Masaj dedicat restaurarii corpului

FASCIAL COMPARTMENTS

Posterior view of the pelvic region reveals interesting fascial links from thorax to pelvis to lower extremity. This view is much closer to reality that many “muscle only” pictures.

The concept of named muscles is a manifestation of isolationist dissectors of years past who likely equated their findings on a dissection table to that of a butcher. Protein “cuts” seemed to take shape and were named as muscles. However, this illustration shows the real anatomy which is an interconnected web of connective tissue that happens to have “compartments” that house contractile protein bundles. The left side shows the fascial compartments for the glute max, semimembranosus and biceps femoris. On the right the compartment for the quadratus femoris is shown with the muscle protein removed.

One can easily see how muscle chains are the true reality as no muscle is isolated but is in fact just compartments along a much larger fascial system.

This concept can change the clinician’s approach to myofascial therapy or acupuncture. The best therapeutic effects may come from targeting fascial lines or chains rather than individual muscles only. Always think LINKS.

Credit: Anatomy Links

FASCIAL ARTICULATIONS

The concept of a joint in the body is commonly understood as a junction of two bones such as the elbow. However, another definition of a joint is “the linear or angular displacement between two separate biological elements”. In essence, a joint can be comprised of any biological tissues that needs to move, pivot or slide/glide around one another.
This concept is applied to many soft tissue and fascial LINKS in the body. A junction of two fascial planes in the body typically requires a sliding interface where each layer moves opposite of the other. This is referred to as a “fascial articulation” and they are numerous in the human body. This can be between specific fascial layers such as the thoracic diaphragm and the endothoracic fascia or simply between a muscle and it’s superficial fascial layer. An example of motion is ankle plantarflexion, which require bony translation of the talus-tibia but also sliding of the extensor tendons under the retinaculum, effectively creating a fascial articulation.
These joints need to be evaluated and treated for mobility and function just like bony joints as the two types of joints work in unison to create global body movements.
In the diagram, the red arrows represent high value fascial articulations or LINKS. Each joint is a connection of separate tissues that requires hydration, elasticity and space to function optimally. Very often, due to trauma, inflammation or inappropriate loading, these tissues become adhered to one another and lose their capacity to slide. This is a “fascial joint dysfunction” and needs to be identified and treated. Once fascial dynamics are restored, it is interesting to observe that bony joint restrictions will often improve or resolve. Credit S. Paoletti for the illustration and concept.

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