Fascia

Question 1

What is fascia’s relation to CT?

Answer 1

*Not synonymous

Fascia is CT, but not all CT is fascia

Question 2

Which fascia layer is often referred to as adipose or the adipose layer?

Answer 2

Superficial Fascia

Question 3

Where is superficial fascia located?

Answer 3

beneath the skin

Question 4

Why is the superficial layer known as the adipose layer?

Answer 4

It is filled with adipose

think “bubble wrap” filled with fat

Question 5

The glue holding superficial fascia to deep

Answer 5

Subserous

Question 6

What does subserous fascia do?

Answer 6

• Suspends organs within their cavities

- Wraps organs in layers of CT membrane

Question 7

Subserous Fascia A.k.a

Answer 7

Visceral

Question 8

This fascia layer can have areolar CT continuos with it

Answer 8

Deep Fascia

Question 9

What is deep fascia?

Answer 9

Dense, irregular CT that gives form and support for underlying organs

Question 10

If a person has a very thin superficial fascia, what could you assume?

Answer 10

Little body fat at an extreme level.

• Anorexia
• Bulimia
• Cancer

Question 11

How would someone’s superficial fascia appear if they are considerably overweight or obese?

Answer 11

Much thicker

Question 12

The extension off of fascia is a ___.

Answer 12

Tendon

Question 13

Functions of fascia (4)

Answer 13

1. support and definition
2. compartmentalization
3. force transmission
4. connection

Question 14

The idea that posture directly effects function is known as ____.

Answer 14

Tensegrity

Question 15

_____ and ____ gives the body support and structure to enable posture and therefore function

Answer 15

Muscle, Fascia

Question 16

On a daily basis, our body are subject to forces that require _____________.

Answer 16

Continuous shifts in tension

• inappropriate changes = negative affect overall structure and function
• correct cable = positive overall structure and function

Question 17

Musculoskeletal system strengthened by…

Answer 17

…unison of tensioned (muscles and CT) and compressed (bone) parts

Question 18

Slouching and lifting

Answer 18

weak :’(

Question 19

Good posture and lifting

Answer 19

Strong! :D

Question 20

CT (fascia) is in a constant state of change. This is known as…

Answer 20

Adaptive Qualities

Question 21

Adaptations of fascia include becoming more ____, or _____ depending on the stimulus. What does this allow?

Answer 21

Becoming more fluid-like, or gel-like. It allows it to respond appropriately to wound healing and new growth.

Question 22

What happens to our adaptive qualities when we age?

Answer 22

They slow down -_-

Question 23

What are the two mechanisms through which fascia adapts?

Answer 23

1. Thixotrophy

2. Bonding

Question 24

The property of gels or fluids becoming fluid when stirred or shaken and more solid when at rest.

Answer 24

Thixotrophy

Question 25

Thixotrophy is debated to applying to fascia. Still, as a therapist, how is this idea important? (CMTO Standard)

Answer 25

"So that the tissues are warmed and stretched before and soothed after the technique is applied"

Question 26

The good of thixotrophy!

Answer 26

Fascia is in less viscous state. More adaptable and durable. HEALTHIER!

Question 27

The bad of thixotrophy..

Answer 27

- In general, we are less active--> more gel-like state in regards to posture. - Fascia loses pliability - Not healthy tissue :( - Age has similar effect

Question 28

What is bonding?

Answer 28

Bonds between molecules are what help make collagen fibre. These fibres bond together to give tissue structure

Question 29

The Good of Bonding

Answer 29

- connections are beneficial | - necessary for wound healing, tissue strength, and tissue adaptation

Question 30

Over time, collagen fibres pack more tightly, forming lots of bonds. Why is this bad?

Answer 30

These areas thicken, stiffen, and loose ability to move, results in limited function

Question 31

The packing and extra formation of bonds happens where? Why else can it happen?

Answer 31

- areas of high stress and compression - areas of disuse -dehydration

Question 32

For fascia to change, it must be ____.

Answer 32

Challenged!

Question 33

Whats the result of a shortening restriction in one segment of fascia?

Answer 33

Other segment is affected (lengthened)

Question 34

If a patient comes to you with pain in one portion of body, is that your focus?

Answer 34

Not necessarily. | The site of dysfunction is not always the source.

Question 35

If a patient comes to you with a thick tissue, it is not always stronger. When is this the case?

Answer 35

In cases of immobilization, tissue is fragile and adhesions form from a decrease in function. Here, tissue could be thicker and would be weaker.

Question 36

What are some situations of immobilization?

Answer 36

casts, sedentary lifestyle, high risk pregnancy

Question 37

What results in weak tissue?

Answer 37

Inactivity

Question 38

What are a couple of things that happen with age?

Answer 38

- Tensile strength decreases | - Adaptive capabilities decrease

Question 39

What term refers to resisting pulling forces?

Answer 39

Tensile

Question 40

Medications can lead to locally and/or systemically weakened tissue. How does this affect us as therapists?

Answer 40

May need to modify session Ex. Patient using steroid cream for rash, tissue could be weakened in the area of a trigger point.