STRUCTURAL INTEGRATION
Structural integration is a term applied to a specific technique of body therapy developed by Ida Rolf. Commonly called Rolfing, the usual treatment consists of ten 1 ¼ hour sessions of manipulation of the soft tissue and fascia (connective tissue). The purpose of the work is to correct postural and structural abnormalities, increase joint mobility, decrease pain caused by abnormal structure and to help the person attain a more integrated union of body, mind and spirit.
Ida Rolf was a Ph.D biochemist who studied chiropractic, yoga and osteopathy. As she developed her techniques, she began training others to carry out her therapy. There are now over 1000 practitioners who are certified in her way of working with the body.
The techniques are slow and gentle but very deep pressure is applied into the fascia. This can be painful until the client is able to release the holding and tightness in the tissues. Emotional releases are also common with this kind of deep tissue work. Many people are unaware that much body pain has an emotional component. As this is experienced and released, the body has an increased capacity for movement and the emotional body will experience a greater sense of joy and wellbeing.
Although pain may occur in one area, the Rolfing sessions will systematically cover all areas of the body since abnormalities typically are connected through multiple areas. Clients lie down on a table and the therapist applies slow and deep pressure. The client breathes into the area and may be asked to perform a specific slow movement of a limb in order to facilitate stretching and release of restrictions. Rolfers work with the breathing pattern and will ask for feedback if discomfort exceeds tolerable limits. Each session builds on the changes started in previous sessions and a week between sessions is advisable to allow the changes to integrate.
The range of problems helped by Rolfing may include low back pain, neck pain and whiplash, carpal tunnel syndrome, TMJ problems, sciatica, scoliosis, postural problems, and foot problems. It is possible to do focused work for a few sessions on one specific problem. After completing the series, periodic sessions can help sustain the positive changes. Photographs of postural changes show that improvements in posture can last many years, especially if clients work through exercise and mindful attention to correct posture.
Certified Rolfers undergo a rigorous period of study and supervised training. Some insurance will cover this therapy, especially if prescribed by a physician. For further information, see www.rolfguild.org, www.irolf.com, and www.rolf.org.
Daniel Blodgett MD