Fluid Cellular Interface - American Academy of Osteopathy

Fluid Cellular Interface
Julie Fendall DO MOstSc(Paeds)
AAO Convocation Florida 2013
Fluid Cellular Interface
What are we going to cover?
• How we experience fluid in the body & how we
access it in osteopathic treatment.
• Why is fluid important?
Nourishment, homeostasis, form & life force.
• Tensegrity in osteopathy. Exploring the tensegrity
model in connective tissues & the spaces within
which provide the fluid containers.
Fluid Cellular Interface
What are we going to cover?
• Using tension & compression in treatment to normalize
structure, normalize cell membrane polarity, affect ion
transfer across the cellular interface, and influence
fluid exchange
• Approaching osteopathic treatment, hand contacts,
fulcra and mental attention to reach deeper connective
tissues affecting the ECM
• How is therapeutic change experienced by both the
patient & the practitioner?
How do we experience fluid in the
body?
• Vitality
• Motion
• Quality
Livpurwater.com
Where is all the water?
Extra cellular Matrix and extracellular
Fluid
Connective Tissue Loose Aereolar
cdn99fanshare.com
Why is Fluid
important?
• I take hold of the problem with a
knowledge
of
the
body
physiology of that part of the
body a total synthesis of the
understanding including its
ligamentous
articular
mechanism, its fluid dynamics
its interchange of lymphatics, its
arterial flow of blood and
venous drainage…
• Dr Rollin Becker The Stillness of Life
Life Force in Fluid
• “Fluids are the medium for the
transmission of the life force within
material substance…
• The connective tissues are the
containers for the fluids that carry
the life force.”
• Interface Mechanisms of Spirit in Osteopathy.
R.Paul Lee. Stillness Press 2005.
©www.cranialosteopathy.com
• “Thus restoring full function depends on
restoring the container of the function to its
original shape. Then the fluids can carry the
life force and nutrition through the organism”.
• Interface Mechanisms of Spirit in Osteopathy. R.Paul Lee. Stillness Press
2005.
Dr AT Still
•
•
•
•
Biogen
The Rule of the Artery &
The Breath of Life
CSF Fluid dynamics
Dr. WG Sutherland
• Liquid Light
• CSF
• Transmutation
• Image
Pischinger
• “The fundamental
structure of life is a
triad composed of the
cell, extracellular space
and the nutrient
capillary.”
•
Interface Mechanisms of Spirit in
Osteopathy. R.Paul Lee. Stillness
Press 2005.
©Pearson Education Inc.
Swedenborg
18th century scientist, philosopher and spiritualist.
• “Life exists in the juices
between the fibres”
• “The Fascia is the
dwelling place of the
spirit”.
•
Interface Mechanisms of Spirit in
Osteopathy. R.Paul Lee. Stillness
Press 2005.
www.thefamouspeople.com
• Why is fluid important?
Nourishment,
homeostasis, form & life
force.
Senstive Chaos
Somatic Dysfunction
“impaired or altered function of related
components of the somatic (body framework)
system: skeletal, arthrodial, and myofascial
structures, and related vascular, lymphatic, and
neural elements”
• Glossary of Osteopathic Terminology, 2001
Tensegrity
Donald Ingber
• Providing a system that stabilizes
itself mechanically because of the
way tensional & compressive forces
are distributed & balanced within the
structure.
• The Architecture of Life. Donald E. Ingber
Scientific American.Vol. 278, pages 48- 57;
January 1998.
www3.imperial.ac.uk
Spine - Tensegrity
©intesniondesgins.com
www.poletarpilatesasia.com
Diaphragm - Tensegrity
Kenneth Snelson Rainbow Arch
Tensegrity
• Increase in tension in one
member results in increased
tension in members
throughout the structure even
ones on the opposite side.
Kenneth Snelson Sculpture
• This global increase in tension
is balanced by an increase in
compression
• The Architecture of Life. Donald E.
Ingber Scientific American.Vol. 278,
pages 48- 57; January 1998.
Reciprocal Tension Membrane
Tensegrity in Action
Intracranial Dural
Membrane
Falx cerebri
Tentorium cerrebelli
Dry
imdb.com
or
Doughy
pregnancyflattummytips.net
Physical & Emotional Trauma
Linear Stiffening
• Linear stiffening occurs in a
tensegrity structure because
structural members re orientate
themselves to lie more in the
direction of applied stress
• An increasing external force is
met with increasing resistance.
• The more structural members
that lie in the direction of stress
the stiffer it gets.
•
The Architecture of Life. Donald E. Ingber Scientific American.Vol. 278,
pages 48- 57; January 1998.
How do we feel this?
• When we make manual
contact we experience a
sense of continuity
through the tissue layers,
not palpating through the
layers, rather a continuity
in the anatomy
permitting movement
through connective tissue
into the extra cellular
matrix.
www.aaronswansonpt.com
How to Make Contact
Firm & Secure Contact
Palmar Contact
© Julie Fendall
Spider Web
3 dimensional vast network
Mediastinum
• Willard & Carreiro
Collection
How does this tensional shape change
•affect
ECM fluid exchange?
Dr. Jill Headifen
Auckland New Zealand
• Remove extracellular fascial restrictions,
polarity changes, normal cellular fluid
processes can take place.
• Bioelectric phenomenon that functions
normally when the tissues are in
balance.
• Changes in tissues (compressions,
contractions torsions) promote changes
in the positive / negative flow of ions
• Affecting fluid flow - therefore Health.
Dr. Anthony Norrie
Auckland New Zealand
• Charge driven phenomenon.
Polarized water sits on a charged
membrane, not a separate
structure but specialized
cytoplasm
( Gilbert Ling. Life at the level of the cell and below cell
level).
• Associated are the different ion
fluxes, notably Ca , Na & K
• The Ca flux is significant because
of it's rate and relationship to the
palpatory rates of the CRI. ( Paul Lee.
Interface)
Dr. Anthony Norrie
Auckland New Zealand
• Mechanical resolution, via a piezoelectric
current normalizes cell membrane
polarity, re-orientating water particles in
response to charge.
• Charge normalization allows the
membrane to function appropriately reestablishing Ca, K & Na ion movement
across the membrane.
• Facilitating ingress of fluid into cell.
• “I think that the interchange we observe
is the normalization of the extracellular
hydration”.
Hands on
Compression
1. Force or forces, which have been imposed on
the body.
2. A term we use in treatment CV4 for example
3. In treatment to match the forces and vectors
acquired by the tissues.
Compression
CV4
Dr Becker Dr Brookes
• Adding in Compression
Therapeutically
Consider now
• How we treat
• What we do when
treating
• How we experience
Therapeutic change
• When health is absent
tissues feel
• Dry, less cushioned, less
mobile, stiffer harder or
compressed.
How we make contact has impact
• Centring
on the cellular fluid interface.
• Directional intention, &
approach from within
ourselves
• Creating fulcra
• Fine adjustments within
ourselves
How is therapeutic change
experienced?
• Energy Change
• Release of heat
• Change of motion
• Increased fluid
expression – plumping
of the tissue – fluid flow
• Expansion
• Softening
Dr Who’s Tardis
Container of finite size
But Infinite space inside
Palpating health
no boundary between the
person’s body and their
connection with
everything around them
laughinreiveryoga.com
How do we observe therapeutic change?
• Change in potency
•
•
•
•
Inhalation
Expansion
Light
Space
Conclusion
Fluid Cellular Interface
• How we experience fluid in
the body
• How we feel it in osteopathic
treatment.
• Why fluid is important
• Tensegrity using tension
&compression to access
deeper structures, affect ion
&fluid transfer across the cell
membrane.
• How to approach a patient to
facilitate therapeutic change.