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Fascial neuromodulation: an emerging concept linking acupuncture fasciology osteopathy and neuroscience

机译:筋膜神经调节:将针灸筋膜病整骨疗法和神经科学联系起来的新兴概念

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摘要

According to Traditional Chinese Medicine “acupuncture is believed to restore the balance between Yin and Yang” and this can be understood in the Western medicine terminology as a “modulation of the equilibrium between parasympathetic and sympathetic activity”. The vast majority of studies concerning the mechanisms of action of acupuncture have been conducted on its influence on pain, and it has been proposed that acupuncture may indirectly relieve chronic pain by its effects on autonomic nervous system function. Several studies have shown that acupuncture recruits brain networks involved in the integration of multiple other brain functions: for example, the limbic-paralimbic-neocortical network, which plays a major role in modulating the affective dimensions of pain processing and the integration of emotional, sensorimotor, autonomic and immunological functions. It has been recently proposed that mechanical signaling through the connective tissue, along with transmission of the matrix deformation through the fascial system network, can explain the therapeutic effect of acupuncture. This model of acupunture, which involves the transduction of mechanical signals through the connective planes and produces a secondary involvement of neurophysiological mechanism, appears to fit very closely to the ancient model. It is also compatible with the proposed neurophysiological explanation. Furthermore, it appears to be fruitful also in manual therapy approaches. Drawing on the basis of the “Fascial network hypothesis of meridians”, in which there is an overlap between the channels network described by Traditional Chinese Medicine and the newly-defined fascial system, I propose an intervention through a combination of acupoints that have been selected due to their relationship between “extraordinary acupuncture channels”, the myofascial sequences described by Stecco, and the emotional and adaptive function as contemplated by a psychosomatic model used in posturology. This intervention is aimed at treating both stress and postural imbalance.
机译:根据中医的说法,“针灸被认为可以恢复阴阳之间的平衡”,这在西医术语中可以理解为“副交感和交感活动之间平衡的调节”。关于针刺对疼痛的影响的机理的绝大多数研究已经进行,有人提出针灸可以通过其对自主神经系统功能的影响而间接缓解慢性疼痛。多项研究表明,针灸招募了参与多种其他大脑功能整合的大脑网络:例如,边缘-半边缘-新皮质网络,在调节疼痛处理的情感范围以及情感,感觉运动的整合方面起着重要作用,自主和免疫功能。最近已经提出,通过结缔组织的机械信号传递,以及通过筋膜系统网络传递的基质变形,可以解释针灸的治疗效果。这种针刺模型涉及通过结缔平面传递机械信号,并产生神经生理机制的第二次介入,似乎非常适合于古代模型。它也与提出的神经生理学解释兼容。此外,它在手动治疗方法中似乎也卓有成效。根据“经络的面部网络假设”,在中医描述的渠道网络与新定义的面部系统之间存在重叠,我建议通过选择的穴位组合进行干预由于它们在“非常规针刺通道”,Stecco描述的肌筋膜序列以及姿势学中使用的心身模型所考虑的情绪和适应功能之间的关系。该干预旨在治疗压力和姿势不平衡。

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