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

16.06.2020 Views

Clinical ConsiderationPSNS afferent myelinated fibers travel from the viscera to their cell bodieslocated either in the sensory ganglia of the cranial nerves or in the posteriorroot ganglia of the sacrospinal nerves. The central axons then enter theCNS and take part in the formation of local reflex arcs or pass to highercenters of the ANS. The location of the sensory ganglia gives rise to thebasic anatomical principle of craniosacral work – with intended outcomesmediated by the PSNS (Upledger 1987, Frymann 1988, Schleip 2003a,2003b, Dorko 2003, Minasny 2009).]SNSThe SNS mediates activity associated with emergency or stress response,commonly referred to as the fight, flight or freeze aspect of the nervous system.The SNS facilitates activity such as accelerated heart rate, elevated bloodpressure and constriction of peripheral blood vessels when the need arises. Bloodfrom the skin and intestines is redirected to the brain, heart and skeletal muscleto enhance chances of survival (e.g. fight or flight). The primaryneurotransmitter associated with the SNS is norepinephrine. Norepinephrine canstimulate the adrenal medulla, triggering the release of noradrenalin andadrenalin, which are known to prolong the effects of sympathetic stimulation.The impact of prolonged sympathetic stimulation associated with trauma will becovered in greater detail in Chapter 7.

Clinical ConsiderationStress and the myofascial system – psychological distress or anxiety – hasclearly been identified as a source of ‘unnecessary’ muscular tension: theconfusing intermediate between a non-voluntary muscle contraction(spasm) and viscoelastic tension (a fascial property) showing noelectromyography (EMG) activity (Simon & Mense 2007). According toChaitow (2007):the shortened fibers of the soft tissues may be the result of acombination of structural anomalies, trauma, and/or physical oremotional stress, and are always influenced by underlying nutritionaland behavioral elements. Some of these shortened fibers and tenderspots (i.e. trigger points) may be the source of reflex symptoms andpain. Such soft tissue dysfunctions respond to manual pressure in theform of modalities like MT.

Clinical Consideration

Stress and the myofascial system – psychological distress or anxiety – has

clearly been identified as a source of ‘unnecessary’ muscular tension: the

confusing intermediate between a non-voluntary muscle contraction

(spasm) and viscoelastic tension (a fascial property) showing no

electromyography (EMG) activity (Simon & Mense 2007). According to

Chaitow (2007):

the shortened fibers of the soft tissues may be the result of a

combination of structural anomalies, trauma, and/or physical or

emotional stress, and are always influenced by underlying nutritional

and behavioral elements. Some of these shortened fibers and tender

spots (i.e. trigger points) may be the source of reflex symptoms and

pain. Such soft tissue dysfunctions respond to manual pressure in the

form of modalities like MT.

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