imaging fascia renee stenbjorn, mpa, lmt. my goal: utilize images to inform the student of the...
TRANSCRIPT
My goal:
Utilize images to inform the student of the complex structural system of fascia.
Your goal?
Historical Definition
Fascia: general description, a band of tissue.
General meaning: undifferentiated tissue surrounding a more specialized tissue.
LANGEVIN, MD, H., HUIJING, PHD, P.. Communicating About Fascia: History, Pitfalls, and Recommendations.International Journal of Therapeutic Massage & Bodywork: Research, Education, & Practice, North America, 2, oct. 2009. Available at: <http://www.ijtmb.org/index.php/ijtmb/article/view/63>. Date accessed: 14 Jan. 2013.
Current understanding
Forms of connective tissue:
Loose & Dense
Superficial & Deep
Multiple- & Single-layered
LANGEVIN, MD, H., HUIJING, PHD, P.. Communicating About Fascia: History, Pitfalls, and Recommendations.International Journal of Therapeutic Massage & Bodywork: Research, Education, & Practice, North America, 2, oct. 2009. Available at: <http://www.ijtmb.org/index.php/ijtmb/article/view/63>. Date accessed: 14 Jan. 2013.
"Old-School" Histology
Gradations of pink, some purples, blues:
Procedures: Create a specimen
Mount on slides
Put drops of solutions on slide for specific period of time.
Rinse & mount.
Put in a slide box.
What do we learn from histology?
Highlights & differentiates:
Cells, fibers & tissues
Gives insight into cellular structures.
Histology of Connective Tissue types: Dense Irregular
Abundant Collagen fibers, few cells.What type of tissues?
Histology of Connective Tissue types: Dense Regular
Abundant Collagen fibers, arranged in same direction, f few cells.What type of tissues?
Histology of Connective Tissue types: Areolar
Sparsely arranged fibers, not ordered in a predominant direction. Oftern refferd to as "Loose" but Dr. Langevin suggests this label is too mechanical in description
Specialized Fascial Structures:
Superficial Fascia: aka: hypoderm, hypodermis, stratum subcutaneous, etc.
Continuous with the dermis, directly underneath the skin
How did histology help us differentiate:
Regular vs. Irregular Fiber Arrangements
Layers of fascia
Structural differences
Imaging Cells & Fibers
Immunohistochemistry: We can localize molecular structures rather than just cellular structures.
Can measure DNA & RNA activity
Putting the theory to the test
Can we find Collagen XVIII (18) in the brain?
Using immunohistochemistry to locate structures.
Confocal imaging
A method of converting IHC images into 3-D images that further our understanding of tissues.
Sensory Mechanism
Tensigrity architecture allows cells to sense mechanical changes.
These changes result in control of cell function & tissue development
Donald Ingber
Imaging with Ultrasound
From treatment to imaging: Principles in imaging with US.
What can we see with US: what do these images tell us?