tv Doc Film - Fascia - The Mysterious World beneath the Skin Deutsche Welle July 25, 2018 7:15am-8:00am CEST
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bad enough to miss the forgotten the feet of a further south and the fashion. there's a whole system there that we haven't explored is the stuff. oh you're all edgy body perception force transmission elasticity wound healing there is scarcely a field in which fashion does not play a major role and seen from today's perspective and often surprising you know what it. is the hidden whitish colored fiber of connective tissue that accounts for roughly twenty percent of our body weight like clingfilm trashy enveloping. 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 problems back pain. such francis takes us across the diamond in maine in the northeast of the united states thomas myers trains physiotherapists he's written a pioneering book on fashion and asked me trains my eyes has long believed that the fashion is interconnected throughout the human body. just 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 i'm talking about long term versus short term results from working on the lower leg are 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 arches 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 and.
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 tense i gree 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's sourced in 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 that's only trains as a bible for therapists worldwide but what is the science behind my eyes or anatomy of connection here and then where is the girl.
in front of the german sports medicine specialist young very is trying to find out he's conducting research into whether such anatomical chains really exist. in a series of experiments look as look for evidence of the back line that might describes . him moving the angle should trigger a movement of the fashion at the back of the of the family. and in fact the ultrasound indicates a colliding of the fashion of their. ministers of the. at least in the initial findings of our pilot type results and it appears that when i move something down there is a divide and if i stretch the lower thought cells that it seems i can detect a strain transferred to the area of muscles at the back of the upper thigh it. it's
a lesson. the second experiment is more revealing proving the fashionable connection between the seven spine and the leg separated by the entire length of the back. first of the protests the subtle spines mobility then the subject stretches his rank. the king wants to know what effects the stretching has on the subsequent spine. so so let's look at the results 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 some ability 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 to get. even for such as having been pointed to all muscle fascial lines working with a fashion roll on the other from it certainly affects more distant body parts such as the neck. kill can suspect that force is transmitted not only from sickly but horizontally as well. as the of how is this relevant to practice if that's because ultimately the goal of research is to make its application oriented because see if it provides an alternative for physicians or physical therapists or patients out on us they can be as if so do patients really need to work on the cervical spine to relieve neck tension more than they if they don't want to do that maybe also work on the torso or the legs and achieve relief through a forced transmission in fact physicians a foot at c.n.n. . but 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 got measurable i wanted to know how it functions 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 to make the world of the fashion visible with a special camera. the 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. set up imo it seems totally chaotic but it isn't it's what makes life possible in the first place a perfectly efficient system. if you still spot that glass the more we research it over the more we understand the fashion and its structure. while this will open the door to new therapies that the op with. the italian city of power to our boasts 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 calloused echo she's following in the footsteps of her predecessors who are here in the old anatomy theater to find a church ban on human deception she's also continued the work of her father
conducting pioneering research into the fashions pappas and function. as that one of the other was among the first to be interested in fashion how to manage fashion because sequins 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. these well it's that a copy of effort to them in the comic was that this will go. before starting today is the section on the anatomy theater 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 thought if i cut through the great freeze we see not only the flesh of the fruits and of the few but also the fine breast components that divide the grapefruit into individual sections and support the tissue of the fruit. in the course of the destruction of a human corpse second shows her students how the fashion is found throughout the body. waste that a queer look at more this 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 still remains there with a look at what i can get into as if it's all made up of roses that i was happy i
can assess and to share and it's so beautiful. cause tech has research on fashion has helped reveal what we know today fashion exists 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 our fibers like the skin around the sausage. the fashion also envelops a. organs and i white or skin even the brain as protected by this tissue. we can even view them in injuries as a special fashion because ultimately it shares the same characteristics as fashion 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. the findings are groundbreaking it's the first time in the four hundred year history of medical a matter make that the fashion of the entire human body has been systematically
documented. eleni in the first i didn't understand anything when i before my first 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 did i mean that said now it is fairly clear what the fashion is a cat or a fan and that is what i wanted to show with my atlas a look at google was that i get a life plan that. she is now examining the thora columbus fashion which surrounds the muscles of the back. that it's on it 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 that is somewhat of an isolated the thorough colomba fashion part of the most important day of fashion and the human body the performers are going to be out when they caught a pro it is now being studied by so many researchers because it appears to be the cause of unspecified back pain because if the my skin as bit 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 cool 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 did his post doctoral thesis on fascial tissue at only university's institute of applied physiology his findings have won awards. i might is an amazing gift it's a bit like a fairy tale because the facia really was a kind of cinderella or something like that plump spotty kid at school who gets laughed at but then suddenly gang's recognition that this is 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 not only classical anatomists were happy when they had removed this colorless sticky tissue to expose the actual muscles and organs and most do not garner for this through auburn or and but in recent years this structureless organ has attracted so much attention and that's to me is
a really exciting development the c.s.s. bonding quickly. like once 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 produced a college in five years that the matrix largely consists of effectively the fresh a build up a home out of college an. interest on the rise above and interestingly the cells in the facile connective tissue only account for very little of the tissues volumen ilocos they constitute a large part of the rest of us this as if i like to compare it to ask that have built a large ant hill together even though they themselves make up less than ten percent
of the volumes and from wound i was martin. together with a nice theologist fairly clean a shy person a quest to understand fiber blasts the jack of all trades and connective tissue. thanks to the college and the fiber blasts have a healing effect if we cut ourselves they close the wound. but too much college in can also be harmful. i can clearly have studied how the tissue in an on changes when it's put in a cast after an injury. the study confirms that exercise is extremely important for the fascial tissue. after three weeks in a concert with no movement the tissue in the arm has begun to overground. picture and the lacked chose healthy undamaged tissue before the arm was put in plaster. and the picture being with taken three weeks later and. the change in the
tissue is unmistakable it has become matters a structure thicker 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 it's no one's there for us it was out of i thought. 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 with a gluten it so become staff. people with desk jobs who do not do sports to compensate a likely to have fresh will to shoot what 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 travel to boston which hosted the first major international conference on fashion ten years ago. allan lowe's 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 chronic back pain but when they have x. ray or m.r. eyes of their spine which is usually where people go to look off for a cause a back being the studies are normal are dead there's no indication as to what would be causing the pain conversed a lot of it will have terrible of king m r i's you know degenerative distance 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 the eggs 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 don't know survive has 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. ah when you went 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. believes the cells of the connective tissue are responsible for this. whenever they produce too much college and the sliding becomes more difficult and experiments with props he's proved that exercise can counter 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 the animal to either stretching or no stretching and the the animal this stretches twice a day and this is a very kind of nice very calm gentle way of making animal stretch and then we find that the animals that stretch have decreased amounts of inflammation they heal faster they're their injuries go away. lose heal faster through movement and stretching under the microscope lose from discovered why the fiberglass to expand
by up to two hundred percent and also an event the stretch cells also transmit chemical signals which cause the tissue to relax. that it 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 cellular regulation of connective tissue tension and that could be important 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 relax the same thing with stretching. because. active stretching an ak a puncture have a relaxing fact on the cells and knots on the inclusion into tissue we can actively do something about our pain. but what else 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 as a back pain for another experiment he securing fragments of fashion in an operation as. soon as a lib in your file you 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 i was not stolid. the experiment shows quite clearly that the fashion contracts and responds to the added messenger substance that. it really does react independently of any muscular or nerve stimuli and not only that one 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. at a signaling molecule its release is triggered by stress a groundbreaking finding. when he was lost 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 fasher tissue such as the sheath around the muscle. as manual therapists we can feel that it is not the contents of the sausage if we see the muscle as
a sausage but it's against the surrounding membrane that is hard i think there by how it's sometimes the mechanism we're now investigating some bacon is that in the foursomes. in maine thomas meyers office training for physiotherapists massage 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. i'm an 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 giving. others but really i went i wanted to learn all that i could about 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 fascial 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 skeleton standard classrooms gotten the bones are wired together and you make the presumption oh there's a skeletal frame inside me and the individua. your muscles move around. 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 before i disappear all the soft tissue on your body your bones would flatter the floor. just as i'm halleck you this is a super counter model to our classic concept of the spine you saw a lot of the model with the skeleton as a supporting structure that i stitched walked to work with dusty vobis or it was fine as a tennis ball carrying the tent which is softer than. so until recently that was how we imagined the spine yes and here you see a nice ten secretary counter model. these are the vertebrae. but they don't rest on each other and pressed down on each other no they are hanging for hours long as the fashion elements the rubber bands have good elastic retention last issue for spinal our vendor vertebra may got warm down but you can still stand straight like a salsa queen in cuba sounds like an infant who vavi up. so the spine
alone is not necessarily the cause of chronic back pain incorrect posture lack 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. lastic connective tissue stores a huge amount of water and that might be the greatest secret of the fashion depending on our age the connective tissue can consist of up to seventy percent of water. the sounds of a connective tissue the fiber blasts are important for binding water and cardio work and that's me professor curtis decker has identified various functions of the fiber blasts. never somebody here we can recognise two cells both of fiber blasts but they have totally different function it's the same. sex
that's you know that if they sell probably uses cottage and let me say because they're. 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 in. their approach of lichens and in particular highly ironic as it was this is we see how the two cells produce different extracellular substances in the lab. acid is a lubricant for a connective tissue. the substance falls further 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 this the less mobile we are. conscious takers brother antonius techer conducts research into how you own an
asset at the new york university school of medicine. from the example of an upper fine muscle it's clear that hiring on a gas 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 we find highly ironic acid here and in this region here we have more black space which means there is more highly ironic acid present. and then insufficient moisture the tissue becomes rough and brittle like terrycloth. highly ironic as it provides a lubricant for the fashion to glide over the neighboring muscle. in germany so much like an event i can also carrying out research into high gear on
a casket they're experimenting with therapy is 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 then also behind the mask we're hoping that many will stretching therapy will cause the water content to rise again what is tonnage of on this 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 need. the measurement points to a fairly high moisture content using a special message technique now presses down firmly on the fashion in the subjects back there i didn't please read 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 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 insert you don't do that. really slowly with much militarily. gardens lungs are. the record measurements seem to confirm that through manual therapy the water is absent the fashion can be replenished and the suppleness of the tissue are stored. for this was prior to treatment but if you you can see how we pressed out the water as if from a sponge i'm sure i am very sad when we stopped with the mechanical treatment the tissue filled up with water again. fleas and the 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 our forest of our eyes in other words you press the old water out of the sponge with 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 does that fit. the idea here is that mass
realigns the college and fibers and the fiber blasts produce fresh higher on an asset new water replaces old water and idling the fashion to slide more effectively again. though to massage it with material there is no doubt that massage stimulates the soul metabolism not to leave but an 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 collagen and free up mascot fashion with in just three days. but it can take up to a year for the agglutinative tissue to regenerate entirely exercise is important but the right dose is crucial. when
a short while after exercise we find microscopic injuries in the tissue that look like spiders when he's. so off to exercising well might be wise to consider resting for one two or three days to assess how much time style stress should be applied to stimulate regenerative renovation work by the builder sells the fibro blasts these weave a new more useful and durable college and into my lumber fashion or into my achilles tendon so the ideal setup would be intimating high doses of ten sound stress with a two to three day break when done my side i target how was it this fairly 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. alan knows far has studied the role fashion plays an
acupuncture. my interest in connective tissue and therefore eventually fashion is began when i was studying acupuncture when you mean if you think they're not going to need all. you have to insert the needle and then rotate it back and forth like that and what happens is that is that the movie. 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 i'm not in research before. is that just the acupuncturist subjective feeling that something is tugging at the needle when it transfers head and extract it or is there really a reaction and the connective tissue goes from wanted to find out. you first wondered well is that measurable can you measure it 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 rotated the needle back and forth and pull the needle out to measure the force that it would take to pull the needle out we will figure it well if the tissues are really grabbing the needle for should increase after a bit and we were able to demonstrate that. every time the needle is inserted and removed cogent coral's around it like spaghetti around a fork a sensation of a tug on the needle of a car costs have long observed now has a scientific explanation. fiber blasts respond to the needle even if s. several centimeters are wearing this effect is also visible in an ultrasound. but what exactly does the acupuncture needle trigger in the fashion and could this mechanism of fiberglass 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 they respond 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 may be possible. related. and not just at the back box and so modern research is providing evidence that validates ancient healing techniques until recently the end of us will 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 fashion tissue office for new therapeutic applications. and german are such as it for advances 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 and capsulated nerve endings. also 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. and they go in 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. mentee is
a pair of delicate watchmakers tweezers to irritate the fashion and measures the subjects pain sensitivity. then the muscle as eric has it and sensitivity is measured again. the results can pat is a fashion on the muscle. leader so. every burdock line is an electric signal won't hear you using tweezers hundred anesthetized rant in the same way that i just demonstrated it squeezed the fashion . which. organs and here you see that the frequency of these electric signals increases. with and as if we do 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 was. coming his head with countless pain receptors making connective tissue key organ of sensory perception this is being proven without a doubt. like secret mensa and his team also believe that stress has a direct impact on fascial tissue. and that brings the sympathetic nervous system into play. this and the physic 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 a quivering voice but how can it influence fascial tissue i gather 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 measure 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 and wish which means when these fibers are irritated for instance through stress. and 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 offered hope for progress in many scientific fields including cancer research
. if we find that stretching can improve. its natural wonder whether it might reduce the growth of cancer and that this secondarily to that and that's an area that we're looking at it's gonna never expected the field of oncology to suddenly be at the forefront of areas interested in fashion or 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 of a search of showing that this body slamming network of connective tissue disregarded for so long maybe the place where inexplicable disorders and pain originate because of that the place where healing can begin.
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