1,720,992 research outputs found
The fascial manipulation technique and its biomechanical model: a guide to the human fascial system.
This paper examines the principal characteristics of an innovative biomechanical model for interpreting the human fascial system and discusses the mechanisms that underlie the model in reference to some current trends in musculoskeletal research. The model, developed specifically for manual therapists working with movement dysfunction and pain, is the fruit of thirty-five years of study and physiotherapy clinical practice. It presents a functional interpretation of the relationship between muscles, deep fascia, and its derivatives (epimysium, perimysium, and endomysium). This model guides the clinical reasoning process employed in the manual therapy method known as Fascial Manipulation. Reference is made throughout to recent anatomical dissections designed specifically to examine the connections between deep fascia and muscles, the histological aspects of deep fascia, and its biomechanical characteristics. This knowledge could contribute to clinician’s understanding of the myofascial system and the role that deep fascia may play in musculoskeletal dysfunctions
Application of Fascial Manipulation technique in chronic shoulder pain--anatomical basis and clinical implications.
Classical anatomy still relegates muscular fascia to a role of contention. Nonetheless, different hypotheses concerning the function of this resilient tissue have led to the formulation of numerous soft tissue techniques for the treatment of musculoskeletal pain. This paper presents a pilot study concerning the application of one such manual technique, Fascial Manipulation, in 28 subjects suffering from chronic posterior brachial pain. This method involves a deep kneading of muscular fascia at specific points, termed centres of coordination (cc) and centres of fusion (cf), along myofascial sequences, diagonals, and spirals. Visual Analogue Scale (VAS) measurement of pain administered prior to the first session, and after the third session was compared with a follow-up evaluation at 3 months. Results suggest that the application of Fascial Manipulation technique may be effective in reducing pain in chronic shoulder dysfunctions. The anatomical substratum of the myofascial continuity has been documented by dissections and the biomechanical model is discussed
Treating patellar tendinopathy with Fascial Manipulation.
According to Fascial Manipulation theory, patellar tendon pain is often due to uncoordinated quadriceps contraction caused by anomalous fascial tension in the thigh. Therefore, the focus of treatment is not the patellar tendon itself, but involves localizing the cause of this incoordination, considered to be within the muscular fascia of the thigh region. Eighteen patients suffering from patellar tendon pain were treated with the Fascial Manipulation technique. Pain was assessed (in VAS) before (VAS 67.8/100) and after (VAS 26.5/100) treatment, plus a follow-up evaluation at 1 month (VAS 17.2/100). Results showed a substantial decrease in pain immediately after treatment (p<0.0001) and remained unchanged or improved in the short term. The results show that the patellar tendon may be only the zone of perceived pain and that interesting results can be obtained by treating the muscular fascia of the quadriceps muscle, whose alteration may cause motor incoordination and subsequent pathology
Einführung in die Methode der Fascial Manipulation.
Zusammenfassung
Drei verschiedene Typen von Faszien – jede mit klaren anatomischen und biomechanischen Eigenschaften und einer spezifischen Beziehung zu umgebenden Strukturen – bilden ein zusammenhängendes, unter Spannung stehendes Netzwerk aus Bindegewebe. Die mechanischen Charakteristika und ihre großzügige Innervation deuten auf eine wichtige mechanische Rolle hin sowie auf die Fähigkeit, mechanosensitive Signale aufzunehmen. Im Folgenden werden die wesentlichen Merkmale eines biomechanischen Modells für das fasziale System skizziert; es ist Grundlage der als Fascial Manipulation® bekannten manuellen Therapie. Dieses biomechanische Modell, das von umfangreichen anatomischen Präparierungen untermauert werden konnte, dient dem Kliniker dazu, die Komplexität des faszialen Systems beim Menschen zu reduzieren, denn das Modell erklärt die Architektur der tiefen Muskelfaszien und ihrer präzisen Beziehung zu den darunterliegenden Muskeln.
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Abstract
Three types of fasciae, each of which has precise anatomical and biomechanical characteristics with specific relationships with surrounding structures, form an interrelated tensional network of connective tissue. The mechanical characteristics and the abundant innervation of the fascia indicate an important mechanical role and the capacity to perceive mechanosensitive signals. This paper outlines the principal characteristics of the biomechanical model for the fascial system that forms the basis for the manual therapy known as Fascial Manipulation. This biomechanical model, which is supported by extensive anatomical dissections, could help to simplify the complexity of the human fascial system for clinicians as it interprets the architecture of deep muscular fascia with its precise relationship to underlying muscles
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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