Fascial Manipulation: Beyond Coordination Centers

Initially, Fascial Manipulation (FM) therapy primarily focused on coordination centers (CCs). These points are associated with movements performed across three spatial planes and are managed by myofascial (mf) sequences.

Complex movements, such as throwing, catching, walking, and climbing stairs, are managed by myofascial (mf) diagonals and spirals, as noted by Kabat (1959). To fully address a patient's pain, fascial therapists must also consider dysfunctions related to fusion centers (CFs), which are located along these mf diagonals and spirals, in addition to the CCs of mf sequences.

While initially presented together in early FM literature, further observation clarified the distinct roles of mf diagonals and spirals. CFs linked to mf diagonals manage the transition of body segments between different planes, whereas CFs associated with mf spirals organize movements occurring in opposing directions in adjacent body segments.