Myofascial Release - Not Part of Orofacial Myology!

On occasion, myofascial release has been mistakenly considered part of orofacial myology treatment. Since this procedure is a physical therapy technique, it is not appropriate for use by non-physical therapists. WHAT IS MYOFASCIAL RELEASE? Myofascial release (also known as fascial adhesion release) is touted as a gentle touch massage procedure designed to relieve tight muscles and reduce the lactic acid buildup in muscles that can cause muscle-related pain. Myofascial release deserves some brief attention and discussion since this therapy is not part of course training in orofacial myology and should not be advocated as such. Orofacial myofunctional therapy is not “physical therapy for the face”, as some have incorrectly concluded. Physical therapy procedures are not a part of orofacial myology, nor are the techniques compatible with the goals and scope of practice in orofacial myology. Orofacial myologists must assure that the management of pain, and massage therapy, are not within their scope of practice. Those who may wish to incorporate myofascial release into their practices should be advised that they are practicing physical therapy without a license and are placing their license at risk. WHO SHOULD PROVIDE MYOFASCIAL RELEASE THERAPY? According to Spine-Health.com, "Many different types of health professionals can provide myofascial release therapy, including appropriately trained osteopathic physicians, chiropractors, physical or occupational therapists, massage therapists, or sports medicine/injury specialists. Specific training and courses in Myofascial Release Therapy are generally necessary and can be extensive to attain a high level of competency." MYOFASCIAL RELEASE AND FACIAL MUSCLES While myofascial release has some useful applications by physical therapists, the technique cannot be applied appropriately to the facial muscles. While the muscles of mastication have distinct fascial sheaths covering them and separating them from adjacent muscles, the facial muscles do not; that is, they are not covered by fascial sheaths. This phenomonon well known among anatomists. For example, Zemlin (1968) reported from his dissection studies: "The facial muscles, and in particular those of facial expression, are unique in that they are devoid of fascial sheaths characteristic of skeletal muscles. Also, many of their fibers insert directly into the skin." Instead of fascial sheaths supporting the facial muscles, a layer between the muscles and the skin called the SMAS (superficial musculo-aponeurotic system) serves to support the face.