tv Doc Film - Fascia - The Mysterious World beneath the Skin Deutsche Welle July 22, 2018 9:15pm-10:00pm CEST
who is he so well known of course to plan and of course he plays in england and so well known here in germany so you know in the next coming hours and days i'm sure the be plenty of talk about what he has to say and we look forward to hearing all of it from you publicly it's from the sports the thank you for joining us thanks edith. well you're watching news from berlin more coming at the top of the hour and don't forget you can get all the latest news and information around the clock on our website that state of the dot com thank you for joining us. climate change. waste. pollution. isn't it time for. a go at africa people and projects that are changing no one's parents for the better it's up to us. to be good. d.w.
. says the bad enough that means that for for the nothing a first out then in the fashion. there's a whole system out there that we haven't explored as the stuff. you know your ology body perception false transmission elasticity wound healing there is scarcely a field in which fashion does not play a major role and seen from today's perspective an often surprising you know what if .
it's a new buzzword. but what exactly is it. found throughout the body directly under the skin and deeper it's a hidden whitish colored fibrous band of connective tissue that accounts for roughly twenty percent. about body weight like clingfilm fashion a envelop on muscles tendons and organs and provide a link to all. the centuries the physiological importance of the fashion was overlooked or underestimated but now it's considered to be key to our health is at the onset to relieving one of the most common of all medical problems back pain. a search for answers takes us across the globe in maine in the northeast of the united states thomas myers trains physiotherapists he's written a pioneering book on fashion and that he trains. is has long believed that the fashion is into connected throughout the human body.
is something comes to me with plantar fasciitis i very seldom get the best results from treating their plantar fasciitis i get the best long term and talking about long term versus short term results from working on the lower leg up on the hamstrings or even under the back of the head on the neck because they're all part of a single system. as is convinced that the body's fascial tissue is interconnected and countless nights extending from the head to the foot from one hand right across the shoulders to the other hand even spiraling through the entire top. that when we have pain in one place the coolest can often be found in a totally different area. if we were considering somebody with low back pain there's lots of different causes of low back pain and it can be sourced in the are just it can be sourced in the
knees it can be sourced in the hips it can be sourced from coming down from the shoulders you can see the large triangle between the shoulders and the low back obviously that's going to affect that we're also looking for the relationship of how the low back handles the weight as the. body goes forward just keep rolling forward in a tight loop because we want to see whether the spineless processes are going away from each other if they're fashionably locked in some area probably hard to see on the camera but she is locked between l two and l three here if i'm trying to resolve a low back situation i can't afford not to look everywhere because i don't know where the source of that is going to be because the ten segregate of the fashion system will make it maybe show up in the lower back which is a very weak point for all of us but that doesn't mean that it sourced on the low back half to look at the whole pattern i have to address the whole pattern if i
have any hope of taking the pain away in any kind of permanent way. and as many trains as a bible for therapists worldwide but what is the science behind my as anatomy of connection here in the where is the girl. in front of the german sports medicine specialist young vacay is trying to find out he's conducting research into whether such anatomical chains really exist. in a series of experiments that has looked for evidence of the back line that might describes . him leaving the angle should trigger a movement of the fashion at the back of the of the family. and in fact the ultrasound indicates a gliding of the fashion of their. ministers
of. at least in the initial findings of our pilot type results and it appears that when i move something down there is as a divide if i stretch the lower time muscles that it seems i can detect history. in transfer to the area of muscles at the back of the upper thigh it now flies and so that's. the second experiment is more revealing proving the functional connection between this article spine and the leg separated by the entire length of the back. first of the protests the savable spines mobility then the subject stretches his lank. the king wants to know what effects the stretching has on the subtle spine. so so let's look at the results as we see here the mean value of the five repetitions that we just undertook one hundred eight degrees is the total mobility
value averaged through the five repetitions four degrees more than the previous test so mobility is improved following the stretching the leg muscles we've seen an improved ability to bend and stretch the head in the area of the cervical spine. and that again seems to indicate a mechanical force transmission across the muscle fashion connections in this case from the legs to appear to the cervical spine so to get. even over such as happened in pointed all muscle fashion lines working with the fashion wrong on the up a finite set me affects more distant body parts such as the neck. the castle spanx that force is transmitted not only from sickly but horizontally as well. as the of l. of a how is this relevant to practice if that's because ultimately the goal of research is to make it application oriented to see if it provides an alternative for physicians or physical therapists or patients i don't stay in the as
a so do patients really need to work on the cervical spine to relieve neck tension more can they if they don't want to do that maybe also work on the torso or the legs and achieve relief through a force transmission effect. physician. who was the first to render the fascinating full body network of fashion a visible to the naked eye. in his long professional life the hand surgeon from bordeaux in france has performed countless operations. in surgery you see every day how the lens of connective tissue slide to and fro but how does this connective tissue function. it's a question that so far no one has answered. it covers a wall i wanted to know how it functional so that i could reconstruct tendons better i say because tendons too are connective tissue or. at the
institute of hand and foot surgery in bordeaux governor to makes the world of the fashion visible with a special camera. he films the tissue inside the living body. his pictures have changed the way medical specialists view the fashion. you see those are the organizing fibers. sit up that will go it seems totally chaotic but it isn't you know it's what makes life possible in the first place a perfectly efficient system. spotlit good glass the more we research it over the more we understand the fashion and its structure nor the us or all of this will open the door to new therapies the operative word. the italian city of power to our posts one of the oldest universities in europe it was here that galileo galilei proclaimed that the sun and planets do not revolve around the earth
and it was here in the sixteenth seventy eight that the first woman in the world received her ph d. degree. today the university's revolutionary tradition lives on in anatomy professor color steckel and she's following in the footsteps of her predecessors who here in the old anatomy theater defied a church ban on human the section she's also continue the work of her father conducting pioneering research into the fashions purpose and function. at one of the other was among the first to be interested in fashion how to manage fashion because it wins that her family was always talking about fashion the fashion needs and to begin with i wasn't really convinced about the role that fashion play. and so i started getting interested in anatomy. and wanted to uncover it's my dissections to understand how this issue works. because well it's that a copy of effort to them in the comic was that this will go. before starting today
is to section in the anatomy thanks for faculty calloused echo is explaining to her students what fashion tissue is with the help of a grapefruit. nipple some of the things that it limited and in this great free it helps us to understand what the fashion is and how it's connected to the muscles. and i think if i cut through the great phrase we see not only the flesh of the fruits and of the few but also the fine breasts components that divide the grapefruit into individual sections and support the tissue of the fruit. in the course of the section of a human corpse stecher shows her students how the fashion is found throughout the body. a quick look at what this it is the fashion with the least connective tissue which
allows me to slide from one level to the next you know it is better like the piano with if they call me and you see how extremely fluid it's trying to is it's a more fluid how it can be moved with ease more of it filled me with a look at all i can get into as if it's all made up of prose happy like an incentive and it's so beautiful. cause tech has research on fashion has helped reveal what we know today fashion exist everywhere in the body and many shapes and consistency lives. directly beneath the skin as the surface fashion. the deep fashion enveloped our muscles and also almost of fibers like the skin around the sausage. the faster also envelops a. organs and i white or skin even the brain is protected by the station. while there are only we can even view them in injuries as a special fashion because ultimately it shares the same characteristics as fashions
that we know from other parts of the body they caught. with the help of numerous anatomical analyses cast teka has produced an atlas of fashion. her findings are groundbreaking it's the first time in the four hundred year history of medical a mass make that the fashion of the entire human body has been systematically documented. eleni in the first i didn't understand anything and when i perform my first i sections it all seemed to be chaotic effective i mean i can see a clear picture. but then very slowly i understood how i could identify the fashion because if it is i mean that said now it is fairly clear what the fashion is far and that is what i wanted to show with my atlas a look at google's that i get a lot of land that. she's now examining the thora columbus fashion which surrounds
the muscles of the back. that it's on that in this region around the lower back there's a particularly critical zone that you know that means that there's a reason eighty percent of people suffer back pain the large back fashion researchers haven't yet been able to unlock all its secrets but evidence points to its significance for many types of back problems. with like a somewhat of an isolated the thora colomba fashion the most important day of fashion and the human body before more like it may be on when it got a pro it is now being studied by so many researchers because it appears to be the cause of unspecified back pain because it there might be skin s.p.t. if you call. the function of the back are among the most important fashion in the body but. how can fashion cause pain why do these layers of tissue in particular cause so much trouble. like as one of germany's
best known research on fashion ever since he discovered how fashion is connected within the human body and how important movement is for our connective tissue he's exercised every day with a skipping rope. is a trained psychologist and physiotherapist who like many involved in fashion research came to the field seeking absence of problems he saw daily in his practice to discover what he was feeling with his hands he took a sabbatical and devoted his energies to scientific study. he does is post doctoral thesis on fascial tissue at only university's institute of applied physiology his findings have won awards. i might if this is an amazing gift it's a bit like a fairy tale because the facia really was a kind of cinderella's or something like that plump spotty kid at school who gets laughed at but then suddenly gains recognition as i have for me it is a deeply moving story and one that is also true that in the past the fashion was
seen as a disposable organ or that me classical anatomists were happy when they had removed this colorless sticky tissue to expose the actual muscles in organs and to knock out a forty three hour or and that in recent years this structureless organ has attracted so much attention and that's a me is a really exciting development to see as if pondering quickly. over tripe wants to determine the diverse functions of the long underestimated fashion and find out what this fibrous white tissue actually consists of. the furniture is comprised of fiber blasts and a surrounding structure known as a matrix. fiber blasts of the sounds of the connected to. among other things they produce the college in five years have the matrix largely consists of effectively the fashion build up
a home out of college an. interest otherwise about an interesting leader cells in a fashionable connective tissue only account for very little of the tissues volume and high levels of a constitute a large part of the rest is this as if i like to compare it to ass that have built a large until together even though they themselves make up less than ten percent of the volume and from wound i was martin. together with a nice theologist fan a cleaner schreiber's on a quest to understand fiber blasts the jack of all trades and connective tissue. thanks to the college and the fiberglass have a healing effect if we cut ourselves they close the wound. but too much college and can also be harmful. i can clearly i have studied how the tissue in an arm changes when it's put in a cast after an injury. the study confirms that exercise is extremely important for the fashion tissue. after three weeks in
a cast with no movement the tissue in the arm has begun to overground. and the laugh chose healthy undamaged tissue before the arm was put in plaster. and the picture being taken three weeks later and. the change in the tissue is unmistakable it has become a matter of a structure fickle and chaotic. but. the data we've obtained show quite clearly that a lack of exercise results in over proliferation of the connective tissue structures and thus in a loss of function so that this is the decisive discovery or it means that exercise is essential for maintaining our fashion is the authentic or once the first. too little exercise and bad posture can cause fasher to become so rigid it can even compress nerves and muscles. exercise we're told is
a key to good health movement is also vital to maintain healthy fashion which needs regular stimulation otherwise it a glutamate so become staff. people with desk jobs who do not do sports to compensate a likely to have fashioned tissue that has become stuck together. as more office workers often suffer from back pain so is there a plausible link between occlusion a said fashion and back pain. to find out we traveled to boston which hosted the first major international conference on fashion ten years ago. callum knows far from harvard medical school was among the participants she specialized in fashion research early on as a doctor she was often at a loss to know how to treat patients with chronic back pain she decided to delve further into the problem. is there's
a lot of people who have back pain clinic back pain but when they have x. ray or m r i's of their spine which is usually where people go to look off for a cause of that being the studies are normal are they there's no indication as to what will be causing the pain conversed lee a lot of people have terrible of thing m.r.i. is you know degenerative disks but they don't have any pain so we thought well what about that right along our fashion because it's a huge structure in the back it really essentially connects the shoulders with a it's it's a big sheet of connective tissue. as we can see from an ultrasound picture of an arm the fashion is arranged in layers when we move they slide back and forth. this also applies to the fashion in the back and how research compare. during the tissue of people who suffer from back pain with out of people who turned notifies discovered that the difference lies in the connective tissues ability to slide. in normal people we have two layers like this and they can they should be able to move
by about seventy five percent of their of their legs. when you went to back most and we know that in people with back pain it's reduced to about fifty percent of the of the of the off of their legs and so we know that there's a reduction in the amount of of sliding that occurs between layers. like a german colleague. going from police to cells of the connective tissue are responsible for this. whenever they produce too much college and the sliding becomes more difficult and experiments with drops he's proved that exercise can counteract this overproduction. we do experiments where we have we induce a little injury in an experimental animal very very small injury and then we randomized and long to either stretching or no stretching and the the the animal
this stretches twice a day and this is a very kind of nice very calm gentle way of making animals stretch and then we find that the animals that stretch have decreased amounts of inflammation they heal faster they're their injuries go away. woods heal faster through movement and stretching under the microscope loose from discovered why the fiberglass to expand by up to two hundred percent and also any that the stretch cells also transmit chemical signals which cause the tissue to relax. this was a new thing what we found is in fact that this stiffness of the connective tissue is actively regulated from minute to minute by the five of us so this is a dynamic active ah. cellular regulation of connective tissue tension and that could be of course because what we're finding is that when you when you do acupuncture for example on the tissue the fiberglass actually respond and they
expand and that helps the tissue ellen relax the same thing with stretching. because active stretching an acupuncture have a relaxing effect on the cells and thus on the inclusion into tissue we can actively do something about our pain. but one ounce apart from too little exercise and incorrect posture as complaints. by studying the coalition between exercise stretching and back pain those of us has uncovered new approaches that offer hope of relief. life meanwhile is carrying out further research into the cools us of back pain for another experiment he securing fragments of russia in an operation as . soon as a living of it could say that this is living fashion you know we had different biochemical messengers substances such as those that are active in tissue repair then we check the extent to which the fashion is able to contract on its own
independently of any muscles and now we have some truly astonishing ourselves found here. the experiment shows quite clearly that the fashion contracts and responds to the added messenger substances. it really does react independently of any muscular or nerve stimuli and not only that bothers you what is really exciting is that we have also found messenger substances that affect fashion which are not only linked to inflammation but also to emotional stress it was a breakthrough for us to learn that the fashion also reacts to that very very slowly and sustainably with this has provided a possible explanation for something that has long been clear to many people with back problems that emotional stress can cause physical tension and pain. the culprit is known as t.g.f. a signaling molecule its releases triggered by stress a groundbreaking finding. vent your bottom line if i'm ten
stop for weeks even in my sleep it is not mainly the red muscle fibers that attends they relax fairly quickly but it is the white fashion tissue such as the sheath around the muscle even as manual therapists we can feel that it is not the contents of the sausage if we see the muscle as a sausage but its skin from the surrounding membranes that is hard at the f.b.i. how is sometimes the mechanism we're now investigating some bacon is moved in by the forces. and main thomas meyers office training for physiotherapists such therapists and yoga teachers from all over the world. his goal is to boost their awareness of the financial network in the own body and share his years of experience. autodidact so i went and educated myself on this with the help of many of my
students my faculty a lot of good people along the way including. others but really when i wanted to learn all that i could about our show myself and there's very little back in the early seventy's there was very little written about it. and my ass is fascinated by the organization of connective tissue as a whole body network. the fashion ensures that we have a feeling for a body that everything in it is in the right place and keeps us in shape. fashion research is cool that ten secretary a combination of the words tension and integrity. tensegrity engineering is an example of. a different kind of engineering which comes closer to how you see the fashion system working as a whole system. so as you can see this is just sticks and rubber bands and the piece is constructed in such a way that none of the sticks are touching each other they're all held in place by
the rubber bells now if you take a skull of a standard classrooms gotten the bones are wired together and you make the presumption oh there's a skeletal frame inside me and the individual muscles move around like. you you know the wires on a crane move a crane around it's not true your bones are floating inside your connective tissue if i could go and disappear all this off this you on your body your bones would flatter her floor. yes i mean halak is this is a super counter model to our classic concept of the spine. to the model with the skeleton as a supporting structure that i stitched. when just you know it was fine as a tent pole carrying the tent which is softer and. recently that was how we imagine the spine and here you see a nice ten say critique counter model. these are the vertebrae. but they don't rest
on each other and press down on each other they are hanging for hours long as the fashion elements the rubber bands have good elastic retention last to shift your spinal then a vertebra may be worn down but you can still stand straight like a science or queen in cuba sounds like an infant. said the spine alone is not necessarily the cause of chronic back pain incorrect posture that of exercise and stress are also contributing factors. if our tissue is to remain healthy we have to keep exercising. but there's another crucial component. our elastic connective tissue stores a huge amount of water and that might be the greatest secret. of the fashion fiber blasts are important for binding. and part of work and that's me professor castro has identified various functions of the fiber blasts. here we can
recognize two cells both of fiber blasts but they have totally different function of the same but in a good order on a monthly check that it's true that if this probably produces a cottage and let me say. there. was that the other cell we see these tiny dots on the arm of it we magnify it we see the interior of the cell and above all of these tiny dots. there proceed lichens and in particular highly ironic as it was this that we see how the two cells produce different extracellular substances. like acid is a lubricant for a connective tissue. the substance forms for the molecules of various sizes and degree of branching to develop a sponge like network that can bind large quantities of water. the less highly
ironic acid out tissue behind the less mobile we are. brother and tony a second conducts research into how you on an asset at the new york university school of medicine. from the example of an other financial it's clear that higher along i guess it can be detected deep beneath the skin. here we see the dermis. and here we see this a detainee is tissue the fat the superficial fashion the date of fashion. and the definition there are as you see different layers of connective tissue. between each plant we find highly ironic acid and in this region here we have more black space which means there is more highly ironic acid present. in sufficient moisture the tissue becomes rough and brittle like terrycloth. as it provides
a lubricant for the fashion to glide over the neighboring muscle. in germany. also carrying out research into higher on a casket they're experimenting with therapies to improve the moisture content of the fashion and it sliding capacity first they measure the water content of the tissue and all of that nassau and behind the mask we're hoping that many will stretching therapy will cause the water content to rise again what is tenet of is the great thing is. we believe that through this exchange of tissue water. inflammatory substances will be removed and the tissue will be cleansed this could be because i nicked. the measurement points to a fairly high moisture content using a special message technique which like now presses down firmly on the fashion in the subjects back there i didn't believe your old rolfing techniques that target connective tissue and it's not the most efficient we have found untested so far
with this method powerful pressure is exerted very slowly on the skin and in that would you have to imagine it like slowly forcing the water out of the sponge in such a way that every pore is empted which was all this kind that i don't do that. really slowly with much militarily. guns lungs are. the recorded measurements seem to confirm that through manual farah pain the water was absent the fashion can be replenished and the suppleness of the tissue are stored. for this was prior to treatment but here you can see how we pressed out the water is it from a sponge. who invented when we stopped with the mechanical treatment the tissue filled up with water again. please and we dummy to last saw here we had an interesting result that if we exerted enough pressure the sponge was even more moist afterwards for me for half oyster bar i was in other words you press the old
water out of the sponge with things from the four hundred up and if you do that forcefully enough several times the sponge is even more moist than before which of course is interesting for us. one does not really get us that food. the idea is that mass realigns the college and fibers and the fiber blasts produce fresh higher on acid new water replaces old water and idling the fascist slide more effectively again. though to massage it with material it there's no doubt that massage stimulates the soul metabolism. but active movement brings even more dynamic. into the tissue and results in a rise in body temperature that already stimulates the metabolism and i each rise in temperature of one degree celsius results in roughly ten percent more enzyme activity marketed. it appears that with regular exercise the fiber plus can start to produce fresh college an ad free up mascot fashion with in just three days. but
it can take up to a year for the gluten a to tissue to regenerate entirely exercise as important but the right dose is crucial. in a short while after exercise we find microscopic injuries in the tissue that look like spiders ones. so off to exercising one would be wise to consider resting for one two or three days to assess how much tensile stress should be applied to stimulate regenerative renovation by the builder sells the fibroid last so yes these we've new more useful and durable college and into my lumber fashion or into my achilles tendon so the ideal setup would be in tonight in high doses of ten songs dress with a two to three day break when done by society i target how was it this very the. fashion appears to have an important and unsuspected impact on human health and well being international research on fashion has shown that relaxing and stretching
connective tissue fibers helps alleviate back pain. but to what extent can traditional medicine help. has studied the role fasher plays an acupuncture. my interest in connective tissue and therefore eventually fashion is began when i was studying acupuncture when you need to link the neck and watch a needle. you have to exert the needle and then rotate it back and forth slightly and what happens then is that the feel. something acupuncturists actually feels that the tissues are tightening around that you don't that's what got me interested in well is that is important in the mechanism and i could sure because that end up in research before. is that just the acupuncturist subjective feeling that something is tugging at the needle when it's from surge head and extract it or is there really a reaction in the connective tissue from wanted to find out. you first wondered
well is that measurable can you measure you can feel it can you measure it so we did experiments where we used to get like a robot that inserted the needle and then it rotated the needle back and forth and called the needle out to measure the force that it would take to pull the needle out with way figured well if the tissues are really grabbing the needle for should increase i've changed it and we were able to demonstrate that. every time a needle is inserted on removed cogent coils around it like spaghetti around a fork a sensation of a tug on the needle the parapets have long observed now has a scientific explanation. fiber blasts respond to the needle even fs several centimeters are wearing this effect is also visible in an ultrasound. but what exactly does the acupuncture need to trigger in the fashion and could this mechanism of fiber blast activation within
the fashion also explain the pain reducing effect of acca puncture treatment. the fiber glass that are inside the tissues up just several centimeters away not just only at the needle they expand they've their response it relaxes the tissue there's another thing that happens which we are interested in is that it releases a substance called a.t.p. so a.t.p. is a signaling molecule and soul of the a.t.p. . is is something that we think maybe possibly. related to the ask and i'll just go back boxer and so modern research is providing evidence that validates ancient healing techniques until recently the end of us about disks were viewed as the primary and most frequent source of back pain. but now there is an increasing focus on fashion as the trigger for chronic complaint. analgesics such as are also
interested in the potential that fashionable tissue office for new therapeutic applications. german or such as he finance from the medical faculty mannheim was one of the first to recognize the medical importance of fashion. he began exploring the extent to which fashion itself is pain sensitive. for that to be the case it would need to contain encapsulated nerve endings. thoughts to home via experimental good luck we've conducted experiments in which we try to determine whether there are any nerve fibers and individual nerve endings in the large fashion of the back or in the going and what we have here is a relatively dense network of nerve fibers that form no from. these point shaped structures a nerve endings in which mensah detected the substance p b stands for pain and there's no visible dots of pain receptors but how can we know if the pain of
originates in the fashion rather than in the muscle after all fashion and muscles are virtually inseparable. menzi is a pair of delicate watchmakers tweezers to irritate the fashion and measures the subjects pain sensitivity. then the muscle as there is hate it and sensitivity is measured again. the results can pat is a fashion or the muscle. leader is a. every burdock line is an electric signal or and here you are using tweezers on an anesthetist rat in the same way that i just demonstrated it we squeezed a fashion. which. or and here you see that the frequency of these electric signals increases. with and as if we will inflict winds of of even further
so what one can definitely say year is that the effect of an irritation of the fashion on this nerve cell is much more pronounced than the effect on the receptor is in the muscle and it was. fashion permeated with countless pain receptors making connective tissue key organ of sensory perception this is being proven without a doubt. like secret manson and his team also believe that stress has a direct impact on factual tissue. and that brings the sympathetic nervous system into play. the sympathetic nervous system as part of the autonomic nervous system from the brain through the spinal cord it leads to almost every organ we cannot control it in stressful situations it triggers what's known as the fight or flight response because that evolved as a survival mechanism it causes a quick and post sweaty hands and the quivering voice but how can it influence
fascial to. get the data to answer that question seriously and he pushes this here as a typical image which has confirmed our assumptions that these fibers are indeed present in the fashion. you see here a mesh of nerve fibers. and if you were to enlarge it some more. you would see again the small point like enlargements of these fibers which are most probably sympathetic fibers for shine lish which means when these fibers are irritated for instance through stress. then they release substances that cause the blood vessels to contract so a contact saw and that could be one of the mechanisms that could explain why patients say their back pain worsens under stress. international research on fashion has made huge strides in recent years.
it's offer hope for progress in many scientific fields including cancer research. if we find that stretching can improve the. nation it's natural to wonder whether it might reduce the growth of cancer and that secondarily to that and that's an area that we're looking at the message god never expected the field of oncology to suddenly be at the forefront of areas interested in fashion research and it's yielded an important contribution so i wouldn't like to predict what the future will look like i think this is a field that still has many surprises up its sleeve. the findings of fashion research of showing that this body spamming network of connective tissue disregarded for so long maybe the place where inexplicable disorders and pain
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