� Every segments is stabilize in the space thanks three couples of forces (m. angonist antagonist)
� Hypertonicity of the agonist myofascial unit creates a hypertonicity of the antagonist MFu
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MYOFASCIAL SEQUENCES of MF UNITS
• 3D movement and stabilisation of each segment is guaranteed by synergy and synchrony between proximal and distal, antagonist and agonist mf units
• MF units that coordinate movement in the same direction are linked by myofascial insertions and biarticular muscle fibres to form myofascial sequences
1° Simplification : define new boundaries on the human body
The Fascial Manipulation segments are the anatomic
topographic division of the body!!
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Example : COXA CX SEGMENT
It extends from the inguinal ligament anteriorly to
the sacrotuberous ligament posteriorly, and includes the proximal third of the thigh
Each body segment has 6 myofascial units coordinating its movement
� 78 mf units - trunk and limbs
� 18 subunits - head.
� Total of 14 body segments that move in 6 directions on 3 planes
CNS + movement: finalized gestures or patterns of movement, stored
as multiple representations in the cortex. Not single muscle activity.
• New theories of motor control: equilibrium point hypothesis,
principle of abundance and uncontrolled manifold hypothesis...Latash M.L.
@ CNS interprets/programs movement in terms of
spatial directions and angles
MOVING ON6
Classical anatomy terms
can be contradictory
Hip flexion/ knee
extension or Hip
extension/knee flexion -
same directions.
Pronation /supination like
inversion/eversion
HOWEVER6
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2° Simplification: Define movement
in terms of direction :
SAGITTAL PLANE
Antemotion (AN)
Retromotion (RE)
FRONTAL PLANE
Lateromotion (LA)
Mediomotion (ME)
HORIZONTAL PLANE
Intrarotation (IR)
Extrarotation (ER)
ANTEMOTION (AN)
forward movement of a body part on the sagittal plane
Example:
Shoulde elevation, neckflexion, hip flexion and knee extension = AN
RETROMOTION (RE)
backwards movement of a body part on the sagittal plane
Example: neck extension,
the upper limb extension,
the knee flexion = RE
EXTRAROTATION (ER)
rotation from a neutral position outwards right or left on the horizontal plane
e.g. supination (wrist), external rotation of the hip = ER
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INTRAROTATION (IR)
Return to a neutral position from extrarotation
e.g. pronation (wrist), internal rotation of the hip = IR
LATEROMOTION (LA)
Movement of a segment on the frontal plane, from the median line outwards
Example:
abduction, right and left lateral flexion = LA
MEDIOMOTION (ME)
Medially directed
movements on the frontal plane
e.g. Adduction of the upper and lower limbs, return to neutral = ME
Spatial planes and directions of movement
ANTE AN MEDIO ME INTRA IR
RETRO RE LATERO LA EXTRA ER
Sagittal plane Frontal plane Horizontal Plane
3° Simplification : ABBREVIATIONS
ER
IRLA
RE
AN
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Initials of the movement performed
+ initials of body part that moves
Example: the Mf unit of AN-CU indicates:
AN: ante, forward, related to flexion
CU: cubitus latin for the elbow
So@ AN-CU = elbow flexion
6 AN-GE = knee extension
A NAME for each MF UNIT ?Sequences of limbs
and trunk
� The sequence of the limbs are costitute by only one fascial lodge
� The trunk sequence are costitute by two parallel fascila lodges� bilateral: ante, retro
� unilateral: latero
� opposite: intra, extra
an
re
laer
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RE
ANME
AN
RE
ME
LA LA
ERER
IR IR
Posture and mf
sequence
� The mf unit of ante and retro control the balance in the sagital plane.
RE-CL AN-CL
AN-CA
RE-CA
RE-GE AN-GE
PIANO SAGITTALE
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Posture and mf
sequence
� The intra and extra mf unit control the balance in the horizontal plane.� These units are important for the dynamic actions and are correlate with the spirals
ER-GE
IR-GE
ER-CA
IR-CA
ER-CL
IR-CL
PIANOORIZZONTALE
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Two
Agonists
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Posture and mf
sequences
� The mf unites of latero and medio control the stability in the frontal plane. �An alteration of the poise of the food create a new balance in the superior mf units
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Hypothesis: MYOTENDINOUS EXPANSIONS that unite MF UNITS in MF
SEQUENCES could contribute to maintenance of basal tension?
� The mf sequences helps the SNC to adapt the posture
anre
pianofrontale
pianosagittale
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Compensation along the same sequence
� If the la-cx mf unit become densified (alteration of the viscosity of the loose connective tissue) it create a hypertone along the prossimal and distal part of the same mf sequence.
�Could this hypothesis explains the lateral sciatic pain?
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Compensation in one plane (with
symptoms and signs)
� Omolateral compensations� Example: A coxalgia could be associated with a omolateral LBP or periarthritis (lateral seq.).
� Controlateral compensation� Example: a lateral neck pain could be corralate with a controlateral LBP (extrarotation seq. )
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CENTRES OF FUSION (CF)
• Small areas of fascia where vectors of several mf units converge
• Cf are located in the
retinacula, near joints,
and, in the trunk, along
lines of union of some
fascial sheaths.
• Multidirectional vectors of proximal and distal segments can converge in cf.
