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by John F. Barnes, P.T.
We have all experienced or treated patients after a whiplash accident whose symptoms far exceed what could reasonably be explained by the velocity of the accident. Frequently, full-blown symptoms have been seen at automobile speeds below 10 to 15 mph.
“Most victims of even relatively minor motor vehicle accidents usually describe a sense of detachment and shock. The major symptoms of the whiplash may not appear for 48 hours and then may progressively worsen for many days, weeks or even months despite extensive care.” 1
In both the forward and backward motions involved, the front of the brain (which has the consistency of well-set Jell-O) slides forward and impacts against the rough and jagged edges of the eye orbits. The orbito-frontal areas are particularly susceptible to hematomas, contusions and intercerebral hemorrhages. Particularly if the head is turned to either side at the impact, a phenomenon called shearing may occur.
Psychoneuroimmunology research implies that "every cell in the body can communicate with every other cell." The reason myofascial release and myofascial unwinding have been so effective with whiplash victims and other post traumatic injuries may be explained by the fight/flight/freeze response developed by Dr. Peter Levine. 2
He postulates that the fight/flight/freeze response is seen in animals in response to life-threatening experiences. In other words, the preyed upon animal will flee or attempt to fight, but if run to the ground will enter a freeze response where it assumes a state of immobility while physiologically still manifesting high levels of activity of both the parasympathetic and sympathetic nervous systems. 2
Myofascial Release and myofascial unwinding release the contracted tissue, the tissue memory and, thus, allowing healing to commence. Levine goes on to say that if the animal survives the attack, it will go through a dramatic period of discharge of this high level autonomic arousal through the motor system. This discharge involves trembling, profuse sweating and deep
In the case of a motor vehicle accident, a holding pattern develops to protect the body against impact. As a result of the freeze response, this holding pattern is maintained indefinitely, manifesting sustained muscular contraction with resultant myofascial restrictions, leading to chronic myofascial pain and tightness. 1
This explains why traditional therapy's focus on symptoms is not enough for a complete resolution of the problem. Myofascial release and myofascial unwinding release the muscular contractions, the myofascial restrictions and the holding patterns maintained by the "freeze response". The fight/flight/freeze response answers many questions we, as therapists, encounter with our trauma victims. I will write future articles on this fascinating therapeutic model.
John F. Barnes, P.T., L.M.T., N.C.T.M.B., is an international lecturer, author and acknowledged expert in the area of myofascial release. He has instructed more than 50,000 therapists worldwide in his Myofascial Release Approach, and he is the author of Myofascial Release: the Search for Excellence (Rehabilitation Services Inc., 1990) and Healing Ancient Wounds: the Renegade’s Wisdom (Myofascial Release Treatment Centers & Seminars, 2000). He is on the Counsel of Advisors of the American Back Society, as well as on MASSAGE Magazine's Editorial Advisory Board. He is a member of the American Physical Therapy Association. For more information, visit www.myofascialrelease.com.
For more information about myofascial release, you can now access two separate excerpts from the Fireside Chat with John F. Barnes, P.T. DVD on YouTube. Just click on the following links:
1. Robert Scaer, M.D., Bridges Magazine, "Observations on Traumatic Stress, The Whiplash Model."
2. Levine, Peter, Waking the Tiger: Healing Trauma Through the Body.