Academic literature on the topic 'Fascias superficiels'

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Journal articles on the topic "Fascias superficiels":

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F Sutter Latorre, Gustavo. "Liberacao miofascial pelvica profunda (Manobra do Ligamento Largo) associada ou nao ao LPF." Revista Brasileira de Fisioterapia Pelvica 2, no. 1 (March 15, 2022): 4–15. http://dx.doi.org/10.62115/rbfp.2022.2(1)4-15.

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Background: Among genitopelvic pain is the pain deep into the vagina and deeper than the uterine cervix, different from pain related to penetration or superficial connective pain. Aims: To test the view of abdominal and pelvic fascia, muscles and viscera by ultrasound (USG), as well as the view of two myofascial techniques, one intravaginal and the other external, and diaphragmatic aspiration of LPF, comparing the effectiveness of each technique alone or in combination, regarding the mobilization of visceral and parietal fasciae. Method: Exploratory experimental study guided by USG. Results: Muscles, fasciae and organs were well seeing by USG, as well as the fascial movements caused by each technique. LPF mobilized visceral fascia better, but manual techniques mobilized parietal fascia better. The Broad Ligament Maneuver mobilized both fasciae. The combination of manual techniques with LPF was superior in releasing parietal and visceral fasciae. Conclusion: Fascial mobilization can be effectively visualized by USG. The combination of manual myofascial release techniques with LPF is more effective in mobilizing all fasciae and should be the first choice.
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Nash, Lance, Helen D. Nicholson, and Ming Zhang. "Does the Investing Layer of the Deep Cervical Fascia Exist?" Anesthesiology 103, no. 5 (November 1, 2005): 962–68. http://dx.doi.org/10.1097/00000542-200511000-00010.

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Background The placement of the superficial cervical plexus block has been the subject of controversy. Although the investing cervical fascia has been considered as an impenetrable barrier, clinically, the placement of the block deep or superficial to the fascia provides the same effective anesthesia. The underlying mechanism is unclear. The aim of this study was to investigate the three-dimensional organization of connective tissues in the anterior region of the neck. Methods Using a combination of dissection, E12 sheet plastination, and confocal microscopy, fascial structures in the anterior cervical triangle were examined in 10 adult human cadavers. Results In the upper cervical region, the fascia of strap muscles in the middle and the fasciae of the submandibular glands on both sides formed a dumbbell-like fascia sheet that had free lateral margins and did not continue with the sternocleidomastoid fascia. In the lower cervical region, no single connective tissue sheet extended directly between the sternocleidomastoid muscles. The fascial structure deep to platysma in the anterior cervical triangle comprised the strap fascia. Conclusions This study provides anatomical evidence to indicate that the so-called investing cervical fascia does not exist in the anterior triangle of the neck. Taking the previous reports together, the authors' findings strongly suggest that deep potential spaces in the neck are directly continuous with the subcutaneous tissue.
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Jiang, Dongsheng, and Yuval Rinkevich. "Furnishing Wound Repair by the Subcutaneous Fascia." International Journal of Molecular Sciences 22, no. 16 (August 20, 2021): 9006. http://dx.doi.org/10.3390/ijms22169006.

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Mammals rapidly heal wounds through fibrous connective tissue build up and tissue contraction. Recent findings from mouse attribute wound healing to physical mobilization of a fibroelastic connective tissue layer that resides beneath the skin, termed subcutaneous fascia or superficial fascia, into sites of injury. Fascial mobilization assembles diverse cell types and matrix components needed for rapid wound repair. These observations suggest that the factors directly affecting fascial mobility are responsible for chronic skin wounds and excessive skin scarring. In this review, we discuss the link between the fascia’s unique tissue anatomy, composition, biomechanical, and rheologic properties to its ability to mobilize its tissue assemblage. Fascia is thus at the forefront of tissue pathology and a better understanding of how it is mobilized may crystallize our view of wound healing alterations during aging, diabetes, and fibrous disease and create novel therapeutic strategies for wound repair.
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Wang, Tina, Roya Vahdatinia, Sarah Humbert, and Antonio Stecco. "Myofascial Injection Using Fascial Layer-Specific Hydromanipulation Technique (FLuSH) and the Delineation of Multifactorial Myofascial Pain." Medicina 56, no. 12 (December 20, 2020): 717. http://dx.doi.org/10.3390/medicina56120717.

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Background and objectives: The aims of this study were to delineate the contribution of specific fascial layers of the myofascial unit to myofascial pain and introduce the use of ultrasound-guided fascial layer-specific hydromanipulation (FLuSH) as a novel technique in the treatment of myofascial pain. Materials and Methods: The clinical data of 20 consecutive adult patients who underwent myofascial injections using FLuSH technique for the treatment of myofascial pain were reviewed. The FLuSH technique involved measuring the pain pressure threshold using an analog algometer initially and after each ultrasound guided injection of normal saline into the specific layers of the myofascial unit (superficial fascia, deep fascia, or muscle) in myofascial points corresponding with Centers of Coordination/Fusion (Fascial Manipulation®). The outcome measured was the change in pain pressure threshold after injection of each specific fascial layer. Results: Deep fascia was involved in 73%, superficial fascia in 55%, and muscle in 43% of points. A non-response to treatment of all three layers occurred in 10% of all injected points. The most common combinations of fascial layer involvement were deep fascia alone in 23%, deep fascia and superficial fascia in 22%, and deep fascia and muscle in 18% of injected points. Each individual had on average of 3.0 ± 1.2 different combinations of fascial layers contributing to myofascial pain. Conclusions: The data support the hypothesis that multiple fascial layers are responsible for myofascial pain. In particular, for a given patient, pain may develop from discrete combinations of fascial layers unique to each myofascial point. Non-response to treatment of the myofascial unit may represent a centralized pain process. Adequate treatment of myofascial pain may require treatment of each point as a distinct pathologic entity rather than uniformly in a given patient or across patients.
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Pirri, Carmelo, Nina Pirri, Andrea Porzionato, Rafael Boscolo-Berto, Raffaele De Caro, and Carla Stecco. "Inter- and Intra-Rater Reliability of Ultrasound Measurements of Superficial and Deep Fasciae Thickness in Upper Limb." Diagnostics 12, no. 9 (September 9, 2022): 2195. http://dx.doi.org/10.3390/diagnostics12092195.

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Ultrasound (US) imaging is increasingly the most used tool to measure the thickness of superficial and deep fasciae, but there are still some doubts about its reliability in this type of measurement. The current study sets out to assess the inter-rater and intra-rater reliability of US measurements of superficial and deep fasciae thicknesses in the arm and forearm. The study involved two raters: the first (R1) is an expert in skeletal–muscle US imaging and, in particular, the US assessment of fasciae; the second (R2) is a radiologist resident with 1 year’s experience in skeletal–muscle US imaging. R2, not having specific competence in the US imaging of fasciae, was trained by R1. R1 took US images following the protocol by Pirri et al. 2021, and the US-recorded images were analyzed separately by the two raters in different sessions. Each rater measured both types of fasciae at different regions and levels of the arm and forearm. Intra- and inter-rater reliability was excellent for the deep fascia and good and excellent for the superficial fascia according to the different regions/levels (for example for the anterior region of the arm: deep fascia: Ant 1: ICC2,2 = 0.95; 95% CI = 0.81–0.98; superficial fascia: Ant 1: ICC2,2 = 0.85, 95% CI = 0.79–0.88). These findings confirm that US imaging is a reliable and cost-effective tool for evaluating both fasciae, superficial and deep.
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Chen, David Z., Aravinda Ganapathy, Yash Nayak, Christopher Mejias, Grace L. Bishop, Vincent M. Mellnick, and David H. Ballard. "Analysis of Superficial Subcutaneous Fat Camper’s and Scarpa’s Fascia in a United States Cohort." Journal of Cardiovascular Development and Disease 10, no. 8 (August 14, 2023): 347. http://dx.doi.org/10.3390/jcdd10080347.

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Together, the Camper’s and Scarpa’s fasciae form the superficial fat layer of the abdominal wall. Though they have clinical and surgical relevance, little is known about their role in body composition across diverse patient populations. This study aimed to determine the relationship between patient characteristics, including sex and body mass index, and the distribution of Camper’s and Scarpa’s fascial layers in the abdominal wall. A total of 458 patients’ abdominal CT examinations were segmented via CoreSlicer 1.0 to determine the surface area of each patient’s Camper’s, Scarpa’s, and visceral fascia layers. The reproducibility of segmentation was corroborated by an inter-rater analysis of segmented data for 20 randomly chosen patients divided between three study investigators. Pearson correlation and Student’s t-test analyses were performed to characterize the relationship between fascia distribution and demographic factors. The ratios of Camper’s fascia, both as a proportion of superficial fat (r = −0.44 and p < 0.0001) and as a proportion of total body fat (r = −0.34 and p < 0.0001), showed statistically significant negative correlations with BMI. In contrast, the ratios of Scarpa’s fascia, both as a proportion of superficial fat (r = 0.44 and p < 0.0001) and as a proportion of total body fat (r = 0.41 and p < 0.0001), exhibited statistically significant positive correlations with BMI. Between sexes, the females had a higher ratio of Scarpa’s facia to total body fat compared to the males (36.9% vs. 31% and p < 0.0001). The ICC values for the visceral fat, Scarpa fascia, and Camper fascia were 0.995, 0.991, and 0.995, respectively, which were all within the ‘almost perfect’ range (ICC = 0.81–1.00). These findings contribute novel insights by revealing that as BMI increases the proportion of Camper’s fascia decreases, while the ratio of Scarpa’s fascia increases. Such insights expand the scope of body composition studies, which typically focus solely on superficial and visceral fat ratios.
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Skandalakis, Panagiotis N., Odyseas Zoras, John E. Skandalakis, and Petros Mirilas. "Transversalis, Endoabdominal, Endothoracic Fascia: Who's Who?" American Surgeon 72, no. 1 (January 2006): 16–18. http://dx.doi.org/10.1177/000313480607200104.

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In Terminologia Anatomica of 1998, the fasciae of the trunk are listed as parietal, extraserosal, and visceral. Parietal fascia is defined as the fascia located outside the parietal layer of a serosa (e.g., pleura, peritoneum) lining a body wall cavity. The parietal fascia of the thorax is endothoracic fascia, and that of the abdomen is endoabdominal fascia. According to Terminologia Anatomica, endoabdominal fascia comprises: 1) transversalis fascia and 2) investing abdominal fascia: deep, intermediate and superficial. Thus, transversalis fascia is the innermost layer of endoabdominal fascia and, consequently, not synonymous with it. We assert that transversalis fascia is the inner epimysium of transversus abdominis muscle; no separate deep investing fascia exists. Embryologically, deep, intermediate and superficial layers of investing fascia are produced as muscular primordia–originating from somites invading somatopleura–penetrate somatic wall connective tissue, and thus obtain epimysium on either side, which give layers of investing fascia. In the thoracic wall, muscle layers are not separated and no distinct investing fasciae are found on them. Furthermore, in the thorax extraserosal fascia does not exist. Therefore, only endothoracic fascia is found on the inner side of the innermost intercostal muscle, which is deprived of investing fascia, to separate this muscle from pleura.
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Wormald, P. J., and T. Alun-Jones. "Anatomy of the temporalis fascia." Journal of Laryngology & Otology 105, no. 7 (July 1991): 522–24. http://dx.doi.org/10.1017/s0022215100116500.

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AbstractThe anatomy of the different layers of the temporalis fascia is reviewed. The superficial and deep layers of the temporalis fascia have been studied by light microscopy to assess any histological difference between the two. We have also assessed the physical characteristics of the different layers by measuring their Young's modulus in the wet and dry states.Anatomically the superficial layer is part of the epicranial aponeurosis and thus covers nearly the entire lateral aspect of the skull. The deep temporal fascial layer covers exactly the temporalis muscle and measures 10 × 12 cm. The fascial layers have a separate arterial and venous supply enabling them to be used as a homograft, a rotation flap or free microvascular flap. Histologically there is no difference between the two layers. A study of the physical characteristics of the two fascial layers using Young's modulus revealed no significant difference in elasticity between the two. The most significant factor affecting the elasticity was the state of hydration of the fascia.
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Constantinescu, Gheorghe M., and Robert C. McClure. "Anatomy of the orbital fasciae and the third eyelid in dogs." American Journal of Veterinary Research 51, no. 2 (February 1, 1990): 260–63. http://dx.doi.org/10.2460/ajvr.1990.51.02.260.

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SUMMARY The connective tissue structures commonly referred to as the periorbita, orbital septum, muscular fasciae, and vagina bulbi or collectively, as the orbital fasciae were dissected then illustrated and described. Two sheets (layers) of the periorbita (endorbita) were found in our dogs. The periorbita should be renamed endorbita because of its anatomic relations. The periorbita did not always fuse with the periosteum of frontal and sphenoid bones. Rather, the periorbita and the periosteum were often distinct and separate; only medioventrally did several fibrous bands unite the superficial sheet of the endorbita with the periosteum. Two layers of the endorbita fused with the periosteum of the margin of the bony orbit and with the orbital ligament. The muscular fasciae were divided into 3 layers. The superficial layer extended caudally from the orbital septum, was thick, and was pierced by arteries, veins, and nerves. The middle layer was attached to the sclerocorneal junction and, at the temporal canthus of the eye, was divided into superficial and deep sheets. The deep portion was attached to the lateral angle of the third eyelid, similar to a strong ligament. The deep layer of the muscular fasciae extended caudally from the sclerocorneal junction in intimate contact with recti and oblique muscles of the eyeball. The deep portion of the deep muscular fascia covered the deep surface of all recti muscles and separated them from the retractor bulbi muscle. Intermuscular septa were observed between middle and deep muscular fascia layers. The body of the third eyelid was located between superficial and middle muscular fascia layers and was fixed ventrally to the lateral angle of the eye by the deep sheet of the middle muscular fascia.
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Slesarenko, N. A., E. O. Oganov, and E. O. Shirokova. "Anatomical and topographic features of fascia of the gluteal-femoral region in the common lynx." International Journal of Veterinary Medicine, no. 4 (December 13, 2023): 250–62. http://dx.doi.org/10.52419/issn2072-2419.2023.4.250.

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The article presents anatomical features of the superficial and deep fascia, in particular on the pelvic limb of the common lynx, which are absent in the available literature. The material for the research was a sectional material - pelvic limbs (n= 6), selected from the common lynx, without external signs of pathologies of the musculoskeletal system. Methods of fine macro- and microanatomic dissection of the lynx's left pelvic limb were used. At the same time, a functional analysis of the studied structures and skeletotopic projection of muscles, fascia and fascial nodes were carried out. Based on the conducted studies, it was found that the deep fascia is separated from the superficial fascia by an interfacial space filled with loose connective (or fatty) tissue. In the pelvic limb area, it is represented by the gluteal-femoral fascia, and on the lower leg it continues as the deep fascia of the lower leg. In the process of dissecting the deep fascia, we noted that in the gluteal region, the deep gluteal fascia is fixed on the supracosteal ligament, in the area of the root of the tail, along the tail fold and up to the sciatic tubercle. We noted that the deep gluteal fascia begins from the vertebral head of the biceps femoris muscle and, in the cranial direction, covers successively the posterior, superficial gluteal and caudal part of the middle gluteus muscle. Along the way, the perimysium of the above muscles are interwoven into it, however, in the area of the iliac wing, it fuses with the perimysium of the middle gluteal muscle and then continues into the lumbar fascia. At the same time, it forms a fascial node in the maklok area. Distally, the deep gluteal fascia continues as the deep femoral fascia. The data obtained are the reference in assessing the structural and functional state of the fascial formations of the pelvic limb in the common lynx.

Dissertations / Theses on the topic "Fascias superficiels":

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Vallet, Yves. "Contribution à la caractérisation et à la modélisation de l'accouchement instrumenté par ventouse." Electronic Thesis or Diss., Université de Lorraine, 2023. http://www.theses.fr/2023LORR0134.

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Lors d'un accouchement par voie basse, la phase d'expulsion est une période où les risques de complications maternelles et fœtales sont élevées. Les praticiens peuvent être amenés à réaliser une extraction instrumentale par ventouse (EIV) obstétricale. Comme tout instrument d'extraction, son utilisation comporte des risques en cas de pratique inadaptée, pour la mère comme pour le bébé. En ce qui concerne le bébé, les différentes couches du scalp sont, en effet, hautement sollicitées, ce qui peut engendrer quelques rares complications, telles que : des bosses sero-sanguines, des céphalohématomes ou des hémorragies sous-galéales. Afin de limiter ces risques, les praticiens doivent être formés à l'utilisation de la ventouse et doivent respecter les recommandations en vigueur. Cependant, les paramètres liés à son utilisation comme l'amplitude de la force de traction, le placement de la ventouse ou encore le geste d'extraction, restent opérateur-dépendant. Une meilleure compréhension des paramètres physiques et mécaniques mis en jeux lors d'une EIV est alors nécessaire afin de faire évoluer cette pratique. Pour répondre à cet objectif, ce travail de thèse est construit en deux axes qui correspondent à deux échelles distinctes, et qui présentent des aspects expérimentaux et numériques. Le premier, à l'échelle macroscopique, il prend en compte le fœtus dans son environnement. Le deuxième, à une échelle plus mésoscopique des tissus fœtaux, il considère la tête du bébé isolée dans son environnement. Les travaux du premier axe ont permis de faire l'acquisition du geste des praticiens sur un mannequin d'entraînement et de mettre en place un jumeau numérique de cet outil didactique, afin d'investiguer les différents paramètres de l'EIV. Pour le deuxième axe, les travaux de thèse ont permis de mettre au point une modélisation de l'interaction peau/os du scalp. Un modèle numérique qui utilise une modélisation "fine" de la tête fœtale a ensuite été implémenté et mis en œuvre pour l'investigation des paramètres de l'EIV. Des perspectives d'améliorations des travaux des deux axes sont finalement proposées en fin de manuscrit. De manière connexe, une revue de littérature sur les ventouses présentes dans la nature permet d'ouvrir des perspectives prometteuses en vue de l'évolution du design des ventouses obstétricales actuellement utilisées
During vaginal delivery, the expulsion phase is associated with risks of maternal and fetal complication. Practitioners may need to perform a vacuum assisted delivery (VAD). As with any operational instrument, there are risks associated with its use, for the baby and the mother, if it is not carried out correctly. For the fetus, the various layers of the scalp are solicited with great strain, which can lead to rare complications such as caput succedaneum, cephalohaematomas and subgaleal haemorrhage. To limit these risks, practitioners must be trained to use suction cups, and must comply with current recommendations. However, the parameters associated with its use, such as the amplitude of the traction force, the placement of the suction cup and the extraction procedure, remain operator-dependent. A better understanding of the physical and mechanical parameters involved in VAD is therefore needed to improve this practice. In order to achieve this objective, this thesis is structured around two axes, corresponding to two different scales and including experimental and numerical work. The first, at the macroscopic scale, considers the fetus in its environment. The second, at the mesoscopic scale, considers the isolated fetal head within its environment. The work of the first part has allowed to capture gesture of the the practitioners on a training dummy and to create a digital twin of this didactic tool in order to study the various parameters of VAD. In the second part, the work has led to the development of a model of the interaction between the scalp's skin and skull. A numerical model was then designed and implemented using a refined" modelling of the fetal head to study the parameters of the VAD. In parallel, a review of the literature on suction cups found in nature open up promising prospects for the evolution of the obstetric suction cup design used nowadays
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Gras, Régis. "Le lambeau pédiculé de fascia temporal superficiel : nosologie, anatomie, applications en chirurgie cervico-faciale : à propos de 15 cas." Aix-Marseille 2, 1988. http://www.theses.fr/1988AIX20510.

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Wiikmann, Christian. "Avaliação da viscosidade dinâmica de materiais implantáveis em pregas vocais: comparação entre camada superficial de fáscia temporal, camada profunda de fáscia temporal e gordura abdominal." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5143/tde-05042010-170322/.

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OBJETIVO: Comparar a viscosidade dinâmica da camada superficial da fáscia temporal com a de outros tecidos biológicos tradicionalmente utilizados em implantes de pregas vocais para o tratamento de rigidez de pregas vocais. DESENHO DO ESTUDO: Experimental. MÉTODO: Amostras de camada superficial da fáscia temporal, camada profunda da fáscia temporal e gordura abdominal de 12 cadáveres são submetidas a medição de viscosidade dinâmica. RESUTADOS: A viscosidade dinâmica das diferentes amostras apresenta-se na seguinte ordem crescente: camada superficial da fáscia temporal, camada profunda da fáscia temporal e gordura abdominal. Observa-se diferença estatística na comparação entre todas as amostras. DISCUSSÃO: Quanto maior for a viscosidade da mucosa da prega vocal, maior é a pressão subglótica necessária para se iniciar a fonação. Dessa maneira, um bom material implantável em lâmina própria de prega vocal deve ter baixa viscosidade. Por esse parâmetro, a camada superficial da fáscia temporal é um material promissor para implantação em pregas vocais. CONCLUSÃO: A viscosidade dinâmica da camada superficial da fáscia temporal é menor que a da camada profunda da fáscia temporal e que a da gordura abdominal.
OBJECTIVE: To compare the dynamic viscosity of superficial layer of temporalis fascia with that of other biological tissues traditionally used for vocal fold implants to treat vocal fold rigidity. STUDY DESIGN: Experimental. METHOD: Measurement of dynamic viscosity of samples of superficial layer of temporalis fascia, deep layer of temporalis fascia and abdominal fat of 12 cadavers are performed. RESULTS: Dynamic viscosity values of the different samples are presented in the following increasing order: superficial layer of temporalis fascia, deep layer of temporalis fascia and abdominal fat. There is statistical difference among all the samples. CONCLUSION: Dynamic viscosity of superficial layer of temporalis fascia is lower than the ones of deep layer of temporalis fascia and abdominal fat.
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Bezuidenhout, Jacques. "A comparison between manipulative therapy and fascial treatment in treating fascial line dysfunction of the superficial back line." Thesis, 2011. http://hdl.handle.net/10210/3734.

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M.Tech.
Purpose: To determine the effect of Chiropractic spinal manipulative therapy (SMT) compared to that of fascial treatment on Superficial back line (SBL) fascial line restrictions. It has been suggested that a fascial line restriction can cause a decrease in performance and lead to over – use injuries. Methods: A randomised study design with thirty asymptomatic male participants, which were moderate to highly active as indicated by the International Physical Activity Questionnaire (IPAQ). Participants were divided into two equal groups, group A (n=15) received Chiropractic SMT of the lumbar spine and Sacroiliac joints, group B (n=15) were treated with Direct Release Myofascial Technique to the restricted SBL. The study design consisted of seven consultations, with intervention being applied at each consultation. Objective data was obtained by the Bunkie test and Range of Motion testing which determined the participant‟s level of endurance and fascial line restriction. Objective data was obtained before and after the first intervention, after intervention on the fourth consultation and on the seventh consultation, which did not include intervention. The short term effect was represented by comparing the before values of consultation one (baseline) to consultation seven. The immediate effect of intervention was represented by the before versus the after measurements of consultations. Results: The objective results showed that there was a short term and immediate improvement in Lumbar range of motion for both groups and a short term and immediate improvement in Bunkie test times of both groups, except for the immediate effect of group B, which decreased the Bunkie test time. With the Bunkie test group A showed an immediate mean improvement of 2.4 seconds (11.3%) on the right and 2.3 seconds (4.9%) on the left. With the Bunkie test group A showed a short term mean improvement of 9 seconds (41.8%) on the right and 10.1 seconds (44.1%) on the left. Group B showed no immediate mean improvement for the Bunkie test and a short term mean improvement of 3.3 seconds (19%) on the right and 2 seconds (10.9%) on the left.

Books on the topic "Fascias superficiels":

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Gupta, Pawan, and Anurag Vats. Regional anaesthesia of the lower limb. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0055.

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Lower limb nerve blocks gained popularity with the introduction of better nerve localization techniques such as peripheral nerve stimulation and ultrasound. A combination of lower limb peripheral nerve blocks can provide anaesthesia and analgesia of the entire lower limb. Lower limb blocks, as compared to central neuraxial blocks, do not affect blood pressure, can be used in sick patients, provide longer-lasting analgesia, avoid the risk of epidural haematoma or urinary retention, provide better patient satisfaction, and have acceptable success rates in experienced hands. Detailed knowledge of the relevant anatomy is essential before performing any nerve blocks in the lower limb as the nerve plexuses and the peripheral nerves are deep and obscured by bony structures and large muscles. The lumbosacral plexus provides sensory and motor innervation to the superficial tissues, muscles, and bones of the lower limb. This chapter covers different approaches and techniques for lower limb blocks, that is, the lumbar plexus, femoral nerve, fascia iliaca, saphenous nerve, sciatic nerve, popliteal nerve, ankle block, forefoot block, and the intra-articular infusion of local anaesthetics. Both peripheral nerve stimulator- and ultrasound-guided approaches are discussed. The use of ultrasound guidance is suggested as it helps in reducing the dose of local anaesthetic required and can ensure circumferential spread of local anaesthetic around peripheral nerves, which hastens the onset of block and improves success rate.

Book chapters on the topic "Fascias superficiels":

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Guyot, Laurent, Pierre Seguin, and Hervé Benateau. "Lambeau de fascia temporal superficiel (fascia temporalis)." In Techniques en chirurgie maxillo-faciale et plastique de la face, 229–31. Paris: Springer Paris, 2010. http://dx.doi.org/10.1007/978-2-8178-0073-8_51.

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Avelar, Juarez Moraes. "Importance and Behavior of Fascia Superficialis for Body-Couturing Surgery." In Body Contouring, 49–69. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-42802-9_3.

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Echlin, Kezia. "Functional anatomy of the abdominal wall." In Oxford Textbook of Plastic and Reconstructive Surgery, edited by Andrew Fleming, 1175–78. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780199682874.003.0101.

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This chapter describes the functional anatomy of the abdominal wall. The layers of the abdominal wall consist of skin, superficial fascia, deep investing fascia, muscles, and inner fascial layers: transversalis fascia, extraperitoneal fascia, and peritoneum. The layers are variable in different areas of the abdomen. Skeletal support for the abdomen is derived from the lumbar vertebrae, the superior parts of the pelvic bones, and the bony parts of the inferior thoracic skeleton: the lower ribs and their costal cartilages and the xiphoid process.
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Abu-Hijleh, Marwan, Amol Sharad Dharap, and Philip F. Harris. "Fascia superficialis." In Fascia: The Tensional Network of the Human Body, 19–23. Elsevier, 2012. http://dx.doi.org/10.1016/b978-0-7020-3425-1.00037-4.

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Yvon, A., S. W. Volk, and A. Bayat. "Superficial Dermal and Fascial Fibromatoses." In Pathobiology of Human Disease, 1967–81. Elsevier, 2014. http://dx.doi.org/10.1016/b978-0-12-386456-7.04403-8.

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Stecco, Carla, Warren Hammer, Andry Vleeming, and Raffaele De Caro. "Subcutaneous Tissue and Superficial Fascia." In Functional Atlas of the Human Fascial System, 21–49. Elsevier, 2015. http://dx.doi.org/10.1016/b978-0-7020-4430-4.00002-6.

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"Superficial anterolateral neck, muscles, fascia." In Core Anatomy - Illustrated, 68–69. CRC Press, 2007. http://dx.doi.org/10.1201/b13362-32.

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Atkinson, Martin E. "Skin and fascia." In Anatomy for Dental Students. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199234462.003.0013.

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Skin is a specialized boundary tissue which forms the entire external surface of the body and is continuous with mucosa lining the respiratory, gastrointestinal, and urinogenital tracts at their respective openings. Skin is the largest organ in the body but is often overlooked in this respect. Skin has many functions, some of which are not immediately obvious. • It minimizes damage from mechanical, thermal, osmotic, chemical, and sunlight insults. • It forms a barrier against microorganisms. • It has a major function in thermoregulation. • It is a sensory surface equipped with touch, pressure, temperature, and pain receptors. • It has good frictional properties useful in locomotion and handling objects. • It is waterproof. • It is the site of vitamin D synthesis. • It also plays a role in non-verbal communication when we blush, alter our facial expression, or use tactile communication such as touching or kissing. Skin has two distinct parts when seen under a microscope, the superficial epidermis and the deeper dermis. The epidermis is a surface epithelium in which the outer cells are keratinized. Keratinization is the deposition of tough mats of keratin which are intracellular fibrous proteins that make the cells tough; keratinization also kills the superficial cells so the outer layers of your skin are dead. The epidermis varies in thickness. The thickest and most heavily keratinized areas are on the soles of the feet and palms of the hands whereas the epidermis on the face and back of the hand is much thinner and less heavily keratinized. Habitual activity, such as holding a pen, digging with a shovel or using scissors, may produce localized thickenings of thick skin by increasing the thickness of keratin to produce calluses. Cells below the keratin layer have a special coating that forms a permeability barrier, preventing water moving between cells, thus preventing water loss from the body and water-logging when exposed to water. Epithelium does not contain blood vessels, which is why you do not bleed when you lightly knock your skin. To bleed, you need to expose the blood vessels that lie in the dermis and supply the overlying epidermis by diffusion of nutrients through fenestrated capillaries.
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Mather, S. J. "Great auricular nerve block." In Regional Anaesthesia in Babies and Children, 90–91. Oxford University PressNew York, NY, 1996. http://dx.doi.org/10.1093/oso/9780192624253.003.0006.

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Abstract Apart from local infiltration and the dental blocks, the great auricular block is the only frequently performed block of the head and neck in children.AnatomyThe nerve pierces the fascia to become superficial over the sternomastoid muscle. Branches run up toward the mastoid process.
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"HIGH-LATERAL-TENSION ABDOMINOPLASTY WITH SUPERFICIAL FASCIAL SYSTEM SUSPENSION." In 50 Studies Every Plastic Surgeon Should Know, 231–36. CRC Press, 2014. http://dx.doi.org/10.1201/b17524-37.

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Conference papers on the topic "Fascias superficiels":

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Honorato, Pedro Fechine, Anna Vitória Paz Moreira, Anaylle Vieira Lacerda de Oliveira, Dhiego Alves de Lacerda, Isabelle Lima Lustosa, Renata Silva Cezar, and Jalles Dantas de Lucena. "Anatomy and clinical implications of the sternalis muscle: A literature review." In IV SEVEN INTERNATIONAL MULTIDISCIPLINARY CONGRESS. Seven Congress, 2024. http://dx.doi.org/10.56238/sevenivmulti2023-143.

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The sternalis muscle (SM) is an inconsistent and highly uncommon structure among the muscles of the anterior chest wall (POVEDA et al., 2013). It lies between the superficial fascia and the pectoral fascia, found in about 8% of the population (SNOSEK et al., 2014). The frequency of its occurrence varies significantly among different ethnic groups, being more prevalent in the Chinese population at 23.5% and less prevalent in the Taiwanese population at 1% (RAIKOS et al., 2011; VISHAL et al., 2013), while its incidence is 4.4% in the European population and 8.4% in the African population (LOUKAS et al., 2004).
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Santos Macias, A., J. Nieto Muñoz, L. Valdes Vilches, M. Caballero Dominguez, and JA Reinaldo Lapuerta. "B89 Clavipectoralis fascia block (CPB) combined with superficial cervical plexus block. Case series for clavicle fracture surgery." In ESRA Abstracts, 39th Annual ESRA Congress, 22–25 June 2022. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/rapm-2022-esra.164.

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Santos, Adrian, Javier Nieto Muñoz, Maria Paz Fernandez Lara, and Inmaculada Luque Mateos. "#36477 Clavipectoralis fascia block (CPB) combined with superficial cervical plexus block. 10 case series for clavicle fracture surgery." In ESRA Abstracts, 40th Annual ESRA Congress, 6–9 September 2023. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/rapm-2023-esra.512.

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Pacheco Pereira, Cândida Sofia, Catarina Ferros, Diogo Miguel, and Manuel Vico. "#34642 Case report: ultrasound-guided combined superficial cervical plexus block, clavipectoral fascial plane block and dexmedetomidine perfusion for surgery after clavicular fracture." In ESRA Abstracts, 40th Annual ESRA Congress, 6–9 September 2023. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/rapm-2023-esra.514.

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Summers, Michael P., Jonathan A. Holst, and John P. Parmigiani. "The Complex Shear Modulus of Humpback Whale Blubber." In ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14848.

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Further investigations of the mechanical properties of whale blubber will benefit its morphology and those who use it. Located below the dermas, blubber is an insular tissue constructed of a lipid matrix cross-weaved with strong, structural collagen and elastic fiber bundles. The blubber transitions into the superficial fascia layer, a loose connective tissue, which sheaths the muscle surrounding the whale. [1] Blubber should behave viscoelastically because it is a soft tissue. [2] The complex shear modulus G* = G′+iG″ is a viscoelastic property commonly used in defining soft tissues. It is comprised of both an elastic energy storage term (G′) and a viscous energy dissipation term (G″). Apart from adding to the morphology of whale blubber, these properties can currently be used for the improvement of certain whale tracking tag designs. The tags that would gain from these measurements deploy remotely and anchor subdermally in the body of the whale, near the dorsal fin. Once attached, they transmit a radio signal to a monitoring satellite. Knowing the migratory and behavioral patterns of whales allows for the adjustment of human activities to help in the recovery of endangered species.
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Yan Liu, Haoyu Liu, Zhuang Wei, Xianyu Zhang, Zemin Xu, Zhiyong Luan, Decong Zhang, and Biao Liu. "Biomechanical evaluation of FDS (flexor digitorum superficialis), 1/2FDS, and palmar fascia in the correction of claw fingers and the clinical exploration of 5 cases with 1/2FDS as tendon stiffness." In 2011 International Conference on Remote Sensing, Environment and Transportation Engineering (RSETE). IEEE, 2011. http://dx.doi.org/10.1109/rsete.2011.5965883.

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de la Torre, Roger A., and Jaya Ghosh. "Device for Safely Closing Trocar Sites in Minimally Invasive Abdominal Surgery." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3399.

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Laparoscopic and robotic surgeries of the abdomen require a trocar to facilitate entry and removal of instrumentation. Some of these trocars are 5mm or less, but some trocars for these surgeries are larger, with 8mm to 15mm trocars commonly used. One of the well-known problems seen in minimally invasive surgery to the abdomen is the resulting defect left in the abdominal wall following removal of the trocars. Occasionally, especially after removal of larger trocars, a defect is left that is large enough to allow omentum or segments of small intestine to become entrapped within the resulting space in the abdominal wall. These trocar site hernias can cause pain, but they also may lead to small bowel obstruction and bowel ischemia or even infarction, perforation and death. The likelihood of a trocar site hernia is increased when the minimally invasive procedure requires removal of an organ or a mass. This often requires dilatation of the trocar site opening.1,2,3 Re-operation to reduce and repair trocar site hernias adds significant cost to the healthcare system. Two separate studies report that incidence of trocar site hernias are in the ranges of 0.65%–2.8%4 and 1.5%–1.8%5,6. Based on a 2016 report published by the American Society for Metabolic and Bariatric Surgery (ASMBS), 196,0007 bariatric procedures were performed in 2015. Assuming an average incidence rate of 1.7%, and based on the cost analysis provided by a 2008 case study8, in bariatric surgery alone, it is estimated that the treatment and hospitalization of such hernias adds an additional $86.2M to healthcare costs. Several methods and devices exist to prevent the occurrence of trocar site hernias. However, closing superficial fascia externally is difficult, especially in obese patients, and often requires extending the skin incision significantly. Most instruments to close the potential hernia site involve introducing a hollow needle with a built-in, grasping device through tissue on one side of the defect and into the abdominal cavity. This puts internal structures at risk for potential injury. One end of suture is introduced with this needle and then using a separate instrument through a different trocar this suture is held while the needle is removed. The needle device is then re-introduced through tissue on the opposite side of the defect, and the suture is handed back to the needle device and pulled out completing a U-stitch to close the potential hernia site. If a surgeon inserts a finger into the abdomen along the trocar site to guide the needle, there is the potential for injury to the surgeon’s finger. Therefore, we set about to design a device to close trocar site defects that would work efficiently, while being safe from injury to the patient or the surgeon, and preferably without the need for a separate instrument through a different trocar to assist.

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