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Anatomy Trains Structural Integration (ATSI) was developed by Tom Myers. ATSI uses hands-on techniques to manipulate the myofascia (muscles and fascia) to reorganise the body’s structure. Its goal is to improve postural alignment, balance and flexibility. As a result, it can be excellent at helping with many of the long term chronic problems a lot of people suffer from, like backache, neck and shoulder pain, and can improve our wellbeing and quality of life.

Anatomy Trains Structural Integration features

12 progressive sessions

Each session is normally received 1 or 2 weeks apart over a 3 to 6 month period but can be adapted for each individual’s circumstances. The sessions reorganise the body and build on the previous session to create better alignment, movement and function.

Hands-on techniques

The sessions involve hands-on techniques that manipulate and reorganise the myofascia (muscles and their connective tissue) layer by layer.

Postural assessment

At the beginning of each session, a postural assessment is taken.

What are the Anatomy Trains?

Anatomy Trains Structural Integration is a form of structural integration which incorporates the Anatomy Trains myofascial model developed by Tom Myers into its 12 session series.

The Anatomy Trains is a tool which enables the Anatomy Trains Structural Integration (ATSI) practitioner to see the soft tissue connections throughout the body. Anatomy Trains allows your ATSI practitioner to see your body as a whole rather than a collection of individual parts. Anatomy Trains Structural Integration aims to integrate all these parts so we can move through life more efficiently.

The myofascial system consists of muscles (greek: myo) and the connective tissue (fascia) that intertwines the muscles and forms a continuous web throughout the body. As the tightness in the myofascia is released, many of the everyday aches and pains and chronic problems that you feel can disappear and your posture can be greatly improved. Movement becomes easier and energy levels improve as your body begins to work more efficiently.

Each session lasts 90 min and builds on the previous sessions so that by the end of the 12 session series, the whole body has been worked on in order to undo restrictions and tightness within the myofascial system.

What to expect

This work is carried out on a massage table with the recipient in their underwear. A typical session will start with me assessing your posture, and then from this visual assessment, I will choose which areas are tight and restricted, and work progressively each session in order to undo the tightness and restrictions. Photos are maybe taken before the first session and at the end of the 12th session as an aid to assessment as well as a reference for the changes that have taken place over the sessions.

The myofascia is in layers throughout our body and the outer more superficial layers, which we call the sleeve, are addressed in the first 4 sessions. A big difference between massage and structural integration is that we work on the fascia and not just the muscles: fascia binds everything and is our organ of support so it can be manipulated and stretched in order to allow our postures to improve. In a structural integration session, you will be asked to do small movements as I work on an area to help the fascia to release.

Once the outer layers of myofascia are softened and more open we are then able to work into the deeper myofascia more effectively, and the middle 4 sessions work on these deeper layers which make up our core.

The final 4 sessions are the integrating sessions and give us both the chance to go back and readdress areas in the sleeve and core which are held particularly tight. These final sessions will also balance the pelvic and shoulder girdles as well as the spine, and integrate the sleeve and core so as they work with each other instead of against each other.

After the 12 sessions, you will not be expected to receive more structural integration work for up to three to six months to allow the work to integrate further. After that time I will invite you back for the occasional top-up session. Structural integration has been proven to create ongoing changes for a long time after the initial 12 sessions and there have been further visual improvements in people’s posture a year or more after their initial 12 sessions.

The benefits

• Longer lasting results
• Improved posture
• Easier movement
• Increased flexibility
• Reduced or complete resolution of pain
• Less tension
• Calmer mind
• More energy
• Better awareness


Pam, Shoreham “Have you ever just wished someone could take the pain away? After years of trying Osteopaths, Chiropractors, Doctors and various massage techniques I had pretty much decided that no one could. I had been told that I had a shoulder injury but found walking uncomfortable, standing for more than a few minutes almost impossible, sitting hurt as did lying down. I wasn’t in constant pain but it affected my life, my ability to be active and my confidence. When yet another therapy was suggested I was less than enthusiastic, but could this be the one that made the difference? Well yes, it has, and most of the work done by Andrew has been on my hips, legs and feet !! My appalling posture is no more, and the pain has gone, KMI Structural Integration is not always a relaxing therapy, at times I found it very challenging but the results are, for me, life-changing. I am not “cured” but I feel my age now, 50 instead of 90. What a relief!”