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 FASCIA HAS BEEN DESCRIBED AS THE MOST
PERVASIVE TISSUE IN THE BODY ,REPRESENTING A
THREE DIMENSIONAL NETWORK FROM HEAD TO TOE.
 IT IS A TYPE OF CONNECTIVE TISSUE ALONG WITH
TENDONS, LIGAMENTS, CARTILAGE, MUSCLE & BONE.
 IT IS AVASCULAR STRUCTURE.
INTRODUCTION
FEDERATIVE COMMITTEE ON ANATOMICAL
TERMINOLOGY (1998):
DEFINED FASCIAAS “SHEATHS, SHEETS OR OTHER DISSECTIBLE
CONNECTIVE TISSUE AGGREGATIONS”. THIS INCLUDES
“INVESTMENTS OF VISCERAAND DISSECTIBLE STRUCTURES
RELATED TO THEM.
GRAY’S ANATOMY:
MASSES OF CONNECTIVE TISSUE LARGE ENOUGH TO BE VISIBLE TO
THE UNAIDED EYE”
COMPONENTS OF FASCIA
CELLULAR COMPONENTS
• FIBROBLASTS
•ADIPOSE CELLS
• MACROPHAGES
• PLASMA CELLS
• LEUCOCYTES
• MAST CELLS
FIBROUS COMPONENTS
• COLLAGEN FIBRES
•ELASTIN FIBERS
GROUND SUBSTANCE
• PROTEOGLYCANS
• GLYCOPROTEINS
•EXOGENOUS SUBSTANCE
• EXTRACELLULAR FLUID
LAYERS OF FASCIA
SUPERFICIAL FASCIA
 LIES BENEATH THE DERMIS &
CONSIST OF LOOSE
CONNECTIVE TISSUE &
ADIPOSE TISSUE.
 STORAGE FOR WATER & FAT
 SERVE AS INSULATION
PREVENT & PROTECT FROM
MECHANICAL DEFORMATION
 PROVIDE PATHWAY FOR
NERVES & BLOOD VESSELS
SKIN SUPERFICIAL
FASCIA
SAPHENOUS VEIN
INSIDE THE
SUPERFICIAL
FASCIA OF THE LEG
PARAUMBILICAL
VEINS INSIDE
THE SUPERFICIAL
FASCIA
LATERAL REGION
OF THE ANKLE TO
SHOW THE
SUPERFICIAL
PERONEAL NERVE.
SUBSEROUS MEMBRANE
 THIS SPACE MAY ENLARGE WITH EDEMA OR
EXTRAVASATION , SUGGESTING THAT
THE FASCIA CAN BE DISRUPTED & STRECHED BY
ANY INJURY.
 A DENSE SHEET OR BAND OF
FIBROUS CONNECTIVE TISSUE
 SEPARATE THE MUSCLE INTO
FUNCTIONING GROUPS & LINES OF
THE BODY
COVERS ALL THE ORGANS OF THE
BODY.
EPIMYSIUM,PERIMYSIUM ARE
EXTENSION OF DEEP FASCIA.
DIVIDES & SURROUNDS FASCICULI &
ULTIMATELY EACH MUSCLE FIBER.
FUNCTIONS
 CONTRIBUTES
CONTOUR TO THE
BODY.
 PROVIDES
LUBRICATION
BETWEEN
STRUCTURES FOR
MOVEMENT.
 PROVIDE NUTRITION.
IS FACIA A CONTRACTILE OR NON
CONTRACTILE STRUCTURE ?????
MYOFIBROBLASTS- A CLASS OF CELLS IN
FASCIA CAPABLE OF EXERTING CLINICALLY
SIGNIFICANT CONTRACTILE FORCE IN
PARTICULAR CIRCUMSTNCES
FASCIAL
RECOIL
WATER - THE KEY
NUTRIENT FOR FASCIA
SERVES AS THE BODY'S TRANSPORTATION SYSTEM.
HELPS DEFEND THE BODY AGAINST SHOCK.
BODY'S BIOCHEMICAL REACTIONS.
REGULATES BODY TEMPERATURE.
LOAD-BEARING AND FILTRATION PROPERTIES OF
FASCIA
 CRITICAL FOR COLLAGEN STRUCTURE AND STABILITY.
THE RECOMMENDED DAILY INTAKE OF WATER
IS BASED ON THE FORMULA: 0.6 OZ. X BODY
WEIGHT IN POUNDS = NUMBER OF OUNCES OF
WATER PER DAY
WATER CAUSES COLLAGEN FIBERS TO SWELL
RESULS IN MECHANICAL SLIPPAGE BETWEEN COLLAGEN
FIBERS LESS MECHANICAL FORCE IS
REQUIRED TO BREAK THE ADHESION.
TENSIGRITY OF
FASCIA
 HUMAN ORGANISM IS INCAPABLE OF UPRIGHT
POSTURE WITHOUT MYOFACIAL TENSION.
THE SUPERFICIAL BACK LINE
POSTURAL FUNCTION
TO SUPPORT BODY IN
FULL UPRIGHT
EXTENSION
MOVEMENT FUNCTION
TO CREATE EXTENSION &
HYPEREXTENSION
EXCEPT FLEXION FROM
KNEE
THE SUPERFICIAL FRONT LINE
POSTURAL FUNCTION
TO BALANCE THE SBL
TO PROVIDE TENSILE SUPPORT
FROM TOP TO LIFT THOSE PART
OF SKELETON WHICH EXTEND
FORWARD OF THE GRAVITY
LINE –PUBIS,RIB CAGE & FACE.
 MOVEMENT FUNCTION
 TO CREATE FLEXION OF THE
TRUNK & HIP,EXTENSION AT
THE KNEE & DORSIFLEXION OF
THE FOOT
POSTURAL FUNCTION
TO BALANCE FRONT &
BACK & BILATERALLY
TO BALANCE LEFT &
RIGHT
THE LATERAL LINE
MOVEMENT FUNCTION
TO PARTICIPATE IN
CREATING A LATERAL
BEND IN THE BODY
POSTURAL FUNCTION
TO WRAP THE BODY IN A
DOUBLE SPIRAL THAT HELPS
TO MAINTAIN BALANCE
ACROSS ALL PLANES
MOVEMENT FUNCTION
TO CREATE & MEDIATE
SPIRALS & ROTATIONS IN BODY &
IN ECENTRIC & ISOMETRIC
CONTRACTION
TO STEADY THE TRUNK & LEG
TO KEEP IT FROM FOLDING INTO
ROTATIONAL COLLAPSE
THE SPIRAL LINE
THE ARM LINES
POSTURAL FUNCTION
STRAIN FROM ELBOW
AFFECT THE MID-BACK
& SHOULDER
MALPOSITION CAN
CREATE SIGNIFICANT
DRAG ON THE RIBS, NECK,
BREATHING FUNCTION &
BEYOND
MOVEMENT FUNCTION
ARM LINES ACT ACROSS
DIFFERENT LEVELS OF
JOINTS IN ARM TO BRING
THINGS TOWARDS US, PUSH
THEM AWAY, PULL, PUSH OR
STABILIZE OUR BODY OR
SIMPLY HOLD SOME PART OF
THE WORLD STILL FOR OUR
PERUSAL & MODIFICATION
ARM
LINES
DEEP FRONT
ARM LINE
SUPERFICIA
L BACK ARM
LINE
SUPERFICIAL
FRONT ARM LINE
DEEP
BACK
ARM
LINE
DEEP FRONT ARM
LINES
SUPERFICIAL FRONT
ARM LINES
DEEP BACK ARM LINE SUPERFICIAL BACK
ARM LINE
FUNCTIONAL LINES
POSTURAL
FUNCTION
THESE LINES HAVE
STRONG POSTURAL
STABILIZING FUNCTION
IN POSITIONS OUTSIDE
THE RESTING STANDING
POSTURE
MOVEMENT
FUNCTION
THE FUNCTIONAL LINES
APPEAR AS SPIRALS ON
THE BODY AND ALWAYS
WORK IN HELICAL
PATTERNS
FUNCTIONAL LINE
BACK FUNCTIONAL
LINES
LATISSMUS DORSI
LUMBOSACRAL FASCIA
SACRAL FASCIA
VATSUS LATERALIS
SUBPATELLAR TENDON
FRONT FUNCTIONAL
LINES
LOWER EDGE OF
PECTORALIS MAJOR
LATERAL SHEATH OF
RECTUS ABDOMINIS
ADDUCTOR LONGUS
THE DEEP FRONTAL LINE
POSTURAL FUNCTION
 LIFTING THE INNER ARCH
 STABILIZING EACH SEGMENT
OF THE LEGS
 SUPPORTING THE LUMBAR
SPINE FORM THE FRONT
 STABILIZES THE CHEST WHILE
ALLOWING THE EXPANSION
AND RELAXATION OF
BREATHING
 MOVEMENT FUNCTION
 PLAYS A GREATER ROLE IN
STABILITY ASIDE FROM HIP
ADDUCTIONAND THE
BREATHING WAVE OF THE
DIAPHGRAM
 COVERED BY MYOFASCIA
WHICH DUPLICATES THE ROLE
PERFORMED BY THE MUSCLES
OF DEEP FRONTAL LINE
 MUSCLE STRETCHING
INSTRUMENT ASSISTED
SOFT TISSUE
MOBILIZATION
YOGA
MYOFASCIAL RELEASE
MUSCLE ENERGY
TECHNIQUE
DRY NEEDLING
KINESIO TAPING
ACTIVE RELEASE
TECHNIQUE
NERVE
MOBILIZATION
ROLFING
For any query
contact-9868315824
dr.deepakraghav@gmail.com
Fascia

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Fascia

  • 1.
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  • 3.
  • 4.  FASCIA HAS BEEN DESCRIBED AS THE MOST PERVASIVE TISSUE IN THE BODY ,REPRESENTING A THREE DIMENSIONAL NETWORK FROM HEAD TO TOE.  IT IS A TYPE OF CONNECTIVE TISSUE ALONG WITH TENDONS, LIGAMENTS, CARTILAGE, MUSCLE & BONE.  IT IS AVASCULAR STRUCTURE. INTRODUCTION
  • 5. FEDERATIVE COMMITTEE ON ANATOMICAL TERMINOLOGY (1998): DEFINED FASCIAAS “SHEATHS, SHEETS OR OTHER DISSECTIBLE CONNECTIVE TISSUE AGGREGATIONS”. THIS INCLUDES “INVESTMENTS OF VISCERAAND DISSECTIBLE STRUCTURES RELATED TO THEM. GRAY’S ANATOMY: MASSES OF CONNECTIVE TISSUE LARGE ENOUGH TO BE VISIBLE TO THE UNAIDED EYE”
  • 6. COMPONENTS OF FASCIA CELLULAR COMPONENTS • FIBROBLASTS •ADIPOSE CELLS • MACROPHAGES • PLASMA CELLS • LEUCOCYTES • MAST CELLS FIBROUS COMPONENTS • COLLAGEN FIBRES •ELASTIN FIBERS GROUND SUBSTANCE • PROTEOGLYCANS • GLYCOPROTEINS •EXOGENOUS SUBSTANCE • EXTRACELLULAR FLUID
  • 8. SUPERFICIAL FASCIA  LIES BENEATH THE DERMIS & CONSIST OF LOOSE CONNECTIVE TISSUE & ADIPOSE TISSUE.  STORAGE FOR WATER & FAT  SERVE AS INSULATION PREVENT & PROTECT FROM MECHANICAL DEFORMATION  PROVIDE PATHWAY FOR NERVES & BLOOD VESSELS SKIN SUPERFICIAL FASCIA
  • 9. SAPHENOUS VEIN INSIDE THE SUPERFICIAL FASCIA OF THE LEG PARAUMBILICAL VEINS INSIDE THE SUPERFICIAL FASCIA LATERAL REGION OF THE ANKLE TO SHOW THE SUPERFICIAL PERONEAL NERVE.
  • 10. SUBSEROUS MEMBRANE  THIS SPACE MAY ENLARGE WITH EDEMA OR EXTRAVASATION , SUGGESTING THAT THE FASCIA CAN BE DISRUPTED & STRECHED BY ANY INJURY.
  • 11.  A DENSE SHEET OR BAND OF FIBROUS CONNECTIVE TISSUE  SEPARATE THE MUSCLE INTO FUNCTIONING GROUPS & LINES OF THE BODY COVERS ALL THE ORGANS OF THE BODY. EPIMYSIUM,PERIMYSIUM ARE EXTENSION OF DEEP FASCIA. DIVIDES & SURROUNDS FASCICULI & ULTIMATELY EACH MUSCLE FIBER. FUNCTIONS  CONTRIBUTES CONTOUR TO THE BODY.  PROVIDES LUBRICATION BETWEEN STRUCTURES FOR MOVEMENT.  PROVIDE NUTRITION.
  • 12. IS FACIA A CONTRACTILE OR NON CONTRACTILE STRUCTURE ????? MYOFIBROBLASTS- A CLASS OF CELLS IN FASCIA CAPABLE OF EXERTING CLINICALLY SIGNIFICANT CONTRACTILE FORCE IN PARTICULAR CIRCUMSTNCES
  • 14.
  • 15. WATER - THE KEY NUTRIENT FOR FASCIA SERVES AS THE BODY'S TRANSPORTATION SYSTEM. HELPS DEFEND THE BODY AGAINST SHOCK. BODY'S BIOCHEMICAL REACTIONS. REGULATES BODY TEMPERATURE. LOAD-BEARING AND FILTRATION PROPERTIES OF FASCIA  CRITICAL FOR COLLAGEN STRUCTURE AND STABILITY.
  • 16. THE RECOMMENDED DAILY INTAKE OF WATER IS BASED ON THE FORMULA: 0.6 OZ. X BODY WEIGHT IN POUNDS = NUMBER OF OUNCES OF WATER PER DAY WATER CAUSES COLLAGEN FIBERS TO SWELL RESULS IN MECHANICAL SLIPPAGE BETWEEN COLLAGEN FIBERS LESS MECHANICAL FORCE IS REQUIRED TO BREAK THE ADHESION.
  • 17. TENSIGRITY OF FASCIA  HUMAN ORGANISM IS INCAPABLE OF UPRIGHT POSTURE WITHOUT MYOFACIAL TENSION.
  • 18.
  • 19.
  • 20. THE SUPERFICIAL BACK LINE POSTURAL FUNCTION TO SUPPORT BODY IN FULL UPRIGHT EXTENSION MOVEMENT FUNCTION TO CREATE EXTENSION & HYPEREXTENSION EXCEPT FLEXION FROM KNEE
  • 21. THE SUPERFICIAL FRONT LINE POSTURAL FUNCTION TO BALANCE THE SBL TO PROVIDE TENSILE SUPPORT FROM TOP TO LIFT THOSE PART OF SKELETON WHICH EXTEND FORWARD OF THE GRAVITY LINE –PUBIS,RIB CAGE & FACE.  MOVEMENT FUNCTION  TO CREATE FLEXION OF THE TRUNK & HIP,EXTENSION AT THE KNEE & DORSIFLEXION OF THE FOOT
  • 22. POSTURAL FUNCTION TO BALANCE FRONT & BACK & BILATERALLY TO BALANCE LEFT & RIGHT THE LATERAL LINE MOVEMENT FUNCTION TO PARTICIPATE IN CREATING A LATERAL BEND IN THE BODY
  • 23. POSTURAL FUNCTION TO WRAP THE BODY IN A DOUBLE SPIRAL THAT HELPS TO MAINTAIN BALANCE ACROSS ALL PLANES MOVEMENT FUNCTION TO CREATE & MEDIATE SPIRALS & ROTATIONS IN BODY & IN ECENTRIC & ISOMETRIC CONTRACTION TO STEADY THE TRUNK & LEG TO KEEP IT FROM FOLDING INTO ROTATIONAL COLLAPSE THE SPIRAL LINE
  • 24. THE ARM LINES POSTURAL FUNCTION STRAIN FROM ELBOW AFFECT THE MID-BACK & SHOULDER MALPOSITION CAN CREATE SIGNIFICANT DRAG ON THE RIBS, NECK, BREATHING FUNCTION & BEYOND MOVEMENT FUNCTION ARM LINES ACT ACROSS DIFFERENT LEVELS OF JOINTS IN ARM TO BRING THINGS TOWARDS US, PUSH THEM AWAY, PULL, PUSH OR STABILIZE OUR BODY OR SIMPLY HOLD SOME PART OF THE WORLD STILL FOR OUR PERUSAL & MODIFICATION
  • 25. ARM LINES DEEP FRONT ARM LINE SUPERFICIA L BACK ARM LINE SUPERFICIAL FRONT ARM LINE DEEP BACK ARM LINE
  • 27. DEEP BACK ARM LINE SUPERFICIAL BACK ARM LINE
  • 28. FUNCTIONAL LINES POSTURAL FUNCTION THESE LINES HAVE STRONG POSTURAL STABILIZING FUNCTION IN POSITIONS OUTSIDE THE RESTING STANDING POSTURE MOVEMENT FUNCTION THE FUNCTIONAL LINES APPEAR AS SPIRALS ON THE BODY AND ALWAYS WORK IN HELICAL PATTERNS
  • 29. FUNCTIONAL LINE BACK FUNCTIONAL LINES LATISSMUS DORSI LUMBOSACRAL FASCIA SACRAL FASCIA VATSUS LATERALIS SUBPATELLAR TENDON FRONT FUNCTIONAL LINES LOWER EDGE OF PECTORALIS MAJOR LATERAL SHEATH OF RECTUS ABDOMINIS ADDUCTOR LONGUS
  • 30. THE DEEP FRONTAL LINE POSTURAL FUNCTION  LIFTING THE INNER ARCH  STABILIZING EACH SEGMENT OF THE LEGS  SUPPORTING THE LUMBAR SPINE FORM THE FRONT  STABILIZES THE CHEST WHILE ALLOWING THE EXPANSION AND RELAXATION OF BREATHING  MOVEMENT FUNCTION  PLAYS A GREATER ROLE IN STABILITY ASIDE FROM HIP ADDUCTIONAND THE BREATHING WAVE OF THE DIAPHGRAM  COVERED BY MYOFASCIA WHICH DUPLICATES THE ROLE PERFORMED BY THE MUSCLES OF DEEP FRONTAL LINE
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.  MUSCLE STRETCHING INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION YOGA MYOFASCIAL RELEASE MUSCLE ENERGY TECHNIQUE DRY NEEDLING KINESIO TAPING ACTIVE RELEASE TECHNIQUE NERVE MOBILIZATION ROLFING