Bolivarian Republic of Venezuela City Rehabilitation Center Alliance Alliance Carabobo TECHNICAL MANUAL RELEASE Ó MYOFASCIAL INDUCTION Name

: Dagmar González S. CI: V - 17315400 Internships - Clinic III Date: City Pa rtnership, November 9, 2006. What is the fascia and fascial system? The body's f ascial system is an extensive and continuous network of connective tissue, which is a type of tissue-like membrane that surrounds and connects all the structure s of our body (muscles, tendons, ligaments, viscera, meninges, etc..) giving sup port, protection and shape to it. It is not possible to maintain a healthy body without a healthy fascial system, this system should be in a functional balance to the body to ensure the optimal development in their work. If one accepts that the fascia is a whole, then that means a pathology located on a concrete struct ure our body can generate other problems or symptoms in a place away from where the lesion appeared for the first time. Any restriction or alteration that appears i n this tissue will make our body does not perform well functionally and display the pathology or dysfunction. The fascial system can be affected both by excessi ve tension (shortening of the tissue) as excessive distension (stretching it). C omposition of the fascial system within the composition of the fascial system ca n distinguish, among other components, two proteins, which are submerged in an a morphous ground substance (SFA), which are particularly important: A. Elastin: endows tissues (skin, ligaments, tendons, arteries) of elasticity. Elastin is a stable structure and does not experience m any changes throughout life (it is a long-term protein). body, and gives the fas cia of protection against excessive stretching. This protein, unlike elastin, is of short duration, so it will change during the life of the individual, and her e lies the greatest part of the pathology of connective tissue, and that's excit ing to be a synopsis of the Collagen is the excess of tension in the tissues, wh ich will lead to a vicious circle: the more tissues lose elasticity, and blood s upport, so will generate more collagen, which causes the tissue to densifique an d lose even more elasticity. B. Collagen: is the most abundant protein in our Anatomical description of the fascia A. Superficial fascia: a sheet while being virtually uniform throughout the body, its density varies by body region under s tudy. In general, it is more dense on the extremities and loose in the head, nec k, chest and abdomen, and finer in the region of the perineum. The superficial fascia is observed the phenomenon of the meeting, which is the ability to join in a plane that turns th e blades and levels around certain structures in regions functionally linked. Th e superficial fascia is attached to the skin and superficial fat trapped in a va riable thickness depending on the body region. They are the fascial system layer s that define the depth of adipose tissue in each region. It also varies its lax ity, which determines the smoothness of the skin. There are places where mobilit y is low, and therefore there is no excessive slip, these are areas that need st ability, such as palms, soles of the feet and buttocks. In these places the supe rficial fascia attaches directly to the fascial layers. B. Deep fascia: the anal ysis of deep structures is much more complex, deep fascia, the tissue structural and functional integration of the organism at both levels, the macroscopic and microscopic, and refers to the connections between the different body systems, a s, for example, the muscular level, visceral, intracranial, and connections with in each muscle, every nerve and every organ. According to these principles deep fascial structures will be analyzed as: myofascial √ √ √ Viscerofascia Meninges As well as structures: √ √ tendon intramuscular connective tissue microstructure

fascial √ √ √ Connective tissue fascial compartments of the nervous system √ Br idge miodural " Based on the density of collagen tissue, the fascia can be divided according to their function in tissue: binding √ √ √ coating √ supporting transmission The de ep fascia is below the level of the superficial fascia and is closely linked to it by fibrous connections. The deep fascial system supports, surrounds and secur es the structure and integrity of the muscle€visceral, articular, bone, nervous and vascular systems. Fascial system functions The main functions that the fasci al system plays in our bodies include: √ protection, coating and joining of all structures of our body. Nutrition √ tissue (fascia leads the vascular, lymphatic and nervous in our body). Control √ correct posture. √ Helps maintain body temp erature. √ Help the healing process of wounds √ Training of different body compa rtments. Fascial system trauma injuries are common fascial system. Many times we injure ourselves without realizing it. The trauma is not necessarily a blow, fa ll or any accident, poor posture in any of the activities of life can also mean a trauma to the fascial system. Inappropriate position, repeated many times or m aintained for a long time, it creates postural behavior patterns gradually chang e our pattern of movement. In most cases, microtrauma is that, slowly and gradua lly build up, change the mechanical behavior fascia, reducing its elasticity and its defense capability. Surges in the balanc ing process created injure the fascia, thereby affecting the smooth functioning of other systems. The fascial system damage (retraction, adhesions, breaks) may occur for three basic reasons: 1. Trauma to the fascial system: direct injury. 2 . Strain on the fascial system (chronic and intermittent): vicious attitudes dev eloped in the balancing process-related injuries or repetitive stress, caused by irritation, compression and restricted blood flow. 3. Prolonged immobility: pla ster, chronic disease, kinesiofobia. Myofascial dysfunction means the fault or l ack of proper response stabilizer. It is a noninflammatory disorder manifested b y localized pain, stiffness, and whose primary characteristic is the presence of "trigger points." Myofascial pain has three components: 1. A palpable band in t he affected muscle. 2. A trigger point (trigger point). 3. In characteristic pat tern of referred pain. The palpable band generally can not be seen at eye examin ation, it represents a segmental spasm of a small portion of the muscle. This ba nd is usually found if there is a proper expl0ración the affected muscle and in the position where it is more relaxing. The trigger point is a source of irritab ility in the muscle when it is deformed by pressure, stretch or contraction, whi ch produces both local point of pain or as a pattern of referred pain and autono mic phenomena occasionally. Referred pain (pain that comes from a trigger point, but felt a distance from th e origin of it, usually far from the epicenter). Myofascial Myofascial Induction Induction is a simultaneous process of evaluation and treatment, which, through three-dimensional movements and sustained pressure, applied throughout the fasc ial system, it seeks the release of myofascial system restrictions in order to r ecover functional balance of the body. In applying the myofascial induction tech niques perform a mechanical stimulation of connective tissue. As a result, achie ves a more efficient movement of antibodies in the ground substance, increased b lood supply to the restriction sites, through the release of histamine, a correc t orientation in the production of fibroblasts, an increased supply of blood int o nerve tissue, yu increased flow of metabolites to and from the tissue, thereby accelerating the healing process. The hand protection is a special place among the recommendations for the implementation of myofascial induction techniques. W e must avoid making too strong movements with your fingers. Never apply force wi th the last phalanx leading to distal interphalangeal joint hyperextension. Tech niques surface or gliding techniques The main objective of the application of th ese techniques is to eliminate restrictions superficial and / or local restricti ons, as well as an easy and direct placement. A. Slip in a "J" applies to remove restrictions and increase mobility surface of the skin. It can be done anywhere

in the body and any direction. It is indicated only in chronic lesions. The sliding motion in th e form of J generates a controlled posttraumatic hyperemia superficial subcutane ous level.€The fingers should be in slight abduction. B. Transverse sliding: app lied in very specific restrictions of small size, as in tendons, ligaments, or s pecific parts of the muscles. The transverse movement facilitates the release of the sliding properties and displacement of collagen. The therapist joins his ha nds, placing them next to each other, and contact the treatment area with the fi ngertips. Subsequently, makes a move transverse to the path of the fibers. C. Lo ngitudinal slip: it is the only technique in myofascial induction in allowing th e use of lubricants, is applied to prevent pain when performing the stretch. Aim s to stimulate longitudinal orientation of the fibers, allowing movement and inc rease tensile strength of the tissue. Thus, the tissue is mobilized in chronic p rocesses and prevents the formation of adhesions in acute processes. With one of his hands, the therapist sets the skin of PCTE in her distal end of the treated and subsequently performed with the knuckle of the other hand, a longitudinal s liding along the path of the muscle fibers. Deep technical skills or support the implementation of deep techniques does not mean applying more force. A gradual opening of the fabric and the confidence of the PCTE during the activity that ta kes place can apply the technique effectively. In the application of these techniques is the process of facilitating the moveme nt of the myofascial system which frees up restrictions. The therapist is a faci litator. A. Hands Cross-technique is most powerful and most used applications in myofascial induct ion. It can be done virtually anywhere in the body, and the purpose of their imp lementation is to eliminate restrictions on deep, not achievable with direct pre ssure. In its initial phase the hands should be together and well coupled to the skin of PCTE. Pressure is exerted. Its final phase, we can see that the hands a re separated with respect to the starting position. myofascial structures are an important transverse travel. These places are called transverse planes. This ch anges the position of the hands, is the non-dominant under the body of another o n PCTE and PCTE body, and applies a slight pressure on the couch with the upper hand. B. Transverse planes: they apply at the sites in which C. Telescopic Technique: is made in the extremities and applied globally, or in a partial manner on a segment. The therapist's hands are suspended limb to try and slowly started applying gentle traction along the axi s of the body of PCTE at no time should apply a strong pull. Therapist weight tr action. Contraindications 1. Absolute: • aneurysm • Fx lesions of bone and soft tissue acute • • • • • • • • • Open wounds febrile States hemophilic PCTE PCTE malignant tumors with cancer of the lymphatic system Bruising Osteomyelitis Osteoporosis Infectious Diseases 2. Related: • Advanced Arteriosclerosis • Lupus • Rheumatoid arthritis • Ankylos ing spondylarthritis • Scleroderma • Thrombosis • Epilepsy • Headache and migrai ne • In high competition athletes two or three days before them.