Title: Function and mechanics of fascias focused to shoulder girdle Objectives: The main subject of the diploma thesis is the issue of fascial concatenation. The aim of the diploma thesis is a systematic study findings related to the selected issue and introduce concepts, that deal with the fascial concatenation. For a specific example of fascial concatenation was chosen from a practical standpoint shoulder girdle in relation to the entire upper limb. Methods: The thesis methodologically equivalent to a theoretical type of work - job search. Results: By processing the literature sources was created a comprehensive overview that relates to the topic of fascial concatenation. Attention was focused on the arrangement of fascial tissue, not only in terms of stratification, but also due to its layout. One of the chapters was focused on mechanical functions and models explaining changes in fascial tissue behavior during therapy. The thesis presented three general concepts dealing with fascial concatenation whose specific strings were introduced in the shoulder girdle in relation to the entire upper limb. Keywords: fascia, fascial chain, shoulder girdle

Title: Manual techniques based on the theory of fascial chains Objectives: The aim of this thesis is to summerize academic findings and information about anatomy, histology, neurophysiology and biomechanical properties of fascial tissue from the latest research and studies in the theoretical part. Analytical and descriptive part is firstly focused on principles of tissue remodeling, mechanism of myofascial therapy effects and on diagnostic methods which are available for evaluation of structure, properties and function of fascia. The main goal is to describe and compare different diagnostic and therapeutic approaches of most known authors based on various theories of fascial chains. Another important purpose of this work is to demonstrate the objective effect of particular fascial techniques and manual therapies. Methods: This thesis is theoretical work with the purpose of summerizing, organizing and analyzing relevant studies related to the topic through the literary research in available academic databases. Results: The key information concerning structure and properties of fascial tissue have been collected and analyzed according to the latest fascial researches. This thesis describes three best known and widely used approaches which concern the theory of fascial chains and practical outfall...

Diploma thesis title: Influence of tissue flossing therapy on the range of motion and fascial chains in the lower limbs. Objectives: The main objective is to present theoretical facts about tissue flossing therapy, to document the effect of this method on the active range of motion in the lower limbs and to investigate whether this increase in movement can be achieved by influencing fascial chains in distant parts of the musculoskeletal system. Methods: The research was completed by 30 recreational or high-level athletes aged 19 to 26 years. Initial testing and subsequent treatment of the ankle joint and surrounding fascial structures were done using the tissue flossing technique. The initial tests consisted of a weight- bearing lunge test to test the dorsal flexion of the ankle joint and a Thomayer test to test the range of motion within the fascial superficial back line. Treatment of both ankle joints and surrounding fascial structures on both lower limbs was followed by final testing. The resulting data were processed using mathematical software R. A paired t-test, a two-sample t-test for independent selections assuming different variables and a test of the agreement of the fraction with a known constant were used to calculate the p-values. Statistical significance was determined at the critical...

In clinical settings, the pectineal ligament forms a basic landmark for surgical approaches. However, to date, the detailed fascial topography of this ligament is not well understood. The aim of this study was to describe the morphology of the pectineal ligament including its fascial connections to surrounding structures. The spatial–topographical relations of 10 fresh and embalmed specimens were dissected, stained, slice plastinated, and analyzed macroscopically, and in three cases histological approaches were also used. The pectineal ligament is attached ventrally and superiorly to the pectineus muscle, connected to the inguinal ligament by the lacunar ligament and to the tendinous origin of rectus abdominis muscle and the iliopubic tract. It forms a site of origin for the internal obturator muscle, and throughout its curved course, the ligament attaches to both the fasciae of iliopsoas and the internal obturator muscle. However, dorsally, these fasciae pass free from the bone, while the pectineal ligament itself is adhered to it. The organ fasciae are seen apart from the pectineal ligament and its connections. The pectineal ligament seems to form a connective tissue junction between the anterior and medial compartment of the thigh. This ligament, however, is free to other compartments arisen from the embryonal gut and to the urogenital ridge. These features of the pectineal ligament are important to consider during orthopedic and trauma surgical approaches, in gynecology, hernia and incontinence surgery, and in operations for pelvic floor and neovaginal reconstructions

Burst abdomen (BA) is a severe complication after abdominal surgery, which often requires urgent repair. However, evidence on surgical techniques to prevent burst abdomen recurrence (BAR) is scarce. We conducted a retrospective analysis of patients with BA comparing them to patients with superficial surgical site infections from the years 2015 to 2018. The data was retrieved from the institutional wound register. We analyzed risk factors for BA occurrence as well as its recurrence after BA repair and surgical closure techniques that would best prevent BAR.:1 Abkürzungsverzeichnis 2 Einführung 2.1 Aufbau der Bauchwand und operative Zugangswege in der Abdominalchirurgie 2.1.1 Anatomie 2.1.2 Zugangswege 2.2 Wundinfektionen 2.3 Definition „Platzbauch“ 2.4 Risikofaktoren und Ursachen von Fasziendehiszenzen 2.4.1 Biochemische Einflüsse auf die Wundheilung 2.4.2 Mechanische und technische Faktoren 2.4.3 Allgemeine individuelle Faktoren 2.5 Management des Platzbauchs 2.6 Spätkomplikationen des Platzbauches 2.6.1 Narbenhernien 2.6.2 Intestinale Fisteln 2.6.3 Netzinfektion 2.6.4 Re-Dehiszenzen 3 Zielsetzung der vorliegenden Arbeit 4 Publikation 5 Zusammenfassung der Arbeit 5.1 Einleitung 5.2 Wundregister nosokomialer Wundinfektionen der Klinik für Viszeral-, Transplantations-, Thorax- und Gefäßchirurgie am Universitätsklinikum Leipzig 5.3 Risikofaktoren für Platzbäuche 5.4 Platzbauchentstehung 5.5 Chirurgische Verschlusstechnik 5.6 Re-Dehiszenzen 5.7 Limitationen der Analyse 6 Literaturverzeichnis 7 Anlagen 7.1 Darstellung des eigenen Beitrags 7.2 Selbstständigkeitserklärung 7.3 Lebenslauf 7.4 Publikationen 8 Danksagung

Fascial tissues form a continuous whole-body three-dimensional network penetrating all parts of the human body. They include all fibrous connective tissue that significantly contributes both to themaintaining of the integrity of the organism and the functioning of body systems and the somesthetic perception.That is because of the facia is richly populated by proprioceptiveand mechanosensitive nociceptive nerve endings. Although the stretching is a routine method used in sports and rehabilitation, its exact mechanism of influence and effects on the body are not fully understood so far. Stretching exercises affect the mechanical state of the myofascial tissues and also the quality of the nociception and proprioception by alteration of their preload. There is evidence about some differences of the mechanical properties of the tissuesboth between thesexes and hypermobile individuals. The theses assesses the effect of static stretching m. QF on the somesthetic perception by measuring pressure pain threshold (PPT) using pressure algometry and the quality of propcioception bygoniometric measurement considering the interindividual variance in quality of the connective tissues. Our research includes testing of 29 healthy subjects (14 women and 15 men) and it has proved significant impact of the intervention on the...

The thesis deals with the evaluation of the influence of foam rolling on selected parameters of somatosensory perception (pressure-algic threshold, vibrotactile sensation). The theoretical part discusses fascial tissue, summarizes the current knowledge of foam rolling and focuses on the mechanisms of pain and vibrotactile sensation. The research part consists of a randomized blind study on a group of 15 healthy probands (11 women, 4 men), which evaluates the effect of foam rolling. The effect is objectivized by pressure algometry and vibrametry on the m. rectus femoris and m. biceps femoris of both lower limbs (measured before and after therapy). The value of the pressure pain threshold (PPT) increased after foam rolling. Vibrotactile threshold (VT) was lower after foam rolling than before its use, which means that vibrotactile sensitivity was increased. The results show that these changes do not occur only in the interventioned m. rectus femoris, but some changes in parameters can be found in other muscles as well. Keywords fascial tissues, foam rolling, pressure algometry, pressure pain treshold, PPT, vibrametry, somatosensory system, nociception, diffuse noxious inhibitory control, DNIC