FEEL FREE TO CONTRIBUTE YOUR THOUGHTS: EVERYONE + Brent Brookbush, Rick Richey, Rick Daigle, Perry Nickelston, Jason Erickson, Eric Beard, Kennet Waale, Kenneth E. Hoover, Rodney Corn, Nasm Mike Fantigrassi, Dr. Barbara Fralinger, Dr. Melinda Reiner, Nick Chertock, Artsy Fartsy Foo Foo, Andrew Kirby, Tony Susnjara, Kyle Stull, David Weinstock, Rob Fluegel, Brian Sutton, Scott Mitchell, Aaron Drogoszewski, Maurice D. Williams, Gary Miller, Ken ONeill, Ken Miller, Yusuf Boyd, Tony Ambler-Wright, Alwyn Cosgrove, Bret Contreras (Fitness Page), Eric Cressey, Derrick Price, Sue Hitzmann, Hayley Hollander, Scotty Butcher Phd, Robert Gazso, Ryan Chow, Steve Middleton, Marty Miller, Tanya Colucci, Greg Roskopf, Michelle Langsam, Aaron Swanson, Dr. Mike Clark, Mike Reinold, Mark Jamantoc, Kathy Dooley, Kathy Benson Zetterberg, Tim Henriques, Brittanie Gulzow Lockard, Cassandra Forsythe, Bill Ito, Jinny McGivern, Dr. Stefanie DiCarrado, DPT, CPT, CES, Annie Malaythong, Larry Husted, What actually happens in tissues treated manually? I can list dozens of theoretical models - but where is the scientific evidence as to what occurs when we load tissues (compression, stretch, torsion, shear etc) ? I am not asking about outcomes - There is a vast amount of evidence supporting the beneficial use - for example - of myofascial release, muscle energy techniques, counterstrain, manipulation (joint or soft tissue) etc etc - when applied appropriately . Put simply - the outcomes do not explain the mechanisms. A colleague sent me these thoughts that highlight some of the difficulties we face when seeking answers to the question posed at the start of this post: If diversity abounds (as suggested by Hoyle 1967) how can clinicians know what is really happening in the muscle mass being treated? And, in the muscle physiology literature, how can we learn from studies of single muscle fibres stripped of connective tissue, divorced from action, bathed in non-physiological fluids while being stressed by non-physiological forces? Even more to the point, as clinicians, is it not likely that patients have muscle disorders that are idiosyncratic in how the contractile and connective tissues relate to each other? Does anyone have details of validated mechanisms involved - for example in: Myofascial Release? Muscle Energy Technique - eccentric and isometric? Strain/counterstrain? Connective Tissue Massage/manipulation? REF.: --- Hoyle 1967 Diversity of Striated Muscle. American Zoologist, 7(3):435-449 --- Ng-Thow-Hing V 2001 Soleus model USE p. 10 11 72.pdf (Anatomically-based models for physical and geometric reconstruction of humans and other animals. A thesis submitted in conformity with the requirements for the degree of Doctor of Philosophy Graduate Department of Computer Science University of Toronto SEE ALSO...FREE TO DOWNLOAD FROM MY WEBSITE: leonchaitow/2013/04/06/met-variations-possible-neurological-mechanisms-from-edition-vod-germany/ leonchaitow/2013/05/27/tension-type-and-cervicogenic-headache-pathophysiology-diagnosis-and-management/ leonchaitow/2012/08/15/fascia-perspectives-clinical-models-theories-and-evidence-part-1/
Posted on: Sun, 30 Nov 2014 11:38:48 +0000
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