Parallel Sessions, Oct 4 6:30 PM – 8:00 PM
- Fascial Tonicity: From Tissue Contractures to Hypermobility
Robert Schleip PhD, Moderator; Ian L. Naylor PhD; L Remvig MD, DMSc; Myron Spector PhD Prof; James Tomasek PhD
Density and stiffness of fascial sheets is regulated by connective tissue cells, which are responsive to mechanical stimulation, genetic factors, and chemical messengers. A wide spectrum of fascial tonicity expressions exists. On one end of the spectrum are chronic tissue contractures like palmar fibromatosis (Morbus Dupuytren), hypertropic scar, or frozen shoulder, which are associated with an increased fascial stiffness and a high density of contractile cells. Similar contractile cells, although in much lesser density, have also been found in fascial tissues of normal patients. On the other end of the spectrum are patients with chronic hypermobility, as they usually express hyperextensibility of the skin and delayed wound healing. This session will look at the interactions between active cellular contraction and chronic fascial contractures, and how their interactions may be involved in fascial stiffness adaptations.
- Lumbopelvic Stability, Continence, and Breathing – The Role of Fascia in Both Function and Dysfunction and the Potential Consequences Following Pregnancy and Delivery
Diane Lee BSR, FCAMT, CGIMS, Chair; Linda-Joy Lee BSc, BSc(PT), FCAMT, CGIM, PhD(c); Laurie McLaughlin BHScPT, DScPT (C), FCAMT
This session will consider the requirements for effective load transfer through the lumbopelvic region and the impact of pregnancy/delivery on the function of this region. The focus will be on how pregnancy and delivery can impact:
- The integrity of the anterior abdominal fascia (rectus diastasis) and thus the function of transversus abdominis.
- The integrity of the endopelvic fascia and thus the function of the pelvic floor.
- The respiratory diaphragm which can lead to altered breathing behavior.
- The impact of disordered breathing and chemistry on Fascia will be discussed.
The session will be evidence-based according to Sackett’s definition (current scientific evidence combined with clinical expertise and patient values). The information presented will be clarified through short case studies.
- Measurement Techniques for Fascial Interventions
Thomas Findley MD, PhD, Chair; Peter Grigg PhD; J. C. Guimberteau MD; Thomas Hausner MD
This session will present methods in which fascial motion can be visualized and documented:
- Use of MRI to image water movement within tendon in response to loading.
- The “Multimicrovascuolar Collagen Dynamic Absorption System” which allows gliding below the skin surface.
- Video and still images of fascial gliding structures in living tissue taken during 200 surgical explorations.
- Fascial motion surrounding the brachial plexus.
- New Directions and New Hypotheses
Hallie Robbins DO, Moderator; Brian Degenhardt DO; Hollis King DO, PhD, FAAO; Paul Lee DO; John McPartland DO; Jim Oshman PhD
This session will present new ideas and investigations that draw from principles and practices of Osteopathic medicine and energy medicine with regard to fascia:
- Fascia as living collagen matrix and considerations of energy medicine.
- The roots of fascia as living collagen matrix.
- Considerations of energy medicine and matrix configurations into the clinical setting.
- Biomarkers from the endocannabinoid system as indicators of fascial treatment in low back pain and trigger points.
- Fascia of the body and cranial fields.
- Craniosacral motion dynamics and manipulation phenomena.