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

Clinical Consideration
According to Yahia et al. (1993):
High concentrations of mechanoreceptors in superficial fascia play a
proprioceptive role and receptors in and near the skin are more active
in detecting and regulating movement than joint ligament receptors –
therefore, even superficial scars and burns could potentially impact
proprioception and subsequently movement and stability.
Fascia plays a particularly significant role in dynamic proprioception, and fascia
researchers now suggest that the majority of proprioception occurs in
fascia/myofascia (Stecco et al. 2006, Chaitow & DeLaney 2008, van der Wal
2009). The presence of Ruffini organs and Pacini receptors in deep fascia
suggests that fascia participates in perception of posture, motion, tension and
position (Stecco et al. 2007).
Interoception
Interoception, or sensing the state of one’s well-being, is mediated by IRs that
are known to influence the autonomic system.
Interoception includes a wide range of physiological sensations including
muscular effort, ticking, pain, hunger, thirst, warmth, cold, organ-distension,
sensual and pleasant touch (Richards 2012, Schleip & Jäger 2012). The
interoceptive pathway terminates in the insular cortex, which participates in
consciousness, emotional state and control of homeostasis. Insular cortex
functions include perception, motor control, self-awareness and cognition, and
subsequently dysfunction can impact perception of afferent information.