[libribook.com] Traumatic Scar Tissue Management 1st Edition

Clinical Consideration
The fascial system is now recognized as a pain-generating tissue and
significant proprioceptive organ (Mitchell & Schmidt 1977, Yahia et al.
1992, Schleip 2003, Stecco et al. 2008, Benjamin 2009, Taguchi et al.
2009, van der Wal 2009, Findley et al. 2012)
Current (mainstream) protocols for assessment, treatment and recovery time for
‘musculoskeletal’ issues (including scarring) do not take the fascia into
consideration. This oversight will be addressed throughout this book.
The International Fascia Research Congress (FRC) has been instrumental in
shedding light on this long overlooked tissue. The research presented at and
generated by this initiative provides the world of MT with some foundational
knowledge needed to work safely and effectively with the impact of scars and
burns on this tissue.
In order to better facilitate understanding of this section, the following key
terms/concepts are briefly described:
• What is fascia? Definitions vary; this book offers an amalgam of the most
current. Fascia is described as all fibrocollagenous CT whose morphology is
influenced by mechanical strain/tensional loading (Schleip et al. 2012a). The
term ‘fascia’ is inclusive of various presentations (e.g. dense and loose) that
are innervated, vascularized and continuous (fascia envelops and invests all
other soft tissues, bones, nerves, circulatory vessels and organs), functioning
as an organ of stability and locomotion (Findley & Schleip 2007, Schleip et al.
2012a, Kumka & Bonar 2012). Fascia can present in many forms depending
upon its location, density, fiber orientation or configuration, required role and
relationship with other structures or tissues (Terminologia Histologica 2008).
Different terms are used to describe more accurately fascia’s various
histological, mechanical, topographical and functional properties (e.g.
epimysium, perineurium, periosteum, aponeuroses, retinaculae, viscera
membranes) (Langevin & Huijing 2009, Schleip et al. 2012a). Although in the
world of fascia there is much debate, it is universally agreed upon that fascia’s