"Think out of the box" Osteopathy is now part of the current health practices, frequently used by patients in the french healthcare system.
Trying to explain as much as possible the action of this method using pluridisciplinary collaborations between researchers and therapists, with current means, seems essential for both patients and practitioners. In this context, the recent research about fascia now considers it as a constitutive anatomic element of architecture and balance of the human body, opening new perspectives of understanding, joining the empirical observations of manual therapists. Elastography is one of the main available techniques nowadays to observe these fascial structures using medical imaging. My exploratory study in the LBMC (Laboratory of Biomechanics of Lyon, France) aimed at proposing a research protocol for the osteopathic technique of Recoil, applied on the fibula, in order to get some first results about its influence on a fascial structure, the ilio- tibial band. The data have shown signifying variations, while a lot of variables are still to settle and investigate. These results must be confirmed by an on-going clinical study, led on a significative number of volunteers. Thus the collaboration with the LBMC initiated for my MSc in Biomechanics is continuing. We aim at obtaining elements about the mechanical behavior of fascia, implied in the modelisation of the Virtual Human, one of the main topics of research for the LBMC. This is also about proposing a different way of thinking for the osteopathic research, from a different point of view, trying to observe and understand a phenomenon, with an hypothesis about the mode of action of the technique, using the recent research about fascia without trying to validate the efficiency of a technique on a particular physiological parameter or a specific symptom. Indeed, this last method would not correspond to the clinical osteopathic thinking, as the osteopath aims at understanding and treating the global causes of a symptom, for each patient, and thus can be led to apply different care methods and techniques on various patients with similar symptoms. |
4th International Fascia Research Congress Washington DC
Photos fascia :
EndoVivo, JC Guimberteau MD |