(With permission of the author ©Andrzej Pilat - Head of Tupimek center).
The application of MIT (Myofascial Induction Therapy) is recommended mainly for patients with orthopedic, neuro-orthopedic, post-traumatic and degenerative dysfunctions related to the myofascial system.
Definition of Myofascial Induction (MIT®).
Myofascial Induction (MIT®) is a therapeutic concept, belonging to Manual Therapy, aimed at the functional restoration of the altered fascial system. MIT® is a process of evaluation and treatment in which the therapist transfers a slight force (traction and/or compression) to the target tissue, facilitating the recovery of the quality of the fascial system. The term "induction" is related to the facilitation of movement rather than a passive stretching of the fascial system. The result is a reciprocal reaction of the body involving biochemical and metabolic signaling reaction, and finally, physiological responses. This process aims to remodel the quality of the extracellular matrix of the connective tissue to facilitate and optimize the transfer of information into and within the fascial system (Chiquet, 2003; Wheeler, 2004). It is a concentrated process, controlled by the central nervous system, in which the therapist acts as a facilitator. The therapeutic action is focused on the provision of resources for the adjustment of optimal homeostatic balance. The ultimate goal is not the establishment of stable hierarchies but of facilitation of optimal adaptation to the demands of the environment (Pilat, 2014). The outcome (change in body image, improvements in functional abilities) should be evaluated and assessed not only by the therapist but also by the patient. Myofascial Induction aspires to be a treatment that focuses on the patient (Pilat, 2015).
Definition of Myofascial Dysfunction.
Myofascial system dysfunction is defined as the disruption of the highly organized wave of specialized movements and the consequent inadequate transmission of information through the extracellular matrix (Pilat, 2003). Dysfunctional movement patterns could facilitate variations in the mechanotransduction response (conversion of mechanical impulse into chemical response), with consequent initiation of disease-triggering molecular mechanisms (Ingber, 2003).
nervous system dysfunctions (central and peripheral).
pelvic floor disorders.
dysfunctions of the circulatory systems.
Specific objectives of the technique:
mobilize superficial fascial restrictions.
change the "stationary attitude" of the collagenous structures.
facilitate the recovery of the sliding properties of the extracellular matrix.
stimulate physiological orientation in fibroblast mechanics.