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Predvideni učinki delovanja manualnih tehnik za sprostitev mišičnih fascij : pregled literature
Šimičević, Nikola (Author), Hlebš, Sonja (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: Fascija je del vezivno-tkivnega sistema. Prežema in obdaja vse telesne strukture, zaradi česar neposredno vpliva na fiziološke procese v telesu. V literaturi se pogosto navaja kot povrhnja, globoka ter z mišicami povezana fascija. Neposredni stik z različnimi strukturami in tudi njena lastnost prilagajanja zunanjim vplivom ima vpliv na biomehaniko struktur povezanih z gibanjem. Namen: Namen diplomskega dela je na podlagi pregleda in analize slovenske in tuje strokovne literature opisati učinke delovanja manualnih terapevtskih postopkov pri obravnavi fascialnih tkiv. Metode dela: Iskanje literature s pomočjo spletnih podatkovnih zbirk: MEDLINE, Cochrane library, CINAHL in PEDro. V ročni pregled literature so bile vključene knjige in revije s področja manualnih tehnik za sprostitev mišičnih fascij. Pri pregledu izdaje člankov ni bilo časovnih omejitev glede leta izdaje. Rezultati: Fascija je v naravi koloidna snov, s plastičnimi, elastičnimi, viskoelastičnimi in piezoelektričnimi lastnostmi. Fibroblasti predstavljajo osnovo fascialnega sistema in prek fokalnih stikov tvorijo neprekinjeno mehansko-občutljivo signalno omrežje skozi telo. Manualni pritisk na tkivo ustvarja zaporedje bioloških in kemičnih dogodkov. Različni diagnostični postopki dokazujejo prisotnost prostih živčnih končičev in inkapsuliranih receptorjev skozi celotno fascijo telesa. Predvideni učinek sprostitve mišičnih fascij se torej izraža skozi kombinacijo nevroloških, mišičnih ter fizioloških odzivov v telesu. Razprava in sklep: Različni manualni terapevtski postopki so usmerjeni v odpravljanje okvar, povezanih s fascialnim sistemom. Razlago za strukturne in napetostne spremembe v fasciji po sprostitvi mišičnih fascij najdemo v dinamičnih spremembah obravnavanega vezivnega tkiva in živčno-mišičnega sistema. Počasen in dolgotrajen terapevtski pritisk prek različnih fizikalnih mehanizmov spreminja lastnosti ter kvaliteto vezivno-tkivnih struktur, s čimer neposredno vpliva na kvaliteto gibanja in zmanjšanje bolečine.

Language:Slovenian
Keywords:fascija, anatomija fascije, manualna terapija, fiziologija fascije, sprostitev mišičnih fascij, vezivno tkivo
Work type:Bachelor thesis/paper (mb11)
Organization:ZF - University College of Health Studies
Year:2017
COBISS.SI-ID:5285995 Link is opened in a new window
Views:1069
Downloads:596
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Secondary language

Language:English
Title:Predicted effects of myofascial release : review of literature
Abstract:
Introduction: Fascia, as part of connective tissue system surrounds and permeates all structures of the body, thus directly effects all physiological processes in the human body. Literature describes superficial fascia, deep fascia and fascia connected with the muscle tissue. The interactions with different structures and its ability to adjust to outer influences, affect the biomechanics of structures related to movement. Purpose: To overview and critically analyze Slovenian and foreign literature and describe effects of manual therapeutic approaches in treatment of fascial tissues. Methods: The research was conducted on MEDLINE, Cochrane library, CINAHL and PEDro. Different books and journals regarding manual myofascial release were also included in the research. There were no time restrictions in reviewing the published literature. Results: Fascia is a colloid substance with plastic, elastic, viscoelastic and piezoelectric properties. Fibroblast form the basis of fascial system and through focal adhesions form a continuous mechanically sensitive network throughout the body. Manual pressure on the tissue generates a sequence of biological and chemical events. Different diagnostic procedures prove the presence of free nerve endings in encapsulated receptors throughout the whole fascial system. Predicted effects of myofascial release are thus expressed through a combination of neurological, muscular and physiological responses in the body. Discussion and Conclusion: Different manual therapeutic approaches are focused on eliminating impairments related to fascial system. Explanation for structural and tensional alterations in the fascia after myofascial release is found in dynamic changes of treated connective and neuro-muscular system. A slow and prolonged therapeutic pressure modifies characteristics and quality of connective tissue structures through different physical mechanisms, thus directly influencing movement quality and pain.

Keywords:fascia, fascial anatomy, myofascial release, fascial physiology, manual therapy, fascial treatment, connective tissue

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