» Atlas of Psysiology of the Muscular Fascia – Luigi Stecco

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Atlas of Psysiology of the Muscular Fascia – Luigi Stecco

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Produktbeschreibung

In order to understand the complexity fascial function and dysfunction, it is necessary to have an accurate appreciation of the constituents that make up these ubiquitous and versatile tissues, as well as of their coordinated physiological interactions and behaviors. To achieve this it is suggested that a validated working model is necessary that simplifi es reality.

 

Fortunately a number of excellent atlases and textbooks now exist that offer images of the architecture of fascia, from the microscopic to the macroscopic. What has been missing, however is a comprehensive English language description of the normal physiology of fascia: how it behaves in normal circumstances, as well as how to accurately and systematically identify both the nature and location of fascial dysfunction. In this extensive and detailed text, Luigi Stecco, offers specifi c practical insights that merge appreciation of the anatomy and physiology of the multiple elements that make up myofascial biomechanical structures and how these operate in the body to produce integrated stability and movement, when operating normally.

Most importantly, from a clinical perspective, he then describes a wide range of reasoned functional assessment protocols that are able to identify and localize dysfunctional fascial features, whether these involve unidirectional, bidirectional or multidirectional myofascial actions and activities. Symptoms associated with altered motor control, reduced ranges of motion and/or pain, may result from dysfunctional fascial features, including increased local densifi cation (tissue stiffness) and/or altered sliding functions. Importantly, such changes need to be appreciated as being largely reversible – involving as they do altered function, but not  necessarily pathology. It is the well-thought-out descriptions of accurate, reproducible and practical evaluation methods, capable of leading to the identifi cation of the locations of such changes, that makes Luigi Stecco’s work so important. Critically, numerous studies have emerged that validate the reliability of the protocols
associated with Fascial Manipulation®, the therapeutic method that has evolved from Stecco’s years of dedicated research.

While a variety of methods of treatment and rehabilitation of painful and dysfunctional fascial structures have been proposed and studied, there are relatively few approaches that offer accurate identifi cation as to which tissues and structures may be involved, or precisely where these are located. The methods described by Stecco, in the objective examination process that leads to the identifi – cation of areas of fascial dysfunction, involve both palpatory assessments as well as functional movement tests that systematically evaluate and record the results of controlled movements in the sagittal, frontal and horizontal planes, involving all areas of the body. These objective assessment methods are coupled with a subjective evaluation, incorporating factors such as age, trauma history, patterns of use in work and leisure activities, as well as previous medical history. Using a combination of the results that emerge from both the objective and subjective examinations,
a working hypothesis emerges on which subsequent treatment is based. The tests used are then repeated, following treatment, in order to evaluate functional and symptomatic changes. In this beautifully illustrated work Luigi Stecco has distilled his years of research into a carefully-crafted textbook that offers insights and
practical guidelines, that are of immense potential value to practitioners and therapists of all schools – and for this he deserves our praise and profound thanks.

LEON CHAITOW Honorary Fellow, University of Westminster, London Editor-in-Chief, Journal of Bodywork & Movement Therapies

Inhalt

Basic principles of the myofascial system 1
   
Physiology of movement of the human body 3
The muscular fascia 12
From the motor unit to the myofascial unit 22
From the myofascial unit to the myofascial
sequence
30
From the centre of coordination (CC) to the centre of fusion (CF) 36
The centres of fusion associated in spiral 42
   
Centres of coordination and sequences of the upper limb 59
   
Myofascial units and unidirectional movements the upper limb 61
Anterior region of the upper limb, antepulsion sequence 62
Posterior region of the upper limb, retropulsion sequence 74
Medial region of the upper limb, mediopulsion sequence 98
Lateral region of the upper limb, lateropulsion sequence 98
Deep anterior region of the upper limb, intrarotation sequence 110
Deep posterior region of the upper limb, extrarotation sequence 122
   
Centres of coordination and sequences
of the trunk
135
   
Myofascial units and unidirectional movements of the trunk 137
Anterior region of the trunk, antepulsion sequence 138
Deep posterior region of the trunk, retropulsion sequence 150
Superfi cial region of the trunk, mediopulsion sequence 162
Deep posterior region of the trunk, lateropulsion sequence 172
Superfi cial lateral region of the trunk, intrarotation sequence 184
Intermediate posterior region of the trunk, extrarotation sequence 196
   
Centres of coordination and sequences of the lower limb 209
   
Myofascial units and unidirectional movements of the lower limb 211
Anterior region of the lower limb, antepulsion sequence 212
Posterior region of the lower limb, retropulsion sequence 224
Medial region of the lower limb, mediopulsion sequence 236
Lateral region of the lower limb, lateropulsion sequence 248
Deep posterior region of the lower limb, intrarotation sequence 260
Deep posterior region of the lower limb, extrarotation sequence 272
   
Centres of fusion and diagonals 285
   
Motor schemes and bidirectional movements 287
Centres of fusion and diagonals of the upper limb 288
Centres of fusion and diagonals of the trunk 302
Centres of fusion and diagonals of the lower limb 316
   
Centres of fusion and spirals 331
   
Motor gestures and multidirectional movements 333
Centres of fusion and spirals of the upper limb 334
Centres of fusion and spirals of the head and trunk 346
Centres of fusion and spirals of the lower limb 360
   
Conclusion 375
   
References 377
   
Index 379

 

 

 

 

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