1,721,121 research outputs found
edizione italiana dell’Atlante di tecniche osteopatiche di Alexander & Evan Nicholas
No full texttraduzione di un manuale-testo di osteopatic
3 capitoli sul libro “Fascia in Manual Therapy”
No full textun capitolo tratta di un metodo di trattamento per i dolori miofasciali (lla Manipolazione Fasciale), due descrivono ll’anatomia delle fasce muscolar
Application of Fascial Manipulation technique in chronic shoulder pain--anatomical basis and clinical implications.
No full textClassical 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
Patient safety issues in magnetic resonance imaging: state of the art
No full textThe presence of a static magnetic field (Bo), a radiofrequency field (RF), a dynamic gradient which varies in time and loud noises during an MR examination could increase patient risk. Specifically, a magnetic field could interfere with ferromagnetic material leading to one of the following five dangerous interactions: 1) projectile effect, 2) twisting, 3) burning, 4) artefacts and 5) device malfunction. The projectile effect is when an object is attracted by the magnet with the risk, as reported in literature, of hitting the patient, operators and/or the instrument. Objects which typically can undergo this effect are oxygen and helium cylinders, IV stands, cleaning trolleys, chairs, lamp holders, scissors, forceps, clampers, traction weights, monitoring instruments, and especially metallic splinters within the patient. Twisting (torsion) typically occurs with cerebral vascular clamps and cochlear implants. If parts of implants are involved a malfunction may result. Burns can be caused when electrically conductive material is introduced within the magnet, for example, ECG electrodes, monitoring cables and coils which are in contact with the patient's skin, as well as tattoos and eye-liners that contain iron-oxides. Artefacts can be induced by RF emission of implanted devices which can be mistaken for noise of the receiving coil. Implanted devices can induce signal voids which mask or simulate pathologies. Electrical or mechanical malfunction of implanted devices includes pacemakers which can stimulate inappropriately or at an elevated frequency yielding a distorted ECG with altered T-waves. The risk for patients can be reduced by specific educational programs within individual radiology departments which include other specializations and external referring physicians with the aim of developing a standardized safety protocol
Fascial entrapment neuropathy
No full textEntrapment neuropathies are debilitating clinical conditions, creating significant morbidity in the upper and lower extremities in terms of pain, sensory abnormalities, and motor weakness, becoming a challenge to diagnose and treat. Because entrapments can have multiple origins, a misinterpretation of anatomy during examination can lead to incorrect diagnosis and treatment. This review addresses understanding of the anatomy of fascia that can play an important role in this syndrome. There is a specific microenvironment around the nerve composed of connective tissues that include deep fascia, intermuscular septa, epineurium, and perineurium. The microenvironmental modifications can be translated into change in mobility with consequence decreasing of the independency of the nerve from the surrounding structures lading to entrapments and “internal stretch lesion.” The entrapments reported in this article reinforce the importance of fascia tissue in generating common symptoms that pose more difficult diagnostic challenges and may often be confused with more common clinical conditions. Clin. Anat. 32:883–890, 2019. © 2019 Wiley Periodicals, Inc
Terapia Meccanica secondo McKenzie e Manipolazione fasciale: confronto iter metodica per un approccio integrato al trattamento delle lombalgie.
No full textL’approccio terapeutico al paziente con lombalgia viene effettuato con tecniche di trattamento molto differenti tra loro(1-7). La diversità che intercorre tra una tecnica e l’altra si basa essenzialmente sulle diverse ipotesi diagnostiche che vengono reputate stanti alla base del disturbo, e che vengono elaborate dal terapista in funzione della sintomatologia riferita dal paziente. Si spazia pertanto dal semplice massaggio, all’applicazione di terapie fisiche strumentali (come Tecar® o laserterapia), dalle manovre della Scuola Ostepatica, alla Rieducazione Posturale Globale®, dalla Manipolazione Fasciale®, alla Terapia meccanica di tipo McKenzie®.
Nel presente studio, si è ritenuto opportuno concentrare l’attenzione sulle due ultime tecniche citate , in quanto pur essendo entrambe di comprovata efficacia, partono da presupposti anatomopatologici molto diversi, e differiscono in modo notevole per il tipo di manualità e approccio adottati. Lo scopo dello studio, pertanto, è quello di effettuare una descrizione delle principali caratteristiche delle due metodiche nel trattamento della lombalgia, illustrandone, secondo la nostra esperienza, le maggiori indicazioni e i limiti, e valutare, tramite l’indagine sperimentale su un campione di pazienti, la differenza di efficacia attraverso la Verbal Numeric Scale
Botulinum toxin versus fascial manipulation technique in the treatment of chronic facial pain
No full text
Botulinum toxin versus fascial manipulation technique in the treatment of chronic facial pain.
No full textMorphometric analysis of the sacroiliac joint
No full textThe sacroiliac (SI) joint is the point of articulation between the sacrum and the innominate bone of the pelvis. The anterior portion is synovial, and the posterosuperior portion is a typical syndesmosis. The SI joint may be affected by inflammatory or degenerative changes which include narrowing, minor sclerosis and erosion. Alterations in the anatomy of this joint may be involved in causing lower back pain. Radiodiagnosis of the width of the articular space is one of the tools utilized to evaluate the normal state of any joint. Scanty data is available on the morphometric characteristics of the SI joint. Therefore, the articular width space of the SI joint was measured to define its normal size in relation to age and sex. The study included 198 x-rays of the abdomen, in anteroposterior projection, of 112 males and 86 females (age range: 17 to 91 yrs). Individual films were divided into four classes according to age ( 70). The articular space of the SI joint is made up of a lateral and a medial part: the first representing the anterior articular space; the latter the posterior one. The anterior articular space of both the right and left joint, which was more easily visible and measurable was measured at the medium and inferior levels. Measurements were taken from the radiograms using a semiautomatic computerized system (Videoplan II, Image Analysis system-Kontron). The mean value of the articular space width a the medium and inferior levels, according to age group, was measured in both the males and females. The values obtained were studied using variance analysis. No significant differences were found in the mean values of the articular space width at the SI joint, when males and females were compared in relation to age. Moreover, the articular space width diminished with increasing the age. This fact was not always statistically significant
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