Role of Fascia in Human Function

Varghese, Jibu George; Priya, G. A. Geetha Hari

doi:10.5958/0974-360x.2017.00489.9

Cited by 4 publications

(2 citation statements)

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“…The superficial fascia (tela subcutanea) is a membranous layer of connective tissue (thicker in the trunk and thinner in the limbs), formed by loosely packed interwoven collagen fibers mixed with elastic fibers. It is absent in the face, palm of hand and sole of the feet (Varghese and Priya, 2017). Its arrangement and thickness vary according to body structure, gender and region.…”

Section: Superficial Fasciamentioning

confidence: 99%

The Fascial System

Valenti¹

2023

Socratic Lectures 8

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The word Fascia has long been used by gross anatomists to embrace a spectrum of undifferentiated mesenchymal tissues that wrap organs and tissues of the body, or form a packing material between them. The inherent implication of this traditional view is that fasciae are inconsequential residues that are less important than the tissues with which they are associated. The errors of this assumption are being exposed and undoubtedly fascia is becoming more and more of considerable importance to many professionals working in health-related disciplines. Encouragingly, there has been a strong resurgence of interest into both basic and applied research in fasciae in recent years, also thanks to new fascia related findings. Knowledge of the fascial system’s characteristics and functions is spreading from primary medical researchers to professionals in many health fields throughout the world. Nowadays is well known that the Fascia is a mechanically active tissue with a proprioceptive and nociceptive properties. The Fascial continuum complexity is the result of perfect synergy evolution among different tissues made up of solid and fluid portions, which interpenetrate and interact with each other, forming a polymorphic three-dimensional network. Normal movement of the body is allowed because of the presence of the fascial tissues and their inseparable interconnection, one of the fundamental characteristics of the fascia is the ability to adapt to mechanical stress, remodeling the cellular/tissue structure and mirroring the functional necessity of the environment where the tissue lays. So, Fascia can transmit tension and in view of its proprioceptive and nociceptive functions could be responsible for disorders and pain radiating to remote anatomical structures. Dysfunction of the fascial system that is perpetuated in everyday movements can also cause an emotional alteration of the person. So, the fascial unity could influence not only movement but also emotions. Because the importance of fascia in human movement (both motion and emotion), shock absorption, metabolic and physiological processes, proprioception, healing and repair, the fascia in a broadest sense may be the literal representation of our inner being. Theoretically, Fascia probably hold many of the keys for understanding muscle action and musculoskeletal pain, and maybe it is of pivotal importance in understanding the basis of the body functioning. Further intensive research is essential to understand the function of the Fascia. The proposed article is a reflection to better understand the anatomy and main characteristics of the human fascial system. Keywords: Fascia; Facial system; Myofascial chains

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Section: Superficial Fasciamentioning

confidence: 99%

The Fascial System

Valenti¹

2023

Socratic Lectures 8

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“…During the treatment, pressure applied by the therapist should be bearable for the patient; an appropriate distribution of the therapist's body weight is used when applying the technique. A change in the consistency of the densification is obtained within a few minutes [15]. Fascial manipulation was given 3 minutes for each densified points, six sessions, for 15 days.…”

Section: Figurementioning

confidence: 99%

A Study to Analyse the Effects of Fascial Manipulation on the Lateral Thigh Region in Mechanical Low Back Pain

Priya¹,

Varghese²

2020

International Journal of Physiotherapy

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Background: Low back pain (LBP) is one of the most prevalent musculoskeletal disorders, affecting up to 90% of people at some point in their lifetime. Up to 50% will have more than one episode of back pain. Previous studies have highlighted the benefits of fascial manipulation for chronic low back pain over manual therapy alone. But early detection of densification of specific points in the lateral thigh region in low back pain subjects in an acute phase itself will be of benefit in resolving the back pain as the deep friction on these points aims at restoring the physiological gliding properties of the fascia and lead to immediate pain relief in the low back, increased range of motion and improved functions. Methods: Sixty individuals were enrolled for the study and were randomly allotted to two groups using a simple random method, were samples were randomly allocated by the primary investigator before baseline assessment. Control group subjects in Group A received conventional exercises, including core stability exercises. Experimental group subjects in Group B received Fascial manipulation to the lateral aspect of the thigh region in the lower limb. Both the groups received interferential therapy for 20 minutes as a part of conventional treatment for low back pain for 15 days. The subjects were assessed for their pain level, using NPRS score, and range of motion (ROM) was assessed to find any restriction in the lumbar region due to fascial densification. The functional activities of daily life were assessed using the ODI scale. The above scores were recorded before and after the interventions for both the groups. Results: The pre-test and post-test results were analyzed using a Paired and Unpaired t-test. The outcome measures of the Numeric Pain Rating Scale, Modified Schober's test, the Oswestry Disability Index were used for the study. A comparison of post-test values between Group A and Group B using unpaired t-test revealed a significant difference of p<0.001 in terms of pain relief, improved Range of motion, and functional ability of subjects in Group B than subjects in Group A. Conclusion: Fascial manipulation technique on lateral thigh region proved to be effective than conventional exercises as it showed a clinical and significant effect in decreasing pain and disability and improving the range of motion and functional activities of daily living in subjects with mechanical low back pain.

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