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Fascial Anatomy: From Basic Science to Clinical Practice [Video]

In the past 15 years, multiple articles have appeared that target fascia as an important component of treatment in the field of physical medicine and rehabilitation. To better understand the possible actions of fascial treatments, there is a need to clarify the definition of fascia and how it interacts with various other structures: muscles, nerves, vessels, organs. Fascia is a tissue that occurs throughout the body. However, different kinds of fascia exist. This presentation will demonstrate that symptoms related to dysfunction of the lymphatic system, superficial vein system, and thermoregulation are closely related to dysfunction involving superficial fascia. Dysfunction involving alterations in mechanical coordination, proprioception, balance, myofascial pain, and cramps are more related to deep fascia and the epimysium. Superficial fascia is obviously more superficial than the other types and contains more elastic tissue. Consequently, effective treatment can probably be achieved with light massage or with treatment modalities that use large surfaces that spread the friction in the first layers of the subcutis. The deep fasciae and the epymisium require treatment that generates enough pressure to reach the surface of muscles. For this reason, the use of small surface tools and manual deep friction with the knuckles or elbows are indicated. Due to different anatomical locations and to the qualities of the fascial tissue, it is important to recognise that different modalities of approach have to be taken into consideration when considering treatment options.

The aim of this presentation is given an overview about the gross and histological anatomy of the superficial and deep fasciae. A general schematization of the subcutaneous layers and its regional variations will be presented. The relationship with the muscles, vessels and nerves will be discussed, focusing the possible role of the fasciae in proprioception.

This presentation could contribute to the clinician’s understanding of the biomechanical behaviour of the fasciae, their role in acute and chronic myofascial pain syndromes and of the real effectiveness of different therapies.

This content consists of a 58 minute video presentation professionally produced by Whole Being Films and presented at the British Fascia Symposium 2016 by Carla Stecco MD.

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