Static and dynamic objective examination of the patient
  • Collection of the anamnesis
  • Morphological examination of the patient and its comparison with the referential morphological type form.
  • Musculoskeletal connections
  • Alteration of the musculoskeletal connections throughout different postures
  • Therapeutic breathing according to the Mézières Method
  • Superior block exercises
  • Corrective action in supine Mézières posture to fix: inclination and rotation of the head,  TM joint, cervical and thoracic vertebra, shoulders, thorax, hips, superior limbs, lordosis, kyphosis and scoliosis.
  • Corrective actions, aggravating actions and positionings
  • Massage according to the Mézières Method
  • Inferior block exercises
  • Exercises for the whole body
  • Corrective action in Mézières postures with elevated lower limbs, generally adjusting the body and specifically the feet
  • Corrective action in Mézières sitting posture, generally adjusting the body and specifically the feet
  • Additional Mézières postures: therapeutic indications and peculiarities
  • Corrective exercises for orthopaedic, vertebral, muscular, and dysmorphic pathologies.
  • Therapeutic choices
  • Treatment on the basis of an objective examination, symptomatology and protection mechanisms of adaptation.
  • Progression from basic techniques to complex techniques (therapeutic taxonomy)

Introduction to the basic concepts. The scientific Method

  • Physic and linear mathematics
  • Physic laws of elastic deformations and effects on muscular fibre
  • Application of the vectorial subdivision on the direction of forces through the muscular fibres.
  • Analysis of the operating muscles: strength counterbalance
  • Static equilibrium: weight, gravity and anti-gravity
  • Strength transmissions

Non-linear mathematics and physics:

  •  Characteristics of the complex systems
  •  Functional units

Postural examination according to the Mézières Method

  • The physiological anatomo-morphologic-functional model.
  • Objective and static functional examination on the sagittal plane from standing and supine position for postural alterations of myofascial nature depending on the skull, hyoid bone, vertebral column and hips.
  • Objective and static functional examination on the coronal plane from standing and supine position for postural alterations of muscular nature depending on the skull, hyoid bone, cervical, dorsal and lumbar vertebral column, the scapulo-vertebral, scapulo-costal and scapulo-humeral ligaments, thorax, elbow, wrist, hand and hips. 
  • Musculoskeletal physiological relations in supine position after induced passive positioning – inclination and rotation of the skull, abduction, elevation of the superior limbs, lateral shifting of the inferior limbs – and active movements made by the patient.
  • Functional evaluation of the TM joint:
    •          Connection between posture and craniomandibular disorders
    •          Functional differential evaluation between mandibular posture alterations analysed by a physiotherapist/osteopath/chiropractor and a gnathologist
    •          Physiotherapist/osteopath/chiropractor and gnathologist cooperatrion
  • Dynamic objective examination of spontaneous movements of the patient  and of the musculoskeletal structure after passive movements. This highlights functional and non functional physiologic strategies.
  • Functional observation and evaluation of muscular subluxations of the scapulocostal, sternoclavicular and scapulohumeral joints.
  • Functional observation and evaluation of axial alterations on the hip and knee joint on a myofascial basis.
  • Functional observation and evaluation of muscular axial alterations of the tibiotarsal joint, of the medial and anterior arch of the foot, of the hallux and toes.

Therapeutic treatment through Mézières postures

  • Treatment on the sagittal plane through specific therapeutic muscular exercises of the skull, hyoid bone, cervical lordosis, dorsal kyphosis, lumbar lordosis and hips.
  • Objective and subjective district and systemic examination of the therapeutic results.
  • Types of local and systemic effects of each therapeutic manoeuvre.
  • Treatment of the coronal plane through specific therapeutic exercises for muscular postural alterations of the skull, hyoid bone, cervical, dorsal and lumbar spine, scapulo and vertebral joints, scapulocostal joint, scapolohumeral joint, thorax, elbow, wrist, hand and hip.
  • Objective and subjective district and systemic examination of the therapeutic results.
  • Treatment of subluxations and TMJ lockings.
  • Objective and subjective district and systemic examination of the therapeutic results.
  • Observation and functional evaluation of muscular subluxation treatments of the scapulocostal, sternoclavicular and scapulohumeral joint.
  • Objective and subjective district and systemic examination of the therapeutic results.
  • Treatment through specific exercises for  muscular axial and postural alterations on the hip and knee joint.
  • Objective and subjective district and systemic examination of the therapeutic results.
  • Treatment through specific therapeutic exercises for muscular axial and posture alterations on the tibiotarsal joint, the medial and anterior arch of the foot, hallux and toes.
  • Objective and subjective district and systemic examination of the therapeutic results.
  • Treatment of the specific pathologies of the locomotive apparatus.
  • Therapeutic guide lines: from an objective examination to the individuation of primary objectives and suitable measures.
  • Patient medical chart: medical history collection, and use of cameras and other instruments for objectification and verification of the results. 

Daily program:

Day 1:

  • Mezieres Method: Introduction
  • Scientific parameters
  • Physics and muscular vectorial analysis
  • Myofascial biomechanics
  • Dynamic and static balance
  • Sinusoidal vertebral subdivision based on mho-functional basis
  • The reference anatomical model
  • The "correct" posture following the Mezieres Method principles.
  • Biomechanics and differential vectorial analysis of the cranial-cerebral-sacral tract from the sagittal plane. Theory and practice.
  • Biomechanics and differential vectorial analysis of the scapulo-costal-verebral and scapulo-humeral relation. Theory and practice.
  • Static, visual and placatory objective examination from standing and supine position. Theory and practice.

Day 2:

  • Linear and non-linear physics.
  • Complex systems: definition and characteristics.
  • Muscular chains.
  • "Physiological" and "functional" causes for body symmetry loss.
  • "A priori" and "a posteriori" antalgic reflexes
  • Torque forces
  • Dynamic, visual and placatory objective examination from standing position, forward flexion and supine. Theory and practice.

Day 3:

  • Deep tissue massage and manual techniques of myo-fascial harmonisation following the Mezeires Method. Theory and practice.
  • Introduction to the therapeutic breathing. Theory and practice.

Day 4:

  • Supine work, sagittal plane, for the correction of:
  • Cranium
  • Hyoid bone
  • Cervical lordosis
  • Thoracic Kyphosis
  • Lumbar lordosis
  • Pelvis
  • Scapulo-vertebro-costal rhythm
  • Gleno-humeral rhythm
  • Theory and practice

Day 5:

  • Supine with elevation of lower extremities work. Theory and practice.
  • Biomechanics and differential vectorial analysis of hip and knee.
  • Hip and knee treatment

Day 6:

  • Biomechanics and differential vectorial analysis of talo-crural joint and foot
  • Talo-crural and foot treatment
  • Sitting work. Theory and practice

Day 7:

  • Mezieres assessment and treatment following the techniques covered so far

Day 8:

  • Biomechanics and differential vectorial analysis of:
  • Cranio-vertebro-sacral tract
  • Hyoid-vertebro-scapular rhythm
  • Scapulo-vertebro-costal rhythm
  • Gleno-humeral rhythm
  • Upper extremities
  • Frontal and rotational plane. Theory and practice.

Day 9:

  • Correction manœuvres for:
  • Cranio-vertebro-sacral tract
  • Hyoid-vertebro-scapular rhythm
  • Scapulo-vertebro-costal rhythm
  • Gleno-humeral rhythm
  • Upper extremities
  •  Frontal and rotational plane. theory and practice.

Day 10:

  • Supine position treatment:
  • Cranio-vertebro-sacral tract
  • Hyoid-vertebro-scapular rhythm
  • Scapulo-vertebro-costal rhythm
  • Gleno-humeral rhythm
  • Upper extremities
  • Frontal and rotational plane. theory and practice.

Day 11:

  • Treatment from supine position with elevation of lower extremities and from sitting position:
  • Cranio-vertebro-sacral tract
  • Scapulo-vertebro-costal rhythm
  • Gleno-humeral rhythm
  • Frontal and rotational plane. Theory and practice.

Day 12:

  • TMJ and posture - links and connections. Theory and practice.
  • TMJ dysfunction treatment. Theory and practice.

Day 13:

  • Dynamic postural examination
  • Biomechanics and differential analysis of sterno-clavicular and gleno-humeral sub-luxations. Theory and practice.
  • Treatment of sterno-slavicular and gleno-humeral sub-luxation. theory and practice.
  • Guidelines: from the postural examination to the treatment plan. Identification of the primary therapeutic objectives. Theory and practice.
  • Scoliosis and orthopaedic spinal pathologies treatment following the Mezieres Method

Day 14:

  • Mezieres assessment and treatment following the techniques covered during the whole course
  • Certificates issuing.