Frontiers in fascia research

Gonzalez, Carla Alessandra Avila; Driscoll, Mark; Schleip, Robert; Wearing, Scott; Jacobson, Eric; Findley, Tom; Klingler, Werner

doi:10.1016/j.jbmt.2018.09.077

Cited by 17 publications

(13 citation statements)

References 60 publications

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“…Muscular fascia is composed of many different molecules, such as structural proteins (collagens, laminins, fibronectin, vitronectin, tenascin, and elastin), growth factors (TGFs and IGFs) glycosaminoglycans, proteoglycans, metalloproteinases, cytokines, and water (Eyre et al, 1984;Reiser et al, 1992;McCormick, 1999). Fascia, due to its structure and composition, has elastic, viscoelastic and plastic properties that strongly influence the biomechanical features of the locomotory apparatus, as demonstrated both in humans and animal models (Kovanen et al, 1988;Goldspink et al, 1994;Kjaer, 2004;Avila Gonzalez et al, 2018;Blottner et al, 2019;Schleip et al, 2019). Muscular connective tissue changes with advancing age, as reported also in studies in animal models.…”

Section: Connective Tissue and Agingmentioning

confidence: 99%

Structural and Functional Changes in the Coupling of Fascial Tissue, Skeletal Muscle, and Nerves During Aging

et al. 2020

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Aging is a one-way process associated with profound structural and functional changes in the organism. Indeed, the neuromuscular system undergoes a wide remodeling, which involves muscles, fascia, and the central and peripheral nervous systems. As a result, intrinsic features of tissues, as well as their functional and structural coupling, are affected and a decline in overall physical performance occurs. Evidence from the scientific literature demonstrates that senescence is associated with increased stiffness and reduced elasticity of fascia, as well as loss of skeletal muscle mass, strength, and regenerative potential. The interaction between muscular and fascial structures is also weakened. As for the nervous system, aging leads to motor cortex atrophy, reduced motor cortical excitability, and plasticity, thus leading to accumulation of denervated muscle fibers. As a result, the magnitude of force generated by the neuromuscular apparatus, its transmission along the myofascial chain, joint mobility, and movement coordination are impaired. In this review, we summarize the evidence about the deleterious effect of aging on skeletal muscle, fascial tissue, and the nervous system. In particular, we address the structural and functional changes occurring within and between these tissues and discuss the effect of inflammation in aging. From the clinical perspective, this article outlines promising approaches for analyzing the composition and the viscoelastic properties of skeletal muscle, such as ultrasonography and elastography, which could be applied for a better understanding of musculoskeletal modifications occurring with aging. Moreover, we describe the use of tissue manipulation techniques, such as massage, traction, mobilization as well as acupuncture, dry needling, and nerve block, to enhance fascial repair.

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Section: Connective Tissue and Agingmentioning

confidence: 99%

Structural and Functional Changes in the Coupling of Fascial Tissue, Skeletal Muscle, and Nerves During Aging

et al. 2020

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“…The IndentoPRO Tissue Compliance Meter is a handheld, non-invasive device that evaluates mechanical characteristics of selected FTs, which is useful for the assessment of their function and metabolic efficiency (see Supplementary Figure 2). The device was developed by the Fascia Research Group from Ulm University in cooperation with the Department of Human Movement Sciences at the University of Chemnitz, Germany (Chaitow, 2018b;Gonzalez et al, 2018). To ensure conformity between the diverse assessments, the localization was marked with a permanent marker and the penetration depth was set at 5 mm and was chosen based on previous preparatory examinations with a similar patient group (n = 8, data not published).…”

Section: Ft Superficial Blood Perfusion Stiffness and Elasticity Mementioning

confidence: 99%

The Rolf Method of Structural Integration on Fascial Tissue Stiffness, Elasticity, and Superficial Blood Perfusion in Healthy Individuals: The Prospective, Interventional Study

et al. 2020

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Introduction: There are multiple theories surrounding the physiological impact of structural integration (SI) with little evidence or research corroborating any of these. The aim of the study was to assess the effectiveness of 10 sessions of SI on fascial tissue (FT) superficial blood perfusion, stiffness, and elasticity in 13 healthy women. Methods: This was a prospective, interventional study. The primary outcome measures were FTs' superficial blood perfusion, stiffness, and elasticity of bilateral selected FT points on the body. Data were collected before and after 10 sessions of SI intervention. Statistical analysis was performed using the non-parametric Wilcoxon test (intragroup comparison). Results: The superficial blood perfusion increased significantly in the most selected FT points on the body (p < 0.05). SI interventions produced significant decreases in selected points (brachioradialis, biceps brachii, and trapezius; p < 0.05) of FT stiffness and significant increases in elasticity (brachioradialis, biceps brachii, triceps surae, and trapezius; p < 0.05), especially in the FT of the right (dominant) upper limb. Conclusion: A 10-session of SI demonstrated positive effects on increasing superficial blood perfusion contributed to a decrease in FT stiffness and an increase in elasticity properties in the dominant upper limb. Data collection for this study is currently underway, and the trial is registered at ISRCTN.com with the identifier: ISRCTN46707309.

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“…This understanding, in which fascia and fascial tissue are not hypothetically set apart (see Table 2), appears to conceptually underpin much contemporary fascia research. Literature associated with this developing research arena broadly relates to the human fascial system's molecular through to organismic levels of structural, physical, and dynamic properties, functioning, health, pathology, and remedial treatment (see Benjamin, 2009;Stecco et al, 2011;Findley et al, 2012b;Kumka and Bonar, 2012;Zügel et al, 2018;Gonzalez et al, 2018). The multiple-discipline-spanning nature of this work is reflected in the coinage of many new terms including, for instance, epimysial fascia, fasciacyte, fascial architecture, fasciatome, myofascial expansion, and myofascial meridian (see Schleip et al, 2012;Stecco, 2015).…”

Section: St Centurymentioning

confidence: 99%

A history of fascia

Adstrum¹,

Nicholson

2019

Clinical Anatomy

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Fascia is a generic anatomical term that refers to a variety of the body's soft fibrous connective tissue parts. An expanding interdisciplinary interest in fascia might be accompanied by changes in how fascia is cognized. This study surveys the anatomical portrayal of fascia through history, with the aim of helping contextualize the ways it is now known. A historiographic review of fascia-related literature written in the English language was undertaken. The anatomical meaning associated with fascia has varied during the 400 years that this term has been incorporated in English-language medical literature. Fascia has been diversely portrayed as a range of macroscopically discernable body parts, the tissues they are composed of, and a pervasive soft connective tissue network structure. Over the last four centuries, fascia has been described in many ways. Anatomical understanding of fascia has developed over the years and is likely to continue to change with evolving research technologies. Multidisciplinary advances in fascial knowledge could conceivably contribute to improving individual and societal health care. Clin. Anat. 32:862-870, 2019.

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Frontiers in fascia research

Cited by 17 publications

References 60 publications

Structural and Functional Changes in the Coupling of Fascial Tissue, Skeletal Muscle, and Nerves During Aging

Structural and Functional Changes in the Coupling of Fascial Tissue, Skeletal Muscle, and Nerves During Aging

The Rolf Method of Structural Integration on Fascial Tissue Stiffness, Elasticity, and Superficial Blood Perfusion in Healthy Individuals: The Prospective, Interventional Study

A history of fascia

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