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

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Example 2Ruffini stimulation results in lowering of SNS activity and increased localproprioceptive awareness (Kruger 1987). Slow deep pressure typicallyinduces PSNS dominance, which tends to quiet SNS activity and, in turn,the more trophotropic anterior lobe of the hypothalamus is activatedresulting in decreased global muscular tonus (Fig. 4.10).

Example 3IRs, found in abundance throughout skin, fascia and all aspects ofconnective tissue, are intimately linked to the ANS – as the ANS governsall manner of organ system functioning, IR stimulation can impact thevarious systems (Hammer 1998, Arbuckle 1994).ReceptortypeCommonlocationOutcomeTherapeutic outcomeGolgireceptorsand Golgitendonorgans(GR/GTO)Dense fascia,joint relatedtissues, andnearmyotendinousjunctionsContractile tension and active moderate,sustained stretchTonus decrease in relatedmotor fibersLargePacini andpaciniformcorpusclesLayers ofdeeper skinand deeper,dense fasciaVibration, pressure changes and light, brieftangential loadingEnhanced proprioceptivefeedback and motor controlMerkelcellsSuperficialskinLocalized pressure, sustained loading andtissue displacementMay include certainneuromodulation andneuroendocrine responsesRuffiniorgansBelow theskin in denseCT/fascia andjoint relatedtissuesSlow, sustained, deeper pressure, slow deepstrokes and lateral/tangential forces or stretch(Kruger 1987Sedation of sympatheticactivityInterstitialreceptors(IRs)Plentiful invariouspresentationsof fascia,includingperiosteumAre multi-modal in their function as noci(pain), thermo, chemo and the majority asmechanoreceptors (e.g. intrafascialmechanoreceptors); in their role asmechanoreceptors, IRs respond to tension,pressure, tissue stretch and ultra-light touchAbility to influenceautonomic responses e.g.blood pressure changes andimprovedparasympathetic/sympatheticbalance

Example 3

IRs, found in abundance throughout skin, fascia and all aspects of

connective tissue, are intimately linked to the ANS – as the ANS governs

all manner of organ system functioning, IR stimulation can impact the

various systems (Hammer 1998, Arbuckle 1994).

Receptor

type

Common

location

Outcome

Therapeutic outcome

Golgi

receptors

and Golgi

tendon

organs

(GR/GTO)

Dense fascia,

joint related

tissues, and

near

myotendinous

junctions

Contractile tension and active moderate,

sustained stretch

Tonus decrease in related

motor fibers

Large

Pacini and

paciniform

corpuscles

Layers of

deeper skin

and deeper,

dense fascia

Vibration, pressure changes and light, brief

tangential loading

Enhanced proprioceptive

feedback and motor control

Merkel

cells

Superficial

skin

Localized pressure, sustained loading and

tissue displacement

May include certain

neuromodulation and

neuroendocrine responses

Ruffini

organs

Below the

skin in dense

CT/fascia and

joint related

tissues

Slow, sustained, deeper pressure, slow deep

strokes and lateral/tangential forces or stretch

(Kruger 1987

Sedation of sympathetic

activity

Interstitial

receptors

(IRs)

Plentiful in

various

presentations

of fascia,

including

periosteum

Are multi-modal in their function as noci

(pain), thermo, chemo and the majority as

mechanoreceptors (e.g. intrafascial

mechanoreceptors); in their role as

mechanoreceptors, IRs respond to tension,

pressure, tissue stretch and ultra-light touch

Ability to influence

autonomic responses e.g.

blood pressure changes and

improved

parasympathetic/sympathetic

balance

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