Winter school


Fascial Anatomy: cadaver dissection, biomechanics and ultrasound imaging in living
WHERE: Institute of Human Anatomy, Department of Neuroscience
WHEN: 21 - 25 January 2019
WHO MIGHT PARTICIPATE: medical doctors, physiotherapists, motor scientists, osteopaths and chiropractors DEADLINE FOR APPLICATION: 3 September 2018
WEB: https://neuroscienze.unipd.it/corsi/winter-school
INFO: anatomia.dns@unipd.it

AIMS of the school
Knowledge: Recent research highlights the important role of fasciae in myofascial pains and overuse syndromes. The aim of the course regards the achievement of knowledge about fascial anatomy and physiology for a better understanding of musculoskeletal pain.
Skills: the participants will touch different fasciae and muscles of human body in order to understand their thickness, density, mechanical features. The achievement of this skill will permit a better adaption of various manual techniques during the treatment of patients.
Competences: The frontal lectures and dissections will suggest to the clinicians a new point of view of musculoskeletal system, focusing the attention into the superficial and deep fasciae. The different aspects of the human fasciae will be showed and discussed, with particular attention to their function.
Contents: hands-on fascia explorations on human cadavers; exploration of fasciae in living human with high resolution ultrasound; scientific lectures.

Methodologies
- Frontal lessons
- Dissection of fresh cadaver
- Evaluation of embalmed cadavers
- exploration of fasciae in living human bodies with high resolution
ultrasound

STRUCTURE OF THE COURSE

DESCRIPTION OF THE SCHOOL
This course of muscle-fascial dissection has been designed specifically to learn how to analyze and better understand the fasciae of the human body. Fasciae have been rediscovered in recent years because they seem to play a fundamental role in proprioception, in peripheral motor coordination and in the etiology of chronic muscular pain, but little is known about their anatomical, microscopic and biomechanical characteristics. The Institute of Anatomy of Padua University is internationally recognized as a reference center for the study of fascia and Prof. Carla Stecco is the author of the first photographic atlas on the fasciae (Functional atlas of the human fascial system, Elsevier, 2015), as well as coauthor of some books on the fascial manipulation and on the anatomy of fasciae.
This school will allow the trainees to deepen their knowledge of the fascia through theoretical lessons on the anatomy and physiology of the fascia, its interaction with the nervous system, with the underlying vessels and muscles. Ample space will be devoted to the dissection of the various districts, in order to understand which are actually the relationships and the dimensions of the anatomical structures, sometimes different from what is drawn in the atlases.
In addition, it will be investigated how the fascial dysfunctions can contribute to the development of conditions such as myofascial pain or movement disorders. These dysfunctions can be assessed using the principles of tissue biomechanics and ultrasound imaging. In fact, an alteration of the quantity or quality of the components of the loose connective tissue that is located between the layers of the dense connective tissue of the deep fascia can change the viscosity and, therefore, the viscoelastic properties of the fascial tissue. The viscoelasticity of the fascia includes various properties such as tone, elasticity and rigidity. The tone of the fascia represents the state of tension of the tissue at rest. The elasticity (coefficient of the speed of change) is a characteristic that is defined by the ability of the fascia to regain its original length when it undergoes a deformation following the application of an external force. Finally, the stiffness is represented by the ability of the fascia to resist an external force. Quantitative measurements of these properties may support the diagnosis of fascial dysfunction and help monitor patient status. Ultrasound imaging is a "cross-sectional imaging" method based on sound waves reflected from the tissue interface. It is considered a non-invasive, safe and economical medical imaging method. It allows to analyze the fascia at high resolution and to measure the thickness of its various layers. This is the only imaging tool that allows the visualization of the fascial gliding with respect to another structure or between adjacent fascial layers. In this school we will deepen this imaging technique, with the ultimate goal to more accurately analyze the fascia dysfunctions to better apply every type of exercise and manual therapy.

Evaluation of participants
- test multiple choice

References
we’ll send by mail to the participants a selection of papers about the fascial anatomy and imaging.
We suggest : Functional Atlas of the human body. Stecco C. Elsevier ed. 2015.

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