PASSIVACTIVE TECHNIQUE IN MYOFASCIAL DETACHMENT TRUNK AND UPPER LIMBS: - 5TH PART - - SPORT-AND-HEALTH

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Passivactive technique in myofascial detachment of trunk and upper limbs

This sports-bodywork technique, passive , it is also capable of stimulating the different mechanoreceptors located both in the deep tissues and in the neighboring ones (expansions), given the dynamism and the large myofascial surface treated, effectively improving the proprioceptive system to the advantage of a muscle-joint stability of the gesture athletic or in the reactivation phase.
I borrow the term Myofascial induction dear to Maurizio Cosciotti, collaborator of Prof. A. Pilat and co-author of the book of the same name, which is useful for me to finalize all the considerations made so far with my recent experience.
It is curious how all of these inductions produced by myofascial manipulation, especially for the proprioceptive input exercised, has directly encountered them even before knowing, by studying more deeply, the physiological mechanism of the chemical-physical change that occurs precisely in the manipulated areas. It was therefore, at least appreciable live, the experience of following the evolution of shoulder sub-dislocations occurred to some of the my rugby players.
Alas you are shoulders out of order in the first months of the season, apart from a broken collarbone, the other five were not serious. The normal procedure obviously took place: first aid, stop with immobilization and orthopedic visit, rehabilitation by the physiotherapist and re-athletization with the athletic trainer and the physical trainer. This last figure, the undersigned in this case, whom I like to define in this way who in the last phase, the post-therapeutic one of the process, assists and works physically with their hands on the athlete's body. Well then, three of the athletes were relapsing to the sub-dislocation, even if for the other shoulder, which had been followed in part with the same diagnostic-therapeutic procedure, but without the figure of the physical trainer - bodyworker massager -. That is, once the physiotherapy sessions were over, the classic da program was left to the athlete play at home : elastic bands, stretching, Codman exercises and various mobilizations.
As reported by the cases and confirmed by my long experience, 60% of athletes for the wants to return to business e burn the normal time needed, barely applies for a week / ten days. Of the remaining 40% one half reaches the 2 full weeks of work at home more or less scrupulously executed, the other half, ie about 20%, completes the entire program recommended by the therapist or sports doctor.
According to these data, we all know well what are the times, the delays but above all the quality of the return to athletic activity after a approximate and hasty work schedule do-it-yourself.
I want to report some epidemiological data provided to the course I attended of "Traumatic and overload pathology in sport: new therapeutic paths" organized by the OU of Orthopedics-Traumatology of the Hospital of Giussano (MI), which highlights the "abnormal difference on an annual basis of injuries between sports and those related to the road. The latter are about 94,000, which become about 600,000 (!!) for sports.

Data relating to relapses in sport have not been presented, but given the enormity of the cases, an important numerical significance is certainly plausible.
I take this data without wanting to do any further information on why And on for how many injuries occur, but only to believe it is possible that a re-athletization program homemade can go to feed that worrying data expressed during the course by the speaker, the Director Dr Claudio Manzini.
For this reason it is good to reiterate how important the contribution of our techniques is for sports lifeof the athletes we follow to prevent such relapses, "when a" joint is immobilized, the reduced mechanical loading and unloading of cartilage and surrounding tissues interferes with the normal turnover of cells and elements of the matrix (MEC).
This reduced stimulus results in less synthesis of proteoglycans. Consequently, the loss of matrix increases the vulnerability of the tissue to "injury when normal sporting activity is resumed" (Elzi Volk).
The effects that forced immobilization due to injury causes on tendons and ligaments compared to healthy ones have been well known for some time. free in movement.
I refer to an old but precise and valid study by David Amiel where important differences in the values in the graphs of the deformation curves are highlighted between a rabbit collateral ligament of the free knee joint, compared to that with the immobilized joint.
This last ligament shows how with less than half the load and with slight increases, it undergoes a serious deformation. stress and strain performed on the same.
According to the authors, this is not so much due to the loss of trophy of the connective tissue, if n "little is found, but to the quality of the collagen of the ligament, since the physiological turnover is modified. degraded / resynthesized and the relationship between old and new collagen. For this reason it is important to reiterate the importance that massage and connective / fascial manipulation have in improving the physical characteristics of collagen, thus increasing the mechanical and structural effectiveness of tendons, ligaments or fascia.
Return at my shoulders; this time in addition to the work done at home, the athletes were followed by me weekly or better assisted since the bulk of the commitment was theirs. My support was for joint mobilization, for muscle tests, manual skills to increase the microcirculation and drainage, to eliminate stiffness, contractures and adhesions in the affected area and solve the compensation problems arising in some parts of the body.
In my opinion, the effective work was done by manipulating not so much the belly of the cuff muscles and of those related to the rotatory joint of the shoulder, but the fascia in all its variants and myofascial expansions including.
Hence a much broader massage and manipulation in consideration of the intimate link that exists between CT dense and that period, rich in fundamental substance, where one becomes the continuation of the other, creating important areas of transition .