Thesis (M.S.)--University of Wisconsin--Madison, 1964. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 44-45).

Current understanding concerning the human deep cervical fascia (DCF) differs between anatomists, surgeons, and radiologists. One reason has been the varying methodologies used to examine the DCF and the terminology assigned to each layer or potential space formed. Previous knowledge concerning the DCF originally came from cadaveric studies. However, such findings were highly subjective, reliant on the dissectionist�s skill with a scalpel. With the recent advent of radiological imaging and sheet plastination, there has been a re-examination of the fascial layers (investing, pretracheal, and prevertebral) that constitute the DCF. Although there is general consensus regarding the existence of the three layers, there is continuing conjecture over the concise anatomical description of these fascial structures. Recently, the investing (superficial) fascia, as a separate fibrous structure, has been questioned with a small number of plastination studies reporting its absence in the postereolateral regions of the neck. Within the suboccipital region (SOS) it is widely reported that the nuchal ligament, extending from the investing layer, directly connects with the spinal dura mater. However, a recent plastination study by Johnson et al. (2000b) found these fibres to dissipate in the SOS.The question remains as to what fibres directly communicate with the spinal dura? The fibrous connective bridge is reported in some clinical studies to originate from the rectus capitis posterior minor (RCPm) via the SOS. The origin of the connective fibrous bridge is essential in understanding the mechanism in the prevention of the phenomenon of 'infolding' and cervicogenic neck pain? Anteriorly, the investing fascia is regarded as a continuance of a 'fibrous collar' that encapsulates the entire neck, yet if it does not truly exist in the posterior neck region, does it actually exist as a tangible structure in the anterior neck? With regard to the deep midline fascial structures that arise from the pretracheal fascia, the presence of two separate spaces, the retropharyngeal and danger space, divided by the alar fascia in the posterior pharyngeal region, is still debated and is yet resolved in the clinical literature. The aims of this qualitative study were to: 1. determine the dural ligamentous and tendinous connections in the posterior atlanto-occipital (PAO) interspace region, and establish the morphology of the PAO membrane, 2. determine whether the investing layer of the DCF is a distinct fibrous structure in the anterior neck and examine the relationship with the subcutaneous platysma muscle, and 3. determine the relationship between the RPS and DS in the posterior pharynx region and identify the configuration of the alar fascia. Twenty-seven cadavers were examined at the gross, macro- and, microscopic level. Blunt and sharp dissections were conducted on 12 specimens. Fifteen cadavers were prepared as epoxy sheet plastinates. Light, fluorescent and confocal microscopy was conducted on the sheet plastinations.The findings of the first study demonstrated that small discrete bundles from medial tendinous fibres of RCPm formed a fibrous connective tissue bridge directly with the spinal dura in the SOS (in all 6 median-sectioned plastinated specimens), not the nuchal ligament as commonly reported. The RCPm fascia, in conjunction with lateral contributions from the perivascular sheath, formed the PAO membrane (ligamentum flavum) which was not continuous with the neural arch of C1 as often cited in anatomical texts. The cerebrospinal junction was also demonstrated to be a naturally formed multi-layered structure in all plastinates and not the result of pathological change as widely reported in clinical literature.The Gross dissection findings of the second study supported the traditional view that the investing layer formed a covering over the anterior triangle neck region. However, findings from plastinations, in conjunction with confocal microscopy, demonstrated clearly that the investing layer is formed from the epimysium of superficial muscles in the anterior neck. In the suprahyoid neck, it appeared disjointed with the fascia of the sternocleidomastoid (SCM) fascia isolated from the neighbouring submandibular fascia. In the infrahyoid neck, it was formed by medial fascial extensions from the omohyoid fascia, SCM fascia, and fused at the midline to the infrahyoid fascia, (pretracheal layer) resulting in two ipsilateral compartments. Distal 'finger-like' fascicles of platysma presented with individual epimysial fascia, which gave the false appearance of a thickened investing layer. These findings contravene those of the traditional view that the investing fascia is continuous at the mid-line.The findings of the third study agreed with both those reported in radiological and cadaveric studies respectively, in that the alar fascia was not present above the level of C1 as purported by radiologists, but became more apparent below this level. The alar fascia was observed to be formed from medial extensions of the carotid sheath, with some minor contributions from the lateral slips of the prevertebral fascia posteriorly, and was visible within transverse plastinated slices to the level of C7. However, at the levels of C4 and C6, the alar fascia appeared to fuse with the buccopharyngeal fascia, (posterior pretracheal layer of the DCF), a finding not previously reported. This study demonstrated, through E12 sheeted plastinated sections, that the morphology and topography of the DCF is complex, and a more precise understanding of the anatomy of the DCF and associated potential spaces is paramount clinically in otolaryngology, concerning the cervical fascial pathways of potentially life-threatening commutative pathologies.

Current understanding concerning the human deep cervical fascia (DCF) differs between anatomists, surgeons, and radiologists. One reason has been the varying methodologies used to examine the DCF and the terminology assigned to each layer or potential space formed. Previous knowledge concerning the DCF originally came from cadaveric studies. However, such findings were highly subjective, reliant on the dissectionist�s skill with a scalpel. With the recent advent of radiological imaging and sheet plastination, there has been a re-examination of the fascial layers (investing, pretracheal, and prevertebral) that constitute the DCF. Although there is general consensus regarding the existence of the three layers, there is continuing conjecture over the concise anatomical description of these fascial structures. Recently, the investing (superficial) fascia, as a separate fibrous structure, has been questioned with a small number of plastination studies reporting its absence in the postereolateral regions of the neck. Within the suboccipital region (SOS) it is widely reported that the nuchal ligament, extending from the investing layer, directly connects with the spinal dura mater. However, a recent plastination study by Johnson et al. (2000b) found these fibres to dissipate in the SOS.The question remains as to what fibres directly communicate with the spinal dura? The fibrous connective bridge is reported in some clinical studies to originate from the rectus capitis posterior minor (RCPm) via the SOS. The origin of the connective fibrous bridge is essential in understanding the mechanism in the prevention of the phenomenon of 'infolding' and cervicogenic neck pain? Anteriorly, the investing fascia is regarded as a continuance of a 'fibrous collar' that encapsulates the entire neck, yet if it does not truly exist in the posterior neck region, does it actually exist as a tangible structure in the anterior neck? With regard to the deep midline fascial structures that arise from the pretracheal fascia, the presence of two separate spaces, the retropharyngeal and danger space, divided by the alar fascia in the posterior pharyngeal region, is still debated and is yet resolved in the clinical literature. The aims of this qualitative study were to: 1. determine the dural ligamentous and tendinous connections in the posterior atlanto-occipital (PAO) interspace region, and establish the morphology of the PAO membrane, 2. determine whether the investing layer of the DCF is a distinct fibrous structure in the anterior neck and examine the relationship with the subcutaneous platysma muscle, and 3. determine the relationship between the RPS and DS in the posterior pharynx region and identify the configuration of the alar fascia. Twenty-seven cadavers were examined at the gross, macro- and, microscopic level. Blunt and sharp dissections were conducted on 12 specimens. Fifteen cadavers were prepared as epoxy sheet plastinates. Light, fluorescent and confocal microscopy was conducted on the sheet plastinations.The findings of the first study demonstrated that small discrete bundles from medial tendinous fibres of RCPm formed a fibrous connective tissue bridge directly with the spinal dura in the SOS (in all 6 median-sectioned plastinated specimens), not the nuchal ligament as commonly reported. The RCPm fascia, in conjunction with lateral contributions from the perivascular sheath, formed the PAO membrane (ligamentum flavum) which was not continuous with the neural arch of C1 as often cited in anatomical texts. The cerebrospinal junction was also demonstrated to be a naturally formed multi-layered structure in all plastinates and not the result of pathological change as widely reported in clinical literature.The Gross dissection findings of the second study supported the traditional view that the investing layer formed a covering over the anterior triangle neck region. However, findings from plastinations, in conjunction with confocal microscopy, demonstrated clearly that the investing layer is formed from the epimysium of superficial muscles in the anterior neck. In the suprahyoid neck, it appeared disjointed with the fascia of the sternocleidomastoid (SCM) fascia isolated from the neighbouring submandibular fascia. In the infrahyoid neck, it was formed by medial fascial extensions from the omohyoid fascia, SCM fascia, and fused at the midline to the infrahyoid fascia, (pretracheal layer) resulting in two ipsilateral compartments. Distal 'finger-like' fascicles of platysma presented with individual epimysial fascia, which gave the false appearance of a thickened investing layer. These findings contravene those of the traditional view that the investing fascia is continuous at the mid-line.The findings of the third study agreed with both those reported in radiological and cadaveric studies respectively, in that the alar fascia was not present above the level of C1 as purported by radiologists, but became more apparent below this level. The alar fascia was observed to be formed from medial extensions of the carotid sheath, with some minor contributions from the lateral slips of the prevertebral fascia posteriorly, and was visible within transverse plastinated slices to the level of C7. However, at the levels of C4 and C6, the alar fascia appeared to fuse with the buccopharyngeal fascia, (posterior pretracheal layer of the DCF), a finding not previously reported. This study demonstrated, through E12 sheeted plastinated sections, that the morphology and topography of the DCF is complex, and a more precise understanding of the anatomy of the DCF and associated potential spaces is paramount clinically in otolaryngology, concerning the cervical fascial pathways of potentially life-threatening commutative pathologies.

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Dissertation submitted in partial compliance with the requirements for the Masters Degree in Technology: Chiropractic, Durban Institute of Technology, 2005 12, xiii, 84 leaves / Plantar Fasciitis (PF) or “painful heel syndrome” is an inflammation of the plantar fascia at its insertion on the medial calcaneal tubercle. Accounting for 7-9% of total sports injuries, this condition is predominantly due to overuse and is notoriously difficult to treat. Traditionally treatment focused on the resolution of the inflammation with the application of such modalities cross frictions / transverse frictions being the modality of choice. With such modalities there are however limitations which include the detection of the appropriate areas in which treatment should be given as well as the treatment depth achieved. The GISTM, however is an advanced form of soft tissue mobilisation that employs the use of specifically designed stainless steel instruments that, when manually brushed over the skin of the affected area, are thought to detect and release scar tissue, adhesions and fascial restrictions. This complementary technique is hypothesized to work in the same manner as cross friction massage, and is thought to achieve quicker and improved outcomes by its detection of the treatment area(s) as well as improving the depth of treatment application. This assertion was however untested. Therefore the purpose of this study was to determine the efficacy of the Graston Technique Instrument-assisted Soft Tissue Mobilisation (GISTM) in the treatment of Plantar Fasciitis in runners. / M

The aim of this thesis is to evaluate the short and long term effectiveness of foot orthoses in the treatment of plantar fasciitis.Three studies were undertaken, the first two informing the third. The aim of the first study was to establish prescription habits of Australian and New Zealand podiatrists in order to ascertain the most commonly prescribed foot orthoses. The second study was conducted to establish the most appropriate outcome measure to assess the effectiveness of foot orthoses in the treatment of plantar faciitis. The main study, a pragmatic single-blind randomised control trial, was conducted to evaluate the effectiveness of three types of foot orthoses in the treatment of plantar fasciitis. The research concluded that provision of appropriate foot orthoses produces small short-term benefits in function for people with plantar fasciitis, but no effect is apparent at twelve months. / Doctor of Philosophy (PhD)

Thesis (Ph.D.) -- University of Western Sydney, 2004. / Bibliography : leaves 130-168.

Résumé<p><p>Ce travail de thèse contribue à déterminer chez l’humain, le rôle de différentes structures fasciales (expansions aponévrotiques, tissu conjonctif aréolaire, fascia profond et paratendon) disposées en parallèle ou en série avec leur tendon respectif. <p><p>La première partie de ce travail est consacrée à l’étude de l’expansion aponévrotique du biceps brachial. Deux protocoles ont été développés sur spécimens cadavériques frais. Un premier, anatomique, a permis de mettre en évidence des caractéristiques individuelles telles que la longueur et la largeur sans lien avec le sexe et la latéralité. D’autre part, une partie profonde de l’expansion aponévrotique du biceps brachial a été observée de façon constante. <p>Le second, biomécanique, nous a permis d’étudier les mouvements de flexion du coude et de supination de l’avant-bras ainsi que les bras de leviers instantanés du muscle biceps brachial avec et sans la présence de son expansion aponévrotique. Les résultats nous indiquent que cette structure limite la flexion du coude ainsi que la supination de l’avant-bras, tout en maintenant une rythmicité entre la flexion et la supination. D’autre part, elle permet d’augmenter le bras de levier musculaire du muscle biceps brachial en flexion et en supination.<p><p>Dans la seconde partie de ce travail, notre étude in-vitro s’est intéressée à la contribution relative des structures tendineuses et fasciales sur l'avantage mécanique musculaire lors d’une plastie du ligament croisé antérieur aux tendons des muscles droit interne et demi-tendineux. Les résultats suggèrent que la voie myofasciale des muscles droit interne et du demi-tendineux semble cruciale pour la transmission de force permettant le déplacement du segment jambier. <p><p>Malgré les limitations inhérentes aux études sur préparations anatomiques, ce travail contribue à une meilleure connaissance de certaines structures fasciales, dont les implications cliniques devraient être prises en considération.<p><p> / Doctorat en Sciences biomédicales et pharmaceutiques / info:eu-repo/semantics/nonPublished

Thesis (M.Tech.: Chiropractic)-Dept.of Chiropractic, Durban Institute of Technology, 2003 xv, 93 leaves / Plantar Fasciitis (PF) is a common injury, and one which is known to be stubborn to many forms of treatment. The purpose of this investigation was to determine the effectiveness of manipulation of the subtalar joint combined with static stretching of the Triceps Surae muscles compared to manipulation alone in the treatment of PF. Studies have shown chiropractic manipulation to be effective in treating this overuse injury, and gastro-soleus stretching is a treatment advocated by many authors, but which has not yet been investigated in combination with manipulation. This study consisted of 40 patients who were randomly divided into two equal groups. Group One received manipulation to restrictions in the subtalar joint, and Group Two received subtalar manipulation in addition to two static stretched of the gastro-soleus muscles.